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Home My WebLink About62567D - GarrardCAMA / DREDGE & FILL Q IEIVERAL PERMIT Previous permit New [�Qodification ❑Complete Reissue ❑Partial Reissue Date previous permit issu ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (, �, ` ❑Rules attached. : Name ewe L�ltf/g /"d Project Location: County Stated ZIP ,e3�e Fax # () ed Agent �L2l��Iy ��f�YAX ❑ CW ..�LEW ❑ PTA -]ES ❑ PTS ❑ OEA ❑ HHF _ IH UBA ❑ N/A ❑ PWS: FC: yeses PNA yes / no Crit.Hab. yes / no Project/ Activity lock) lengthZ CJ S Z m(s) �� k 7 O pier(s) length camber :ad/ Riprap length vg distance offshore nax distance offshore channel%' --- - - ubic yards amp ws Boatlif Bulldozing _.._. _ ne Length 1°_— not sure yes gs: not sure yes >rium: n/a yes . yes � Attached: ed: /y'% no ling permit may be required by: Street Address/ State Road/ Lot #(s) L b6 Subdivision City ZIP 6-0 Phone # ( )Z3?� iy River Basin Adj. Wtr. Body /4�/� S nat Closest Maj. Wtr. Body \1' v I (Scale: /❑ See note on back regarding River Basin / Special Conr itinnc ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to S-rfbJEA 4J:YdZ.4P,'F,7W Gi4F2 � (Name of Property Owner) property located at 2c* S64 Ald&* D (Address, Lot, Block, Road, etc.) on OLD 34A1KS C04A.UAIPL- in tiiRF ClN.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) 5E£ '�T7i9CrY� WAIVER SECTION 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 157 setback requirement. (Prope Owner Informa ' n) (Adjacent Property Owner Information) Signature Signature 37 ot C 6igatan S , Print or Type Name Print or a Na Mailing Address MaX Address City/StateJZip CVlState/Zip Telephone Nup ber Tel home Number 9/z9/,&? ,i Date Date (Revised 611ti2012) rnn �+�. J1YJc.JOOJJ � xp. e� 404i) w• L"rrr re MLw ... _ ..... CAMA / DREDGE & FILL PENERAL PERMIT New ❑Modification ❑Complete Reissue ❑Partial Reissue ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Name )0-10- �-� G L 0"a StateZIP 11 Previous permit # r- Date previous permit issued Project Location: County . IZ.o- ❑ Rules attached. pE N f>.E- ; _ -.- Street Address/ State Road/ Lot #(s) Fax # ( ) Subdivision zed Agent % /,*t, ,., , !i '"� �'`. _ City�V -'- T zip 2-1-4 cw EW _ PTA C ES PTS Phone # ► d ) Z3/ _g �ti River Basin d OEA HHF " ❑ IH C UBA ❑ N/A Adj. Wtr. Body .40 VVIOI -S #$A-t nat_ _ PWS: ❑FC: Closest Maj. Wtr. Body tJf- �Fj-M n yes / no PNA ye / no Crit.Hab. yes Cn A Project/ Activity 1 rJS'f Ptl TifA_ 1 r IV v L�F%S —_ t (Scale: / n , ock)length /ram` ( ! m(s) 7 , %� 2- pier(s) length umber gad/ Riprap length vg distance offshore iax distance offshore channel ubic yards imp ,u oa ' / Z NZ Bulldozing ne Length not sure yes 6n cgs: not sure yes 0 >rium: n/a yes yes no Attached: yes'; no �v F C (� ❑ See note on back regarding River Basin ding permit may be required by: ilicant: +�� R f Permit #: 2"J e: 13 ,cribe 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 r 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 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 ❑ AARINE PIERS & BULKHEADS LLC 314 WRIG HTSVILLE AVE 910-256-6357 WILMINGTON, NG 28403 U ,NA. L 90 S Sii' i:0 S 3000 2 L 9': 19055 66-21/530 10141 p 2086170208961 DATE 0 / 40 i 201361 2 896 Lii' 4, U nnLLARS W r c-7 771,r /I r b 0 -b c-- t7Q V _l p ; >( Of L ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 11 4- Li- oat 6o .Sv`/' 'blame of Property Owner) property located at i6 r. U�y�-�J ..,(Address, Lo -Bloc` etc. on (� t l� I� �!'LL( , in 7� N.C. (Waterbody) (City/ToA dndlor 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 fill in description below or attach a site drawing) 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sign p' t,or Type11ax , _. / Of (Adjacent Property Ow r Information) Signature Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toJ (Name of Property Owner) property located at -Z C� G SE.FJ /LIj�Jc TL (Address, Lot, Block, Road, etc.) on f --L in - t 7 N.C. (Waterbody) (Ci /Town and/or County) The ap li nt has described to me, as shown below, the development proposed at the above I io I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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 t 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. (Propertv,owner Infor ation) Signature Print or Type Name 2dl; S'Ed e214ZVU1Z i7/2 (Ad'ace t Pr rty nformatio .Si n, ate �e � � .• � ,�I P. ! �,,%, r! i �i' IN Pn 7 Nag NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 'at McCrory Braxton C. Davis Govemor Director AGENT AUTHORIZATION FORM Date: e,a 7 me of Property Owner Applying for Permit: T ES c G RRAP_�p ner's Mailing Address: d y ►10,IKAWI :r me Number& -a036 John E. Skvarla, III Secretary Name of Authorized Agent for this project: Agent's Mailing Address: Phone Number ( rtify 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 20(,, 561t 3ft2 J/ , 5creF CrTy, A/c,fl is valid thru (date) 4bEC 3� �v � 3 Property%OwneAignature Date