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HomeMy WebLinkAbout65044D - MauneyAMA / ❑ DREDGE & FILL ENERAL PERMIT Previous permit# New CModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources , y -oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC N 91 Rules attached. ,t Name I � 1 OiiiJ t VI A VU LA Al !a U ff COL 6k State` ,. ZIP 2 --�-J5 1 ii Fax # (_) :ed Agent 1; t C� F,1 t . , ('� b1 I h AdCk A ❑ CW n EW K PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWWS: ❑ FC: yes 1.4o PNA yes / no Crit.Hab. yes /. n, o f Project/ Activity Project Location: County �U t a4� (A L d Street Address/ State Road/ Lot #(s M�i/�tr t`IVti Subdi is' n City ZIP �c Pho6e # (�IU)5 L Y/Sl G River Basin li Adj. Wtr. Body (A v a-l_ na Closest Maj. Wtr. Body w (Scale: I '' ! ■■■■■■■■■■C�..Ti\!�\`!�Y%1i!►'�.�■■■■■■!■■■mil ■�r,l�el■■■w■■■dM r:.� ., ■■■■1■■■■■■■■■■■w■1 m mber ■■■■[iriilA?kF.%11IN,IT M■■■■■■■ A■■■■■■■■■1 d/Riprap length 1wrl 0016MEM MIME ON INN7, distance offshore ■�iL']�■■iiil�fiiiil►V.71" MIUMME-110,100- r■ ■■■�1■ ■■■■■■■■■■1!\A■■■■�■■■N■■■■■l�!%■�■! i� i■■CI: ■::r � ■1�.��..�7■C!■:�■w■YYN■1 bic yards NONE MEN 1�11111■■1!1■■■■■■��■■�■■� 1 Millis .■IJ■■■■■■ ■■■ np ■■■■■■■111■■II It���.....�■■■■A■■■■■■/.�IYI ■■■�■■■Y■■■1■■■■I III I■�w■ilili■■��t�!J. ■�■■■■■■ ■■■■MCI ■■■■I ■■ I■1■■■■1■■■■111■■■Yl�li ■mow■■!�iYl..■■�!'.■ :?iui■�!■1 ■C!i!�■■■w■1�1■� e Length not sure yes no■�■■■!AJ■■■■Ili%'.Y,L■■■1■■�■■■■■�!■firwi�iL� yes no no no yes ■■■■■■■■■�li�� ■■� ng permit may be required by: _,JAM MWE 1� kl,-J� 64 -CL E]See note on back regarding River Basin r ,mplete items 1, 2, and 3. Also complete -n 4 if Restricted Delivery is desired. nt your name and address on the reverse that we can return the card to you. ach this card to the back of the mailpiece, on the front if space permits. cle Addressed to: tiro' hi# • 6-74;e,} <- north 7" A. 3ature X ❑ Agent ❑ Addressee B. Received by (Printed ) C. Dat of (.livery D. Is delivery add fferent from item 1'1Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified MaHO ❑ Priority Mail Express'" ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes de Number nsfer from service label) 7 011 0 110 0000 8662 8403 rm 3811, July 2013 Domestic Return Receipt N N N N N N A f n 0 N N 0 0 0 0 0 o a A A A A? A O 6 (N O O C a) J (D a m CD F i J (D J �. 0M On O F a OX j O ( W Q0 (0 7 y � r C� N (p F r x n- J 0 � ma a 3 Iy N o�(n0 U L 3 (n J G. 7 Iwo (°Z'(CDL O dO rn s D ' , 3 o o =r 3 3 0m c - J cD O -0 � (D J d � J 3 2 0 a CD CCaits -cc,,-,cu (� -� D 0 0 MHCDO 3 3 N 3 3 SD C C N co Tyler Crumbley co 0 ' J J x a � LPO l ✓ I DW Review z 3 „ NV A Ut � N; an x Scan to D M oye O] 0 V OD OD O U( N N Ln O V OD Lt M N N W m n 3 Fn u, v( an vi (n A N N A s O /\ A a O0. 0. 00 0 0 0 W 0 0 0 0 0 0 0 0 0 0 0 GO U9 m_vmo 00 O A A N' ? 3 O O O O CO �• V (D SD (O -+ Z A O 3 O I C* Division of Coastal Mgt. )plicant: �CQ ate: i z l21 � Habitat Impact Computer Sheet `^ ��;h j(� AaUht�- Permit #: Uv �Sj `1 bit :scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen and in your Habitat code sheet. abitat 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 fins disturbance. Excludes any restoration and/ temp impact amount) 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 0 Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ NoMCal QmsDqmvnWaIQ 'i o i mnimdNatural Pwmu=s okbim d coasm v - I 4 F- Eaday, Gomm :his IL Au"forIARM Agw&COnsant Aipm a 9-%— VAftI 6 FIN is he" mAhadzed to ad onn Wto fift, .83iy CAM^ PWWOW McfL*W for#* pVpaft %%d below. The aLfAIR Ift6a - isbV is adivWk--z; demo*" in 00 EM whad skstdL kTM OF PROJECT: x4EKfycmvNmmAnjms ARDRE S: t PHONEN it�-() d cez ��CJ-s lgrz-wm of plapuly 00W. 02/07/2004 19:20 9103429806 GREa LLi�EtJ PAGE 01 a3 9 . • ••e v. _ Name Of Individual Applying For Permit_ Address'Of Property: or StrCRt lz street oz Road, C I hereby certify that I referenced prapertY• The o� Property adjacent to the described to os as indlviaual applying for this above - they are shown on the attached dravf :� Permit has should Proposing. A description or draws g the development Provided with this utter. drawing, With dimensions, I have no objections to this proposal. r I understand that a i house. Per, dock, uooriri four . lift _ rust be 9 slings, distance boat Y area of riparian sat a ninimue distance of 15' to waive tback, y U access unless waived by me. (If you wish the se below.) Sust initial the appropriate blank ��-�—►--- X,.do wish to waive the 15 f setback requirement _ � SIR - not wish to waive the 15 • setback requirement.n F D Sic / 41 Signature Date Print Nape A.14'V rej ADJACENT RIPARIAN PROPERTY OWNER STATEIMNT I hereby certify that I own property adjacent to �, t e• /U04-u--n (fn cjn �'4 (Name of Props ) property located at ioZ 7 atr h'n Q r1t ybe.-' (Address, L�j MoCk, Road, e! . on , M A4 ` rn A ole Gt,� a.� , in , N.C. (Waterbody) (Cityfrown and/or County) The applicant has described to me, as shown below, the development proposed at the above la I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (ln4vidual proposing development must fill in description below or attach a site draw► WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set minimum distance of 15' from my area of riparian access unless waived by me. (If you wish tc the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) 144 1"110 1/ V, ILL) ;J� Signature Si azure Print or Type Name Print or Tye Name ids r ' l�r . Mailing Address Madina Addwz-t ` -o " 10-0 V/1 VI)OW