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Home My WebLink About61690D - Haddockv4v ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# 77 L,a41 New ❑ Modification ❑ Complete Reissue ---Partial Reissue Date previous permit issued orized by the State of North Carolina, Department of Environment and Natural Resources , 7 j 7 1 -f j W, Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC - Ryles attached. nt ame Project Location: County IUV 1(.li.. $ ` , G ; Street Address/ State Road/ Lot #(s) j1141 LY StateNC ZIP L.(Arie, # ( # (_) ) "'��``�,/ Subdivision f�lax ized Agent / 1ALI�ti�tC ✓ 1 A i�Yi� �. City ZIP ❑ CW EW ;may, PTA ❑ ES ❑ PTS I1� River Basin�1 Phone # ( ! l'1n3,�,�'�{� d ❑ OEA ' ❑ HHF ❑ IH ElUBA El N/A 'S1 Adj. Wtr. Body Fi 1 w W nat !❑ PWS: ❑ FC: ' l VJW yes /I no , PNA yes / no Crit.Hab. Closest Maj. Wtr. Body yes (no) 3if Project/ Activity lock) length length lumber md/ Riprap length ivg distance offshore_ nax distance offshore channel :ubic yards_ amp ouse/ Boatlift line Length" not sure ags: not sum :orium: n/a , Is: :r Attached: Icling permit may be required by: -T)Y f) �)W I L-u , U UV ) i I 1'? n n J ,. I I I I ❑ See note on back regarding River Basir 7;2013 09:02 FAX 001 N 61690 LAMA / I i DREDGE & FILL 'EN ERAL PERMIT Previous permit # New ❑Modification i:IComplete Reissue 1-)Partial Reissue Date previous permit issued )zed by the State of North Carolina, Department of Environment and Natural Resources oastal Reso roes Commission In an area of environmental concern pursuant to I SA NCAC 1 Mattached, Project Location: County. - .. State Road/ Lot # s Street ZIP - Lane � ) s . •;..ft;. Vol .1., > j..;; Subdivision_ --- — -- '' -: 'r it� ZIP River Basin n#EW lCCOWEA 1� O HHF i ! IH ❑ USA F I MIA Adj. Wtr. Body_- PW S: Il FC: yes / no PNA yes I no Crit,Fiab. yes no Closest Maj. Wtr. Body, Project) Activity ck) length i. ingeh imber id/ Riprap length --- _--. •-` i g distance offshore ax dlstaoce offshore _ hannel —. t able yards imp ruse/ 9oatJNt Widozin$ l i nat :fire yes no egs: not ye, a•kxn. rds no S no t Attsshad: ya {scale: `it V (ding permit may be required by: 1 See note on back regarding River Basin rule: a/ Special Conditions 1 Appli(--ant: �do Date: Permit #: � l 1 /1 _ I b u )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ound in your Habitat code sheet. labitat Name TOTAL Sq. Ft. (Applied for. DISTURB TYPE Disturbance total Choose One 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 1 �� Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Fill ❑ Both ❑ Other ❑ Fre 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 ❑ BACKWATER MARINE CONSTRUCTION INC 1191 1907 KIRBY RD BS. (910) 842-5707 88 112/531 SUPPLY, NC 28462 �f d� ate Pay to the Order of Dollars 8 BRANCH BANKING AND TRUST COMPANY • \ 1-a00-13ANKBBT B pi Mob N For 1:05310L1,20:0 05L09221119L.71,001191 DENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Governor Director Dee Free Secn AGENT AUTHORIZATION FORM Date: 1/ 17to l3 am of Property Owner Applying for Permit: Name of Authorized Agent for this project: wner's Mailing Address: )/3 o X 34! � lone Number (W ) (aa _ -? Agent's Mailing Address: l2o'7 S� 42 /--;7( Phone Number (?,d) ye��? ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaining all CAMA Permits necessary to install or construct the following (activity): rvs i L �r my property Located at 3S+ is certification is valid thru (date) /In1 S,/I/IZY W. • Date 95V-T K1\my-vftw Drive �fc [ tqc Jb ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOIL A PIEW OORING PXLINGSBOATLIFTBOATHO"SE) I hereby certify that I own property adjacent to L � X. )i��c�-1 (Name of Property Owner) property located at 7y �� U (�� 0 / &to ;( iy (Lot, Block, Road, etc.) v one iL�4 COSTAZ f�%k[�Ay ,in'ZUnjSf,) /CI N.C. (Waterbody) (Town and/or County) Applicant's. phone #:9�� '� �� 'o� Mailing Address: 0 , X 3 o2f �.0 a�3� 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 thata pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (I5') 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 ` _V I do wish to waive that setback requirement. C � DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) d - 1?)Q�- .3o3L Mailing Address (Riparian Property Owner Information) 7 �/A bi,W'V /L ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PMWOORING PLLINGS/BOAIU.FT/BOA7HOUSE) I hereby certify that I own property adjacent to ��'� y 4,1 -,) bo CJ( 's (Name of Property Owner) , property located at /L (Lot, Block, Road, etc.) On-LO 1 L7t Cu S7-11L N Lew �`/ , in B1?L40J-S6-) IC(( C T ! , N.C. (Waterbody) (Town and/or County) Applicant's phone #.ZP 033-woe Mailing Address: i. U , /�o )( 3 03(o & ins 37� 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 (I T) 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� I do wish to waive that setback requirement4144--- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) fo. Mailing Address (Riparian Property Owner Information)