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Home My WebLink About67986D - DJMCAMA / b DREDGE & FILL 3ENERAL PERMIT v 04ew ]Modification ❑Complete Reissue ❑Partial Reissue s+ 1 986 A B Previous permit # Date previous permit issued irized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �� u ' 1100 f 170 qMAC;V-(--t Rules attached. it Name P) PA ` �%� i,Lc� Project Location: County N . V LM State NC- ZIP ZtS40�" E-Mail zed Agent 6.C,0;M V-AR S I ❑ CW )ZEW )K:PTA %AES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: 'yes % no PNA yes / f Project/ Activity Street Address/ State Road/ Lot #(s) � b � P2,k JJ Fri, Subdivision City w I um . Phone # (�--j-----^ ZIP z K4d River Basin Adj. Wtr. Bod kfwcv 0 Closest Maj. Wtr_ Body M1 c dy✓I!� ■■■■■■■■■■■■�•■■■ww■■��■■■■■■■■■■■f ■■■■■■■■ ■■■■�■■■■■■■®■■■NEI ■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1 ,dRiprap length SMEM MEMO :,distance offshore �111_ ■■■■■■■■■■■�■■■■■■■■■■!IA!!�■■■■� .!!�■1 nx distance offshore "15Zi �aYEWnnel �L',SL17np L'siit�J■!�■■■��IIL!■■■!�■�I<�!■■■■■lf�l WA INbic yards !■■■■■■■! ■/l�Rf WGnot .il�■■A■■►�tA!!r!�i�1�11 is oatli ulldozin e Length sure yes rlti:�iiiili �i:i��1■■■��l■■■ii��11�� ■rl■■■Inter■■n�■■■■■■■�■■■�■'■■■■■n■1 ■any■■ �; ►t'��A� ■■■�cr.�c��s��ca�ir�r��■■■fi�1 = ■ii�w%��'I�iiii�"�■�■■'�■ FIE OEM■■■i ng permit maybe required by: (y w ft" oy- (4 b ❑ See note on back regarding River Basin r Local Planning lurisdiction) I I 1 N% oil ision a i�t3 cae .e�espua gneanvwa�n� pb.�� w— - - plicant: M — scribe below the HABITAT disturbances for the application. A- sheet values should match the name,.and units. of measurement found in. your Habitat TOTAL S7FINALF Sq. Ft. TOTAL Feet for. FINAL Feet (Anticipated finaDdSTURf3 (Applied Anticipated final (Applied Disturbance disturbaance. TYPE Disturbancdisturbance. st6rb n any incid;bitat Excludes any total includes. Excludes -any and/c Name Choose One anticipated restoration any anticipated restoration or restoration temp lmpact " restoration or temp impacts) and/or temp IMP act amount tem ihi acts amount b I Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fil Both. ❑ Other Dredge [] Fill ❑.: Both .❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑. Both ❑ Other ❑ Dredge ❑. Fill ❑ : Both ❑ Other ❑ Dredge ❑ Fill 171 Both ❑• Other 171 rL.OdCi �� Payment Proccessing Confirmation Date Received 1/3/2017 Check From (Name) Clements Marine Construction INC Name of Permit Holder DJM-NC, LLC Vendor First Citizens Bank Check Number 4298 Check amount $1,200.00 Multiple Permits Yes Major/Minor Permit Number/Comments GP67986D(fee is $600) Receipt or Refund/Reallocated JD3530D Letter of agent I _n, j of -N (- L- -- ' have retained Mark Clements DBA, Clements Marine Construction Inc, to make application for any and all permits needed to start construction on the work requested for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way relieve me of any obligations to perform all work according to the building codes or North Carolina, CAMA, DWQ or any other state and or county ordinances. Print nal-TV A UJ Signatur I Li date IO 3I Contact information pi,Ard tip AUr I -at HTDH HE Ir.jp" 17!77/16, -,2 IQ IA ;ACI`N' P PARIAV PR PEP7',f '," -%rR SrA71LFALN:. I Name a', Prooefte Qwns,T J! , I w- ., -lot, IAOCM5% a_ct R.-ack Roaa i lWaterlood'i IC.r.,-Town anolo, DESCFttPrjON AND,OR DRAANG OF PROPOSED DEVE:OPVCN- pmvesinig Mv*Aopm#mf mi.ssf fdl on descrAotoom below Pr AtfAc", a "'r WAIVIAIM-1222 i Adjacerl Propoorty Owfvef Intorjoakpowt 1 9, ........... ,41 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to b ry\- t,� L (,L I property located at (Name of Property Owner) (Addre on ATc (Waterbody) 5s, Lot, Block, Road, etc.) in Mom) )6ylnVe( LO N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above c I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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. (vropertyTnrInfor ation) SI��nC illl'E! Print or Type Na e -Z/1 /is��,l7iiu� Mailing A(Jdrgss (Adjagent Propertywner Information) Signpaire *, Print or TV ape Name ,) J, La i Mailing Address Zii:'I A"t5'n , ,c�. I hereby certify that I own property adjacent to _Vj ty1— t� e, (,(. I property located at 9-70q e Ln ame of Property Owner), A (Address, Lot, Block, Road, etc.) on /`ITC yJ , in Mee 13ayinye( LO , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc i; I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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. (Property Ownpr Information) ZgZZLZl11i'E' 0 Print or Type Alame C Mai d,&ss tea. ✓cam i.._ �: -' (Adjagent Property wner Information) Signs alre *, Print or Tm p } e Name 51 hG`i�flell 41/ Mailing Address /, {, klev) -Dock Colo p w+ � ZcYJ J C c f7"'i�stc� oh J CE d � Ax3�'l�)iqq emc4 t/ lao' a►��o Jo�leS 8%d� � 8705 Ll DAM-rlL LL.c- D_5ryl C.CrL -r (7rla�tda }ones i i 1� I � t I I �Al ir I q f t3' �°�cr.s•��i� t3klKineo�d D"nVvie4 4-v eekAvve. ui34''� atAWhOAJ 4 } epwe. t t t 'To bG re (%Alba . � B):r A. 4 tah) r-- I 0 v •'r ? ' Ex�+� n� . lKhCa an c1 red last e��''tcJ �u�4ihea� WoolIng layout for 8lOtt and M4.IPr2 21MIS. IPA r � r.. le, r _ �.i � �1m�ir1, .MWP INQM6 rmmwTl \`ON / \\ � ■ . VO