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Home My WebLink About68041D - HuntleyLAMA / ❑DREDGE &FILL s` 1 I� 311 11 5? 0 4-'1 A B UENgRAL PERMIT Previous permit # 6_7?N0 Ne w ❑Complete Reissue El Partial Reissue Date previous permit issued the State of North Carolina, Department of environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0y T it 1 zoo Rules attached. Nameu S�lJ►^ f"t Q U 5114 1�ar�c�S � x 311 State A3L ZIP 1705 E-Mail ed Agent 1Q �[ r%r; CAP C/o 6nr(Cl tAS( ❑ CW &* 1 A ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes / no PNA yes / Project/ Activity Project Location: County r 1,, 6c.t Street Address/ State Road/ Lot #(s) /� ; r11 A% i~ v_+ i L Subdivision ll City GO IC S's l a vc� ZIP 2�3 Phone # ( ) River Basin C rs Adj. Wtr. Body nat r Closest Maj. Wtr. Body S(� Q (Scale: ling permit may be required by: ()I jc Tc 14 h ❑ See note on back regarding River Basin 1 l-1 llla�. iivaaa va xeceivea I "epusitru I ki-11■u) 3/13/2017 Allied Marine Contractors LLC First Citizens Justin Huntley Bank 5385 $1,600.00 Comments Permit 4 of 5 GP 68041 D @$200 BS r NC Division of Coastal Mgt. Habitat Impact Com Applicant: �i±S+•�n inn I Date: 031 zy 1 1-4- 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 FII (Applied for. (Anticipated final (Applied for. (Ai DISTURB TYPE Disturbance total disturbance. Disturbance dis Habitat Name Choose One includes any Excludes any total includes Ex anticipated restoration any anticipated re: restoration or and/or temp restoration or ter tern im acts impact amount) ternimpacts) arr L M 14s IyS $[— Dredge ElFill [IBoth El Other , O0 Dredge ❑ Fill ❑ Both ❑ Other 0 S I 1 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 0 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: JtiST' i�u�P1/ Mailing Address: S/q11 r, ZJA Phone Number: Email Address: I certify that I have authorized . 4 t. Agent / Contractor Z LO- 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 in 8/"OL�de,County. FA 1 furthermore certify that I 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: , , " " -, , I,- , - - , '- Title !: 3 Also Complete aC� an the roveme tum the card to you., c the back of the meikgwe, 60000 V. 13 D. Is drams dffsmt 1Y a tf YES, eater delh W ad&m bar E3 No r! 0 k -"It 7016 2140 0000 0834 7351 ii i . = 1 777 • CERTIFIED MAIL • RETURN RECEIPT RBQUESTPn DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property er; ) r I Q �iSr Address of Property: C � e 61, (Lot or Street 0, Street or Road, City 8 County) 4 Agent's Name #: %f j2� yyjor n Mailing Address: H411U C� Agent's phone# �j(1 aS �S ltiattasuf It/r R�1 hereby certify a own property adjacent o the above referaFc—ed props in ivr ua applying for this permit has described to me as shown on the attached drawing_the development they are proposing. A des .rtntion or drawing. with dimensions must ,,fib pro id with this 12ttar_ �✓ 1 have no objections to this proposal. 1 have objections to this proposal. If you have objections to what is beingproposeA you must n UMV the Divfsion of Coastal Aianagwmwt (DCU) in writing within 10 days of receipt of this notice. Contact informatlon for DW offices is available athM-,11www.nccoastaimanaaement netlweblcmistaff-listing or by calling 14884RCOA ,T. No response is considered the same as no obiectton N you have been noftfted by Certified Mail. WAIVER SECTION 1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 16 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 16 setback requirement. I do not wish to waive the 15' setback requirement. (Property Ow Informati n) signs—i Print or Type Name j s)q ,► Mailing Address K 1flA AI ,/ Citylstatemp qi� - tfl30 - Tefeptwne Numberl Emaft Address 2--Is--I? Date (Riparian ne rmatlon) Signature ,4,1. , /1 Print or Type Name 70 g D.4-1/,-t s� Maifing//Address City/StatalLip QIf-7171 �g,lo„ ��t1y ®a".•l. t,-� Telephone Number I Email Addrbss Q-1s-i2 Date (Revised Aug. 2014) E AN z� A CAMA / J DREDGE & FILL Nn 6'7 2 9 U A B C N ERMAL PERMIT Previous permit # odification ❑Complete Reissue ❑Partial Reissue Date previous permit issued wthorized 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 ` �y ❑ (mks atwhed. ilicant Name j Project Location: County Iress 1 Street Address/ State Road/ Lot # s) rQAA State ZIP tTl I/ one ) _(�� _ Subdivision horized Agent CityigN�ad ZIP cted O CW PTA ❑ES ❑ PTS Phone # in (J) River Basin1,y OOEA ❑ HHF ❑ IH ❑ USA ❑ WA -(s) Adj. Wtr. Body man W: yeLn- FN�y- Closest Maj. Wtr. Body _ pe of roj Activity qA n (� (SCW er (dock) length xed Platform(s) — — oating Platforms) v K,74 nger pieroin length number1�ilkhead/ Riprap length 1 avg distance offshore ! i _ max distance offsh isin. channel cubic yards _ I 3 oat ramp x/a oathouse oa t - each Bulk lozing Other ioreline LengthJ1 I AV: not sure yes V i I loratorium: n/a yes �t I hotos: yes n ' 4' (. l ✓ - — f ✓aiver Attached: yes no) e - ^Q L building permit may be required by: ��. ❑See note on back regarding River Basin rules. Note Local Planning jurisdiction) }\1 A, ` ' ores/ Special Conditions 1 ylU/U A ) n_. 1— _ u Google 1