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Home My WebLink About57449D - Fronk, CAMA / DREDGE & FILL GENERAL PERMIT 'New -Modification-lComplete Reissue --Partial Reissue Previous permit # Date previous permit issued >rized by the State of North Carolina, Department of Environment and Natural Resources / • /�/r1 Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. nt Name'1S�lUi�i 5!= Cry /G Project Location: County P//V p cx7 ` LJ4��Street Address/ State Road/ Lot #(s) State ZIP # (" ) =��>7 Z/ S % Fax # O ized Agent d - CW LJ EW ,& TA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IN ❑ UBA =7 N/A ❑ PWS: ❑ FC: yes ?R5 PNA yes lof Project/ Activity H L,� 1—k Crit.Hab. yes /® t.4 Subdivision City ZIP ZCS'r Phone # Z ky? River Basin Adj. Wtr. Body_ /514/-/K5 r•./J QM!ft L{nat Closest Maj. Wtr. Body %v/Sfl ! c (Scale: ( //' length -.. • ... ''■'11010111130111■■■■.NONE■ ' ■■■■ ......ii ENEENENEw.��.u��c�i�liENNEEE■■ ■■■ ■■■■■■■■■m■■■-=�• ••■• • MEN s....._. ....................1■Min ■■■■■■■■■■■■■■■■■■■�■. ■1\■■■■Y MEN ■ vg ■■■N■■■■■■■■■■■■■■■®1■■1■■■■■■■■■■ max distance offshore IMMOMM■OMEN■■E�■■EE1E 0 6:MEMEE■HE■■ �■■1■■■■!!!• ®■NN■■■ ■�E O.ME..NN...■s.a1�..E��E cubic yards -amp "ANN■�■Er11■ilEf 11 ■EilEo5M I.■ ■■■■■�•rt■■■■ ■am.■.■■■. Ouse/45oatlift) al( ■■■ ■■7!ll EOW!•!i■■■■■■■ ■■■■■■■■■■ ■■■■■ ■■!!!i■ MEN ■■■■■ ■■■■■■■■Err■W:MEN■ ■■�1■■1■■■■ ■■■■ ■ Bulldozing_■■■■■■■■MUNI■■■■N■■■1■■I■ MEN E■■■EN■ ■■■■■■■NONE ■■■E■■■1■■IE MEN NN■ ■■■ ■■■■ENNE■■E■NE■ENE■IN■IEMEN E■■MEN ■■E■■■NE■E■■E■lE:ftl ■I■EE■■■■■■■■ E■E■ ONE ■E■■E■■■■■Mr7111 1■■I■■ENEline N■■E■■ Length not sure yes �' s: yes a rAttached:. ■E■ONE■EE■EE■NEEEElI��IE■1■EE/,!7�1'■■■■OE■ N■■N■Nr:�i►uiir'iE■E►■1■E■■1■■!■E1 �!■■■■NEE ■■E■■■O■■■I iiii��iO�YO��.:i ■■■■■■ EEO■ENE■EI■■EE■ENE®NE■■N�I■■■NEE■ MEN! M■E:NE �::� 'NMNM'�MEMO Z-1rd AI MEE■■■■■■■■■■■O ENEN■ ding permit may be required by: Y-//V' A/ ❑s See note on back regarding River Basin I i O �hZ m ems' x� i N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date '�' 7"13 Name of Property Owner Applying for Permit: Mailing Address: (Nr'Arc I certify that I have authorized (agent) !Ta/ % �y to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) &04' /r1GF at (my property located at) 1710 C.-, ,-o h �L 8 1 v-W This certification is valid thru (date) 12_3 i -13 7)/�,� �/;V� 0- 7- ( � Property Owner Signature Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: � eel n c 3 Address of Property: -7 t C Cc-ro igoax (r Q_ 4 (Lot or Street #, Street or Road, City & County) Agent's Name #: / 1 ►"y� iz,,1,0.� Mailing Address: !2 Z Agent's phone #: allD 3L� 7 � t �51 /ye— a0ogL13 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. Contact information for DCM offices is available at or by calling 1-888-4RCOAST. 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Signature Print or Type Name Mailing Address (Adjacent Property Owner Information) Signature �'11ch .� � I So'►5,ne� Print or Type Name TC7_7 Mailing Address Ch0T c t e CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: 10 C �L �J I r � (� t �' d G�1 jC2 r � J is � Pe,& - (Lot or Street #, Street or Road, City & County) Agent's Name#: �n 112rnc-1 Mailing Address: C�- Agent's phone #: / 1 �,ti��5 v^ , Al c 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. Contact information for DCM offices is available at or by calling 1-888-4RCOAST. 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ,�gnature Print or Type Name 11419ea obi%41 Mailing Address Q' (Adjacent Property Owner Information) Si i>nallrrc Print or Type Name Mailing Address 'pplicant: D ' E��^i late: 2 Permit #: S) U q escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement rund in your Habitat code sheet. tbitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINALS q. 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 ❑ Oth / NY 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 [I Both ❑ Other ❑ Dredge El Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ f Bank of America 5593 ACH R/T 053000196 66-19/530 NC IED MARINE CONTRACTORS, LLC 08-03 58754 910-367-2159 92 HAROLD CT. HAMPSTEAD, NC 28443 i $ Zoo YuJ�'e ��•X G-L - ,1 C7/G'� DOLLARS u 8 it r b' <--7 4 C, Cq ri w u