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HomeMy WebLinkAbout69018D - HobbsI;CAMA / ❑ DREDGE & FILL A B TENERAL PERMIT Previous permit # j�lew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued_ •ized by the State of North Carolina, Department of Environment and Natural Resources 07 - ;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' +a� b � ❑Rules attached. t Name jTD'o�� V �i�� 5 �✓"� Project Location: County��.l^"' t lL r ,,f �T� (� _ ` �� ��Uf � � ,.51/V Street Address/ State Road/ Lot #(s)------_. State ZIP - f , QA{- ND) 3 E-Maij�1t2Q� Q-�T Subdivision (�WQd ('a(a✓Niv :ed Agent 'Iy 1 �Z �10�( 1 10 b� City -'j ZIP ❑ CW APTA ❑ ES ❑ PTS Phone # ( ) River Basin L LAi ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body �0( Y'WOyc� ( (at) ❑ PWS: yes //6—o) PNA yes / Closest Maj. Wtr. Body M ww f Project/ Activity 04S P/C -r' AVM d 1-iW d GISI AAA A (Scale:' 1� angth amber id/ Riprap length g distance offshc ax distance offsti hannel / ibic yards mp use/ Boa% ne Length not sure yes o )rium: n/a yes yes Attached: yes ---------- — ding permit maybe required by: &w4LiV►7 (co✓yt a 1 —1 Pinnnino Inricrlirttinn) 4 %1 ❑ See note on back regarding River Basin n NC Division of Coastal Mgt. Habitat Impact Com Applicant: k p Y S ��rWcs W� t Date: 0?J / � L-\A —7 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 tei ternimpacts) impact amount temp impacts) ar Dredge ❑ Fill ❑ Both ❑ Other Q 0 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Comments Hobbs Ventures CresCom 3/14/2017 LLC Michael Hobbs Bank 2268 $200.00 GP 69018D BS r AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 44V %fVJV 6/'e5 k-1, e- Mailing Address: 5q� i 4 A'eK ge" Vim- 5w Phone Number: 91 b -5ZZ - 27YS Email Address: YVI h�5hb5 0. Al-01 1 certify that I have authorized � /V— Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at Y1Vrf/f, I in iN 0 ( County. / furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: 11�� x7Z Signature A�� 0-It- / Print or Type Name `tt1ye/'lhw�fy�p�' Title 17 , 17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ACjAS VIehkpV5 J-1'� 's I / / {Na a of Pro erty Qwner) property located at z r� /�)1 `tcl� 322. ? " /U-C Z?W— I I (Address, Lot, Bloc , Road, etc) on 64bV0VcY i��/ %ver in sti tvt- ryhSwla N.C. (Waterb dy) City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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 1 understand that a pier, dock, mooring pilings, 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 Owner/ Information) Sill !� `e Kk"r Ile A�w'l %�K j,�,ewJ A —a/ ( 'acent P operty Owner Information) si Print or Ty�ge N,,oe �) (0 2 f'�'lyr71-e �i9(AT Cycle Mjpng Ad�ress. n cti Mai ng Address ,A A , , ADJACENT RIPARIAN PROPERTY OWNER, STATEMENT I hereby certify that I own property adjacent to /46is //vAIrs 4ze- � 's property located at SZ Ag,-ge ,Bln� Circ% /--ot 922perty Owner) on_pG/ ��q1 �`pl�y D` (Address, Lot, Block Road, etc.) / -- (Waterbody) Vrr� in -P% �ti! C �i^c�ll�ly/ch` N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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, 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 Owner Information) (Adjacent Property Owner Information) ISi gn CV 'It U Print or T pe Na 7 li L ob d s 8,� w� - �/ �J Print or Tyse Name Mai g Ad ess � '� �J MVnzg`gddr�s S;,.2 47, X ESIR SS by � 00Lp <— 10 NA 7 '4 MEAN HIGH WAIER, CONCRETE 2.9' N-G-V.D. 19291 APRIL, 1998 BLOCK FOUNDATION FLAGGED 404 LINE �fo3 LOCATED APRIL, 2.8 0