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Home My WebLink About69167D - ParkerXCAMA / DREDGE & FILL �ENERAL PERMIT ew ❑Modification ❑Complete Reissue El Partial Reissue E 1` A Previous permit # Date previous permit issued >rized by the Statgiof North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 4- �1 • �� 11,_, ❑ Rules attached. it Name'kA k eat It° r Jr. Project Location: County AAA, j l y'1(, j lu ry i- -h � Street Address/ State Road/ Lot #(s) ? 1 L a (J b « State NlL ZIP Z�C? �)�"1ye ( ) b-ql3 E-Mail iaw�srhPalY.ir l3an+iv/. Subdivision zed Agent J,mvK 7 r City ! I �1�i (� 44 cG ZIP i ElCW 1G eW�4TA El ES ❑ PTs � 1iPhone # V) < r� � 35 �" River Basin r ElOEA (❑ HHF ❑ IH ❑ UBA ❑ N/A C/ I ❑ PWS: yes /,no; PNA yes f Project/ Activity and `I 0 0,T xk) Adj. Wtr. Body iY.( L1 5 (m, h Lu (nat Closest Maj. Wtr. Body (Scale: `U -- MINE ■■ : i®■ ■■�■■■■E imber NONINN■■■1■►p I mu ld' NUMBER ==MINIM■■ M■ ■ ■■■■uMN ■■MM■■■MM�mIi �� ■! ■MM■■r�N ■■ ■ NM■■�■• �I�E'�!!'■■MMM Mai: zm■ME -g distance offshore ■MMM■■MI■■■■■:��•-�riiEt�u■■■■MM■M,�Q■� ax distance offshore hannel ■■IMM■■�■■ MN n ■■ill■■■N m��11��■ ;rn.M■M■II■M■� ■M■■19WRIM110 00111■■r■I INN Na�l'L',111alli��IMM■■!�!■■! ■■■rllNlWITWMsobampn�m■■EMIR ■I MMM■■■ONM■■I :bic yards ■■■ T 1i9Ylllis■ ■■ N► .I ■■INN ■■!'lG°I! IIA!/■MM■RUIRP 911 ■Mi�llt!'111N ■■ /.�\ ■■i■■ ■�i�iililrs�■s■■M%r. . , owr�1! _ M■■■ri'L':IirJ/■ ■l•s,�N■�■■ N■■■■■�■■■:t/Gt[iiil INN M»N■Nl 1 I■■MM■N NONE ■■M■■■M■M■m■I==�■F MI M■■M/i■■ ■■1 ■I IM■■II■■ ■■M■■NN■N■■M■MM■1 ■M■M■M51■■ ■NI II 1■MMUM■ ■IMM■M■M■M■I■M■1 sm■■mils■ ■ml 111■■mm■ ■MEM■NNM■■M■■M■■1 ■M■MM■RI■N■N1111■■II■■■■■�■■■ ■ MINI M■ NNI 11 i■M■IMN ■■�F{�II■AIR1;.1■■■■MMMI MIMMOMM■■1 M■■MM■■N■NNIIIIM■GIs■u�!■l�►l1■s■M■IMSMI MMM■ N■I M IM■I I■r 11i"WAM■M■MM■MNMMII ■■■■■■■■■!■1111■■■t!l�IIII■NII�Ii■■■■MM■■■■■■1 � ■i�i ��iiM ■■�■��'"■Mi■ ■■■Mi■wii�ssiii■I - - � MMMMMMM■Nsieills�l► �sMNMMMM■■■■■NMI■■NMI Local Planninc lurictlirtinnl NC Division of Coastal Mgt. Habitat Impact Computer SI )plicant: O)J, ate: Cj (jam l� 0 scribe below the HABITAT disturbances for the application. I values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fin; DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. abitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts amount) r A, VV Dredge ❑ Fill ❑ Both ❑ Other 140 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge 0 Fill ❑ Both 0 Other ❑ AGENT AUTHORIZATION FOR CANIA PERMIT APPLICATION f j- Name of Property Owner Requesting Permit: .� -�� wr r _ Mailing Address: l (3 1C 1%✓l Of -,'VG Phone Number: F_ y73 Y Email Address: I certify that I have authorized ` Ag nt i Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: c�. Sr �,-� . " /C, xw at my property located at in �S2 e,,3 ,e-County. l furthermore certify that J 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 Inform ' n: v Signature PLIV,�,r Print or Type Name Title /,?,3 l1 -7 Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to <, yr" s --�(Narde of Property Owner) property located at Address, Lot, Block, Road, etc.) . on in C t' L ,,, We l<i ev c' G , N.C. (Waterbod ( itylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location V/ 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 bacN minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to wai the setback, you most initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pra erty rl In ation) (Adjacent Property Owner Information) ;(/J C7rY,�� ^ Si ature Signature J"14 f 5 >' ►� ` ��.� NG(_ Michael R.Cunningham Print or Type Name Print or Type Name i l 3 mill 1 rye Or 23 Lagoon Dr. Mailin Address ' �J hfailing Address l�,t( N(. � ! �11 Wrightsville Beach, NC citylstatel2jp CitylState/Zip Cr I Q- li+X- 4 7 V 4 o, o_97d_G;o9 LIOZ/81/t, "' I3ZJ/�I/aga��faNl/snnopuiM/ osotaty�i�ao �Qddd/Li oNOZ%� If/stas�:�/// ai ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own, property adacent to ,, rw� - It , , s (Narrie of Property Owner) property located at _ Address, Lot, Block, Road, etc.) (Watwboa} (City/Tow" and/or County) Thecant has described to me, as shown below, the development proposed at the above location. 7ppl' 1 have no objection. `o this pruposat I hay-s objb,;ions to this prc posai. DESCRIPTION AND/OR DRAWING 03 PROPOSED DEVELOPMENT (Ind'vidual proposing development must fill in description below or attach a site drawing) / ' �G. JCL` 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 most initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Props er Inf ation) (Adjacent Property Owner Information) 7 /V?AST C?L•41-7NV5 LLG 9. k /1� ea Wature Print or Type Name Print or Type Name it (ill ([vet O; 1 CIIQ /�035 i%1�te z l��jrz,(�fr3 Mading Addre icing Address N C 27 c , tit (� Sy c �-7 ;P 62 53