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Home My WebLink About66210D - MacKnullCAMA / ❑ DREDGE & FILL L 22•66210 A B Previous permit # ti)� iENERAL PERMIT Vew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued_ zed by the State of North Carolina, Department of Environment and Natural Resources ,� )astal Resources Commission in an area of environmental concern pursuant to I SA NCAC `J ❑Rules attached. Name ) a (� �A a, Project Location: County az�1^ CO tV'O ? r CA y- v 1, �_ Street Address/ State Road/ Lot #(s) 10 S A L `e( t)- vn State NIL ZIP (-tom 331E-Mail - W Agent L i Wr� (Ng Vkv I !) ❑ CW etW VkA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: Subdivision City i G t ��'Q A ZIP �� Phone # ( ) River Basin C FK Adj. Wtr. Body GCO Ak ��CO) SCN4 (n<n Closest Mai. Wtr. Body �c{��a` des /;no PNA yes /, Project/ Activity t VN C �—q O�G(L Owl. bpa-� 1 f-�+ r (Scale: Ilk _ -k)length itform(s) i Platforms) ier(s) ngth tuber d/ Riprap length g distance offshore uc distance offshore nannel / bic yardsPn r ise/ Boatlift- I i ne Length oo- not sure yes (� �� i mum: n/a yes <'9 yes Attached: /yes no fing permit may be required by: rC�lpa< 5 �C a c v I nral Planning lurisdiction) ❑ See note on back regarding River Basin 12/16/2015 12/16/2015 1711711 b 12/17/15 boatzngn[ inc Pippin Marine Construction LLC van rwmnun as v uaona Kevin Dolan Wells Fargo Bank Duke Energy JP Morgan Chase Bank Noel and Johnson B of A Marc Noel B of A Jack MacKnoll B of A 3597' •- _$400.00 GP 66235D $400.00 major fee, Caswell Be $200.00 renewal fee, MP 83-01 1 2/16/2015 12/17/15 Duke Energy 1000142791 12/17/2015 Maritech, LLC 2132 12/17/2015 Mantech, LLC 2131 $400.00 $200.00 GP 66236D 12/17/2615 Lighthouse Marine Construction 5671 GP 6621 OD LI a� _v O > ) Q U a) L cc - U Q NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: J�e 1 Date: 12 — / 7 — S� 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 FII (Applied for. (Anticipated final (Applied for. (Ai DISTURB TYPE Disturbance total disturbance. Disturbance dis Ex Habitat Name Choose One includes any anticipated Excludes any restoration total includes any anticipated re: restoration or and/or temp restoration or ter tempimpacts) impact amount) temp impacts)_an Dredge ❑ Fill ❑ Both ❑ Other G Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ K*.AIV kTI RC®ENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director John E. Skv, Secret AGENT AUTHORIZATION FORM Date: I a Jq) Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Address: t 2- Phone Number j7d) 315' -),3 (�— Agent's Mailing Address: Phone Number I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for ar)d obtaining all CAMA Permits necessary to install or constru t the following (ctivity): For my property located at CC� Thi certif ation is valid ru (date) Property Ow er Signature Date ADJACENT RIPA NER SF �,TEh�ENT (FORA PIE�60R PggpEKTY-B0ATgO(''SE) I hereby certifythat �G PILL'�G� • ( I own p'ope"Y adjace t t� `— Owner) n f prop propel located at � rr: No (Lot, Block Road etc.) on («'aterbody) _ in /� (Town and or County) 1, c Applicant's phone : �3 rt � v,`"� �??�lailing Address: at that location, and, I He has described to me as shown below, the de,,,elo went he is proposing f n,had,1 have no objections to his proposal. I understand that pier/mooring pilings f boattift must be set back a minimum distance of fifteen feet (15') fram 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 not wish to waive I do wish to waive that setback requirement.4A -� --------------------------------------------------------------------------------------- DESCRIPTION Al `D/OR DRAWING OF PROPOSED DEVELOPMEIST- (To be filled in by individual proposing development) t`s deGc.ri {�tn, is cxcNL.M �- ac n�u. O; ter Ci; sS r, E `s c - --------------------------------------------- - (Riparian Property Owner Information) (Information for Property Owner ApplYin� p for Permit) �} G - 101L Ntaitwo Address - Signature Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIER MOORING PILINGSIBOATLIFT/BOATHOUSE) / I hereby certify that I own property adjacent to—J�y ' D�"4�,�z�'�,(.E Its (Name of Property Owner) property located at Pic., i (Lot, Block, Road, etc.) on �iwy , in wtJ Oar (Waterbody) j (Town and/or County) Applicant's phone #:�� i � Mailing, Address: He has described to me, as shown below, the ctevelopment he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (1 S) 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 not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------ DESCRIPTION ANWOR DRANVING OF PROPOSED DEVELOPMENT: (To befilled in by individual proposinb development) /U C a s',�^jt�' ' +� 1/`� ,!J (/IrC: 1M / � ✓lilZ ' C� f � u � r J"LL 0, --------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 117---_----- Signature Mailinb Address