The URL can be used to link to this page

Home My WebLink About62652D - Crenshaw4) CAMA / ❑DREDGE &FILL GENERAL PERMIT Previous permit# -!New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued Drized by the State of North Carolina, Department of Environment and Natural Resources C� Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC O Rul attached. nt ame ► L 1�- S�G W Project Location: County F� - �.,� �- Street Address/ State Road/ Lot #(s) State l'OJc- ZIP-Z-� 3 L; r 0 fT l b) 77-0 ,��yU Fax # ( ) Subdivision w � 02E, zed Agent /U / f } City ZIP 7�4 ❑ CW N_EW NZPTA ❑ ES ❑ PTS Phone # E River Basin C ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body dpioyE C-iLLe)(—, fit] ❑ PWS: ❑FC: d yes /. no PNA �/ no Crit.Hab. yes Closest Maj. Wtr. Body ►f Project/ Activity , N 5 7 P LC- yC 14t (Scale: ock) length ength umber ad/ Riprap length vg distance offshore iax distance offshore :hannel ubic yards imp Ouse/ Boatlift Bulldozing 1Zf k ne Length -I not sure yes ho, gs: not sure yes no >rium: n/a yes no ; yes 'Attached: yes Go no ling permit may be required by: 'It"', `ice— ❑ See note on back regarding River Basin )Qlicant: I A/N� D"� lc ' AA sk Ql Vj ate: l(— (7— —(3 6 ZS 15 Z. scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. TOTAL Sq. Ft. (Applied for. )itat Name DISTURB TYPE Disturbance total Choose One 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 final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other 96 Dredge ❑ Fill ❑ Both ❑ Other ❑ ❑ Fill ❑ Both ❑ Other ❑ ::::Dredge Dredge70Fill❑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 ❑ Crenshaw 66-30/331 A. Crenshaw 365 Id, Rd. 270-2540 ulNC 28443 t _ unnrF '1PSt Citizens 5035 DOLLAKS if nol prescnl. do not cash. �.: lank �Plozl�z er 1003001:00353683983SP 05035 W.J,b at tr v*A- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Mel Nfl k C ru s s (Name of Property Owner) property located at ,/� �� Block, Road, etc.) on o in l�I u� , in Ii% , N.C. (Waterbody) (Town and/or County) ��%% Applicant's phone #: / iling Address: l� Ya /Zdf . C5�3 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a. pier/mooring pilings / boatlift / boathouse must be set back 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) (Information for Property Owner Applying for Permit) _f-IaL71115 Rill Mailing Addy s 1-k&,Dol a , N. C, 2 City/State/Zip (Riparian Property Owner Information) Signature (A Print or Type Name 4W,b bUj V*-0- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIEBIMOORING PIUNGSIBOATLIFTB`O,ATHOUSE) I hereby certify that I own property adjacent to C� •Gtl, Cywhaw_'s / / Gn (Name of Property Owner) property located at l0 6 q %� (Lot, Blo'A, Road, etc.) on d 0rae � l c , in , N.C. (Waterbody) (Town and/orCounty) Applicant's phone #: of . 270— ,L%OM[ailing Address: YdM 90�jaWi Al.C.ZfrOY He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15D from my area of riparian access unless waived by me. (If you wish to waive the setback, you mast initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. r DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) HuaPu S Rd Mailing AddrYss Pew 04ed/,vtC.�� (Riparian perry Owns Information) k� , Signature City/ fate/Zip Print or Type Name -Gj• r1Lw kcrlio� Horne, CQEk 1;1 X isr2 ' ,--3�-�: wail V' LAP" vi 7Ft Propar�i cif Rob � Cancl�j R�c� �07 �ugtnas Rr�. MLT � m 67 M Q &VI h i u h w CL+p Ir r (va+, l Doc� �or; P\ tavA DeI 'L Cvle vl5hck w J� L �� F \ � R LTMA A47 kA M North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Dee Freem, Governor Director Secreta AGENT AUTHORIZATION FORM Date: Name of Property Owner A lying for Permit: Owner's Mailing Address: Q 9 Phone Number d/ 0) J70. 2 5'kO Name of Authorized Agent for this project: Agent's Mailing Address: Phone Number 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): For my property located at This certification is valid thru (date) Property Owner Signature Date