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HomeMy WebLinkAbout69223D - Muse�CAMA / ❑ DREDGE & FILL Q�'�) 0 A B 3"ENERAL PERMIT Previous permit# kiew ❑Modification []Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources r fJ O'y -oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r L ❑ Rules attached. t Name �'j'NvUI dr�V1 �j '1 (%� U �cK �blX ? State.__ ZIP z�% 4 v �( E g�L)Zqarr " ME -Mail and Agent T U `I ct ❑ CW L>fW )ePTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: yes / ,now; PNA yes / 6 f Project/ Activity w✓ a to �, cvt S A A 3 )ck) length )C 1 'latform(s) 7. Platform(s) XZ O pier(s) ength ember ad/ Riprap length ig distance offshor iax distance offs re :hannel �[pri 1101=w IVAM111111111111illillia Bulldozing F ine Length _2 ff � Project Location: County O r ki SkAZ16 Street Address/ State Road/ Lot #(s) `�- Z G(31kbLy­b s Subdivision I - City n(V Q .1 �.� 1! C Vt ZIP A lone # 3' 1-7 R River Basin LV�tA Adj. Wtr. Body (C&V (A (nat / Closest Maj. Wtr. Body 11 /M JAI( not sure yes i :)rium: n/a yes yes r Attached: yes (Scale: , ": 4 i ding permit may be required by: ❑ See note on back regarding River Basin 8/1/2017. TK Cable _ 6Pl/2017'- -BBBT BankCh-MOngramWalters 6/1/2017 Roger or Lathe Pierce 6/1/2017 Steven T. Farmer/TRA COM Services 6/5/2017 Jerry Ennett 6/5/2017 Palmetto Marine Construction 6/5/2017 Overbeck Marine Construction 6/5/2017 The Landing at Snows Cut/Donna G_u_rganus 6/5/2017 _ Lam Rice Construction n ryvi Kelly and Thomas Williamson same same Harold and Meredith Muse Jeff Lowry Mark Crissey John or T_ r_a_cy_ Kane same ooai BBBT BB&T BB&T BB&T Coastal Bank & Trust first Palmetto Savings Bank_ SunTrust First Bank BB&T 0000 GP 651 GP 69229D NC Division of Coastal Mgt. Habitat Impact Coml Applicant: 1"k d & k-e,"'-�x /"u - t A Date: i)5 / k /( - 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 M (Applied for. (Anticipated final (Applied for. (An DISTURB TYPE Disturbance total disturbance. Disturbance disc Habitat Name Choose One includes any Excludes any total includes Exc anticipated restoration any anticipated res restoration or and/or temp restoration or terr ternimpacts) impact amount) temp impacts am (� Dredge ❑ Fill ❑ Both ❑ Other O 1(00 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 0 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ,Crory Braxton C. Davis John E. Skvarla, III vnor Director Secretary AGENT AUTHORIZATION FORM Date: 7 - / 7 of Property Owner Applying for Permit: Name of Authorized Agent for this project: r-ed, AL /kt,,�s e_ 1 va c( I F s Mailing Address: ? � ✓'l�K OGt�7 �Gt V'm s 7Y �9 Number 27 � `/' /& 76 336._ 701- 0 3rS Agent's Mailing Address: "'Po 13oy 13US Phone Number 6 (a) that I have authorized the agent listed above to act on my behalf, for the purpose of applying obtaining all CAMA Permits necessary to install or cornstruct the following (activity): 1-7 fc�C,� " ,n i� Zv f — dlA}_rSV property located at r lification is valid thru (date) Property Owner Signature Date DIVISION OF COASTAL MANAGEMENT Name of Individual Applying For Permit: Address of Property: �✓ P rty� (Lot or Street #, Street or Road) (City and County) certify that I own property -Ojacent to t e a ove-ref&ihced property. The indi applying for this permit has described tome as shown on the attached drawing the developmei are proposing. A descri tion or drawing, with dimensions, should be provided with this let 01 I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of C Management, 127 'Cardinal Drive Extension, Wilmington, I C 23405 or call 910-79( within 10 days -of receipt of this notice. No response is considered the same as no objec you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, break-wo"ter, boat house or boat lift mus bek a minimum distance of 15' from my area of riparian access - unless waived by me. wish to -waive the.setback,,you must initial the appropriate blank below.) �-�--- �`Xh Sli/gp. Lig ' I do wish to waive the 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. Date DIVISION OF COASTAL MANAGEMEN IPARIAN T ADJACENT RPROPERTY OWNER NOTIFICATION/WAIUR FORM Name of Individual Applying For Permit: f Address of Property: (Lot or Street #, Street or Road) (City and County) -I hereby certify that own property adjacent to the above -re erence property. The indil applying for this permit has described to. me as shown on the attached drawing the developmen are proposing. A description or drawing, with dimensions, should be provided with this lets I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of C Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796 within 10 days -of receipt of this notice. No response is considered the same as no objec you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakivater, boat house or boat lift mus, bek a minimum distance of 15' from my area of riparian access - unless waived by me. wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 1 setback requirement. I do not wish to waive the 15' setback requirement. JSign Name Date /��r.P,^ L- P ; mow. . A W 1