HomeMy WebLinkAbout69232D - HoldenS CAMA / [;`DREDGE & FILL I A B
GENERAL PERMIT Previous permit#
New :-Modification [-]Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources U/� 0
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0-7 ( �J j,, ❑Rules attached.
it Name T LYV� QT j�D �� lh((& r� Project Location: County
4VT Street Address/ State Road/ Lot #(s) --
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StateNL lip - t �5� k' i ij
k ( -I D DE -Mail`` `` Subdivision (,
Eed Agent � A—V � d City ► 1 t� t �( �'` ZIP_
I ❑ CW ❑ EW ❑ PTA XS C�TS " Wofie'# ( �) S_ `V Ri er Basin [/ V
❑ OEA ElHHF ❑ IH Li USA ❑ N/A Adj. Wtr. Body C C4 0 0 (nat i
❑ PWS:
Closest Maj. Wtr. Body -Null
yes / q6) PNA yes / 0
f Project/ Activity
b o 'fie ca, <
Eck) length_
'latform(s)
g Platform(s)
ength /
umber
ad Riprap length_
vg distance offshore
iax distance offshore_
channel
ubic yards
imp
>use/ Boatlift
Bulldozing '
fi-r-f E,
L !J
ine Length
not sure
yes AN
orium: n/a
yes o
s:
yes o
r Attached:
yes
ding permit may
be required by:
�('a JtbW (4,% (,>LC V1(,t�;: I ❑ See note on back regarding River Basin
items 1, 2, and 3.
r name and address on the reverse
e can return the card to you.
is card to the back of the mailpiece,
front if space permits.
iressej to:
A. J
x
Eiji d by (Prjnted N 0 C.
D. Is delivery address different from item 1? Ye:
If YES,II enter delivery address below: No
3. Service Type ❑ Priority Mail Express@
❑ Adult Signature ❑ Registered Mail'"
Adult Signature Restricted Delivery ❑ Registered Mail Restricted
ertifled Mail@ Delivery
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9402 2597 6336 4683 40 Certified Mail Restricted Delivery
❑ Return Receipt for
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Signature Confirmation'" I>
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Domestic Return Receipt
811, July 2015 PSN 7530 02 000 9053
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items 1, 2, and 3. A. Signature
r name and address on the reverse X �Z/�4
_ ❑ Agent
e can return the card to you. ❑ Addre
B. Received by (Printe Name) C. Date of Del
is card to the back of the mailpiece, `�
front if space permits. 1.
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ires�ed to:.
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19402 2597 6336 4683 33
mber (Transfer from service label)
�1 2970 0000 2462 131
311, July 2015 PSN 7530-02-000-9053
D. Is delivery address different from item 17 u Ye'
If YES, enter delivery address below: ❑ No
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❑ Adult Signature
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Signature Restricted Delivery
El Registered Mail Restricted
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Certified Mail@
Delivery
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❑ Retum Receipt for
Merchandise
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NC Division of Coastal Mgt. Habitat Impact COMI
Applicant: OWUk G J kl<", K-r-� C'61
Date: o' lo-7 A o I l
Describe` -'bellow 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
FM
(Applied for.
(Anticipated final
(Applied for.
(An
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dist
Habitat Name
Choose One
includes any
Excludes any
total includes
Exc
anticipated
restoration
any anticipated
rest
restoration or
and/or temp
restoration or
terr
temp impacts)
impact amount)
temp impacts)
am,
V
Dredge ❑ Filg Both ❑ Other ❑
000
t UO U
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge 0 Fill ❑ Both ❑ Other ❑
-03-2007 1flE02 From:
Tos84898Q6
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Ltd IWra1aouccs�
AdWW F< Emky, Governor--ofvIlimarn�sM. t# as___
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G
�'� Consent Ag�c+een�ent
110 ROTHSCI&D STREET
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1 . ram. •( .
Pwmrz No.1�z) _ < U
?107l2004 19:20 9108429806 GREG ALE PAGE 01
Ito ! :1__ !*' • *aa4; W W - • .ti :r;tWA4r M
Nam* of Individual Applying For Permit: _ TQW _tA_ 0
Address -Of Property:
(Mot -or, Strut , WtFreif or Rood, C ty county)
I hareby certify that I own- Vzope3rty adjacent. to - they above-
raferanced property_ The in Iv-1dual applying for this permit has
described to ma as r4iown an the attachad drawing the development
they area proposing. a de-scriptiott or drawing, with d1mansions,
should be provided with this letter.
I have no objections to this proposal.
E2lIv�a a�cr�ox
I understand that a pier, dock, mooring pilings, braakwwter+ boat
hausa, list _ must be set back a iinimm distance of 15•
fray my area of ripar:Lan access unless valved by me - : (If you v1sh
to naive the setback, you IINjit initial the aMropriate blank
bialow _ )
I ..cio wish to waive the I5 t s+etbaak requirement.
I ao not wish to waive the 151setback requirement.
S fora OrdLoWAAff
��'�-
t • � Yri 1 1 MV� .S!31
Nam of individual Applying For Permit: _ To N 0
(Mat -Ctr Strut Street Cz Road, City & County)
Z burObY Cm rtify that I own pragtrty adjacent to - the above-
refexanocd propftrty_ The indIviduial applyIng for this pezait has
dosc=ibed to am as sbawn an tba attached drawing the davelopwent
they are proposing_ A desxription or drawing, with dimansjions,
should ;be provided with thls lattez_
_ I have no objections to this proposal.
I I stand t mt a pier, dock, mooring PiIAr9s, bcoakwat;e�, bcma
hCW3SQ, IkM - wust be set be►Ck a w1m%a distance of 15
fxaee ay ax-aft of ^riparian acxeas unlass waived * so. : (If you wis
to waive the sa-tback, 3ioa iuitial tha appropriate blare
below _ )
I_.do wi3h to waive the I5rsetback rQquirwnent_
I dsa not wish to waive the 15 r setback requirement _
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