The URL can be used to link to this page

Home My WebLink About67922D - Marchisello;I LAMA / C' DREDGE & FILL � � A B 3ENERAL PERMIT Previous permit "#' ,kNew ]Modification El Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC b �� L ❑ Rules a ched. it Name �r�h �` 6 �� Project Location: County yWi� Vt, l Street Address/ State Road/ Lot #(s) r >� k\,\ State�c ZIPv� G 1 � 31 — 563 b E-Mail Subdivision s :edAgent LAk \�tkt4l R(A(�ti ji4oAvc kci�tyi�riceM� 91 Ac4(41 ZIP a b L ❑ Cw XEw *A ❑ ES ❑ "S Phone # (`l 1 D) W H 1' t j tq , , River Basin LVW ❑ OEA 1-1HHF ElIH ❑ UBA ❑ N/A Adj. Wtr. Body VWV (r •ai i E. PWS: _ ,/ �1 a„A , __ Closest Maj. Wtr. Body U 1 V f Project/ Activity i ■■■■■■i■!■■■�■■■■■■■■■■!!Ism�■I �1��l■=#i■�iilMl■r■N■■!/MMflll(�J!!1�lITi■�1 ■■l"WEENWEN■R�....i� �!!■r�ii■■1■1■■■1■■r��!1!I ■■■1■ i>!.2 16� ■■■1q,10NIT90..r•J1'17Z1«ITrial MEMO■■ice EEali ::��1■■■��■!■�I��1Ga offshore ■■■■■■!■■■iit■■■ IIl111,'�■■■■■®■■!�■�� Gi■19i1ji - Ell !■�1!I■■■ i■�■III■ 1'■■■■■ ■■`J!■ ■� !!!I hannel ■I!7l11�.'1!31'�i:�....N II171 1MEME■1 ■■■■�■I ■NE 112■UMI Z 2■®■III■■■■ ■■Flex�.�a■■! N ■■■■I rnp !UVA" MWU MRUMEME11111210MMEM■r'1!"II!ti�■�!■■!I !r■■■IN■■■1l ■■!■ 111��t■■liiiirf I�■■ ■!■■I ■■!■■■!■■!■®■II1im■■■■!l6i►'■■■�■■!■I ■MENEM MIMESMAINEENIMENEFIENH■O■■■!I ■N■■!■■■!■■�■ IIlcl�t■■!■■!■■■�! ■ ■!■■I Lulldozing � - /,:�C.�I■I�Il.innl�■In.�r�■IIIfr�■��r !r■1!r■�!■■■I ■�■■■■�■■l'll�■III■■■■■i■■i��!■�■L'!!I ■■■lr■■!■!■�■ II1�! / ■ �J■■■11■ ■ ■ ■■■■I ■�■■!!�■C��G is Alt► ��■�H��!■■! �_�!_�_■ ■_�_■_!_■_■_■_!_■_ ■_■_�_■III■_� _ _ raw ON MEW ■A,t,.� �I�!■i�1i !■■■■!� ELIM Local Planning lurisdiction) n I . 1 f NC Division of Coastal Mgt. Habitat impact Ccalt>taputer Sheet Applicant: avt�3t 11. b Date: �a a, I Zc c 4 Permit #: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied..for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any resto[ation and(or temp . impact amount) TOTAL Feet . FINAL feet (Applied for.. (Anticipated final Disturbance disturbance. total includes Excludes any any anticipated restoration and/or restoration or temp impact temp impacts.) amount) Dredge ❑ Fill ❑ Both ❑ Other \ 13 1 ) Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 171 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑: Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ . Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both [I Other ❑ Dredge ❑ Fill D Both _❑ Other Payment Proccessing Confirmation Date Received 1 11/9/2016 heck From (Name) Backwater Marine Construction Inc Name of Permit Holder Frank & Brady Marchisello Vendor BB&T Check Number 2598 Check amount $600.00 Multiple Permits Yes Major/Minor Permit Number/Comments GP 67922D Receipt or Refund/Reallocated SF/2838D ($200) NCDENk North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Dee Freeman Governor Drwcr Secrelan AGENT AU I'HORIZAT ION FORM Date Name of Property Owner Applying for Permit Name of Authorized Agent for this project. Owner's Mailing Address Phone Number 77nOIC Agent's Mailing Address Phone Number 4/ q 3 I certify that I have authorized the agent listed above to act on my beh3lf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (my property located) at This certification is valid thru (date) /40 prope V Owner Signa Date 12? Catdrial 01we U1, VV*wv4"1- NC pnm, 9io-7%-7215 t FAX 910195-3964 We(rel www ftC)as1J'ma"a9`wx4 f`v� T,40',"r th C ar o I i n a turally ADJACENT RIPARIAN PROPERTY jO,,WNEER STATEMENT I hereby certify that I own property adjacent to _F�.41 K �+ Dr,2,,,,,Q„ 11 l ,2,e-4Ise 1 /o 's (Name of operty Owner) property located at �'i^,a✓,,,J ,s it (Address, Lot, Block, Road, etc.) on e.,in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above ' I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) c 1�t.., Ai - s r WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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.) i do wish to waive th 15' setback requirement. T I do not wish to waive the 15' setback requirement. (Property Ow r Information) cent Prope ner format' n) Signature Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to i'/A'✓k + Br-c,�'z /f�(a�c� use 11 o 's (Name of operty Owner) property locate' at � .3 Cry✓,,1J � �-' (Address, Lot, Block, Road, etc.) on in I N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown oelow. the development proposed at the above l locat o I ,�> I have no objection to this proposal I have objections to this proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) urn r WAIVER SECTION I understand that a pier. dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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.) I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement (Prope;Z,) r Information) (Adjacent Property Owner Information) > ,� �.S�Lmufiur Sig (Nn � i r n r I � 13 rti � i�� zo I ter' Q�,