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HomeMy WebLinkAbout68035D - NewCAMA / ` DREDGE & FILL �NENEew MRALon PERM El pITSSUe Q W U• \l ❑Partial Reissue I-P8030 A B Previous permit # Date previous permit issued Ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C J /� �44. 1 2 UU ❑ Rules attached. t Name Mbl) L11K ��aT40r 1pU iJ0x y j Va k% .rr-." StatdJ . ZIP Z (4L-U) Sr53b3 E-Mail ed Agent F -t4 (Er et# rnA A^t ElCW K EW [)(PTA ❑ ES ElPTS (_.UA c ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes / no" PNA Oyesno Project Location: County�� Street Address/ State Road/ Lot #(s) U Subdivisions City �I-Ms1S ;js „I ZIPJ� Phone # ( ) River Basin Adj. Wtr. Body TAX' �.Ednk nat /r Closest Maj. Wtr. Body k)L j (L�\xx7r Project/ Activity ►+a • ■■■■■■■■■■■L'�iiliri�r■■■■■■/'wl1"n■Yi�l'i�■ igth nbe nber I/ Riprap length_ distance offshore < distance offshore annel \ is yards ;e/ Boatlift Ildozing Length 5 +_ not sure yes no Jm: n/a yes n yes no ttached: yes no g permit may be required by: S n ❑ See note on back regarding River Basin ocal Planning Jurisdiction) KCAMA / DREDGE a FILL NV 58035 A B C 9ENERAL PERMIT Previous permit # ew Modification 'Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 Rules attached. Applicant Name_ . Pt,� �,, �0 Project Location: County_ADN51QAe) _______! ress b -X Ll Street Address/ State Road/ Lot #(s) Ky-Z Q Qom_ State l�}� 23P?$y�Ob Phone # E-Mail Subdivision_ Authorized Agent ��,!_ nie, coneff i(N*h`t_ City � gdtj ziP-2ft&,() Affected CIN KEW )(PTA ES PTS Phone # ( ) River Basin A+f.-.?_ ) ❑OEA ❑ HHF f_ i IH UBA ! N/A AEC(s): Adj. Wtr. Body ._ek nat _man 0 PWS: { ORW: yes /� PNA ye no Closest Maj. Wtr. Body Type of Project/ Activity g(�i i?rCt si" 1)�(, c [,,(y 6 S ` x 40 TT (Scale: j = 24c Pier (dock) length j!�-X LiU Fixed Platform(s)tv Floating Platform(s) t Finger per(s) Groin length number _. _ F Oit1 . ' J, --1 Bulkhead/ Riprap length_ _ avg distance offshore_ max distance offshore Basin, channel \ cubic yards Boat ramp Boathouse/ Boattift Beach Other Shoreline Length 500 + f SAY: not sure yes _. Coll Moratorium: nia yes n I i Photon. yes no Waiver Attached: yes no -- 1 - --- -- — A building permit may be required by: / l A 5 �r„J F See note on back regarding River Basin rules ( Note Local Planning Jurisdiction) ��/ Notes/Special.Conditions �,viC f), 9 ad �'e1!,(_ S�f-,(- , O,1J iQ� (tiles NC Division of Coastal Mgt. Habitat impact G+mlr PUter Sheet 4pplicant: ,��� 4Z ,,.r ��c� � Permit #; Date: 62- Its I j Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement 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 final disturbance. Excludes any restoration and/oi temp impact amount) lr' Dredge ❑ Fill ❑ Both ❑ Other S`I Li 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ . Dredge ❑ Fill ❑ Both 0 Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ t-omments 2/8/2017 New River Ennett Marine Coastal Plantation Construction/Jerry Bank HOA Ennett Trust GP 517 $200.00 68035D BS rct. 3445D AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: A) � Oa (JC—V� Mailing Address: f) C)(C)X Phone Number: Email Address: I certify that I have authorized P, il(lP4 MatUnc, Oba1 tY-kc-bm Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: (� Do-N MUn i+—A at my property located at (' 01`(1MU (� i'► l.� t li C� 1,'x'A ( VV i �YLcY �� �' I C� in (DY S UVJ County. I 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: Signature r cr-446C 14 G 1a-) ..0 -'/e 1. / Print or Type Name URI,* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to N�iD " }�0 A is (Name of Property Owner) property located at Lmm u p (Address, Lot Block, Road etc.) on C� , in CAPV� " , N.C. (Waterbody (City/Town and/dY County) The applicant has described to me, as shown below, the development proposed at the above locatioi I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill 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 bac minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to m 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 I Signature " Ly1 tc t4-k'g ' I - -r�i.y ✓E�Cccf�� Print or Type Name (Ad' ent Pr perty Owner Inform tion) Signa�ure Print or Type Name 8Co L-vi4,,, Crl'4:C-f �" 9 4o No / Q/ .1L-4/ ,5 iILIALW M LW QC,! "C 914JIMOU I A L,ft ,-d _,WaOP A ADJACENT RiPAR1AAl in OWNER STATEMENT I hereby certify that I own property adjacent to N -ID- -1(:) A 's Property located at r� , , (Name of Property Owner) `(Address, Lo Block Road etc. in (1Naterbody � N-C. (City/Town and/o County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this ro osal. N N I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in descripfion 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 Signature -- Pnnt or Type Name (Adiace Property Owner Information) Si np Pff� Fie Print or Ty e N'pme (-I P ICP?' 70� 6 ADJACEMI-BRIPARIAN MOPKIM OMER RATEMENT I hereby certify that I own property adjacent to _ 14�� s mparry bcaw at WA m LAW,% �t let:,; � ;.�'* on )4t{ n (.' Lot, B oekrR , etr- r R S F2. yy-w N.C. ("Orbody (Clty/Town and/or oud city) The[ applicant has descrimed to me, as shown below; the develDpm proposed at the above location. hQ-1 i have no objection to this proposal. have objections to this proposal. DESCRIPTION ANDIOR DRAIAfING OF PROPOSED DEVELOPMENT (kK*V" W erg dWefiaPHWW ~ fi f M descrWffbn below or affiw,fr a Me drawmqy) 4_MAIVER SECTION 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a Mimmurn distance of 45 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. 1 do not wish to waive the 15' setback requirement (Property Owner Signature fntu64-CL A rriww<<.�<caft...) tor Type Name ft M Address w � - - 5 &-1 �-U C- Cr►_3r)Stsfs/Zm i?W� Telephone Number S--?5" -5 3k:?, Date 02/vy/.?0(7 'teen Infornntlon) tore -, �t�41{pp� t t�,, - `lymbe T1 e I hJ._/''7