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Home My WebLink About69042D - FairclothAMA / -� DREDGE & FILL "ENERAL PERMIT 3,�5.ch Previous permit # A B `Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_ •ized by the State of North Carolina, Department of Environment and Natural Resources I .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC t Name " S lr& 0- i 0 �� ( QY-Ayx k (bvflr �'C GL iM AV1 State ZIP (110) 443- E-Mail edAgent SGkMmy VAVhQ ❑ CW AEW [PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes / 0 PNA yes / Project/ Activity :k) length Rform(s) Platform(s) igth nber te offshore distance offshore annel .- ,ic yards 1p ;e/ pe dldozing Length not sure yes no um: n/a yes n yes ttached: (�,/ no ig permit may be required b .ocal Planning jurisdiction) y: Taw h b � O&ayg h ►� /I 1 It . - I ❑ Rules attached. Project Location: County � y r A C=(� t- K Street Address/ State Road/ Lot #(s) �'j � F t1.IY1MQ►/l. Subdivision City O(pQvl Zt 1C zIP�$„„ 14 Phone # (ft) 1— 56 fiver Basin wm Adj. Wtr. Body C� ✓l (nat /r Closest Maj. Wtr. Body ��01 1N (Scale: f ❑ See note on back regarding River Basin . I A i'kc%,civcU I LcNwiLcu I ki'44111c) I rerluil nuluer 1rumDer i amount I iNum Comments Varnams Docks & 3/23/2017 Bulkheads James Faircloth BB&T 7207 $200.00 GP 69042D NC Division of Coastal Mgt. Habitat Impact Com Applicant: `J0'vwS FOtIY- o�u Date: 03 Describe below the HABITAT disturbances for the application. 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 to ter impacts) impact/I temp impacts ar Dredge El Fill El Both El Other (f (" q ��1arnount ( _1 "[ 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 ❑ (-c10+V, lob d � ;-VYK NCDENR Noah Carolina Deoattment of Environment and Natural Resources Division of Coastal Management -Michael F. Easley, Govemor Charles S. Jones, Director William G. Ross Jr.. Secretary Authorized Agent Consent Agreement i11 Y Va (-/)Q M is hereby authorized to act on my behalf (Printed Name of agony) n order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the specific activities described in the attached sketch. .00ATION OF PROJECT: S� EAI ."-;'' lon+ --5 — 9_-Te K"c. 'ROPERTY OWNER MAILING ADDRESS: M06 1(�irc l c#k 1901 fah &Artch 60L)(+ +(:nA640%1 N)C oql JTHORIZED AGENT MAILING ADDRESS: -Y1' V ""A,4 kfa-' a 1 � 7y ►�41�n 5 P� 1 ele � 'S le;.tnr� PHONE NO. WO - V q 5TO6 9/b - 5/0 r PHONE NO. q V - 03- `9't,5- ;nature of Property Owner: / Inature of Authorized Agent: Valwa4i Date: 3- 3 % 7 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: `jC,yl p6rQ I r-L ip±n Address of Property: S_ 1 FO)f-,non t D 1 [j kC (Lot or Street #, Street or Road) ocean &_(A5UJ'1Lk_ Cov'l (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individu applying for this permit has described to me as shown on the attached drawing the development thi are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coast; Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39C within 10 days of receipt of this notice. No response is considered the same as no objection you have been notified by Certified Mail. WAIVER SECTION [ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s( )ck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyo wish to waive the setback, you must initial the appropriate blank below.) �ion Name I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Date I&IVQIQWA • �n,A� �7 R1P��,. Pi�?P� � i Y Q1�ti'"ER ;\OTC L NAM of Indi%utual Apalling Fos petit+tt_ l-Olt A,1.lress of P(operty- I F"L_'f'•` !,,._ -r� (L,at or et a. Street or Road) 13, Way and County) 1 hereby certify that 1 own property ad)acent to tM abovvretcrenccd propercY The tndxvidusl apphttt0 for this prang has described tome is jhown on tht ,3r.xhcd draw inc the ctcv clopmcm they ire preposing A dcscnpricxt _-4 drAumg. with dimcnwions. should be Pros►dcd with this ,c'tcr I ha. c no ob)cttions to this propoul If you base objections to what is being proposed, please write the Disisioo of Coastal %lanagemcat. 1:' Cardinil arise E:steouoa. Wlmington, NC :3405 or call 910.395-3900 V%itbin 10 dal s of receipt of Ibis notice. No response is cUn•idered the same as no objection if %ou base beta tutifled by CcrttfieJ Mail. WAIVER SECTION undentrncl ibit a pier. dock. mooring pillogs. breakwater, boat house or boat lift must be %et ►ck a m1mmum distance of 13' from m1 area of riparian access • unless waived by me. lif you dish to ►+ahe the setback. ,ou must initial the appropriate blank below.) Jv sk ish tow sts a Lire IS' setbaA requirement. 1 � ssish to %arse the 1 S' setback requircmcni. rn Name t)atc �_MVA_ it NMt -. i D2- -phone \'umber tti tth Area unI shc13 npan_r;propert%.fr n NCDENR Code -if Ix -CA 4�,'I f'xg