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
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INVOICE NO. #
(910) 457-5488
(910) 457-6551 Fax
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AMERICAN MARINE CONSTRUCTION
Southport, North Carolina 28461
Email: AMC03600@aol.com
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INVOICE NO. #
(910) 457-5488
(910)457-6551 Fax
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