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HomeMy WebLinkAbout67993D - Moore1 �(,Ip L�e Vx%(00V 0 �_ Subdivision ------------ city 1+y &tV1 zip �Pone # (�1 a) 6H?-- ')�2q River Basin L Vyvx Adj. Wtr. Body ( a VN VS (nat / Closest Maj. Wtr. Body ,k! wid �,CAMA / L DREDGE & FILL L / /? 1993 A B .ENERAL PERMIT J Previous permit # aNew Modification ❑Complete Reissue -'Partial Reissue Date previous permit issued_ prized by the State of North Carolina, Department of Environment and Natural Resources pp -oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC . ` cc d- d� j �j ❑ Rules attached. it Name �Y (Ay-e /V 1 �OVi� _ Project Location: County AMSVvi t k 1--1 5 ` Street Address/ State Road/ Lot #(s) ,V c1 �6"A State ZIP210 S 13 F (�')�Q) S � 5) E-Mail :ed Agent &N'Pc�vn k�b\ LIVA ❑ CW *W ;`PTA >f S XPTS ❑ OEA ❑ HHF ❑ IH ❑ USA /❑ N/A PWS: yes / • no) PNA yes / f Project/ Activity h(A •;-,\ K1. ■■■MEN ■■■■■■■■■■■1N■■■■■■■■■■■■■►I1 �1�;�1��■r.� ■■■■■ran■r■���;�■�s�■■n■■■■■■■Iv■1 ■��® ii niliMINE0101i u- i■��iu N■ .AMMRI■EME■■■NNM�MMII ■■N■■u trr�1womil ■■■■■■■■■N ffii i:��i�wiiii i■■■ ■■■■■■■■■■d wor"Hldia ■■■■ ■■■EM1111■■■■■■■■■1 11MME .■NNE� ■ ■! !_!■ M ■■■M-11lIRiamp a■■■1 ■■■■■■■■■■■■■■■R1�1! S"I■■■MW 1.1690PEP OW4320` ■■■■■■■■■ ■■■■■■■■■1211 ■■■■■R 9�■■1 1110 �:.: r ���■®11;1■llAltl�l!lJ�IiA1 ■■■�1111/�li: RWRI r .. H■■■■■■■■■■■■1 I■■■11■ ■M:IRI■�1%ilii���!lYii1� 111I0111 ■■■■■■■■■■ /%«.1,R 0 NO I1■■■■■■■■■N ■I�1■o N\■■W ■■�'/1 ■■■/%■■W5111 l■ ililliYl�■■1�N ■ll'.'i:.liiAl1■■■ ■/ 1 ■■/.%■■/I■W%11■�■■11*r- WIRM . ■■■■■■■■■■ ■i��l ■■iw■■■■■■/./■11�!1!■il■■■■■fl ■■■■■ ■■M ii1`70■■■■■■1 ■■■■■■■■■ ■■Mi■IM10 !W"RlI"WRR !■ ■■■■1 ■ ■■■ ■ IMMENNEM11,20EM ■Y■I■■■■IN■1 ■■■■■■■■■■■■■■■■WM■■■■■■■■■■■■N ig permit may be required by: { 0 VJr 0k V�, b `^ K I( ❑ See note on back regarding River Basin ri _ocal Planning jurisdiction) , I . I , MC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: S �AGV'-� Moog-e Permit* �-7 lot Date: 0 (/oct /Z6 (� Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied .for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fir disturbance. Excludes any restoration anc temp impact amount) ( "V Dredge ❑ Fill ❑ Both ❑ Other V Dredge ❑ Fill P� Both ❑ Other ❑ Dredge ❑ HIM Both ❑ Other ❑ 2 d 2 s Dredge.❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ .Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑. Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ . Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both Q Other ❑ Dredge ❑ Fill ❑ Both 171 Other. ❑ Payment Proccessing Confirmation Date Received 1 1/9/2017 heck From (Name) Holden Docks & Bulkheads Name of Permit Holder Shane Moore Vendor CresCom Bank Check Number 3079 Check amount $600.00 Multiple Permits No Major/Minor Permit Number/Comments GP 67993D Receipt or Refund/Reallocated SF3489D m WOOD POw- aj ky SHOW - W Mail �W- Irza I ffft�—Svmjm op :J-.opjrcmd do IMMM -qopw pe4p%p a* %q poqpmop A 914 ,!Now a LIP a ', ' m 9 P%% AllitileftO " Jog p;iwibw (skmajud "d sit Acom - 14 owiw- 0 77 75. mowxe,Aqw3r3p 12/07/2004 19:20 9108429806 GREG HOLDEN PAGE 01 - 3- DIVISIDN OF COASTAL MANAGE ADJAQUff, RInRIAN PRDPERTT OMMER V-QTIPXCATION/WAIV'EL FORM Name of Individual Applying For Permit: C Address"Of Property: {O S ..e. (Lot -or Stre`snt trect or Road, City & County) I hereby certify that I own- property adjacant to the above - referenced property. The individual applying for this permit has described to me as shown on the attached drawing the develop ant they are proposing. A description or drawing, with dimensions, should be provided with this latter. I have no objections to this proposal. I nttidarstand that a pier, dock, mooring pilings, bamakwater, boat hawse, lift _ • must be set back a mini=am distance of 15' fray my area of ripnrl= access sunless waived by me. : (If you Wish to waive the setback, ym =at initial the appropriate blank below.) I.:do wish to Naive the 15tsetback requirement_ I do not wish to waive the 15'setback requirement. Date " s ,�d�� 2/07/2004 19:20 9108429BOS GREG HOLDEN PAGE 01 Name of Individual Applying For Permit: Address -of Property: - 42 'or Strmat -f, Street` or Road, City & County) I hereby certify that I own- property adjacent to the above- rafer+anced property. The indfvidua2 applying for this permit has described to me as shown on the attachad drawing the development they are proposing. A description or drawing, with di=ensions, should be provided with this letter. I have no objections to this proposal. I understand that a pier-, dock, mooring pilings, breakwater, boat house, list _ gust be set back a minim= distance of 15' fram. my area of riparian access unless waived by so. :(If you Wish to waive the setback, you Mn initial the appropriate blank below. ) 52 I_ .do wish to waive the 15 t setback requirement _ i dg not wish to waive the 151setback requirement. Data • ,e aV,` �XU � 1 `' g �►au boroo