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Home My WebLink About63156D - Wardi:AMA / DREDGE & FILL �ENERAL PERMIT Previous permit# ew -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued sized 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 �� • 1 Ll �v Rules attached. it Name (170 r wokr6t Project Location: CountyTD V. - 1 36 t✓L h Statel4c. ZIP29433 ` O Fax ( ) :ed Agent n# bClt-ht6l-�--C ✓J V \ru r! riot (k1k-}- ❑ CW ❑ EW APTA �❑?ES ElPTS ❑ OEA ❑ HHF /❑ IH ❑ USA ❑ N/A ❑ PWS: ❑ FC: yes / 'no , PNA yes no) Crit.Hab. yes i no F Project/ Activity ck)length i(s) ier(s) ngth ,nber I/ Riprap length distance offshore x distance offshore cannel Ac yards ip se/ Boatlift 7 X Length not sure Streest Address/ State Road/ Lot #(s) I`+-V:�lr►M(W� "�* Subdivision f\ Mi ,, Y� a ZIP PhoT� # ( IU LJ River Basin litJ Adj. Wtr° Body C "ki (,j-�t / �'1►ti1 W (nat Closest Maj. Wtr. Body A L Ww (Scale: ` // ig permit maybe required by: iltlyl —nII I,— J-1 ❑ See note on back regarding River Basin n . r CAMA / DREDGE s FILL N? 631 EN ERAL PERMIT Previous permit # ew IJModification [_ ]Complete Reissue Partial Reissue Date previous permit issued ithorized by the State of North Carolina, Department of Environment and Natural Resources he Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC ��/ Rules attached. 'cant Name f t' VVft►'i� Project Location: County v erssf' ( 133 ,, r __ Street Address/ State Road/ Loott'#-(s) �ctl�✓ ----- StatelvC ZIP2243 _ _.�_t e # () Fax # (p )_/��, Subdiiviisslion, ' Q prized Agent _ (iC h(�i'(,✓V Y IQ+lYLI' lA-- -- ih' Cliffa ZIP ted iCW ❑EW 1-If OPTS ( �U)4`�48SQ River Basin Lv&l 6 ❑ OEA El HHF L❑ ; IH I I UBA N/A s) Adj. Wtr. Body-wik-" VJ (nat ma ❑ PWS: L.1 FC: — es / no PNA Closest Maj. Wtr. Body ---------------_ ___— -__-- ___-- y yes no Crit.Hab. yes no a of Project/ Activity (dock) length er pterfs)_� in length number head/ Riprap length_ avg distance offshore max distance offshore i, channel cubic yards_ ramp _ house/ Boatlift h Bulldozing_ x IM 1 00 _. -- UNVi I - - aline Length ._ -T "I notsure yes no F bags: not sure yes no Corium: n(a yes no >s es no er Attached: yes �Xn� ilding permit may be required by is/ Special Conditions `4 (Scale: l �� _ -t- 1 �x.► P r �.ti U.� A*V VP y AQ See note on back regarding River Basim rules nz r� ,SSA-t AM A -4d LVA I VU) Ia h BACKWATER MARINE CONSTRUCTION INC 45 1907, KIRBY RD BS. (910) 842-5707 66-112/531 SUPPLY, NC 28462 � t - _ Date Pay to the ,/ $ Order of. v •--^ Dollars i BRANCH BANKING AND TRUST COMPANY 1 I NK BBT BBT r 'NP C Division of Coastal Mgt. Habitat Impact Computer Sleet )plicant VI I I b� ��, , Permit #: (Q � I SG� ite: S / 1 I/ I scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer ind in your Habitat code sheet. bitat 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 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue ,lames H. Gregson Dee Fre Governor Director Sec AGENT AUTHORIZATION FORM Date: Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: W Owner's Mailing Address: Agent's Mailing Address: a Phone Number j _ Phone Number I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and all CAMA Permits necessary to install or construct the following (activity): (my property located) at This certification is valid thru (date) T Property Owner Signature Da RECEIVED DCM WILMINGTON, NC MAR 0 6 2014 Rzf�'r gAmiq K 1d."1 U j�� , e#;hlmll44a.,fl Al U ON i P 7013 1090 0001 2547 0927 $3.?9 L ool A3 —I � ryalees tAl' R N % IZ SC: 28462623307 CERTIFIED MAIL -- RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT car r Name of Property Owner: V t J,' �L =Val Address of Property: i L Q / (Lot or Street il, Street or Road, City & County) Applicant's phone #: '110--qy3 ! 99 S�' Mailing Address: 141107 A). S, i✓ I hereby certify that I own property adjacent to the above referenced property. The individual applying for this per has described to me as shown on the attached drawing the development they are proposing. A description of drawi with dimensions. must be provided with thi- letter. �r ; I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCP in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive I Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be setback a minimum distance 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate lank below.) a. . !� do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Information) Signature Print or Type Name Mailing Address C14AV7 N 2 $ 3 3 City / State / Zip Signature VJ55e1\ ` +SbL'I Print or Type Name i02- \-) Gt?, e-�1 c a. Mailing Address Goy N1__---- City / State / Zip Tptnnhnne Number Telephone Number 9% ? 9d / J < 1 ' f —ryn7Jdp i'� 4,77jis +vvvvvl!: