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HomeMy WebLinkAbout66654D - ThomasCAMA / ❑ DREDGE & FILL �'(� {I �� A B "ENERAL PERMIT \ U Previous permit # New [-]Modification El Complete Reissue El Partial Reissue Date previous permit issued iiisd by the State of North Carolina, Department of Environment and Natural Resources �✓i 'oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC t { 'J'i El Rules attached. Name \ V j�l!/► ,./ Project Location: County'�� t Street Address/ State Road/ Lot #(s) (l � + vet ��/ '� + �-I�'lail � SuFldivisi f� i .-------- � ed Agent 1Et�V r City +,.x ZIP � j � ❑ CW � EW ❑ ES ❑ PTS Phone # ( ) River Basin �, jf�l ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. ❑ Pws: Closest Maj. Wtr. Body yes / no PNA yes /nor f Project/ Activity ck) length atform(s) - Platform(s) )ier(s) :ngth ember id/ Riprap length g distance offshoree ax distance offshore_ hannel ibic yards mp 3ulldozing ne Length not sure yes no >rium: n/a yes n yes no NA Attached: q no )( '\ - ling permit maybe required by:� Local Planning jurisdiction) yA I t f A ❑ See note on back regarding River Basin NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant;r Permit #. �� Z Date: / Describe below the HABITAT disturbances for r the application. All values_shQul_d_match _tke name, and urti-ts 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 restoration and/or temp . impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts I FINAL Feet (Anticipated final disturbance. Excludes any restoration and/oi temp impact amount) 4 Y Dredge ❑ Fill ❑ Both ❑ -0ther� 1 NY—] 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 4*'* . ■�w�. ■sue Nc; JbNK North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director order to obtain any CA Authorized Agent Consent Agreement 3dnted Name of permit(s) re William G. Ross Jr is hereby authorized to act on my I uired for the property listed beiow. The authorization is limiter ecific activities described in the attached sketch. )CATION OF PROJECT: 3 91 u,, "lam[ rn JO-6 ��6f\d ROPERTY OWNER MAILING ADDRESS: a PHONE NO._ q q — ; , -g -A, JTHORIZED AGENT MAILING ADDRESS: PHONE NO. CIAQ - 4 S -1- S1-k9S gnature of Property Owner: Nam .,...� nppinag toot Wit: � /� � ,L 7 Address of PcopeM, S �'LM or SLte�E 7l�, Stitei O[ Roedl � � V fir✓ (� n�sw� !Ciry and CoWnry3 '- hereby certify that I own property Ldjgcatt to the above refercaced roapP1*9 f0r this Permit has described to me as shown on the atsschcd drawiapc.^.v. The sas�vr� are pror►osing. A descriatian or tfraw{ng, with dimeasioas, should ),e rr „� .tie 6ev+eloprn jh o 'dad with his kt4er have no objecdotis to this proposa; If You have objeztbns to what is Wag proposed, Management, 127 t�rdlaal DrIYO Uteusi0u. Wmin;ran,sNC t.'8�t}� te the, �s�t�s1.)n of Copse within It) days of recaipt of this notice. Ko response is considered cbe same a�inel ���96 :7z! You have been notified by Certified Moil. obledbn WAIVER SECTIO.v• I Understand that a pier, dock, amoring pWW, brukwater, bout house or , bck a minimum distance of I�, frim mboa, rift pubes. y area of riparian access - unless Waived bti �, (ifya Ivisb to 11•'Jit�t the setback, you mast initftli the appropriate blank betow do wise to waive the i 3' setback require;-.- i do n-o v► ish to waive the 15' setback 3f l 6 data I ry55i ?Marna of Individual Applying Fix Pamir address of Pn�perc}t � �� Z b W ��� -�-�d �� h in � �' � 1✓ �� - -, t;L.ot or Stceet 4. Street or Road) (Cirr and COS CY) hereby certify that I own property+ adJaCM to the above-mfere ced propc^.v. The individW applying for this pemit has described to roe as Shown outhe Itseche ho-oldher* winged with g me � are ptorosing. A description or drawing. with dimenst have no objections to this propesa; �:rtte the Di.i�i��n of Cow If you have objections to what is being proposed, lease N p Managsmaat, 127 Ca rdinal Drivo Ute,3iou• WllminQ on, NC 28405 or call 91�496-7111- within 10 days of racaipt of this nOtict. No resPaase is considered the some as no obkltioni you have been notified by Certified Moil, WAIVER SECTION' I uaderstund that a pier, dock, moringpiliW, breakwater, bout !louse or boa: lift pn%Abes bck s minimum distance of 14' from my area of riparian access - unless vraiv ed b• rne- of Y Nvish to.vaive the setback, you must initial the appropriate blank below /4'L ' do wish to waive the ! �' se�aack reoLire^-c' i do n to waive the 15- setback a::�cc e'5� 111 11 1 / I I. t—� 6116 to gn 14MC AMERICAN MARINE CONSTRUCTION : -•.. r 3 boo �1 �ridGc. r"OC _ Southport, North Carolina 28461 Email: AMC036000aol.com 1 / S�. I� ire _S Z j-� v r t•� { il INVOICE NO. # (910) 457-5488 (910) 457-6551 Fax -0 N c 0 IN M AMERICAN MARINE CONSTRUCTION Southport, North Carolina 28461 Email: AMC03600@aol.com n cv) Q c-,t 1r E f aW �4 ` Z - �+I INVOICE NO. # (910) 457-5488 (910)457-6551 Fax lL) Iq