The URL can be used to link to this page

Home My WebLink About63146D - Escovitz`LAMA / -,JbREDGE & FILL ��7h x"EN ERAL PERMIT Previous permit # jNbw DModification El Complete Reissue L:j Partial Reissue Date previous permit issued 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 14 ` ules attached. Name 61 jN LIDA L 5 toyI7Z Project Location: County 6-,f �k.W�5l I V\jn Street Address/ State Road/ Lot #(s) State t4l ZIP Q 9 & 22- (O 3g �Z- X N 6S L -1No-i C)e ( AI i• 4% Subdivision W Agent City � S 1L_,+t -0 ZIP 7-9+0 ❑ Cw ❑ EW ❑ PTA 7S ❑ PTS Phone # ( ) River Basin L--tN4^ ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 6 '5r'I -GZN ( t ❑ PWS: ❑FC:'^ (es / /(o ' PNA yes /brio; Crit.Hab. yes / no Closest Maj. Wtr. Body A�� Project/ Activity r, {". N A-r-�e N w � (Scale: _ k) length �� t Il��i y �-mil —T gth fiber l Riprap length oL distance offshore C distance offshore `Z, .("it innel c yards P e/ Boatlift Ildozing Length t w gt >Q not sure yes o not sure yes ( n im: n/a yes no tached: yes (9' permit may be required by: b A-1c I St- RNO 0 See note on back regarding River Basin ALLIED MARINE CONTRACTORS, LLC 08-03 910-367-2159 92 HAROLD CT. HAMPSTEAD, NC 28443 PAY TO THE ORDER OF_ 15 0)r-_Al Bank of America ACH R/T 053000196 ' Iu,YHlspul a�'v - MEM i� 4d�'"' �s�v A A AA /..' 6350 66-19/530 NC 58754 m _ o DOLLARS LI Division of Coastal Mgt. Habitat Impact Computer Sheet znt: 2%2S1 Vt Permit #: (o 314(o0 ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement I in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. at Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/oi restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount Dredge ❑ Fill Both ❑ Other ❑ 15�� 7& Fp / O Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredgf COMPLETE THIS SECTIONON DELIVERY COMPLETE•N Dredgt m Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. A. Signature 1, ^ C X ..� t 1 P, %. JLAgent _ ❑Addressee Dredgt • Print your name and address on the reverse ■ so that we can return the card to you. Attach this card to the back of the mailpiece, B. Received by ( Printed —1 .�� -G� Name) C. Date o I e _ — Dredge or on the front if space permits. D. Is delivery address different from item 17 If YES, enter delivery address below: Yes — No 1. Article Addressed to: Dredge -rh'01W3 G<4n,1 — Dredge D 3 q9 Etk� Dr,�� 3 Service�;� Mail ❑ Express Mall Dredge Wadled / _�/ e ' M� Dredge rlA- � /1 4139 0 ElRWW� ❑ imkned Mail ❑ Return Receipt for ❑ C.O.D. Merchandise 4. Restricted Delivery? (Extra Fee) — ❑ Yes vc�yc 2. Article Number 7 011 0110 0000 8670 1632 Dredge (Transfer from service kW — PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 _ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to f i 1 vi 's (Nam of Property Owner) property located at (Address4 Lot, Block, Roa�j etc. on I JAN in -A N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio . 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 WAIVER SEC ION I understand that a pierdock, mooring pilings, breakwater, boathouse, lift, or groi 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.) �a Ck or1 -h4k, I do wish to waive the 15' setback requirement. _ I do not wish to waive the 15' setback requirement. Owner Information) (Adjacent Property Owner Information) (Property Si,gnatur Sign �Uw -- Pr�nt or T pe �1,ame p Print o;Typ.e e ,,/_ t 13 Oe' `�. Also complete A Signature Is desired. s on the reverse X (� 1( $LAgent _ �� i;. ❑ Addressee -- 11 ' rd to you. B. Received by (Pnrrted Name) C. Date D 've of the mailpiece, I sits. ----i- D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: 1� No . Ginn a 61tvC, % 3. a;e Type .L �Certifled Mail ❑ Express Mali /l 4131 U ❑ I I 0 O D. Receipt for Merchandise ! 4. Restricted Delivery? (Fxtm Fee) ❑ Yes 7011 0110 0000 8670 1632 Domestic Return Receipt 102595-o2-M-1640 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date % -/L/ - ),3 Name of Property Owner Applying for Permit: v Mailing Address: I certify that I have authorized (agent) �// i d 6JI4645to 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) 3d — 1% - "-t-