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Home My WebLink About62643D - Albert• / f 'AMA / ❑DREDGE &FILL IENERAL PERMIT Previous permit # New ❑Modification ❑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 I SA NCAC ? ��?� % Rules attached. Name �Qfayy�yG� l�7 /�l/ a/J�/i' - Project Location: County d� Street Address/ State Road/ Lot #(s) State ZIP 2 % '�;x6tl /�!l/ ✓l () Fax # ( )/ Subdivision / ad Agent z'I City /i 7 ZIP Z/+ ❑ CW VtW FPTA ES PTS Phone # ( ) River Basin ❑ OEA ❑ HHF IH -'UBA ❑ N/A l �T ❑ PWS: ❑FC: (es'/ & PNA /fe'i)/ no Crit.Hab. yes / no Project/ Activity lzee ) %/<, Gfr2V 11'PA :k) length- �) er(s) igth i nber I/ Riprap length_ distance offshore x distance offshore annel iic yards ip s /Y;0 e Length not sure yes F Adl. Mr. Body /� (natL Closest Maj. Wtr. Body )aele"Plllf 5Z4-0c s: not sure yes �fiu�rrii _ 1 ti ium: n/a yes i'�" j yes _- L j-......_ -1...... - 4ttached: (� � no ng permit ^I 4�4 m y b@required by: rl7 - / _ . .n -7 !_/ /4 e (Scale:=.� ❑ See note on back regarding River Basin ri Applicant: 1 �, boo, � M �,�� Permitq ?-6q 3 #: )ate: lescribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement )und 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 andlor 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/or temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other 3/3 Dredge ❑ Fill ❑ Both ❑ Other g 2el 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 ❑ PIERS & BULKHEADS LLC 19110 FSVILLE AVE 910-256-6357 INGTON, NC 28403 66-211530 1 �C 20861702020896961 DATE 3 w/Op DOLLARS ■ 1• L 70 2 89 Lit' Oi� �.0 5 3000 2 L 9. 208 6 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 'at McCrory Braxton C. Davis Govemor John E. Skvarla, III Director Secretary AGENT AUTHORIZATION FORM Date: 424t S e of Property Owner Appl ing for it: Name of Authorized Agent for this project: e A e_�- ner's Mailing Address- l�S sit�r/Ir �, lrci •�-► N ne Number( moo) 35v - 31!5/ Agent's Mailing Address: Phone Number (qr/o ) tify that I have authorized the agent listed above to act on my behalf, for the purpose of applying nd obtaining all CAMA Permits necessary to install or construct the following (activity): ny property located at :ertification is valid thru (dat Property Owner Signature Date RECEIVED DCM WILMINGTON, NC S E P 2 4 2013 �a005C- jo IL 1:3 N�o,.} 1?- I /c mac,y 0 r i ` RECEIX J � / _ DCM WILMING S E P 2 4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOOREVG PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to J J P Go pro � �l h P �� 's (Name of Property Owner) roperty located at / / If I- n ��y ` (Lot, Block, Road, eteJ ea�f ( r 5 N.C. aterbody) (Town and/or County) [e has described to me, as shown below, the development he is proposing at that location, and, I have o objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set ack a minimum distance of fifteen feet (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.) I do not wish to waive I do wish to waive that setback requirement. JF DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) sr � G y�aG��ri )rmation for Property Owner/Applicant Applying for permit) inix Address RECEIVED DCM WILMINGTON, NC SEP 2 d 21013 (Riparian Property Owner Information) 6',41-4 A"',/- Si tore C. Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIE"OORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to - �Gf� �� S (Name of Property Owner) property located at Dn �(Lot, Block, Road, etc.) )0 i,,in7 s o,, y N.C. (Waterbody) (Town and/or County) le has described to me, as shown below, the development he is proposing at that location, and, I have io objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set )ack a minimum distance of fifteen feet (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.) �I do not wish to waive I do wish to waive that setback requirement. --------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 1 d' w;s4 ry� ------------------------- --------------- ------------ aformation for Property Owner/Applicant Applying for permit) ailing Address Coof9"Vll(11" RECEIVE[ DCM WILMINGTON S E P 2 4 2013 - --------------------------- (Riparian Property Owner Information) Signature .Y/State/Zip Print or Type Name