HomeMy WebLinkAbout68038D - Pennington7CAMA / DREDGE & FILL �w 3,13.I�j
3hENERAL PERMIT Previouspe®� A B
]New ❑'Modification ❑Complete Reissue El Partial Reissue Date previous permit issued_
rized by the State of North Carolina, Department of Environment and Natural Resources ��yy��
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ( ��, ay. 014. /AYJ
n ElRules attached.
t Name tj 44 o�e' j=tp ,r�;�� 7 Project Location: County &IAng � ; LC
C o O�4 8ci Street Address/ State Road/ Lot #(s)
i 0{1 State =�� ZIP 201803 `_ w �� S
' (80) (O4S 619 3 E-Mail
ed Agent �i// 1// n1' C��„
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ig permit may be required by:
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❑ See note on back regarding River Basin rt
'NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: peonf Permit #: 6803,02
Date:
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
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
Habitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose
One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
andlortemp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount)
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Dredge [IFill
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Tyler Crumbley
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Tara
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
DW Review
Dredge ❑
Fill ❑
Both ❑
Other ❑ .
Owner �� #
Dredge Fill B Other g ❑ ❑ Both ❑ ❑
Dredge[ ❑ Fill Both Other
9 ❑ Q ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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IIIL Comments
First Permit 1 of 5
Allied Marine Citizens GP 68038D
3/13/2017 Contractors LLC Roger Pennington Bank 5385 $1,600.00 @$600 BS
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
K
Phone Number: 5P3 (�y5- 6193
Email Address:
I certify that I have authorized "4J/," A%+'rye/ ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in � >rLA r, S W-1 /— County.
51v Y/!:� _-
/ furthermore certify that 1 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
Print or Type ame
d�
Title
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own .property adjacent to � s
(Na of Property Or7 er)
property located at
(Lot, Block, Road, etc.)
on �ts Colt �(/` , in _ N.C.
(Waterbody) (Town snd�or Couaty) )
`�10,a��--a �ailingres
Adds:_. qa
Applicant's phone !{:._._
I(14
l,1eAw
Fie has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
-------------- --------------------- -------------- --------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
r
----------------------------------
----------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) _
Mailing Address Signature
City/State/Zip Print or Type Name
MANU UtLlVtK
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 4,1�__ 's
of property O�
property located at
(Lot, —Block, Road, etc.)
on ®L% r%t�L_— -- in ��'lF—S��i�/ N.C.
(Waterbody) _ (Town and/or County)
Applicant's phone tf: J _ Mailing Address:--- �o <:�L_
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
G,
-----a---------------- --_------- ---------------------------------------------------------------------
(Information for Property Owner Applying
for Permit)
Mailing Address
%'ifv/C/efa/%in
(Riparian Property Owner Information)
Signature
44
Print or Tyne Name