HomeMy WebLinkAbout63147D - Buss.s r ? a
'.Cd►MA / DREDGE & FILL '` '0A b3
3 EN E RAL PERMIT Previous permit #
If4ew --Modification El Complete Reissue Partial Reissue Date previous permit issued_
rized 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 r
I ules attached.
t Name �5'��i-�`��' Project Location: County�J�iiy,��
4 Street Address/ State Road/ Lot #(s)
State ZIP Aer -i 47
( 1 Fax # O Subdivision
100,
ed Agent., 2,5 'e%,, l% City / �!'i!141 //-t,7 ZIP
W �11TA ❑ es ❑ PTs Phone # (e ) River Basin
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body f�% at//i
es / no PNA es / o Crit.Hab. `�i Closest Maj. Wtr. Body
y � yes f,�o,,
:k) length
igth �^
nber
i/ Riprap length_
distance offshore
x distance offshore
annel '
sic yards
1p
oatlift—,00
No— 10001 2,199 1
■!1■■■■■C!■■■■■NNUN/■■■R
■CJ■■■i■■■!■ IimrsmN■■■
t (Scale: / i
❑ See note on back regarding River Basin rt
%ppligant: S C ly���
Permit #: /0017? /+
)ate:
lescribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
)und in your Habitat code sheet.
ibitat Name DISTURB TYPE
Choose One
TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
Disturbance total disturbance. Disturbance disturbance.
includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impactamount) temp impacts) amount)
W Dredge ❑ Fill ❑ Both ❑ Other Eyj1
Dredge ❑ ❑ El Both Other y
�
L
� io
/
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 ❑
'IN MARINE CONSTRUCTION, LLC
P.O. BOX 11291
WILMINGTON, NC 28404
mWells Fargo Bank, N.A.
North Carolina
wellsfargo.com
66-21 /530 10141
2974
0
- DOLLARS
asserG��'�1 �f7n
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AUTHOFiIATURE
I.-' U. U. LVI`t 1;9)MM No.9863 P. I
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner-
Address of Property:
(Lot or Street #,.Street or Ro d, CRY & county)
Agent's Name # fAe n °�'�►°�'
Agent's phone #:5j 0 471 73
Mailing/Address- /01 �D K fl? yt�
I
I hereby certify that I own property adjacent to "the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing. the developmeni
they are oposing. �4 Berri tiori tdravvina'with'dimensios7s mist fJe'orovided=with°this letter.
I have no objections to this proposal. I have objections to this proposal_
if you have objections to what Is being proposed, you must notify the division of Coastal Management
(DCA9 In writing within 1 a days .or receipt of this notice. Contact information for DCM offices Is
available at www nccoasta/manaaement.nWContact dcm.htm or by calling 14ea-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
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.) DCM IM - -GTON, N(
Vol" I do wish to waive the 15' setback requirement. FEB 1 12014 '
I do not wish to waive the 15' setback requirement.
(Prope#yrQwner Information)
' Signature
AW&A-r- -D v3s
print or Type Name
y 140 Pa hl,, h e 0—
Mailing Address
r) , - — ^ - a
(A cent Prop Owner Information)
Si
Print or Type Name
Mailing Address..�
1. /.-. - 4/ /-(C ave
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:
Address of Property: . -)yv l✓urc
(Lot or Street
Agent's Name #: I ;'P� % � /1�a rm e 6 °� -s� ° �' "' Mailing Address-. /� �� %�d k l�� 9�
Agent's phone #: `�► o Lt 7) Za 31 111 ��
I hereby certify that I own property adjacent to the above referenced property. The individua
applying for this permit has described to me as shown on the attached drawing the developmen
they are proposing. A description or drawin4 with dimensions must be provided with this letter.
i
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Managemen
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www nccoastalmanagementneticontact dcm.htm or by calling 1-888-4RCOAST. M
response is considered the same as no objection if you have been notified by Certified Mail.
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.) RECEIVED
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Props Owner Information)
v--
'i ialure
) k
Print or Type Name
DCM WILMINGTON, N
FEB 1 12014
94E44�z
�, 24� AA—:i; . A,4,4,oc o n
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date _.... i J ;..)- l 4 -
Name of Property Owner .Applying for Per. mit:
Sj� war +- B s
Mailing Address:
�5oo 1GId
le- L n .
IN i Irn �n G +�rv_ N
I certify that I have anthorized (agent) CS i'84lct 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) 3
Property Owner Signature
--2-3 -- I �
Date
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