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Home My WebLink About67187D - MitchellCAMA / O DREDGE &FILL [ A B iENERAL PERMIT (/ / Previous permit# New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. Name dc&a- / Project Location: County V S " ►'� Street Address/ State Road/�Lot #(s) '� C J J StatkJ-- ZIP ��`t� l '� s V��n�'�.0 � -•'° �� l jo ' Et-M 'I Subdivision Agent /y^��" !ti' C Yl f l� ' C 1 t T r Ws It 6, i .�r City .� t �� t c%'VI", _ ZIP r ❑ CW R EW l� PTA ❑ ES ❑ PTS Phone # River Basin tvt ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A Adj. Wtr. Body j l ✓ r {I'' y? = a t El PWS: Closest Maj. Wtr. Body yes / no PNA yes / no� f Project/ Activity ;,a -_•(/►' 7i ✓✓ i lL " ck) length atforryN Platform ti :ngth amber id/ Riprap length g distance offshore ax distance offshore ttmi>;f" — 0' ibic yards �hp use/ Beat ne Length '-I not sure yes >rium: n/a yeses (Scale: �! • Attached: yesr,/PTSt`sl —I- ling permit may be required by: Local Planning jurisdiction) ;-J { ❑_'See note on back regarding River Basin NC DIVISIOn OT Applicant: Date: Describe below the HABITAT disturbances for the application. ion. ent found in your Habitat code sheet. All values should match the name,and units- of meal-4-- —fOFeet TOTAL FIN TOTAL Sq. -Ft.. for. FINAL. Sq. Ft. (Anticipated final (Applied for. (Ant DISTURB TYPE (Applied D. Isturbance.total disturbance• Excludes any Disturbance total includes dtstt '�Xd Habitat Name* Choose Oneantic inciddesshy restoration any anticipated rest re restoration or and/or temp restoration or tem] temp impactsL_ jMp?ct amount ).._ ternpim acts afnc Dredge Filln Both ❑ Other 0 27S Dredge [I ' Fpb - Both, ❑ Other D Dredge [] Fill M 6th 0 other [I ------------ 7 . Dredge El Fill El Both n Other D Dredge 171 Fill El, Both El Other Dredge. El. Fill 0: Both ❑ oth6r n Dredge El Fill El 'Both M. Other E CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: C ty) � e-kk � S0-r,� 5 \—i—C- Address of Property: 2-3 Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & County) Mailing Address: LCzm— e��\ C. I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A_description ar drawing with dimensions must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is availableathyp:fimv-,,v.nccoastalinanagerr,ent.net;web,crriistaff-listin or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sil-nature C-MARtt' '�iY�Fi T'i fi`1 ` i"G l lF Print or Type Name (Riparian Property Owner Information) Si"nature y', A ke Vc LI—e Print or Type Name bwr AAailinri Arlrirnoo Z,30 wkep-lej - C��K ` Z� CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: CM Wrc=J- ELL_ E SO �AS LLC- 54 e �Ds t ERP-y Address of Property: 235 �' E, `r C� � � Ol�su��,ti C�vu�1 y KIL- Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & Cou Mailing Address: ZZ,5 1 it Ll_ Le4Nc 5,11EV9IiS rTL L I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing_the development they are proposing. A description'or drawing, with dmaczsions, must beiiibroVidedvith this]etter. I have no objections to this proposal. 64 1 I have objections to this proposal. If you have objections to what is beig proposed, you must notifyth ie Division of Coastal Management (DCM) in writing within 10 days o; receipt of this notice. Contact information for DCM offices is available at httpJ,Iwww.nccoastainianagerr)ent.net/�veb/crri/Staff-listing or by calling 1-888-4RCOAST. No response is considered the sarr., a as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, moc, -ing pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. �Zac, AC , ga/, (Property Owner Information) Ch 7W- e lf-Y Signature N,(AyLcS 0-)0`T-r Print or Type Name (Riparian Property Owner Information) Sig Lure yA,�e S- `N Print or Type Name 255- 14(LL- L Vi0F 1105- Pi k)i= U uJn o r- Lu .LE-EE -� f� TO bl�- DREDGED N n2-0'9