HomeMy WebLinkAbout63163D - Cateri CAMA / i i DREDGE & FILL 6 r
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3ENERAL PERMIT Previous permit #
'gNew i❑ Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources I-
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC L—Ud
I Rules attacl ed.
d Najm�e �tz Project Location: County W-AAA� fit.
AStreet Address/ State Road/ Lot #(s)
V, CA
f,
State ZIP2q
❑ CW
XEW
)ePTA
❑ OEA
❑ HHF
❑ IH
❑ PWS:
❑ FC:
yes /" no
PNA
yes Y ""
f Project/ Activity
ck) length X
ngth
tuber
i
d/ Ripraplength-
distance offshore U
uc distance offsh�re�
iannel
tic yards
np
se/ Boatlift � X 13
)1 STy w.6G-17 A-(Zo
z Length
not sure
s: not sure
ium: l y n/a
[S ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes /(no
City AA &A. t-.A ( 6v ►d
ZIP Z-�H
�^ f
Phone # ( ) �"'G`J River Basirur-A .
Adj. Wtr. Bod(nat
Closest Maj. Wtr. Body
18
\ttached:
ig permit may be required by: �(
❑ See note on back regarding River Basin r
WILLIE CLARENCE RICHARDSON
DBA RICHARDSON CONSTRUCTION 5592
PH. 910-842-5596 66-112is31
SUP LY, NC 28 62- SW / g /41
SUPPLY, NC 28462-2589 <6/
Date
Pay to the,--,
Order of � ) I $c4z/
__ 2l w' 70 Q� _�"// Dollars
BRANCH BANKING AND TRUST COMPANY
1-M-BANK BBT BBT.com
(031 ('0 1 D (31(o) -
1 .
F &31(lpZD
0
enSainiiaiionnncoic31_a Cr1„
C Division of Coastal Mgt. Habitat Impact Computer Sheet
>plicant:I I Permit
ite:
:scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
and in your Habitat code sheet.
rbitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated fin
disturbance.
Excludes any
restoration anc
temp impact
amount
H7�
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fil Both ❑ Other ❑
Dredge ❑ Fill Both ❑ Other ❑
O
O
W
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
I—
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i<I ••}!, r'orr.!!n-i rAnro%r}mp-,+ of i-ne�'irnnm�zt ufsr' t�iailir�! Rocn�irr'P�
19Vlu. vuIvuAr �r .e u.0 w�a v _..... ......... .. _. . ..
uivisioi► of Cuaatai Managen, e.l;t
qc' . er!v Ent PE.LMi 19 .lames H. aredson
Governor vl! eCiCr
Dee
Ar=FNT A1_!THOWA i !f ► q FORM
is �aTe �o� 4 - 1
htar.o nc` Pe ,perty Owner Applying for Permit: Name of Authorised went TO'MIS ProleCt.
LJ._���
Owner's Pvlaiih7g Address:
At
I$
..-ci t= S %!?=lliit� nGGr�55:
�►�ar
Phone ivumber (9I 0)
! tea . }ha! I haves ae e;11!lsi7arj the went listed above to act on my behalf, for the purpose of applying
•- �
,nr, land obtaining all CFi1fiA Permitsnec�eslsan/ io ;ns:ai! or construct ine �ollo�vina �ac�tevi-ty,
�� ��r-�:ti.11u-�
This certification is valid thru (crate)
urnnernt Uwner 5icinature LdLL
16FTDOCK
NEW BULKHEAD WALL
CERTMED INUIL — RETURN RECEIPT RE QUESTED
DIVISION OF COASTAL INIANAGEI DENT
ADJACENT RIP A.RL kN, PROPERTY OWNER STATEMYN T
Tame of Property Owwre:: f _L
address of Property:
(Lot or Street -, Street or Road, City & Couuty)
applicant's phone:-.3` i� _ Mailing Address: P l��
hereby certify that I own property adjacent to the above referenced property. The individual applying for this perm
ias described to me as shown on the attached drawing the development they are proposing. A description of drawini
vith dimensions. must be provided with this letter.
*V11 I have no objections to this proposal. I have objections to this proposal.
f you have objections to what is being proposed, you must notify the Division of Coastal Management (DCTVK
u writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Et
Vilmington, NC 28405-3845. DC?vI representatives can also be contacted at (910) 790-7215. No response is
:onsidered the same as no obiection if You have been notified by Certified Mail.
NVAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance c
.5' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
pro riate blactjc blow"
wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
Property Owner informatioa)
nguature
A� I R :'r C. r A'<4 k -%
?rnt or Type Name
Information)
Print or Type Name
Mailing Address
��. 'NnL irI r. _]'1<i to--N
Mailing Address
l A "t1v= ,, , G I- 12 cry > ,
4/07/2014 09:49PM 9106234700
Abe :L-
PAGE 01/@
XMI N OF COASTAL NLkNA GEi t -T
AD3AMNT RIPARIAJN FROURTY OVIN7ER STA 32NENT
?Nana of Property Owner. ;, A,t-t
MaizngAd&ess:
I hereby certify that l own property adjacent to the above ro#'erenced property. The individual applying for this peroxit
has described to me as shown on the attached dm-%xng the developmentthey m proposing. A description of
with A-- 'e be RLOvidcdrov
,-4't ve ma objections to this proposal. jhave abjentidns to fihiS praposaL
Aff you hate objections to what Is being ,proposed, you zanst nosily the Dlvisi0)a. of Catrstsi UMM ement (DCM)
=-rnitbogvi6in10 days of receipt of this ho-dee. Correspondence.shoold be mx acl to 121 Cardinal DriveExt.
'VI mingtoxy NC 2.8405 3845. DCM representatives can a]so be contacted at (.910) 796-7215. I'i o response is
WAVER SECTION
Y understand that a pier, dock, moofwg pz'lkgs, br mkvgidei, boathouse_ or lift =)st be set back a minimum dxstanoe of
15, from say area of riparian access unless waived by me. (if you wish to waive the setback, you xau st 7a ITW the
t
a Vi Ito waive the 15' set backmquirement
Z do not wish to waive the 157 setback requirement
(Property OwnerWozmat3on)
signafiare
Print or Type h1arme
1vls.►luig Address
c_�'� --
City!
signature
WE
L , t164141 a1, 4tA
punt or Type Namm
r 6
Ivlailia� a �Address
City I $torte, /Tip
Telephgas Number <l0 ��a ���