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Home My WebLink About63193D - Pollard,CAMA/ -- DREDGE & FILL P�363 GENERAL PERMIT Previous permit# INew LlModification ❑Complete Reissue ❑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 15A NCAC 1'l • 2 L ` / ,{� Mules attached. Name "'n11, 1 1Ia,1-4 Project Location: County �UYIS►•J1c1c 4 J AxzIr�G1U Street Address/ State Road/ Lot #(s) 1 516nr! StateZIP 2--1 ly��j ('(Wl! �VIYC. ( )-.W._ 451(o Fax # ( ) Subdivision N A j�� n WAgent /� ��'1�1iy1G L_xJI'C�t�� ACi(�4( a, ZIP -4H ❑Cw mEw /` t=t I r+ PTA ❑ ES ❑ PTS Pone # ( j0 ) 5�SO ' �tZ `River Basin lwn ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body v\ iT► UVI� nat r ❑ PWS: ❑ FC: Closest Maj. Wtr. Body 1 r1 k S i V e C. lL yes no PNA yes no Crit.Hab. yes / no i� C Project/ Activity k) length x 's) igth fiber / Riprap li distance e c distance innel is yards_ P e/ Boatlift Ildozing y/ - — Length not sure yes (n I not sure yes no Im: n/a .> yes no r-, yes no)t :tached: yes ; . g permit may be required by: V1 d� if (Scale: I h V L Y;ZA (A' ❑ See note on back regarding River Basin n CAMA J i�i DREDGE & FILL l�f?. 6319 GENERAL PERMIT Previous permit# lew C-'Modfication ,'Complete Reissue :Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources -- t . (2�Q and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC H / _ rNes attached. Applicant Name k AUa, Project Location: CountyU1(.r(,�____v_____ Addre'st's ,[—tpStreet Address/ State Road/ Lot #(s)� `_`S`tatteeW, zip -ZV2.11 Phone # )3p(4-_ 51 �j Fax # (_)-_ Subdivision N A Authorized Agent r 4tYi'iC&1'Cl{r'S City AU4- .+.` ziP_l_'%e�____ --- - - tt__ ,,, ] CW r,r )OTA D ES f 1 PTS # (�j (0) 0 -► River Basin Lt�1 Y1 [x ✓ Affected �,� �3 HHF ❑ IH ❑ uBA AEC(s}: `-_ PWS: 0FC: i WA Adj. Wtr. Body--- Closest Ma Wtr.Bod ORW: yes no PNA yes no Cr1t.Hab. yes / no 1' y �✓ Type of Project/ Activity 4 Pier(dock)length p X (Scale: .. ._r r ,1..._. ate.. i �.. _... _... _I �__T-'.._,a.,_.._...r -- Platform(s) _ //��i ` f Finger piers) f ! l�kt JAI, Groin S Bulkhead/ Riprap lengti?_._- avg distance ofhh re 6 max distance offs ore---! f I I 1 I i Y Basin, channel—' 1� ± _ _ _! .--- cubic yards MASOM2D — Boat ram i'2 x 12 Boathouse! Boatlift I I _ Beach nBu�lldozing Shoreline Length SAV: not sure yes no l Sandbags: not sure yes no X 1 Photos: Moratorium: n/ yes no 0) )) yes I �k15 _ • - - �� t C,w� Waiver Attached: yes no _�._ .__.;_ ._._�_..ff._-- A building permit may be required bye., t�bt,> n bi' �J SQ,1- � (� � ❑See note on back regarding River Basin rules. Notes/ Spe al Conditions Fi. 1200 yt al r�� {f tj� (�( //I� Ve(A0 � Aft—�� 01AA. rn%U l nr .� 1,. �wr. I I .t n1 1).m neAn._I� Division of Coastal Mgt. Habitat Impact Computer Sheet dicant: Y " 3l l l Permit #: (p3193b cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. iitat 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 final disturbance. Excludes any restoration and/< temp impact amount Dredge ❑ Fill ❑ Both ❑ Other A (aI I 1 !j 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 ❑ Other ❑ FOR MARITIME BUILDERS, INC. 1957 STONE BALLAST WAY SW OCEAN ISLE BEACH, NC 26469-6537 3ankofAmerica C ACH R/T 053000196 1 �, V � 2 1 �ln^,�� fi/fJ c(, reL ir.3 �GtiJ dam 12-06 DATE 3 / 2648 66-19/530 NC 2210 ep'4'�lv OLLARS s Fau lion BvcM. IVP u'0O 26480 i:0 5 3000 19 6i: 2 3 7000 58 6 38 411' l V1541 woad pies' -tb be repluc+cot. Wig ,Same Pd din ehrTaks ta` F 1� � �p �t Vi141,, S0 vne d�► �ns�c►ns met, / 6t-%f;s d v Ek +r� re�►�« h 1 ANIN RECEIVED S"i nks �leGk t dCM WILMINGTQN, NC MAR 0 4 2014 � t N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: A'I //G(,ri Mailing Address: X �. /o 440r 11/'A I certify that I have authorized (agent),=/1/ / /'LS to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Zyla(e at (my property Located at) It40_? GAyr�:� �1 ��rrr 5 e 7' This certification is valid thru (date) �j /L/ Owner Signature Date ■ Complete ftems 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. s 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, or on the front if space permits. 1. Article Addressed to: f� /00 Co 9d95- �4s/cvi//e, n1C, 299IS-- 2. Article Number (Transfer from service la&' PS Form 3811. February 2004 A. Agent 9. Received b addressee y rrnfeed Name) C. Date 7o7f Delivery D Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type E7 Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4_Restricted Delivery? (Extra Fee) v e 7013 Logo 0001 25 26 Domestic Return Receipt 102595-02-M-1540 RECEIVED CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM r Name of Property Owner: f`�Avv Address of Property: ,��03 n u/ �Lt/�S�>Ll i?c i�/GL 1•✓i�,C �. ,/J� (Lot or Street #, Street et or Road, City & County) L Agent's Name #: /r /rMe h il&� fyj/lkMailing Address: Agent's phone #: ' /0 -36a S'- aeai, 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 development they are proposing. A description or drawing, with dimensions, must be provided with this letter. L-""I have nor objeetiom to this proposal I have objections to this proposal If you have objections to what is beingproposed, you mustnotify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimanagement.nedcontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAVER 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_) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Omer Information) Sijdature i-oohn l%sd Print or Type Name Mailing Address clW60. arc agz l/ Cit ostatwzip 3l x^ (Adjacent Property Owner Informatlon) K'Ll `f Signature kobtik,ct M��w"5 Print or Type Name lap 5'- FO t Mailing Address Y , D . a t 4� Ci4vstateaip L4 1() -- �� - 3Ci7 /