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HomeMy WebLinkAbout63178D - BishopICAMA / ❑DREDGE &FILL 63 'ENERAL PERMIT Previous permit# New DModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued Ar`Z` -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 Name l /(T %� <<J'�( ��/L a.ItP ❑Rules attached. (C:�;;Z1 Le--t-JotNE- 9J-> ]nLk 0 115N-jam State N C_.ZIP Z%Ma Fax # ( ) ed Agent ❑ CW ,N}EW NWA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑FC: y' ee / no PNA yes ,C no) Crit.Hab. yes /!fits Project/ Activity :) length (s)-p 6, 1, igth nber I/ Riprap length distance offshore x distance offshore annel )ic yards ip se/ Boatlift illdozing S- Length not sure yes 6P .. not sure yes 10 iurn: n/a yes no yes \ttached: C Ail ig permit may be required by: N Project Location: County 7 ratF-1-+C�xir✓ Street Address/ State Road/ Lot #(s) 1 Sz 1 KIN&S. c,A,,Jo,NJ Subdivision City _ ZIP Z )S4q Phone # ( —'11 River Basin C-FIG Adj. Wtr. Body P� I Vv N (nat aY Closest Maj. Wtr. Body Tbel: " I C— Soomp (Scale: ' f z i ❑ See note on back regarding River Basin ri Christopher Bishop 4741 NE 22nd Ave Lighthouse Point, FL 33064 3079 63-643/670 �GQ 201% ORDER OF V D oT.i.ARC 6 a Wachovia Bank, N.A. Miami, Florida 1-800-735-1012 FOR Rr-- / 0� O-4 �n to f � NP C Division of Coastal Mgt. Habitat Impact Computer Sheet olicant: 1` 5 �'S (, Permit #: (p te: C� q h I scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremenl ind in your Habitat code sheet. Ditat 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 fina disturbance. Excludes any restoration and/, temp impact amount D W Dredge ❑ Fill ❑ Both ❑ OAr co, cp 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 ❑ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) kQA1 Property Owner Signature 'may ly Date !' Q A / ❑ DREDGE & FILL N? 4 3ENERAL PwEAMIT Previous permit # 4* _New Modification VComplete Reissue Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources —7 f :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / ^-xRules attached. it Name I.A I C l l+E11 CAiJ to l)tJ Project Location: Countypu�--- 52Z$ Lj}WTAni, & L,14 Street Address/ State Road/ Lot #(s) LOT t 6 NiL Aifti T AJ State NC— ZIP 'Z '54111 1 C5`ZA t- N&S WJ. (�tIC) t4tc Fax # (_) Subdivision LC►�J.V, 4 f� 14- ted Agent �;� t<s _city_ Sii�-ram zIP_?X ❑ CW l t�PTA ❑ ES ❑ PTS Phone # ( ) __.. River Basin e'-%VC. ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body__�� I, V` I't" ai"` r ElPWS: ❑ FC: yes /tKo� PNA yes /C' Crit.Hab. yes i no Closest Maj. Wtr. Body�L— f Project/ Activity M i Vfi-z at CJ1 iN 1 L._t�L-7if� fZ� f� 1� � .2. - E rck length —,,'I Lto " (c- n(s) iC f )ier(s) + C ength - amber d/ Riprap length g distance offshore ax distance offshore (l hannel t � � bic yards r ?1 H-�Z a 1fi np ise/ Boatlift r ,ulldozing ?, c-,?6ujy ie Length 5C i' `iJ w (Scale: (' ti not sure yes ._ ;s: not sure yes ium: n/a yes now yes l7 Attached: no 15Z / ing permit may be required by: POIi 013z- See note on back regarding River Basin rV I 0 �-- 14*�, yl"i, 'rv- �P-mf*"r/ I /- �,-- -/ *, 7.,VuW--7,y ,V� cr/YT t VAN N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) Property Owner Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORrNG PILIArGSIB/O'ATLIFTBOATHOUSE) I hereby certify that I own property adjacent to C�1 !I sfoo A 0 il, A t 's (Name otProperty Ovcner) property located at 15,91 /< Z IVY S L!a 1�,QI G ED L dT 16 , (Lot, Block, Road, etc.) on rt f C (�l . in Gi ►1'l S�Qa C� , NKC. (Waterbody) (Town and/or County) Applicant's phone #: q/G- KV-12bZ Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatiift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRA«%ING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) /J �2 / k/A/Cj s U Y1 V j1 lam_ 1 ailing Address J (Riparian Property Owner Information) Signature >1 ►MA / ❑ DREDGE h FILL N? G E N E RAL PERMITEPrevious permit # *~ ❑ ❑New Modification Complete Reissue El Partial Reissue Date previous permit issued_-46;, iorized by the State of North Carolina, Department of Environment and Natural Resources I.- Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC j-� o I ZC7(] (Rules attached. irrt Name )�/� I C i-1-i4i�1, �'/a 1�+n (jam Project Location: County_ pas)r�� is'522g LAn i�1 iv[ L-l� j Street Address/ State Road/ Lot #(s) LT 16 IN1L.(Vl11.)�MAJ State N(-- ZIP 2 6�4Q L- t Vglo& tLO # &10) Fax # �_) Subdivision ized Agent _. t.-q OL.SZEi�ISK M� ��J„.City H-1+'rYAryn1—*►q ZIP L6,4 d ❑ CW WfW CS A ❑ ES ❑ PTS Phone # ( ) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body / L" V �� % a r ❑ PWS: ❑ FC: .� Yes /� PNA yes /Co Crit.Hab. yes / no Closest Maj. Win Body L� �� of Project/ Activity lock) length-zDov Yn(s) pier(s) / length lumber - %W Ripraplengdh vg distance offshore nax distance offshore channel ubic yards_ amp )use/ Boadift Bulldozing ne Length not sure yes 4$s: not sure yes >rium: n/a yes no yes Attached: C/ no lino nermit may hp rv-m6rM hv 9101. to' (Scale: I '' 1 d4`1 jS- e� K A U6ej-- 'uf III A-" It lsz x;Nc,S 1 -11(;o -ODq 4iyy R*y > vpY9� r�� m r 0 U n Ware, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to cArlslo h er— 91.S h, ( is (Name of Property Owne property located at _ /5o2 / 16/ q S l o- 1' n ot, Block, Road, it .) on lCltl(,J , in , N.C. (Waterbody) ( own and/or County) Applicant's phone Mailing Address: a k2 n y,,Q He has described to me, as shown below, the development 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 (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.) _1z— I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) /59-i kt /?a.,-: Z.41�7 Mailing Address (Riparian Property Owner Information) Signature