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Home My WebLink About62555D - BauJ CAMA / DREDGE & FILL `^ + lr ` 62 GENERAL PERMIT Previous permit # tNew Modification EComplete Reissue ❑Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources �J Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC / ( Zv C ❑ Rules attached. nt NameProject Location: CountyUC._ s l )( 2 I t"�� 1. State ' ,AL. ZIP Fax # ( ) zed Agent AL .I �n YVZ jt C ([,o�NJ:14 d - CW EW ] PTA ] ES ❑ PTS OEA ❑ HHF IH ❑ UBA ❑ N/A PWS: FC: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City 11`�1C. I SV^h\Y) ZIP Phone # ( ) River Basin LVIV Adj. Wtr. Body ----A t AJ 111 ( a Closest Maj. Wtr. Body A-t w w ►f Project/ Activity A,- y Jdi t Y?_ (Scale: (� ock) length length umber ad/ Riprap length vg distance offshore iax distance offshore -hannel ubic yards imp � I Ouse/ �oatlifE_ ' i� LC ir`"L..ic Bulldozing ne Length UL not sure yes whoa gs: not sure yes )rium: n/a yes 49 Attached: yes no ling permit may be required by: C•A-1c ( SLAW, ❑ See note on back regarding River Basin Applicant: ��'� I �L -r (� (� Permit Date: I Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement `ound in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft.Ftotal eet FINALFeet(Applied for. (Anticipated finafor. (Anticipated final habitat Name DISTURB TYPE Disturbance total disturbance.ce disturbance. Choose One includes any Excludes anydes Excludes any anticipated restorationated restoration and/oi restoration or and/or tempn or temp impact temp impacts) impact amount) temp impacts) amount) l - / Dredge ❑ Fill ❑ Both ElOtherw!1 I t4 H 19 q 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 ❑ Bank of America ACH R/T 053000196 -HE OF - ALLIED MARINE CONTRACTORS, LLC 08-03 910-367-2159 92 HAROLD CT. HAMPSTEAD, NC 28443 - Avildred Ago At M ___ I' AUTHORIZED NATURE u'006086►I' 1:0 5 3000 i961: 000684 74 3 7 38n' N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 3 Name of Property Owner Applying for Permit: /w,'��-- A(�l Mailing Address: d � 60X z � I certify that I have authorized (agent) dll) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) .mot jowl—1 at (my property located at) , Z 7( 4t/nV I�,aa This certification is valid thru (date) i� CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: A/2 P Address of Property: 1%2 (Lot or Street #, Street or Road, City & County) / Agent's Name #:/��C(� Gj-/�lL Mailing Address: Agent's phone #:—��i'o� _�,� 0 5 ��) �lGi�r►1�S'Y�v/ . /tAL 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. 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 (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmanagement.net/contact 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. WAIVER 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature / ",1 /_1y) 1 Print or Type Name O.0 13dx A� 7ce�t Property Print or Type Name Information) `boi C. T51�•d� CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: / 2 - /3 / Address of Property: /7l%� bZnP 4 4 /(Lot or Street #, Street or Road, City & County) Agent's Name #: &i��/ Mailing Address: Agent's phone #: 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. 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 (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmanagement.net/contact 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. WAIVER 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.) li__"� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sig ature Print or Type Name acent Prop rty Owner Information) j Signature 1-1 /- r a ne_e S 7. K hJi- Print or Type Name s joid 1 •