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Home My WebLink About67911D - Tioga, LLC/,..DAMA/ DREDGE &FILL Id- 11�11 791i A B �E N E RAL PERMIT Previous permit # ew ,]Modification ❑Complete Reissue El 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 ZG� / ❑ Rules attached. t Name 'f i Dd CA � � � qv St cifC 'r liy^i Project Location: County Re KAt r 7C, P,G'X ,4 �6q Street Address/ State Road/ Lot #(s) K31 n let O t H ai ptc State ZIP 2 'N2 I Cz.Vud IU) 2�ga2 E-Mail`'Nlf oil nawa4ifutenswilI CLbdivision ' W-i ed Agent M ic6i td (emard City 1 o oa ty ! n ZIP _EZ- ❑ VV CW �W )(PTA ❑ El PTS Aye Phone # (� )'I River Basin L uq?( 4 ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body N t Cu V 91 VLO AZ)h ❑ PWS: Closest Maj. Wtr. Body N ca l' 1e(tY 10 W yes /Cq'7 PNA yes //�i' ' Project/ Activity e G n 5 41,t J10 I'1 a ramp A (Scale: 1 N - ) rkllanoth wa■wt�■w■ww■nww■■■■■■■■■■■■■■■■■ ■■L�■■■■■■■■■■■■■■■■■■■■■■■!■■■!■■1 �� 111 �■JENNE■■■O ngth■.� ' a I® SOON" ■■■■■■�■■■■■�■■■■■■�■■■■■■■■■■�1 distance offshore iannel ■!�i■■■■■■■■■■®■■■■w■■■■■■■■■■■■■■■■1 tic yards �■■■�1L�11�Jff ��T�■:iu!■;u�■t►!lil:',■■■■■■■!■■■■■■1 SNE3510 w2=ZMZ=■=c■acZ0■2 Room i►■■■■■■■■■■®■■■■■■■■■■■■■■w■■■■■■1 se/ Boatlift iiAdozing i■�■��*nwiiiiiii ■■■■■ ■w��l��w■t'�l'�lii��lWl�l■■■■■■■■■■1 W2-■■!■■■■iiiiii■■■■E:�="�■r��ww,,iiiiii not sure r ■■■■■■■ ■■■■1�■■■ 1r1]U &JWJlLir■i1a ■■■■■■ M■ ■■■®■■■4LEEM !7■■■■■■■■■■■■1 yes yes . , - . ,., i.�L�IL7■■!. �� 1r7Gilii�,'i6'.>tiZ1IJ■■�■■■■i;iC «. ng permit may be required by: I nral Pinnnino hiricrlirtinnl P> rtihr (0. ❑ See note on back regarding River Basin r A / "-'DREDGE & FILL V " V � � A U I � �'C} ry P. 691 ENERALe PERMIT Previous permit A e eW -Modification C-.;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 IW19 _ . Rules attached. Applicant Name., T, L1eq ' _W (W &t Cit ��Y �i�L'�' Project Location: County plo_AC -� r Addis �i_ ___ Street Address/ State Road/ Lot #(s)jC-►� OW city State .L ZIP 2�i ^Pl _..... Phone # of :•i'OLi1i�r1lPii{frL)'j}�+%tt��t------------- .__) L 19 ._.__ E-Mad Authorized {gent _ f I Lip(, UJ &- JWW _ _ City 01r ' w _ _._---_-. Zip- Affected ^ Cw XPTA ES "IPYS t lj,Phone # ( } `1� �P/ River Basin OEA ' : HHF ` IH a USA �?, AEC(s): - WA Adj. Wtr. Body t y .�. f _gl_ e _,._ �� Closest Maj. Wtr_ Body Jq ,n ORW: yes /l.r' PNA yes //i....t:-'!<. of Project! Activity Lf n51r Li to Pier (dock) Woh 7i Z _ •__ _..._ ... _..__ Fixed Plarform(s) jv�K1 +1f'... . 'kietApf Far �N f FloatingPiatform(s) Finger p1efis)._.__ Groin length, number---,..1- Bulkhead/ RI pmP length. -� .�,i, � an distance offshore m max distance offshore / Basin, channel •� u cubic yards :�.i ,.........�.... _..�. Boat ramp _ .. _.. Boathouse/ Boadift _J�� ` {� Beach Bulldozing ! ..... .4 Other : 7r�' (Scale: j 10 Shoreline Length SAV: not sure yes Moratorium: n/a yes s ' Photos: Waiver Attached: yes A building permit may be required by: P Azr _J See note on back regarding River Ba ( Note Local Planning jurisdiction) �,,�, Notes/ Special Conditions Miyla �f`,,37ct. ldm £ wu' j nk e y4 1* 1 u- lwy* I w- wata- 12M • NC Division of Coestai Mgt. Habitat Impact Computer Sheet Applicant: ` cfsIr �L � Date: `y'. W/( e . Permit #: �-(C(j 1- h 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. (Appled.for. Disturbance total includes any anticipated restoration or temp iimmpacts) FINAL Sq. Ft. TOTAL Feet (Antidpated final (Applied for. disturbance. Disturbance Excludes any total includes restoeation any anticipated and(or temp . restoration or impact amount tempimpacts) FINAL Peet (Anticipatedfinal disturbance. Excludes any restoration and/or temp impact amount) 1 l,V Dredge [I Fill Both ❑ Other I v 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 0 Both .❑ Other ❑ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: $eejI dwnwj 171`a-�,t Mailing Address: rV 7T2 Phone Number: Email Address: I certify that I have authorized (q�o ) a ? y -- j5T,)- to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 1' z�a r s�i�-l% 4a4�1— t q-'ACj' / / /Y/ w/ S"WA"'V"L- f%l�e at my property located at in Kegaa/ County. ! furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: i 20(-j Print or Type Name r� Title CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (7�� ICU (Lot or Street , Street or Road, City & County) n Agent's Name #: t n� Xcw u Mailing Address: t Agent's phone#: ( `Tto) L(?y -iiG, U (,,A1 A, itI 1 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 roposing. _A_ description or drawing,with dimensions mt b use 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 available at vw�nc r , 3raefrLQeUWeb . staff-listinu orby calling 9-888-4RCOAST. 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 / to waive the setback, you must initial the appropriate blank below.) ---A)i ' L I do wish to waive the 15' setback requirement. A)iA" I do not wish to waive the 15' setback requirement. (Property Olwnpf Information) (Riparian P petty w r Information) rgnature Signature Print or Type Name Print or Type Name ■ Complete items 1, 2, and 3. Also complete A item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. or on the front if space permits. 1. Article ddres d to: Q� LPr ❑ Agent ❑ Addressee ssee oC. ryl D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No J. Service Type ❑ Certified Mail0 ❑ Priority Mail Express - El Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 14. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Numbe (Transfer from 7013 1090 0001 3548 0060 PS Form 3811, July 2013 Domestic Return Receipt M. F t:H I II-ItU MAIL,,, RECEIPT omestic Mail Only; No Insurance Coverage Provided)F. r delivery Information visit our website at www.usps.comss age P'UR Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee --1 (Endorsement Required) Total Postage & Fees $ I:14(i1 .� -410N y, 3n #Il.[III g /,� to .�G... �( Hera'^ fin/ A n oenrro � Street, Apt. lVo.; or PO Box No. q �- 65- - t City State, ZIP+4�"------T "1 3 �%C a �y"_S' BURGAWr NC 28425 Ln Pose m Certified Fee $0 C10 � Return Receipt Fee (Endorsement Required) _ $Q • fly ( Postmark C Hen gt►16 - LL�w O Restricted Delivery Fee ' s Q (Endorsement Required) D- C-3 Total Postage & Fees $ � i M Sent To � '- I �-rJ-� w�� cr�-✓__----- C3 r` ------ Street, Apt. No.; POBoxNo. 5-- Qt(J ,�'n �� v i�-- -- City, Stal ZIP AJr- ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. Signature B. Received by (Pr rptLsd^Name D. Is delivery address different frd If YES, enter delivery address 8 cr r 62 -I) zS CGt �ICf i t Zoor . � to Grrubo SIJ AJ�cc�� UJ C T L & ."PS --.� 1• •. � w 4 ��.I �. , '1 ` �` i � .. � � � %�`� �" • ,j �� .,, ! � % �� . �� t a �` _: _:�