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Home My WebLink About66676D - SmithCAMA / ❑ DREDGE & FILL "ENERAL PERMIT �� " Previouspermit# A B N v ❑Modification ❑Complete Reissue ❑Partial Reissue 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 ❑ Rules attached. t Name vN I, l V►V1 f _" M ) ttI t_ '�'l.�l-1 f 1� Project Location: County 2 r La -,A Street Address/ State Road/ Lot #(s) Ifk1M ee7T&k'D State W ZIP 21. A- t 3 4- , `•' ri vJ t%-_-CM i S ZH b — -�� (E-Mail Subdivision ,ed Agent L TO City ZIP �4Q ❑ CW VIEW ?(PTA //❑ ElOEA ElHHF IH ❑ PWS: yes / no PNA ye f Project/ Activity ❑ ES ❑ PT'S Phone # ( ) River Basin 157 C ❑ UBA ❑ N/A Adj. Wtr. Body P" � wv\/ g:i Closest Maj. Wtr. Body We A tlJ- Soom r> � (1 (�' U/ f�) 1, Mi IN COMMON �. on iY CAMA / DREDGE & FILL Q ll EI 1 tj GENERAL PERMIT Previous permit # A B New Modification Complete Reissue _Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ff ff Rules attached. Applicant Name � W1 �-C-L. yt1 LC iH I Project Location: County Address__�__�<� Street Address/ State Road/ Lot #(s) City ti` �� State NC-_ ZIP Z c}�p�t 7j --..." (G7j v -1.�� 4 Phone # Z3-6 y E-Mail Subdivision _ Authorized Agent L `T U r�M l.i _ Gty L i" °�Ki7 _ ZIP_ Z k44 Affected cw )�Ew )4pT'A 7Es =PTs Phone # ( ) River Basin OEA HHF IH !.: USA NIA AEC(s): Adj. Wtr. Body �P'� _ naf _ ORW: yes !L6 ; PNA yes�n Closest Maj. Wtr. Body +u� �z tL ;'Cc Type of Project/ Activity Lt foie i t ct Pier (dock) le'Vh Fixed Platform(s) _-- Floating Platform(sy Finger pier(s) 11 x Groin.length — — - Bulkhead/)kipraplength avg dista?K'e offshore max distanct,offshore Basin. channel cubic yards Boat P Beach Bulldozing Other Shoreline Length _. _]__ _ C�F, SAV: not sure yes o Moratorium: n/a yes Photos: yes �( Waiver Attached: no l- �_.._. A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions (fit l'o, yr l fro See note on back regarding River Basin r NC Division of Goasta! Mgt. Habitat lrnpact' COMP ter sheet C r Applicant: �% IruM� r` �� t1►ti1 ✓� �'�^ 1 . Date: —Z� — Describe below 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. FINAL Sq. Ft. TOTAL Feet FII (Applied for. (Anticipated final (Applied for. (Ai DISTURB TYPE Disturbance.total disturbance, Disturbance As Habitat Name Choose One . includes any Excludes any total includes _ Ex anticipated restoration any anticipated re; restoration or and/or temp restoration or ter D W I Dredge ❑ Fill ❑ Both ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge. ❑. Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ AGS ATA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James K Gregson, Director Dee Freeman, Secretary Date a 0 / (o Name of Property Owner Applying for Permit: JUN 2 � Lv$6 Mailing Address: I certify that I have authorized (agent) !Ao,\ �— Q C 1 e 0--Qi1 to act on my Ij behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Q r at (my property located at) '`j(o_y__� This certification is valid thru (date) / U� CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM � Name of Property Owner. �V\��\Qir C�hC� S 2S✓1�Y1\`(�� 1� S\mil Address of Property: C�Y�O.et�_Cv ` (Lot or Street 0, Street or Road, City "IM" � WV Y `� r,Q- Cuy\ �- Agent's Name # MaifingAddress: �i� lAC C a\d �. Agent's phone #: 0 59 0A Y!42-Gd N L f-R R C/ L 3 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 drawing the development they are proposing. A d�r�crintion or drawinct with dimans#ons must be oroAM with this letter. 1 have no objections to this proposal. I have objections to this proposal. if you have objections to what is being proposed. you must nobly the Division of Coastal Management (DCM) in writing within 10 days o/ receipt of this notice. Contact information for OCM offices Is available at httaaMrww ncaoastatmansoemant.netAMeb/cmistaff41stlrta or by caging 1-8884RCOAST. No response is considered the some as no oNectlwr N 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.) ,V&I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (P�rty Owner Information) ��, v. gtiarure Print or Type Name Mailing Address (Riparian Property Owner Information) Signature - 1Ir P Y�La `L. Q oev Print or Type Name MaBing Ad *ess . I \ 1 n l r --i C>-(i U? ADJACENT RIPARIAN PROPERTY OWNER STATEMENT \, - I hereby certify that I own property adjacent to U3%%a `� n Name of Property Owner) property located at - L 3 4� 4'f 9 vS `l (Address, Lot, Block, oad, ettc. on-�OSO�\� �,�n�t� . in ca q a EY"— N.C. �- (Waterbody) City/Tovvn ndlor County) The applicant has described to me, as shown below, the development proposed at the above locatjon. --� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must Oil In description below or attach a site drawing) 4 eY \Vs\ J �� o 0 / '� _ Q��Osj �k�a ti I 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. I do not wish to waive the 15' setback requirement. Owner Information), tire , M Hi Adds�� (Adjacent Property Owner Information) 1�/ry�vr�G 'e /-7 Z-- t gnull Q 'VQt 7. Po-OWr"' kfaiff �Addrqss�n� _ t-t C y3 DWWON OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAWER FORM Naive of Property Owner. LvksAa m �.gz hd \*-- N. SysN�\k1 -LIMl .err . ,e . • . c. t: �:._ ..� � . pus. ` :�::� •. - .., G. • � r. •. 1 hereby certify that I own property a0certi to the above referenced property. The individual apptyktg for this pemd! has described to me as shown on the attached drawly the devatopment they are proposing. A doWdr don or dtawairko. with dhneraions. must be provided with ft honer. 1 have no objections to this proposal. I have objections to this proposal. Myou have 044Cdats to what is W.Upmpo"you sot y bye 0&l9i A of Coastef •meat (D04 to WMM k UNn 10 dep of erect of Oft nodm Contact heh mSdon for DCM fees is arafiabte at ar4pCdSfrig 1-888.4no"T. No response is earesA !Mg the sawn an ROGUNMR10ou have been ndMd by CmtlRad !lta1L WAIVER SECTION I understand that a pig, dock. mooring pilings, goat tamp. breakwater. boathouse, or lift must be set tuck a minimum distance of 1 S from my area of riparian access unless waived by me. (If you wish to waive the setback. you must k4dal the appropriate blank below.) I do wish to waive the 15' setback regukement. I do not wish to waive the 15' setback requkreeterri. owner Infarmabon) (Riparian Property Owner Information) ' • =:1 i. , _� �.a •.. 1 •. =1 1 ter, =.i. I hereby certify that 1 own property b Property located at r The applicant has oascr'bed to me. as sWm below, the development proposed at the above 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT nndhdd&W propoaft dmdopment m&W filAl M ds Fon ba%w or attach a site dmwkrg) WAMER SECTION t understand that a Pier. dodo, mooring pffings, boat ramp, breakwater. boathouse. Gft. or groin must be set back a minimum dime of 15' from my area of riparian aces unless waived by me. (If you wish to waive the seWadk, you must initial the appropriate blank below.) i do wish to waive the IF setback requir ement. 1 do lint wish to waive the 15' setback mgtdrelrmt- erty Owner Intotmadat), t Property Ovunae tn%rrnaNasr} y3 7 reMphp Akynt/ TOpM a Nupftr/er"addres�