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Home My WebLink About61562D - Blackl'CAMA / DREDGE & FILL Nu �_D1e 'ENERAL PERMIT Previous permit# INew -Modification Complete Reissue JPartial Reissue Date previous permit issued_ -ized by the State of North Carolina, Department of Environment and Natural Resources _-� �! ' Z O C) .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. t Name Q /�} � �- Project Location: County N T � Street Address/ State Road/ Lot #(s) JlGMIAA! J- 4 State N- ZIP Z,X q Lor /kls OZA4 (�/Q) 6 f(, -- -76V�,'Fax # () Subdivision f��[ € S I f✓%� TC/� %3 ,� /Y? • ed Agent � �lNr' City�PSr��7 J Cw Ew PTA —ES PTS Phone # River Basin ❑ OEA ❑ H H F J IH UBA ❑ N/A Adj. Wtr. Body &Lf) /�S/f/ L ❑ PWS: FC: yes no PNA ,yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body wiS� /L SpUjV/� ' Project/ Activity ck) length ngth tuber d/ Riprap length_ distance offshore_ uc distance offshore cannel bic yarns np ulldozing e Length not sure yes no rt i ;s: not sure yes no •ium: n/a yes no yes no Attached: yes I no — ng permit may be required by: // I ti (Scale: I If _ ❑ See note on back regarding River Basin r ,�I ,-( 7 L, Ii Lr yI'-(� .0� , ✓,/� J 0 y: HP LaserJet 3100; 1 LVNU VItYJ f1M&kUHwwl4Ea 4120000000; Mar-11-13 5:30PM; Page 1/1 ldVs://doc4k-60-docsviewcr_gwiglemntroontcnLc"Wvi ewer/secur ADJACENT RIPARIAN PROPERTY OWNER STATE 1 hereby sadly that I own property adjacent to swm W, aw* s (Name of Prop" Owner) property rotated W lot 2R IMS WAY - 5W IRIS WAY; FiaaVsywd, NC ze443 (Address, Lot, Block, Road. etcJ on Topsei ctw* _, in , Pander N.C. (Waterbody) (City/ToWn andlor County) The applicant has described to me, as shown below. the development proposed at the above Coca l have no objection to this proposal. I have obieC hWS to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (1r;dWi" proposbtgr de►re/opote l nwst fill in description beJow or attach a sfte draWn8) See anwhed dNWQ for boat dock to be twill on Lot 2R 15 leek "M the riparian line bet Wen Lot 311 and Lot 2R. WAIVER SECTION t understand that a pier, dock, mooring pifings, breakwater, boathouse, aft, or groin must be set tsar* a rninimum distwoe of 1& f wn my we of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) __ I do wish to waive the t5' setback requirement_ J1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Iaforawtiaa) 9;kW W Stttrc �r�7ln Stever W. at& -Eeodii a T. Q= Print or Type A ww Print or Type Atame Sol t 9111e1=1 M or, 210 Marwr or Addhm Ma0V Address Vftrkatan, HC 28411 Pitt lawo. PA 15215-IW RJG-09-2012 29.40 From: To:93-9 l P.1-12 �i N. I hereby certify that I own property adjacent to _S 1 Pt/ j/i% l� y property located at l L 2 R Ji ? 55 I— X °wnfs� rd 6 f U I 1 �Addraen Lot �a .�Roadd r �ii ��! . on f-f Pn ._ N.C. (Watoreody) �(Ct�l own andlor Courtly) .The applicant has described to me, as shown below, the deveiopment proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT pndlvldual proposing development must MY In description below or affech a site drawing) V1'A1VER.SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, It or groin must be set back a minimum distance of IS' from my area of riparian access unfass waived by me. (If you wish to waive the Wbadc, you must initial the appropriate blank below.) I do wish to waive the t 5 setback requirement 1 do not wish to waive the i 5' setback requiremwt (Property Owner Information) (Adjacent Property owner laformuftrt) S!g►x&rrre/ - - � �cL�� —41 nrvrt or 7 NameP" el t rl C r sure TT I „ r 1 � < P1W or ya• Ne1ps 77Ssc �� f Y(( HaftAddress tx//57ckystaku N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date � I �, / ) Name of rroperty Owner Applying for Permit: e,1,/e Mailing Address: -Vn FY/l(S P"— I certify that I have authorized (agent) L ,., j� C-c 1 x— to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) (2� at (my property located at) 0 .,� /17� This certification is valid thru (date) �A� IV - W/1 I1yr 3 Property Owner Signature Date cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. TOTAL Feet FINAL Feet (Anticipated final (Applied for. (Anticipated final disturbance. Disturbance disturbance. Excludes any total includes Excludes any restoration any anticipated restoration and/or and/or temp restoration or temp impact impact amount temp impacts) amount Dredge ❑ Fill ❑ Both ❑ Other �o d❑ Fill ❑ Both ❑ Other ❑ D;Dredge ill ❑ Both ❑ Other ❑ ill ❑ Both ❑ Other ❑ ill ❑ Both ❑ Other ❑ ill ❑ Both ❑ Other ❑ ill ❑ Both ❑ Other ❑ ill ❑ 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 ❑ 86 490 10?1 AMERICAN MONEY ORDER 110109509 SECURITY FEATURES ON THIS DOCUMENT INCLUDES MICRO PRINT SIG- NATURE LINES FRONT AND BACK AND SECURITY SCREEN ON THE BACK j COINES OR ALTERATIONS. SENCE OF THESE FEATURES MAY INDICATE 1 i' T�VAqy4i YyYy':�e��1 SfreE #ktt�it)itrt> i1aL &15k /5 i48T ,,ft R 'HRf ¢ Lil �( 201J Purchaser/Drawer Signature--_—.—.--------- Address-------- LAMA / l-' DREDGE i FILL N n 6168 GENERAL PERMIT Previous permit # 15(02- New Modification Complete Reissue Partial Reissue Date previous permit issued authorized by the State of North Carolina, Department of Environment and Natural Resources ,pe, the Coastal Resources Commission in an area of environmental coV concern pursuant to I SA NCAC —7 �fC� rlicant Na#amr�e►-_}_ (1r 'E _ _._..______ _ _ Project Location: County tress- i?_ ` -.A _ _ 1 _ �l --'-----. ____ Street Address/ State Road/ Lot #(s) �} kN �_ c ti State _ car MPZ841 ne # 1 1.410%9_ 1i Fax # ( - ) _.-,_.__. _ Subdw' 4t �t'.�9 (,�i; CIA, horizEyd Agent .. S — t W — City _ l► 1�` p ._._. ZIP_ Z Cw arc v�, Q ___"TG_._ wed OF1l HHF ),-PTA S PTS Phone iff (.= 0 ) a� R�1' Basin .(s): Adj. Wtr. Body_ pre.�tti t c... PWS ft N: yes t PNA 4ey,s no CHt.Hab. yes 1Z Ciosest Mal, Wtr, Body �s�w se of Project/ Activity T Ct { ,f e if ! f t 2 - )4 / r (dock) length dorm(s) >oty`X a, %er pKrtsl 3' l� �Z ` 7 an length number ikhead' Rprap length avg d,stance offshore max distance offshore sin, channel cubic yards at ramp dtf�01i5 Oath __.1�1Z. �`•� � � n ach Bulldozing her -7 / 5W I m rnelnie'�h 4�-- 1�` r�rr�c J: not sure Yes rdbags: not sure yes ratoriul. nJa yes (Scale: I "_,` ECG' rr' ctfAN xw. yes river Attached Yes / s u !ding permit may be requ-ir�e{d by- IZ ' w • K C,r n �y AU' /note WS bAck re�gtrding River Baw owes.. tes! Special Conditions k?ZI Mt t 11 i lf4 )ir 10E: ICE 2C ?Y 40FE.SS j o . Q C SEAL L-4503 ,4b <v �f/I/11111 11K 1ti�0� 00 OR EIS (EXISTING IRON STAKE) RIW (RIGHT OF WAY) PROPERTY LINE HIGH WATER LINE 31Tt j vtcvv" YAP (N-r.$) RIPARIAN SURVEY FOR ,STEVE BLACK 560 IRIS WAY HAMPSTEAD NC TOPSAIL TOWNSHIP - PENDER COUNTY - NORTH CAROLINA SCALE: 1" = 60' MAY 10, 2013 60 0 60 120 180 GRAPHIC SCALE - FEET N 27.87' S 64.50'48'E y / N RIPARIA!! tIQ • /( _CORRrDOR 44 o - - 7 i�prt rlr rTC l r.>�le,f� WA f - - RIPARLiN CORfyDOR l4 � X I.� '� Em % r u //mod 7 a 761r F.T. JONES Surveying Company N.C. LICENSE No. F-- 1035 P.O. Box 1471 111 East Fremont Street Burgow, NC 28425 Ph: (910) 259-2954 Fx: (910) 259-9040 jonessurveying0bellsouth. net I rls. Dry. Na. PN 18 SALCK STEW -aa /. - -,