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Home My WebLink About62579D - GambleCAN1A / DREDGE &FILL h10 IENERAL PERMIT Previous permit# New -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources :)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC �� j El Rules a hed. Name171 „ , r G L ✓ State ZIP �O Fax#( ) zed Agent �'IU C CW EW �ETPTA ❑ ES ❑ PTS ❑ OEA HHF ❑ IH ❑ UBA D N/A ❑ PWS: ❑ FC: yes / no PNA� / no Crit.Hab. yes / no Project/ Activity lock) length pier(s) length umber :ad/ Riprap length vg distance offshore iax distance offshore channel ubic yards_ imp )use/ Boatlift Bulldozing Project Location: County U-t Street Address/ State Road/ Lot #(s) Subdivision City ' c-' r ZIP 17, Phone # (Q C l _Q /River Basin Adj. Wtr. Body O cir Closest Maj. Wtr. Body , (Scale: //f dicant: tM "' �� Permit #: tp2 ` S - S - 13 cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name JIJ 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 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 2 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 0 Fill ❑ Both ❑ Other ❑ 2396 BankofAmeri ca.' i�CONSTRUCTION, INC. ACHR/f053000196 252 LANE 66-19 530 FERRY, EADS FERRY, NC 28460 C�J Cl J DOLLARS IB Cq/' /,. z 79an�A'0�' f'Fm - 'il-o'0 AUTHORIZE SIGNATURE 1000239Plum IMS30001961: 2370L5337748ll' 01TRAW DCM WILMINGTON, NC - - - - - - - AUG 0 12013 6 2 57 '-LAMA DREDGE & FILL GENERAL PERMIT Previous permit *0ew Modification - Complete Reissue Partial Reissue Date previous permit issued— iorized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in ar. a ea of environmental concern pursuant to I SA NCAC t 'Rules tt hed e Ey Project Location: Coun int Namef&,�-�'--- -- ----- '17 Street Address/ State Road O ------- is i It 77 It- State /V zip Subdivision Fax # rued Agent City-2�� zip— ."0 River Basin Cw );J�w ��TA ES PTS Phone # (91-0 .d uBA N/A OEA HHF Adj. Wtr. Body,-- PWS:---- — '--FC:_ Closest Maj. Wtr. Body yes /(F� PNAK yeti' no Crit.Hab. yes if no of Project/ Activity (dock) length, I Llf- -r pier(s) -i length --- — ------- - number ,,— headi Riprap length______ ayg distance offshore max distance offshore i, channel cubic yards ramp :house,' Boatlift :hBulldozing er reline Length not sure yes Jbags: not sure yes -atorium: n/a yes Ca-- 'tos: yes C) rver Attached: no tY uilding permit may be required by: < test Soccial Conditions W (Scale: r-4 See note on back regarding River Basin rul( / I add �o end '41 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. Address of Property: 2 �St (Lotor Street #,�Road�,County) Applicant phone #: `7 1 V '-.k -4- , Mailing Address: 1402,0 1 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 www.nccoastaimangement.neticontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notfied by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.) ma4_1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro wner Info tion) Signa ure Print or Type Name -Mailing Address (Riparian Property Owner Information) Sio iature k /Ul a�u14pk;ns Print or Type N enr Mailing Address h CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: CI Address of Property: (Lot or Street #, Stra Applicant phone #: 3n or Road, City & County) Mailing Address: 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. have no objections to this proposal. I have objections to this s 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 www.nccoastalmangementnetI tact dcm.htm 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, or lift 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro a wner atio `Signature ..Ce— A m Print or Type Name Marling Address Owner Information) du 711? (( V Name Ma�l�ng A dress V (--, a►, I�n��i ten" 0 Jo, XA N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date W C) r Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) �1 1 n ��l(Iil Lsyj) rJ—J Lh) to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) ;ZD I `7 Property Owner Signatude Date