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Home My WebLink About69027D - WarrenLAMA / DREDGE & FILL 3ENERAL PERMIT Previous permit# A lNew FlModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources ,/jam% /f / // /I /j -oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (J I r (1(J /_ , (j� �q Rules attached. it Name -�✓ �� YV Q �� ' /`— Project Location: County F' I" �� t�✓ State J�C ZIP S 0/0) L-Mail :ed Agent d-t ❑ cW /N.EW `e�TA AS ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes no PNA yes no f Project/ Activity Street Address/ State Road/ Lt#(s) Subdivision + City �'� 1 ZIP Phone # Basin i Adj. Wtr. Body �na i Closest Maj. Wtr. Body �Ty� 1 Sd yi (Scale: /I ■■.■■i■i�■■wr■■■■■■■■■■■■■■■■■■■■� ■■■■■■■■A�.wig:t■�i■■■■�■■1�■■FAININT FA■■■N ■■i■■■■■ ■■ ■ciici■■ii�i■�y�n; ngth ■�■■�; "nber■■■■■■■■�■■■■��■s_■■■■■■■■■■■■■■■■■V■� MOEN■ ■i■■■ 1m■■■■■■■Driprap ■■■■ NINONx ■ ■■■■■■■■■�■■■■■■■■■■■ 7, distance offshore ■■■■■■ ■i o■■r�� ■■■■■■■■■■■■■■■■■■■■ ■■ distance :annel �inw■■ ■ ■■■■i ■ ■■■■■■■■■■■■■■■■■■■■■■ ►WL■■ ■� ■■■■� �■ ■■■■■■■■■�■■■■■■■■■■■■ ■�■■�►�i■ NE ■■■S N==! o1110001111■■■■■ ... ■■■■��■ �■■■■■■ ■■■■■■■rw■■■■■■■■■■■■■■ 1p ■■■.1�,�� N■1■■N � `. I ■■VA■■■■,U■ ■■1►1 111WENNINEEME1111 ■■■■■■■■■■ illdozing /l1l�I■'I■■■i■�!■1�■■■■ji !�■■■■■■i■■■■■■ m*�a��uu�ir.■ n�r*n�i ■■■■■■`■�n�r■►�1■■■■■■■■ ■■■■■■■■■■■■■■■■■Ni,!1T.m ■■■■■■■■■ !rl�iii■■■■r■iammo■■■■■■■■■■ TREE ■MINIM ■!MINION not sure yes ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■,.ttached: ONE ■■■■■■■■■■■■■ yes ■■■ ■■■■■■■ yes■■■■■N■■■■■�■■■■■■■■■■�■■■■■■■■■■■■ .,, ■■■■■■■�■wo■■■■■■■■■�■■■■■■■■�■■■ ig permit may be required ❑ See note on back regarding River Basin rn _ocal Planning jurisdiction) -Computerfteet 41 RA * Unhitat Imnact INC Division uIrCoa ;.— W Applicant: Date: Waits Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your . MHCDO -TOTAL —SqFt. Fl. (Applied for. (A Tyler Crumbley DISTURB TYPE Disturb.ance.totAl 4 Habitat Name Choose One includes any E anticipated LPO restoration or i temp impacts) --LM ef lnl Dredge 171 FillBoth ❑ Other Tara Both El Other A r-1 Fill Both DW Review Dredge f-1 Fill ❑ Both ❑ Other n Dredge E] Fill M Both El Other El Dredge ❑ Fill E] Both 0 Other n Dredge n Fill[:]. Both ❑ other n - Dredge [I Fill ED BothnOther E1' ownerk—)Wull- NC DIVISIon of Coastal ftt. Habitat Impact- computer Sheet Applicant: Date: �0 . �� for the application. Describe below t e HA 1TAT disturbances All values should match the name, and units of measurement found in. your Habitat code sheet. TOTAL Sq. Ft. F14AL Sq. Ft. TOTAL Feet W (Applied for. (Anticipated final (Applied for. Disturbance (An d'rst DISTURB TYPE Disturbance.total . includes any disturbance. Excludes any total includes . Ew Habitat Name Choose One anticipated restoration any anticipated res tern restoration or ternim acts and/or temp restoration or im act amount tern im acts) am Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both . ❑ Other ❑ 1 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill [I Both ❑ Other ❑ Dredge ElFill ElBoth ❑ Other ❑ Dredge. ❑. Fill ❑ Both ❑ Other ❑ r Dredge ❑ Fill ❑ Both ❑ Other El Comments 3/10/2017 Money Order from Brandon Grimes Steve Warren Wells Fargo 17- Bank 563568816 $400.00 GP 69027D JD rc ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to 5'e. v-�r e&-) I _ , I \\ (Name of Property Owner) property located at '�� q xll-- (Address, Lot, Block, Road etc.) on C jr. Ot� , in z! .v � , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location./ :/ 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 understand that a pier, dock, mooring pilings, boat ramp, 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 Information) (Adjacent Property Ow er li L/1v1� Si��??ature S to e* P; i , or Type Name c I A 'Print or Txpe Nam 'MlA114 > J 47 �G� I hereby certify that I own property adjacent to _ y rP(/t 111gxr�(�j s property located at �U r/ y �� (Name of Property Owner) U r IX (Address, Lot, Block, Ro�ad, etc on �1/1 , in 7Cil K. '/-Y N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 Information) (Adjagnt Property O�,Nper Information) Sig 4ure / Signavoir Prin p �T�pe Npp Print or Type Name _ - - • . / � f ./