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Home My WebLink About61523D - Carolina.CAMA / DREDGE &FILL E N E RAL PERMIT ✓ Previous permit # 'New --Modification Complete Reissue ElPartial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources � Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 17 G GJ ules attached. t Name1�°'67 `G�� L ea�'Q�„��' Project Location: County�f�ily 1 �2 IV . I -A �� >��r' � 81 �� Street Address/ State Road/ Lot #(s) State / G ZIP *ZA/21�9 F"ax # ( ) Subdivision zed Agent /!�`'h /5�/ ''�d� City ��r0 !"� l�C-��1, ZIP d _ CW EW _' PTA �— ES L] PTS ❑ OEA HHF ❑ N ❑ UBA N/A ❑ PWS: FC: yes / no PNA yes /Ono Crit.Hab. yes A Project/ Activity lock] J gth m(s) I Phone # ( ) River Basin r14- Adj. Wtr. Body 'All kp ?i" (nat� !J Closest Maj. Wtr. Body 41 ef;;:�cw C "I"', �, ham 421/ Ly/ ne Length S� CI S, I, not sure yes _ _T 1 ! gs: not sure yes -- — mum: n/a yes - yes +• 1 - - — - — Attached: yes 1 j'- ling permit may be required by: l z, b P? 5p ew f,,4 . (Scale: �/ /4 ❑ See note on back regarding River Basin NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Dee Freeman Governor Director Secretary AGENT AUTHORIZATION FORM Date: /- /i?- /3 lame of Property Owner Applying for Permit. Name of Authorized Agent for this project: (y TN of= Nu.( t�v�¢D=5WJ )wner's Mailing Address: li�i /lJ'. LSE K iKLUD _ tt�� Z � 'hone Number (� 16)_�rg-zgq_� Agent's Mailing Address: Phone Number lV 1 �� •O o 5 3 I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): (my property located) at This certification is valid thru (date) U ,e / I '" al 171 13 I/ . I I" Property Owner Signature Date RECEIVED DCM WILMINGTON, NC JAN 2 3 2013 CERTIFIED MAIL — RETURN RECEIPT REOUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Name of Property Owner: _r& wW (2 Ir (.iziA. Address of Property: '3lL L 0?� ,, Tttl u M A4rw & (Lot or Street #, Street or Road, City & County) Applicant's phone #: �)Q -3fj?-•0(p53 Mailing Address: �Fb --F;0j( 112 I hereby certify that I own property adjacent to the above referbnced property. The individual applying for this perm has described to me own on the attached drawing the development they are proposing. A description of drawini with dimensions st be rovided 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. Correspondence should be mailed to 127 Cardinal Drive Ex Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no obiection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance o 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' set back requirement. DCM WILMINGTON, NC I do not wish to waive the IS' set back requirement. . JAN 2 3 2013 T A-Ci� 13 Ll Print or Type Name Print or Type Name PC 1304 /&cis Mailing Address Mailing Address ciq 2y Li c M, City / State / Zip 7,16 City / State / Zip ('s 1,1 Ae-to tl'—'. — 1 CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATE ML ENT Name of Property Owner: _ `Tw tit b FCtlQZ-) (_.t �. Address of Property: �5 L � 0 / _ `Tw-AA-� w i%, (Lot or Street #, Street or Road, City & County) Applicant's phone #: Ci JO 3(07-.0(p15'3 Mailing Address: Fb _A04 112 ��tocsfliA- ��c�1s(, 2j�yt � I hereby certify that I own property adjacent to the above referbnced property. The individual applying for this perry has described to me as shown on the attached drawing the development they are proposing. A description of draw' n with dimensions, must be provided with this letter. I have no objections to this proposal. 1 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. Correspondence should be mailed to 127 Cardinal Drive Ear Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no obiection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance t 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.) RECEIVED _ I do wish to waive the 15' set back requirement. DCM WILMINGTON, NC I do not wish to waive the IS' set back requirement. JAN 2 3 2013 M��'eas Mailin�Address- UJ 1 6 age o City / State / Zip (Riparian Property Owner Information) Signature Print or Type Name Mailing Address City / State / Zip - O ogle earth feet. meters"' 100 w ",P6h/;thkc( iA green---/ S�;lp 20, 0-094U (ytjA--)ESEacc+ A�ftlLLw r. 1' pose.cf nec� &mlvi No new p►1; (\,� S 0c i 4�( 1-F,VZ �(t>At cock. orl - �19 RECEIVED DCM WILMINGTON, NC JAN 2 3 2013 Division of Coastal Mgt. Habitat Impact Computer Sheet )licant: %j�rih G% ��lU//tiC� �'P�cC-, Permit #: ��52 3 ;cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. iitat 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 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 yamount) 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 ❑