The URL can be used to link to this page

Home My WebLink About62669D - HoltdAMA'/ ❑ DREDGE & FILL V GENERAL PERMIT IQNew EJModification ❑Complete Reissue ❑Partial Reissue 62 Previous permit # —f9"— Date previous permit issued orized by the State of North Carolina, Department of Environment and Natural Resources `/ t Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0-7fZ I/ GQ k. ❑ `les attached. rtt Name �iwy/V�itf' (T�/�! Project Location: County),+ sD�tt/ ji t Street Address/ State Road/ Lot # ) StateAte ZIP Y153 OZ� -� _ # ID) SY/O .-- (_) Subdivision liedAgent // //W City ZIP d ❑ CW �SW / G PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes k1ta) PNA Project( Activity lock) length •m(s) �� X// pier(s) l$ length camber d/�i :aprap length 5- — vg distance offshore O nax distance offshore !� channel ubic yards amp oadift � 3 Bulldozing !0 ine Length not sure yes no Crit.Hab. yes Phone # tWO—) River Basin Adj. Wtr. BodyCA N6 OF S� C17`L nat Closest Maj. Wtr. Body t yJ4 P 5/1 l igs: not sure � Iiii I I--- 1000000 0 :)rium: y I F "mm. yes .0 ROMPS=' EM:1: v f+ (Scale• ling permit may be required by: ->V r f- L i Tin 0 See note on back regarding River Basin pplicant. K&WVt9 (� ate: to (14-0-3 Permit#: 6ZC69 ;scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. bitat Name 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 ❑ �5 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 El Other El Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ been forged, thhe PERSONAL MONEY �cewthis ORDER M16780 12490000 hose11 known Je effective NOT VALID OVER $1,000.00 3001473061 ISSUING BRANCH='I—'(-"3`-iC17--41I1_MTh41--TCIN L.6"Ea DATE IiI f'I +. , 68-236/514 1T:1°::1': DOLLARS PURCHAS Y SIGNING YOU AGREE TO THE TERMS ON PURCHASER'S COPY. Pi IAr wS. R SIGNER CITY 8 STATE — NP 7 306 "" i:0 5 l i3O 2 3 6 9i:000 l0 1908000 LII' _ 2D - ( (0-, � -gciv(v"- CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER F Name of Property Drrner_ K45+Vi�_- ! /-/ .4 _ r� oj-T - ;ddress of Propp.!ly 70 L 1Y "; VCNi7y _S i:- _<. F c iT"Y, /V %t i L(A :x SreP- K St-PQ` 4)1 Roaa. C ily M, Cniirty'k .Apolicarit 1hu1* N. 70 Y - 533 - �' T3` _ Llailog Add -ess.,q...r 7 v,t-re tf, t c: AkWINL-11, /VL_2St ' I Hereby eertity that I cvm property adjacent to the above referenced property. The app�llny fr>> !riis permit has described to me as shq.vn on the attached drawing the de they are proposing. A description or drawing, %vqh dimensions, must be vrovided with V I lu;vr ix) cdbiertiurs to ll!is vnv(s,;ii. _ 1 hanvr (IblectiOn% to this prol If you have o)Vections to what is being proposed, you must notify tho Division of Coastal Al (DCM) in writing within 10 days of receipt of this notice_ Contact information for IJCA availabtc at www.iorcoastaimangementnoticontacr-dcni.htm or by calling 1-888.4RC r2sponse is considered the same as no objection of you have been notified by Certified A WAIVER SECTION understand that a pier dock mooring pilings, breakwate,, boathouse. or lift must be: rrin.mum distance of 15' from rr.y area of riparian acc.Pss unless waived by me ;!f you wave the setback. you must initial the appropriate blank below.) V I dc) wish to waive ►4•.e lb setback requirement. I do not wish Lo waive the 75 setback requirernen', (Prvp�rty Owner Information) (Riparian Property Owner I ./� ,/ CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM Name of Proper y (X%-rer• In-1ALl Addr(g;�ofPwFL41y. �0�4 5 r��.�:�,��;Q: r�711 VC rN�I-jw G.1� 1;�-0 0o :;I:c-:-J R, Sl-e-tJ :n Rnir1 CiCir & C:)u11R1 rpMizant phones!!: 70v: 5' 33 - y 7Y? -- MaiGnr; A lcresS. Y"i I i 1.1, c --? er rL re l,t4- k C- v��- i(r Al" , NC- ,2 0 (7 9 1 he'Pa/ r.R_rtifj :1"449 1 CAVII r.'nfFny "nrev ;r, the at)ol/e ielcrer:ed F-nperri The :nrfivirlh al auplyi,ry k)r !t•rs perm it has described to me as shoran on rho atzarhed drAwii ltic dove opmeal they are proposing. ` g pi �� yq� �mensrons_ must be amviderl with IN5 tMr .s;% oc) v ?Imlio[.s tv rllk pTvIxl;RI I hdvt (ll�ltY'IiN15 :C1 rI11 .n:Ilvi.11 It you have otr actions lu whin is bev)g pr0;X=CEfYOU arusf notify?hv 0jVf5l0n 0ICOestai Aiairrjjgrrhrni (DO W) 1n wming wfrl7ln 10 days of receipt of this notice. Contarr ;nforrnl,-,tion /pr OCM ofncee 15 avaikWe at www.nccoastaimangrrnmf ncrfcnnt;vc1 drrnh(Tn or by celUng I-M,ARCOAST_ No respootse is con3fdered UK- same as Ao ef?jtEdon it you eave boon nofified by Certified Marc. WAIVER SECTION 1 ur.dmin-ntl that a pier. dock,—oorritg p'iirgs. breakwate,. bogthoise. or lift must be sm hank a m nitnum -stance of 16 i-om rry area at riparian access .jr.les`q nraivft ny me f:l :e%)u nnsh tD waive the setback ycu must initial the sapiopriate bliark belmv 1 /" y I du vrsh tc wimv • the 15' sL,(back -uqu remem. 1 do elol 1> h 14'wOtYe :he 1 S' setback reauim,-mont. jPropertt Owner I formation) &Al rgNttr L• (Riparian Propert Qwner tsilonnallon) • vr:rl:rr.• P► 11 ce Tipe Poame N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date /6 -- 2 La ( 3 Name oVroperty O)rner 4pplying for Permit: Mailing Address: 1 � I certify that I have authorized (agent) �% " 1 �`��"— to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) Property Owner Signature Date