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Home My WebLink About66237D - Woodbury1CAMA / ❑ DREDGE & FILL ti ,�� 66237 A B NERAL PERMIT Previous permit# ew ❑Modification ❑Complete Reissue ❑Partial Reissue 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 I SA NCAC 7 �7 les a hed. P y t Name 1r0° Project Location: County/,/iyt,. 1L►!l3�� Py 011411JI101/G+ b,✓' . Street Address/ State Road/ Lot #(s) �1 State 1 (C ZIP s?-Mail nOP/OoSubdivision edAgent �r11 .P r City I'V ��r ZIP [" l3EW /�KA ❑ ES ❑ PTS Phone # (9,V ) A ,—2o"P211 /Rivver Basin ��1 ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body � PWS: yes no PNA yes j�no Closest Maj. Wtr. Body Project/ Activity :k) length 1 Platform(s) igth nber I/ Riprap length distance offshc K distance offsh annel is yards ip ;e/ Boatl :Length not sure yes nod' um: n/a yes yes ttached: yes %/l ''`. (Scale: / '= ig permit may be required by: 74Z� .ocal Planning jurisdiction) �AA�J ❑ See note on back regarding River Basin r !ice/- 10.10/LV I D 1 I U I// I V J DVUU[ III IL If I 12/16/2015 12/17/15 Pippin Marine Construction LLC Kevin Dolan Wells Fargo Bank 3597 $400.00 GP 66235D 12/16/2015 12/17/15 Duke Energy Duke Energy JP Morgan Chase Bank 1000142791 $400.00 major fee, Caswell Be 12/17/2015 Maritech, LLC Noel and Johnson B of A 2132 $200.00 renewal fee, MP 83-Of 12/17/2015 Maritech, LLC Marc Noel B of A 2131 $400.00 GP 66236D 12/17/2015 Lighthouse Marine Construction Jack MacKnoll B of A 5671 $200.00 GP 66210D 12/17/2015 David or Nancy Taylor David Taylor Wells Fargo Bank 2090 $100.00 minor fee, 3627 Island 12/17/2015 Pioain Marine Construction LLC Richard Woodbury Wells Fargo Bank 3599 $200.00 1 GP 66237D NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: r Permit #: �(Ij(, 2 71 pp k 1C��1%� / 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 for. FINAL Feet (Anticipated fin (Applied for. Disturbance total (Anticipated final disturbance. (Applied Disturbance disturbance. Habitat Name DISTURB TYPE Choose One includes any Excludes any total includes any anticipated Excludes any restoration and/c anticipated restoration or restoration and/or temp restoration or temp impact --[/ temp impacts) impactamount) temp impacts). —amount / 1 ✓ Dredge ❑ Fill ❑ Both ❑ Other 2 V 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 ❑ Other ❑ Dredge 171 Fill ❑ Both ❑ Other ❑ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date /p Name of Property Owner Applying for Permit: Mailing Address: im:7Dr) . /), C. I certify that I have authorized (agent) ZZW- 2/ ��,0//(l to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) �/"%�,�/` 1 A at (my property located at) This certification is valid thru (date) Vrnnavty nwnPr CIQnu urP Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to ?�zaCZ s (Name of Property ner) property located at & eulwl «- ,l� f / (Address, Lot, B19c1 , Road, etc.) on l/PU)��l/S f^��1� in 1111% i2� �Ot� N.C. (Waterbody) (City/T n and/or County) T licant has described to me, as shown below, the development proposed at the above t I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fell 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. (P o Perty Owner Information) Si#Tture "0 (Adjacent �01n!ormation) Signature Print or Type Name 11 o rY AaAJo-44—A-_ ✓� Print or Type Name,,,,',- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /ale /4r cl Va'odbl acz s (Name of Properly er) property located at �� AIL Drive (Address, Lot, 1319c , Road, etc.) on �lV S f^>° in dl�t N.C. (Waterbody) (City/T and/or County) The applicant has described to me, as shown below, the development proposed at the above I ti 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. (pMperty Owner Information) (Adj eyt Property Omer Inforr t n) yp7ature Print or WName n Print or Type Name