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Home My WebLink About69355D - Millikan! f,AMA / C DREDGE & FILL �� J3 15P A B GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_ >rized by the State of North Carolina, Department of Environment and Natural Resources j � Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0� fT-' d0 ❑RI ttand it Name �� ji, ko l w State,&/(- ZIP a P110 V E-Mail zed Agent '�( V li-* 6VY-)A S ')�EW )(PTA ❑ OEA ❑ HHF ❑ IH ❑ PWS: yes / Pb 1 PNA yes / f Project/ Activity ❑ ES ❑ PTS ❑ UBA ❑ N/A uesa c e . Project Location: County ✓ A SVA Street Address/ State Road/ Lot #(s) HolDs/C-kGAtm(K °l��C Subdivision �ity i , al 0 ZIP Z Phone # (°�(�) �'�j' S�3 River Basin L JVN Adj. Wtr. Body ��1 � (Q �6VCIV' naa�r Closest Maj. Wtr. Body � VJ w mm (Scale: 1 .f!!!lttl�■■■�■ ■■■■■■■■■■■■■■■�■■■I • ■■■■■■■■■■■■■■■�■■■®■■■■■■■■■■■■\\I ■■NEE ■IIIIIIIIIIIIEM■■■■■■�i■■�■■NI imber ■■■■■■■■■■■■■■■■■■■■■■■■■■■■Y■■■I Y distance offshore hannel ■■■■■■■■■■■�■■■■■■■H■■■■■■■■■Y■■■I IMENE �■■ ■■■■■ ■■ ■■■�! ■■�!1■■�!I :bic yards iioi■'Si■7!i■iPinr .,i•�7G■ai■i�i■■iJlia,■ia�fil■�I ■■■■■■!■■II■Yllii■■■■■■■■■■■■■■■I aw�7MIMENNIN ■■■■ON ■' ■■■E ■■■ ■I ■■■■■■�■� ��Tlisl■■■®■I■■■■■■■■■■■I ■ ■■■■■ ■■■■■■■■■■■■■■I - ■■■■■■■■■■ -■■C!■■Y■■■■■■■■■■�■■■I ... ■■■■■im■■■■bumo lls■m■■■■■■M■■■■■■■■I ■■■■■■/'J■■ 5M imffiftpimmmmmnmmmmmml re Length not sure es -v • L �cCAcii�■ ■■■■■■■■■■ •---------��■■■■�■■��■■■■�■®■■1 1�1■yes ■ ■■NEM ■��i ■■■■��I�■!1■■■■■■■�■■■I G�lU. O 21i1t rill■emir■■��r�l � '1 • ■■ ■■■■■■1 ing permit may be required by: SM (,L ❑ See note on back regarding River Basin r Local Plannina Inrkii- irtinn) N i_ rt\rl w ,k�� 5+{t j( cc K�Lv�/l )-s I X 3�' FcoWrrV& b o c.K I4'X)4' {{I T�N � v6D i CDC , i l i C �G S-r-A7-JZA/ 1c {�-51 i KV IV:L 600EMZ/V DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIRCATION/WAIVER FORM Name of Individual Applying For Permit: CO/JAITL miulkEA% Address of Property: g0 ! _ _C _ � w# \l s W (Lot or Street #, Street or Road) (City and I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit has described to me as shown on the attached drawn the development they are proposing. A description or drawing, with dimensions, shouk be provided with thisletter. I have no objections to this proposal. If you have objections to what is being proposed, please call Debbie Wilson with d Division of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-7W7215 within 10 days of the receipt of this notice. No response considered the same as no objection if you have been notified by Certifier! Mail. WAIVER SECTION I understand that a pier, dock, moorings pilings, breakwater, boat house or boat 1 must be set back a minimum distance of 15' from my area of riparian access- unit waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) `` 11 I do wish to waive the 15' setback requirement. DEW I do not wish to waive the 15' setback requirement. - )-�— 1 -7 KV I V:L 600Z K/t DIVISION QF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OVNNER NOTIFICATIONIWANER FORA Name of Individual Applying For Permit: COA(Adr- TILrx Address of Property: lln'73Z C74Dw]r-1c- W844 W (Lot or Street #, Street or Road) �i1P:r: ■1T= . C R I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit has described to me as shown on the attached draw the development they are proposing. A description or drawing, with dimensions, shou] be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please call Debbie Wilson with 1 Division of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79,b-7215 within 10 days of the receipt of" notice. No respont considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, moorings pilings, breakwater, boat house or boat must be set back a minimum distance of 15' from my area of riparian access- uai waived by me. (If you wish to waive the setback, you must initial the appropriate blank Mow.) I do wish to waive the IS' setback requirement. r L- --7 ML, I do not wish to waive the 15' setback requirement. A'1� WWR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis John E. Govemor Director Sec AGENT AUTHORIZATION FORM Date: l0 - �2-2 - �M l 7 Nam of Property Ow per Applying for Permit: Ownees AteNrig Address: a�y�o Phone Number Name of Authorized Agent for this project �gent's HaNing Address: Phone Number (3 0 ) ;�31-S-V 3,V I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for end obtaining all CAMA Permits necessary to install or construct the following (activity): For my property located at This certification is valid thru (date) �; - Property Owner 8lgnature 0 NC Division of Coastal Mgt. Habitat Impact Comp Applicant: CoAti e Date: 0 SI / p -A o i 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 FIN (Applied for. (Anticipated final (Applied for. (Ant DISTURB TYPE Disturbance total disturbance. Disturbance disti Habitat Name Choose One includes any anticipated Excludes any restoration total includes any anticipated Exc rest restoration or and/or temp restoration or tern temp impacts impact amount temp impactsL amc Dredge ❑ Fill ❑ Both ❑ Other [ 1 v 1 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