HomeMy WebLinkAbout62681D - PriceCAMA / DREDGE &FILL
ENERAL PERMIT
Previous permit#
.New Modification - Complete Reissue ❑Partial Reissue
Date previous permit issued
rized by the State of North Carolina, Department of Environment and
Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC V(j
t Name_
jj,�� 1
• ' bf V
Ili
Project Location: County
Rules lttached.
�V u rt5yv i d'----
I v' V I n l 1 r. I
Street Address/ State Road/ Lot..#(s)
Stat L ZIP ��Wr ..i
V
( ) Fax # ( )
Subdivision IV
zed Agent ii1) � (! �� ! i� ! ` 4
City' � .���(U ZIP _�Led
� CW Ew PTA ES PTS
Phone'# � I ') `3I �Z River Basin
iOEA HHF I UBA N/A
Adj. Wtr. Body_y�U-1 6& p'%W to (nat
- PWS: FC
yes / no PNA yes,/ no Crit.Hab. yes no
Closest Maj. Wtr. Body+
A Project/ Activity
1�I\
ock) length
m(s)
length
umber
J Riprap length
vg distance offshore
iax distance offshore
channel
t �1.11 M
ubic yards
imp
f
)use/ Boatlift
f
�
Bulldozing
x 0
ne Length
not sure yes no
igs: not sure yes no
)rium: n/a yes no
t yes no
Attached: yes no
ling permit may be requir9d7by:
V
VV
qu I Q A IJ �N 1' i 11
(Scale:
❑ See note on back regarding River Basin
RICKY HEWETT CONSTRUCTION 4129
RICKY OR CINDY HEWETT
PH. 9 10-842-8517 66-112/531
1481 NRD SW / ZZ
SUPPLYLY,, NCC 28 28462-6037
Date -
Payto the
Ord
Order of
�— / $ yQQ G o
—fLTJ/t II&A!/r�C� G�/dC Dollars
7 e.ev.
BRANCH BANKING AND iRUSi COMPANY
1-800-BANK BB7 BBT.eom
For /5(f A-)CP
1:053 10 1 12 11:0005 L9838595811'0 L 29
NC Division of Coastal Mgt, Habitat Impact Computer Shee
Applicant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
found in your Habitat code sheet.
Habitat 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 fir
disturbance.
Excludes any
restoration and
temp impact
amount)
k
Dredge ❑ Fill Both ❑ Other ❑
O
S16
Dredge ❑ Fill Both ❑ Other ❑
0
Dredge ❑ Fill ❑ Both ❑ Other
l V D
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 0 Both 0 Other ❑
_A7*4
�.
RMENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
Dee Freem
Secret<
AGENT AUTHORIZATION FORM
Date
Na a of Properly Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing, Address:
lti 1't ,tcr� V-t,e Colt 1'
r t� 724 S
Agent's Mailing Address:
I if C Z
Phone Number m l/ S- _ Phone Number AO-) ?.J / L 7-57
i certify that t have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all LAMA Permits necessary to install or construct the following (activity):
IAIL Legd (Z-Dw &:�r—
(rny property located) at /q2 / i4tp t"I br"z , Pf % { Af4,CI, AC
This7certif'do is valid t (date) 1 a
{ PrepAy Owner Signature Date
czr=(-fr=1VED
p.2
ADAACENT RIPARIAN PROMRTY OW'NER SIATE.N,11NT
I hen.,by cerit(y Nice Iwwuproperty ad"
oob.. Pei
(NaIlle, (of Property (: wner)
7
pV%pCrLy 10C.11Cd .11 /—_._
(I"It. Mock. Road: etc.)
P4PA L N.u.
(Town usid:41r County}
Applicaut's phone 7.L� 9 7 N AAW rv. 4-k
1-1t: 1-,a% desc. ibcd [U Inc.. .1,
she-wr the dvvciop1I-j..:jjt jj;: k rvqwsuur Lit Ilia? arid. I
have 110 OhJCCli0I',S k I hi;; prop,..,sal.
DESCRIPTION ANUI(RORAWING (ATHOPOS)i , 1) 1111"VELOPINIENT'.
he .1
L,4A
17
-------------------
(Inform-Ation for 11roperm Owner Applying I Hipal-1.111 P 0 1 Owsicr Itiformatiost.;
for Nratil) eu.
sh QVX g Add ess
or vix. Narlic
'FeleDhone N111111er
DGI,ver
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ 13Qb - ) ee 's
(Name of Property Owner)
property located at L CUAJ ,
(Lot, Bloc , Road, etc.)
on ,1- CU/ CArj,� I , in �LreNPf)C _ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 33C Z IS ?�`'� Mailing Address: 4110 &&�
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING Or PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
kepl,qte-
,�Aeel�4.
---------------------------------- -
(Information for Property Owner Applying
for Permit)
4116 A4V1!6 t,4&- ,�Z��C
Mailing Address
11 . / Dw Ai! /1 // / 7 A`)'
--------------------------------------------------------
(Riparian Property Owner Inff mation)
7
ignature
12 nA ��_.r �C- 4C-
.X 14. /.
17 (&I j� e j d(e t
44
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