The URL can be used to link to this page

Home My WebLink About67172D - Palumbo]LAMA / ❑ DREDGE & FILL Kt- 1/,f// 6 6r? ?'4'? ;ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources (� :oastal Resources Commission in ap arga of environmental concern pursuant to I SA NCAC �� ic}(i c �a V Y ` ❑ Rules attached. t Name �(XeV� � o Proiect Location: County (Zl"'? s 15j� 1n W,411d * Street Address/ tate Road/ L t #(s) State ZIPINI0V'A-'('Y E- ail '� Subdivision 1 / Y1 �4 ZIP :ed Agent (a YZ i 1V � 1i�('�VI�� yy l �{/�. wl m City ❑ Cw �EW XO1 TA ❑ ES ❑ PTS h (" to) 5--70 River Basin ❑ OEA ❑ HHF H ❑ USA ❑ N/A Adj. Wtr. Body nat ❑ PWS: yes PNA yes /io) Closest Maj. Wtr. Body ngth mber d/ Riprap length_ g distance offshore ix distance offshor, hannel bic Yards np lse/ ing permit may be required by: 1 Ov " A t UueW{�.#'7iR �e't ❑ See note on back regarding River Flasin i Local Planning jurisdiction) MC Division of Coastal Mgt. Habitat ImPaCt Computer Sheet Applicant: Date: 6 cl %�C ,0�� Permit #: � 71-7�L —j Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. DISTURB TYPE Habitat Name Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. TOTAL Feet (Anticipated final (Applied for. disturbance. Disturbance Excludes any total includes restoration any anticipated and/or temp . restoration or impact amount) temp impacts) FINAL feet (Anticipated final disturbance. Excludes any restoration and/oi temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other-q , 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other ❑ Dredge ❑ Fill 171 Both ❑ Other ❑ North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Jots E Sieves Secrete), AGENT AUTHORIZATION FORM Date: Name of Property Owner Applying for Permit: JOSE-PIN ?4wAPA60 Owner's Mailing Address: 1cA ToW.A+WA 0Yu� c,**,y, N C. 27s1� Phone Number (M 1 VV7 -- 7.44(+ ame of Authorized Agent for this project: wad LX)'ti Agent's Mailin Address: c 3u —q M SW 4�1,L , oc-, cg%A ni Phone Number lU I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the followin (activity): For my property located at k t 3 3% Ck jati- 7.. SCG a ! 4 Lu a P"r) Sf . 1 11 This certification is valid thru (date) I I I I Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to .u`e ` ra�a ��yn bo 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on eft'VAO'--'� in IJam I JJL' Q��r > , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (IT) from my area of riparian access unless waived by me. ✓ I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Applicant Information) (Riparian Property Owner ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 3�e YOL —Po I UVK b0 's property located at (�� (N�ame of Property Owner) - Y 1 S- - (Lot, Block, Road, etc.) on in Le a i n , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatliftiboathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Applicant Information) (Riparian Property Owner Information) I -b 4 Vl�Y) W 0 C4 . A.f,.: I:..... A-l.i..---- CA RO LI NA B LUEWATER CONSTRUCTIOINI Custom Beach, Mainland, and Golf Course Homes Complete Design / Engineering / Building 6934-9 Beach Dr. 5W, Ocean 15le Beach, North Carolina 28469 (910) 575-7100 16'-11" , 16'-0" 1 16-11" 16' x 8' Alum. Floating Dock w/ 1IT Piles CANAL 7 MHWL------- a S20`03'20"E 49.88' 30' CAMA SETBACK LINE AS STAKED BY TOWN LPO — — Parcel #: 244PM034 Owner. Joel & Philip Lambert 1806 Pugh Street Fayetteville, NC 28315 4 M cM EXISTING CONCRETE LOT 33 5,747 SQ. FT. —Open Covered Deck ff", o 00 o 0 3 0 0 POOL a ■ ■ 11'X23' i Parcel M. 244PM032 Owner. Joseph & Christine Thomas 4820 Oak Grove Church Rd