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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 �'4S�' 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 1:' 1 r z I I _ ! ? I 1 ? f i i y ; { 1 S { 7 ►_ i I i 1 i :o�r•l=la,rrr-%