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HomeMy WebLinkAbout66550D - Rowen11 Ii:AmA / ❑ DREDGE & FILL 2JENERAL PERMIT *slew ❑Modification ❑Complete Reissue ❑ Partial Reissue Previous permit # Date previous permit issued rized 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 f A ❑Rules attached. t Name—N (% 120 Ue0 Project Location: County N e l� Hakio� ,, 7�C '�h safll Street Address/ State Road/ Lot #(s) /(/1i rIG`fDh State ZIP 2 Y% -- (lit ) �G/9---fQ8�—(' E-Mail Subdivision /!1-15- ed Agent See t7' ',1O-A / 'f City im r//1""Oy.� , ZIP 15, ❑ lg'ECW /! W 63PTA Rd- ❑ PTS Phone # ( ) / River Basin ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body /► *°4 nat i ❑ PWS: /� r yes / ho' PNA yes / o ' Closest Maj. Wtr. Body �t1�` / �J 7 ck) lengd atform(s) I/ Riprap length distance offshore x distance offshore illdozing I yes e' yes no e ig permit may be required by: N 14 C�J 7-1 15 /11l l�97 4 ❑ See note on back regarding River Basin r -ocal Planning jurisdiction) NC Division of Coastal Mgt. Habitat Impact Computer Sh"t a V / �✓�, Permit #: Applicant: mil/ Date: y Describebelow the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. -- TOTAL Sq. Ft. FIN (Applied for. (Anti DISTURB TYPE Disturbance total dis Habitat Name Choose One includes any anticipated E)� re restoration or an temp impacts) imp Dredge ❑�Fffl�Both❑ Other ❑ S Dredge ❑ Fill �f Both ❑ Other ❑ (�N 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 ❑ Dredge ❑ Fill❑ Fill ❑ Both ❑ Both ❑ Other ❑ Other ❑ Dredge ❑ Dredge ❑ Dredge ❑ - . r-f Fill ❑ Fill ❑ Fill ❑ -... r* 1 Both ❑ Both ❑ Both ❑ r�_ , M Other ❑ Other ❑ Other ❑1 nfk.. r-1 . L Sq. Ft. TOTAL Feet for. rtntip Fri final (Antici ated Ipated final (Applied jrbanoe. ud" any Disturbance total includes disturbance. Fxdudes any bration any anticipated restorationand/or _ /ortemp restoration or temp impact Iarnount) _temp impacts amount A4, ..`�►` Un- 9,49W North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis John 1 Governor DineCtor AGENT AUTHORIZATION FORM Date: 1f /13 / 1 (o Name of Property Owner Applying for Permit: Name of Authorized ApeW for this proji y R + �oS�n� n �� 0 �t t,�/�� SGoTr/�c/I?JJS B f� /%1#14p✓E Owner's A/aNiq Address: 9 0 o Stev-L- e— njL a-Ekly Phone Number ( 910 ) -1 4 �. - 4 t S Y Agent's Ata&Wg Address: 0AQ • I certify that I have authorized the agent listed above to act on my behalf, for the purpose of apply for and obtaining all CAMA Permits necessary to install or construct the following (activity): For my property ioaaled at 9010 s} , s+�p� �-s I +u, w = I 'vc- a8Y ! Z This ce 7*n is valid thru (date) CO 3 c I t G I13 Property silprWWr* Dale Name of Individual Address of Property DIVISION OF COASTAL MANAGEMENT (Lot or Street #, Street or Road) Lic')`bR, /0 C 8�i� (City and County) 1 hereby ee tify 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 drawinj the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. 1 have no objections ections to this proposal. J P P If you have objections to what is being proposed, please call Debbie Wilson with thi Division of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of the receipt of this notice. No response considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, moorings pilings, breakwater, boat house or boat lif must be set back a minimum distance of 15' from my area of riparian access- unies waived by me- (If you wish to waive the setback., you must initial the appropriate 7n, ? do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFIC_ ATION;'WAA ER FORM, Name of Individual Applying For Permit: L) Address of Property: �V?� I li YI (Lot or Street #, Street or Road) (City and County) I hereby certify that 1 own property adjacent to the above -referenced property. The individual applying for this permit has described to me as shown on the attached drawin; the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please can Debbie Wilson with thi Division of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of the receipt of this notice. No response considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 understand that a pier, dock, moorings pilings, breakwater, boat bouse or boat Ud must be set back a minimum distance of 15' from my area of riparian access- unles 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. I do not wish to waive the 15' setback requirement. oil