HomeMy WebLinkAbout69053D - DunlapYYYYI ■r IYYYY■
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P AMA /! DREDGE a FILL N ? 69053 A B C
N E RAL PERMIT Previous permit #
eW Modification ?Complete Reissue ' 'Partial Reissue Date previous permit issued
uthorized by the State of North Carolina, Department of Environment and Natural Resources the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC__ 6 7 W { ko
+ ; Rules attached.
licant Name- �h 1�y� �Qj"G>5l Y1/ L j� Project Location: County6�t/l�j H'7,
ress _ `J O (/� (� S I -VC" i 51 Street Address()�Srate Road/ Lot #(s) --- -----.
Flv rYrv1,te- _ States G ZIP larl 450
ie# i; 'I -O r-
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{ � .�b E-Mail _ C V— pg 91> 40 6ttt,)4CS.i-e � Subdivision ` r ^
iorized Agent `-T 0, G y f 7A r-Me� 1 City Q (ea_JA ��5.4[ �-r1 ZIP of g q6 1�;(
1-1 CW �kW tx" L_ES PTS Phohne
Cued (�� (qIG ) HH3.7713 River Basin i VW6W
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:(s). OEA HHF l_ ` IH USA I N/A Adj. Wtr. Body ch ma
(Pat_ (r� /u,
- PWS: , , l
V: yes / yg') PNA yes /Ad) Closest Maj. Wtr. Body �(r�W
le of Project/ Activity cav45j,WC -t- ck IIVA-/ IgM4 a tnO t avid hol
aV . 0�, roo-t ir_ (o+._
:r (dock) length WXIMP� t
edPlatform(s)
a" Phttform{s)
J
Eger pier(s)
oin length C4
number
ikhead! Riprap iength__ �.
an distance offshore 1l%e5t�t/
max distance off% i
nn. channel
cubic yards
it ramp
%thousel
tchBulldozing _ -_
ier_ :`11 1-yj6 i
ireline Length -' -L I C Z
V: not sure yes Q
ratorium: n/a yes I �)
AM yes
t i
iver Attached:
Yes
wilding permit may be required by: 7,fWi1 D_t
j t��2bi
'a. R
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See note on back regarding River Basin rules.
tote Local Planning jurisdiction)
test pec t Condit s �.t/Ic Q7 L+, I j'1� &K,
i ._ _f n ,h
3NIl Oj11UO lY 0104 1S3tlOOd NNr113N 7u i
Complete items 1, 2, and 3. A. Sign -re
Print your name and address on the reverse X ❑ Agent
so that we can return the card to you. ❑ Addressee
Attach this card to the back of the mailpiece, B. ecei ed by (Printed N e) C. Date of Delivery
or on the front if space permits. r (�
krticle Addressed to: D. Is delivery address erent from item-4-2 `Sn
If YES, enter delivery address below: Np9�
� moor z� / U,/�
MAR - 7 2017
Service Type
❑ Priority Mail Express®
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❑ Adult Signature
El Adult Signature Restricted Delivery
El Registered MaiITM
0 Registered Mail Restricted
9590 9402 1363 5285 8760 06
❑ Certified Mail®
❑ Certified Mail Restricted Delivery
Delivery
❑ Return Receipt for
rticle Number (T^cF • lrnm ca vic lahell
❑ Collect on Delivery Merchandise
❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation"
7 015 0920 0000
7 610 4080
Signature ConfRestricted Delivery
errytion
=orm 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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.
Article Addressed to:
Esc --j- Al'W #f 1/
/ //, //�
(�4) /�f �—
X�Addressee
B. eceive byB by (PP 9 !�e) C. Date of Delivery! e) C. Date of Delivery
-7 -(7
D. Is deivery, address different from item 1? El Yes
If YES, enter delivery address below: 1� No
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NC Division of Coastal Mgt. Habitat Impact Com
Applicant: �nn1(/v�,neS li LC
Date: o /d A01
Describe below the IdABITAT disturbances for the application.
0o53-
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FI
(Applied for.
(Anticipated final
(Applied for.
(A
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di:
Habitat Name
Choose One
includes any
Excludes any
total includes
E)
anticipated
restoration
any anticipated
re:
restoration or
and/or temp
restoration or
tei
temp impacts)
impact arno`unt
temp impacts
an
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 ❑
��A
NCDENR
North Caroluia Department of Environm,:�r.;
Donald R van der Vag
Secretary
AGENT AUTHORIZATION FORM
Date:
of Property Owner A plying for Permit
�rQs L<<
is Mailing Address:
I'Y 39,
C ov,e,A e e .f z � jr Ste%
LVA
0�4 3
Name of AlIthorized Agent for this project:
Agent's Mailing Address:
Email:
IV
Phone( �I -�3 — --;) % 'J� 3
y that I have authorized the agent listed above to act on my behalf, for the purpose of applying
0 obtaining all CAMA Permits necessary to install or construct the following (activity):
lJ�
y property located at
ertification is valid 1 year from (date)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 0--k
n
Address of Property: �. )
(Lot or Street #, Street or Road)
,0 N J C-4
(City and County)
hereby certify that I own property adjacent. to the above -referenced property. The individ
applying for this permit has described to.me as shown on the attached drawing thedevelopment tl
Are proposing. A description or drawing. with dimensions, should be provided with this letter
V\ AAi. I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa!
Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796-7.
within 10 days�of receipt of this notice. No response is considered the same as no.objectio
you have been notified by Certified Mail.
WAIVER SECTIOY
I understand that a pier, dock, mooring pilings, breakm,ater, boat house or boat lift must bE
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to waive the.setback,you must initial the appropriate blank below.)
I do wish to waive the 1 S setback requirement.
I do not wish to waive the 1 5' setback requirement.
7
D to
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AAA
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property:
,tf,
(Lot or Street #—Street or Road)
(City and County)
rx—nDo
hereby certify that I own property adjacent. to the above -referenced property. The indivic
applying for this permit has described to.me as shown on the attached drawing the.development t
are proposing. A description or drawing, with dimensions, should be provided with this lettet
JC� I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 'Cardinal Drive Extension, Wilmington, INC 28403 or call 910-796-7
within 10 days'of receipt of this notice. No response is considered the same as no.objectic
you have been notified by Certified Mail.
WAIVER SECTION.
I understand that a pier, dock, mooring pilings, break-%N,ater, boat house or boat lift must b
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to waive the.setback,-you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
u- 3 -ILI u St
v
7 i
4CAMA / - DREDGE & FILL N? 69053 A B
rNERAL PERMIT Previous permit#
ew -Modification El Complete Reissue Partial Reissue Date previous permit issued
)rized 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 634,1100
6❑ Rules attached.
it Name rort66V t tic Project Location: County ,L"M�
s 2 I S�' �C� S Street Address/ State Road/ Lot #(s)
Fla _ryn� re- StateS & ZIPa -9-50 _ �j °J eve SS .
N �7 7b 01- 41b 7 E-Mai l C g gkS,I-e Subdivision /
zed Agent ��fo-k K -e.1/� City } �a N �iS j or {✓1 ZIP
i ❑ cw C�W A ❑ ES ❑ PTS Phohn-e # (q�� ) ('{�" 3 River Basin
❑ OEA (❑ HHP h IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat
❑ PWS:
yes / lf3-) PNA yes /?Q) Closest Maj. Wtr. Body
if Project/ Activity l'w a 4CCU
oC� t� COi1'`� la�' eC��alfiWl CH,c�tr.S Cale:ts
xk length
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ing permit may be required by:
Local Planning jurisdiction)
Tov-/o o F Ocrw.Lsk &q 11
n
❑ See note on back regarding River Basin r
1 I A