HomeMy WebLinkAbout62696D - Bowman✓o KS
CAMA / C DREDGE & FILL v
GENERAL PERMIT Previous permit# `
]New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources j 1 , �� D
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC t
ules attached.
nt Name
22 U �ITI,
l. Project Location: County l�tf} lSLdi C,i t1
}:t G� �j Street Address/ State Road/ Lot #(s)
�yy TInFax#(
State ZIP2 11 i GJ .�)Lk� CA 04- i Iar L)i/we.
O K )) Subdivi ion A
zed AgeY t �.t City I Cl ZIP n
j u CW ',e , EW � PTA ES E PTS P ne # (� I G )2� I' River Basin
OEA ❑ HHF IH UBA ❑ N/A Adj. Wtr. Body (nat I
❑ PWS: ❑ FC: J�
. �{y,
yes / no PNA yes /j nClosest Majr. Bp
o Crit.Hab. yes /( no I , , 1
if Project/ Activity
ock)leFfp
m(s) j)
pier(s)
ength
umber
ad/ Riprap length
ig distance offshore
iax distance offshore
:hannel
ibic yards
imp
'use/ Boatlift
Bulldozing ..
ne Length b
not sure yes no)
gs: not sure yes
' .
j t yes , no
Attached: yes
Y
ling permit may be required by:
"i1 I
1-7 r. I%. rt .. I
V1k
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(Scale: ) �1
❑ See note on back regarding River Basin
NC Division of Coastal Mgt, Habitat Impact Computer Sheet
Applicant: ,��'Permit
Date: 1
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
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 fii
disturbance.
Excludes any
restoration an(
temp impact
amount)
Dredge ElFill ❑ Both ❑ Other
n'
Dredge ❑ Fill ❑ Both ❑ Other
Ice
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 ❑
.........
CONSTRUCTION
IOX 107
: BEACH, NC 28480
0-754-9740
I
1109
1,6-1111511
DATE
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Phone Number (qm 9/— ;;r 2012
AWWO UmMkg Add viW
i coney #w 1 have wj#Kwb sd the agot lebd above toad on my be! for #s P XPM6 of apply
for and obtaining ar CAM A pa.. nraavesaryto k sW or consb+d M" folowinp (scUAY)
iw mr props q booed St 1 ad :5^b hpc.CA-el
This OwMcadon is v#Ad Swu (dila)Deb
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1VV I t:L 600VOU/
DIVISION OF COASTAL MANAGEMENT
ADJACENT KIEMwN PROPERTY OWNER NOTOCATION/WAfVER FORM
Name of Individual Applying For Permit.
Address of Property: I W i1GC�
(Lot or Stred #, Street or Road)
%L .
(City and County)
I hereby cerufy 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, should
be provided with this letter.
l 9 1 have no objections to this proposal.
If you have objections to what is being proposed, please caY Debbie WBson wkb the
Division of Coastal Maaagen ent,127 Cardinal Drive Extension, Wes, NC
2gW or eaU 910-7%_7215 witb1n 10 days of the receipt of dds notice. No response 1
considered the same as no objection if you lave been notified by Certified MaiL
WAIVER SECTION
I understand that a pier, dock, mooria¢ pis, breakwater, bOst iroase or boat W
must be set back a aaiaimum distance of 15' from my area of riparian ate- Males
waived by me. (If you wisb to waive the setback, you sanst initial the appropriate
blank w.)
ms
�--� I do wish to waive the 15' setback requirement.
`� I swish to waive the 15' setback requirement.
,WV I t:1600CMUt
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N0TIFICAT10N 1W JVER FORM
Name of Individual Applying For Permit:
V� PNI
Address of Property:
or Street #, Street or Road)
and County)
1 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 drawn
the development they are proposing. A description or drawing, with dimensions, shoulc
be provided with this letter
I have no objections to this proposal.
If you have objections to what is being proposed, please call Debbie Wilson with tJ
Division of Coastal Management,127 Cardinal Drive Extension, Wamington, NC
28405 or ca11910-79&7215 within 10 days of the receipt of this notice. No respons,
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, moorings pilings, breakwater, boat house or boat 1
mast be set back a minimum distance of 15' from my area of riparian access- uni,
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.
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