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HomeMy WebLinkAbout63248D - Allard !`��j��iC�1. �1Gll �i -��/ i. � 11�► y. f��� . f(1!'�'� !r��. ii , Craig Allard 01-12 67-219/539 2339 Celine Daily 309 Gatefield Dr Wilmington, NC 28412 "4 z 3 20LY r to the'' er of ZY D ✓. ZZ,-e,_`m 8 � - TD Bank AF For �a'Zt/�i �yA—'- -IDI`2/JE ,P 1:0S�AO2197,: 1.2673472L311- 123396 3Z4%D CAMA / ❑ DREDGE & FILL 63FEN E RAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue ❑Partial Reissue a Date previous permit issued -16 >rized by the State of North Carolina, Department of Environment and Natural Resources / Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �� ° / Z ❑ RuI attached. nt Name_ _ T, A : �-' Project Location: County State Mc ZIP e7-�� r/ �646 Z. -91 1 `% Fax # ( ) zed Agent} F CW Cl EW �Z PTA ❑ ES ❑ PTS OEA = HHF ❑ IH ❑ UBA ❑ N/A _-- PWS: ❑FC: yes / no PNA yes no ; Crit.Hab. yes /e�oFJ Street Address/ State Road/ Lot #(s) Igi Subdivision ?ilel- l % e 1 1,61 City 105T ZIP Phone # ( ) --- River Basin CFn Adj. Wtr. Body Ma 10SPr ,111- 5-yo b at Closest Maj. Wtr. Body 7WSA l>rDtJN� if Project/ Activity i/i?�t� �� �� al'e.ri' , �% �4'�i17 c/ki- �* / Gr (Scale: ! �- iengii r ■ll�■■■rlri'■r1■■1�!■■■■!�■■■■■■■■■■■�■ iiu :�IQi�'i'iZ�i`�(1i:i�iJif(fries■■■%��■■■■■■iL'!�/%�1�1 zngth ■■■■■H■■■■■■■■■■■■11■■ii\■■■■■■■i■iiil imber id/ Riprap length fg distance offshore distance ■■■■■■ ■■G■■■■■■■■■■■!.%■■■■w\ ■■■■■■■ .ax ■■■■■■■■■■■■■■■■■■/ii/■■■■■��V1■■■■■■ jbic yards mp ■C%\`09111 !J&ll■■■■W,j-NM■■■■■■■■■■■■■►;W■■■"I Length yes ,;�►; ,'ice- 41AL ■ ■ ■■■�■■■ 1�s: not sure yes ■■■■�■■��■■■■■■■■■■■■■■■■N■■■■�ie ■■' yes I no ■■!`!!/■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I Attached: e no ■■1::■■■wl■i1■tltls■■■■■■■■■N■■■■■■■I s�:.-�.� �rz.•c..�si�rr ling permit may be required by: r-e-tn, �L V . w ❑ See note on back regarding River Basin C'A 7'4:5��:'t y, .:r9": .. ��: z . u�r41s:.'.2.; }";ti,+i :4���, �5 �.!�... w:.'°ti a6` 1',, i'0."•.; �i �%.: '.Y�. �3`: ti.;.y...rv. ti�i.��y„t_., icant: Permit#: ;vibe below the HABITAT disturbances for'the application. All values should match the name, and units of measurement id in your Habitat code sheet. tat Name 6d DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacttssl 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 emp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other d 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ F " 3.0 f xw LIA) r4ft" 6,;'6 A4,f lep, owle- z;;W Alc zvq� K l v f yi ku-JL ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to C property located at e of Property Owner) (Address, Lot, Block, Road, etc.) I on in . 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_ r 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) Sec a;t�c�dpla-hs �ao re+nacd as arc aaded �,g WAIVER SECTION I understand that a pier, dock, mooring pilings, 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) (Adja ent Property Owner Information) Signature Sig tune �'L�Y\S 1r1 X i1 Pi t 4r UTPerame Print or Ty,pe Name OGt iG �r • C 1re&A �V . 011 cKa 61 wa. R STATEMENT I hereby certify that I own property adjacent to un j Y m e of Property Owner property located at (Address, Lot, Block, Road, etc.) on , in (Waterbody) (City/Town and/or County) I N.C. The applicant has described to me, as shown below, the development proposed at the above loca 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) See a.rFu�d G,rza w „" . �t lam h-avt �yC.vibCd w Itu.l Dui- uuJ IYIGlUG2ll6 WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 OwneflnfprMationb S � >natur-e PS or Tt- e Naae Print p Mffje