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Home My WebLink About63254D - Atkinsonvq CAMA / El DREDGE & FILL 33ENEPtAL PERMIT Previous permit # New —Modification DiComplete Reissue 7 Partial Reissue Date previous permit issued sized by the State of North Carolina, Department of Environment and Natural Resources Zoastal Reswces Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. it Name Project Location: County 12- State�C ZIP # :ed Agent A X'CW YEW �TA ES El PTS El 0EA E HHF El 1H El UBA D N/A 11 PWS: F1 yes ( no, PNA yes /I no Crit.Halb. yes Project/ Activity Street Address/ State Road/ Lot /A2 No SWt,, VlYb Sub4iwWon �ity")Vrl<d' %h) Lk ZIP ilk, (V W, qde # (fltl Z6-6River Basin yV�Al A Adj. Wtr. Body U&M (natJ IClosest Maj. Wtr. Body (Scale: I tl ck) length 1(s) ier(s ngth .-nber■■■��i�■■:lii\■■ii■■■i�� ii■��■ii■■�ii; V Riprap length Wn, 1111M■xl~��■■■■■UIMRWR no "MI I MV� IA. 22MON 1 ■®■■� M M BPI, 11111221 0 ■M■■■■�■■■■■■■ M MEN 9 1 M W 7; )L I'm Wrl A Fol U i i M77 -711.1 r -a A � V 11 T r q■0■M a 7 10■M■0 M■M■M ME 111 MOEN EMME111 MEMINYINMEMEMEMEMENNEMMUMMU 11A ril RE M b rAILP, IMJ 4 ■See note on back regarding River Basin r AMA / DREDGE & FILL N? 63 ENERAL PERMIT Previous permit # -New Modification Complete Reissue —Partial Reissue Date previous permit issued As au prized by the State of North Carolina, Department of Environment and Natural Resources ` i ` �• and the Coastal Re es C.fnmfssnn in an arga of environmental concern pursuant to I SA NCAC i{ Ruiei attached. Applicant Name �_ "�� ,2 Project Location: County_ �_W_ �.�____ Addr s Street Ad ress/ Sta a Ro d/ Lot # City QL State -- -�-- --'�,6�(.i/ ----- Phone # {)` FastU(�� Sub ' ' 'onAuthorized Agent �' ` ,1L►�ih' _ ZIP_-`t ! Affected Cw � EW PTA f- ES D PTS Ptl ner# ( ) Riper -Basin AEC s : OEA HHF IH f IUBA JN/A (i Pws: -F Adj. Wtr. Body nat� -. _______no yys Closest Maj. Wtr. Body ORW: yes Type of Project/ Activity Pier (dock) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshot max distance offshc Basin, channel cubic Boat ramp Boathouse/ Beach Bulldazi g�am_ tj f Shoreline Length __ , SAV: notsure yes no Sandbags: not sure yes no Moratorium: Na es rto R Photos: es r2 Waiver Attached: yes no � A A building permit may be required b +. I --. (State: /! t r IL - - ►/T See note on back regarding Rivcr Basin rues. AMA / DREDGE & FILL N9 63J ENERAL PERMIT Previous permit # New 'Modification L)Comp►ete Reissue Partial Reissue Date previous permit issued As au orized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Re es CommissAn in an area of environmental concern pursuant to I SA NCAC E-{ R'u�ler3 attached. Applicant Name L Project Location: County tom` • W wZ ,�f (j -- — �__- Add Street Ad ress/ Sta a Ro dq/�L,ot # City . �/�. State ^ 7JP _ _ .1A!'�_t6vt—', --- `-- Phone # (�.)� Fax # (! Sub 'vision Authorized Agent��--iC ity' 111 Zip__ Affected CWa< IOTA ❑ Es D "s Pnet# d 1b River Basin �1 ��1F?? ✓ AEC S: 1_JOEA n HHF 0 fH 17 UBA ❑N/A �) I7 PWs. — `F Adj. Wtr. Body T nat M ORW: yes no PNA yes no Crit.liab. yes no Closest Maj. Wtr. Body Type of Project/ ActivityhsAyu& atw drd' (p cafe. Pier (dock) tejngth Platform(s )�� Finger pier(s)` -' - i �- l� _ -_ 4 % } _: TT j Groin length t 4. ---- - - - t number.-- Bulkhead/ Riprap length --- -- avg distance affshor 1 i - max distance offsfro Basin, channel -- lot cubic yams __. I r Boat ram p Boathouse/ Boatldt Beach Bulldoxm ( — Ocher-- -�-x 6i}- ♦ �� ' 1 Shoreline Length SAV: not sure yes Sandbags: not sure yes no �f%% �j j Moratorium: n/a es no ;aGK / ' ( i I. /'/J �� r - Photos: Waiver Attached: yes no A building oermit may hp rPnuirorl hv✓ j s�t/i / t R�..!'P-lpG 1'_ 1 i10__ __ `_ _- _ _ __.. �.. _ .,,- _ _ n_ __•__ C Division of Coastal Mgt. Habitat Impact Computer Sheet >plicant: �/�/�'/� Permit #: 0 rte: :scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer and in your Habitat code sheet. ibitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL Feet (Anticipated fir disturbance. Excludes any restoration anc temp impact amount) r Dredge ❑ Fill ❑ Both ❑ Otherj Dredge ❑ Fill ❑ Both ❑ Other 22 (i 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 ❑ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date a y Name of Property Owner Applying for Permit: 0127177 el IV-77Ci h Mailing Address: /0 /0OX 3 Ao /W�(r) I certify that I have authorized (agent)Z//—/D%%iGS' /'/Q%}!/N� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) fiC l; 1, � mIQ � tul410a s1a 1/ 1--x f , at (my property located at) r30 a / V J- lL !rV , J t-f t, L This certification is valid thru (date) ZSI Owner Signature Date ("14v-'`-'/_) f7-"(V l.v'[- uo514t�)Ofl 61w 1 I I 1 I I I I I ,rim, h W Id �oonm MaU vo i I 1 -loci kjvmo"5 � i/ XJZI I MCv r5odou 6 rn D'p6 ,- r'?`- I `%I ?/ l bveo �0rai"'0 1 60 ;Ivo a,n P46 ; P igwd0 7?9 4-d s -4 n CNN as MPN I J-i of l I `1 -74Na7pr Vu �° % ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired, X ■ Print your name and address on the reverse so that we can return the card to you. B. Received ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: I I — �3'q 0 32 32- /Uer.JiMrk ,Or, 1141115�1;7r's buq, D IN y5-3 y'�' address drfferent fro enter delivery address ❑ Agent ❑ Addressee' C. aa�pofDelivery r_ 1? ❑Yes �S o 3. Service Type L❑ Certified Mall- ❑ Priority Mail Express" ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2, Article Number _ 701,3 0600 0002 2604 6711 n7tansfer frorn service label) PS Form 381 I, July2.013 Domestic Return Receipt Agent W A. Sland 3. Also competenplete ��! is desired. X e) C. n 4 if Restricted Delive ss on the reverse eceived by me and address ou Cn CTI N N N N 0 0 0 0 J0- Z6 �i fD 4 1t your na turn the card to y item 1? u "r that we can remailpiece, p No Is delivery address different from to the back of them p below: —I 0 Z � G) [ach this card D ace permits' ehter delivery address on the front if space if YES, K v � r 0 ? ca title Addressed to' 0 _ ( m 0 n 0 X- �1 i % S oo Q v Z3 � in c� O _ CL � -� e Z, A/ 3. Service Type a 3 Mail ❑ ExPress Mail eceipt for Merchandise N � � n C� 0 0 � ❑ Certified S Registered a Return R o i e 2- 7 Maii C.O.D.0 Yes r N _ l ❑ Insured 4. Restricted nP�2"' 4 �? 333 ? 13 1? 1 102595-02'M'1540 = O > • Article Numbe service label) (transfer from 2004 Domestic Return Receipt Ps Form 3811, February C� a!t5 a MHCDO Ronnie Smith LPO DW Review Scan to DMoye `i, 0 W K0,4_. iv O O 4 Q O 0 n s ON N (O Cn A- UOi W 000 (0 Z �I a C N a s N A N �A cp O O o O 0 0 0 o d 0 0 0 0 0 0 0 0 0 0 rn w(D w3 7 2 0 rn rn = c J w Ntr w W OrC 3 V O 0 77 A 0 W°3 N 01 O