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Home My WebLink About60799D - FowlerNo. 607 lik / DREDGE & FILL IENERAL PERMIT Previous permit # ��-- New Modification L]Complete Reissue FPartial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources �.( , ' Z U 0 oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J l lR es attached. Name FC W UC. State N C.ZIP q.(ypOl Fax # () ad Agent M ) Z7r-u cW +W PTA ❑ ES ❑ PTS OEA ❑ HHF IH C UBA ❑ N/A PWS: ❑FC: yes -k5 PNA no Critff.��Hab. yes ' Project/ Activity ck) length (� r(s) 141 ,ier(s) :ngth - N`_ Jill tuber d/ Riprap length g distance offshore — ax distance offshore—j hannel i 1_I ibis yards mp use/ Boatlift 3ulldozing + -- — Project Location: County Street Address/ State Road/ Lot #(s)_ fa-2- Cos-,P� O*-! Subdiv;in_ ZIP li 1 City z(�G Phone # TL - W1$ 6� River Basin _r V Adj. Wtr. Body—JK a tL'�- �r Closest Maj. Wtr. Body ` li SOUND ❑ See note on back regardin River Basin ha_ iC, V11 -) IW CERTIFIED MAIL • RETURN RECEIF / _n DIVISION OF COASTAL MANA� ADJACENT RIPARIAN PROPERTY OWNER NOl V I �- Nam e of Property Owner: Fi Address of Property: Cori rn't (Lot or Street #, treet or Road, City & County) Agent's Name #: Mailing Address: s/-IME As 4&Ljo 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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.) r7A I do wish to waive the 15' setback requirement. C a7 P4r ► - t- P'-f+A d I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name (Adjacent Property Owner Information) 7'— Signature Print or Type Name oa CO-1 . (-.IS J2 Mailing Address 54/I-e �q,ve Mailing Address V4,;;. NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management rerly Eaves Perdue Braxton C. Davis vernor Director Dee Freema Secretat AGENT AUTHORIZATION FORM Date: Al 4v6 glo( '2- ie of Property Owner Applying for Permit: Name of Authorized Agent for this project: ier's Mailing Address: ne Number (9 IG ) 71 F - &661 Agent's Mailing Address: Z N l� Phone Number (mil lify that I have authorized the agent listed above to act on my behalf, for the purpose of applying ind obtaining all CAMA Permits necessary to install or construct the following (activity): my property located at certification is valid thru (date) �Lz L z Ab6 U, Z Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to A k K 0- F6wt�rL.. 's 1 (Name of Property Owner) property located at _ � ba Co �L y ra 5� rz �, (Address, Lot, Block, Road, etc.) on in 6, W\ sI tad N. C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a ninimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive ie setback, you must initial the appropriate blank below.) AI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 'roperty Owner Information) (A cent Property Owner Information) Aw C gnature Sifalfp,r A14-ICIt �- 14C arh R int or Type Name Print or Type N me 70o cc) plicant: ("VX te: r ._ — 1 D Permit #: scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impact) FINAL Sq. Ft. (Anticipated final disturbance- Excludes any restoration and/or temp impact amountj 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 ❑ Oth 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 ❑