HomeMy WebLinkAbout62503D - FreyerCAMA / - DREDGE & FILL Y
E N E RAL PERMIT Previous permit #
New 'Modification '_Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources • 1 C� oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
} ! Rules attached.
Name i i ti J Project Location: CountyllMY l Lt_
Vj Ll o4 (tT of Street Address/ State Road/ Lot #(s)
,l c; State zip 7N __--
T71Fax f ( )_ Subdivision
i
ed Agent (11a'r z.5( i`i�%1(�t1tl�
❑ CW EW / PTA ❑ ES PTS
OEA HHF ❑ IH ❑ UBA =' N/A
PWS: ❑FC:_.
yes / no PNA yes(/ no j Crit.Hab. yes) no
if Project/ Activity I YOIt N hr
xk) length
� k
ength
ember
ad/ Riprap length
ig distance offshore
iax distance offshore
:hannel
ibic yards
mp
use/ Boatlift
3ulldozing
„J
ne Length
not sure yes no
gs: not su yes no
rium: n/a no
s�
Attached: yes l no
ling permit may be required' by:
-- — - - — - _..-1—i'
City SG1yU ZIP '(U'Vj
River Phone # ( ` ) � _OS3 r ))Rii�Basin
Adj. Wtr. Body ��'�� CC.tVZY' nat
Closest Maj. Wtr. Body MWVJ'
(Scale:
T—I—F7 i `I(.I "I � I I i I I I
)�Lf w ❑ See note on back regarding River Basin
it A A . I ! at. i (1 j. i �/1 0 / i/G c .I I A-
Applicant:
Date:
Permit
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Found in your Habitat code sheet.
DISTURB TYPE
iabitat Name 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 final
disturbance.
Excludes any
restoration and/o
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
1z_
l li
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 ❑
.......... . . . ................. ........ ............... . .......
'HARDSON
INSTRUCTION5362
66-112/531
Z3�
, THUST COMPANY
T BBT.com
OOOS 2 IS 2489271,805362
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ul.03.2013 09:08 AM Richardson Const & Maxine 9108425597
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bl .03.201� 09:07 �AM Richardson Consy & Marine 9108425597 PAGE. 3,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEWINOO.RING PILINGS/BOAT,f.X.FT,BOATHOUSE)
I hereby certify that 1 own property adjacent
1 (Name of Pro rty Otivner)
property located at
.(Lot, Block, Road, etc.)
onP inJf'►�Y�SL� �`t K ��ii. N.C.
(Waterbody) (Tov��n and/or County)
Applicant's phone Alb Xa—/24a Mailing Address•�`�ti7i� d1,�-�•
JW1 (aft
_
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 to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVT,,LOPMENT:
(To be filled in by individualproposing development)
(Information for Property Owner Applying
for Permit) [j
Mailing Address
----------------
(Riparian Property Chvner Inforreation)
Signature
(S hif 4
"ul.03.201� 09:07 AM Richardson Const & Marine 9108425597 PAGE
From:0108425607 Peggg: 1!1 Date: 7l3/�p13951:A1 AM
iui . U.s. 4vIj uu: n / ti i hicnarason 1:01iSt: 4 Marine VIU84LbJ Y I rt»r; . L/
ADJ,AaN Z' RIPARIAN PROPLRTY OWNER STATEMENT
fFOR A PIE'.R/.MMOO.R,ING PILINGSIBOATLIFT/BOAMOUSE)
I hereby certify that 1 own property adjacent to j J 's
(Nome Pr4 rty Owner)
firoparry located at 13
.(Lot, Block, RbAd, ete.)
ol"► r+��Di.y�� _.__..._. in _ '" . N.C.
(Waterbody) (Town and/or County)
Applicant's Mailing Address' �%xll.lEl�
He has described to mc, as shown below, the &-valopment he is pcQposing at that location, and, I
have no objections to his proposal, I understand that a pier/mooring pilings f boatlift / boathouse
trust be set back a Minimum distance of fifteen feet (I 5) from my area of riparian access unless
waived by ma. (If you wlsb to waive the setback, you mutt initial the appropriate bi;ak
below.)
— I do not wish to waive
I ag wish to waive that setback requiromeint,
nEsC)UPTION.A►NTW0R)Drt&WJNG a>r PROroslLn )lltArgLCII);"KgN'I':
(To be Jlifed in by individual proposl►rg developnoem)
(linforrraetiurr for Property Qwlsar Applying�_.._ _» � ______....._..•....�_...._,�._.._�,.,�.. �+ p ty (R parian Property OwnerWormation) Sn
far Pertrtlt) � f , ,"
MailingAddrws Signature
City/statelzip Print or Type i\Tamk�tj e
-ul.03.2013 09:07 AM Richardson Const & Marine 9108425597 PAGE. 2,
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