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HomeMy WebLinkAbout61638D - HuffmanCAMA / DREDGE & FILL BEN ERAL PERMIT Previous permit # New ❑Modification `:Complete Reissue ❑Partial Reissue Date previous permit issued 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 / �- Us✓7_ ��^^++ his) ( 42fules attached. Name (2'1&5his) Ra"Mid Project Location: County T- _IU. Pi ��h!o-r i a( D—state ZiP a } () % 8 7 -i j 1 g Fax # (_ ) .d Agent A-0Aa OW NAAJ ,( NO(I -C/OTWKN/ Street Address/ State Road/ Lot #(s) Subdivision City 0.A ZIP ❑ CW 9EW ffPTA ❑ ES ❑ PTS Phone # ( ) River Basin Lt? MM ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body LA'51�� v i' oat /i ❑ PWS: ❑ FC: ees /e o D PNA yes / Crit.Hab. yes / no Closest Maj. Wtr. Body �� W Project/ Activity i (Scale: :k) length igth nber I/ Riprap length distance offshore K distance offshore annel sic yards ip i se/ B6atlift 12 illdozing I Length _ not sure yes not sure yes um: n/a yes yes attached: yes ig permit may be required by: �� G► (Sl�lFl�tii,,i+ ❑ See note on back regarding River Basin r ,pplicant: S1/l�j Pr I `�j�'( l�j l _ � �Q J 0 Permit #: U1 late: 717? escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final ibitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact tem impacts) impact amount) temp impacts) amount) Dredge ❑ Fill ❑ Both ❑ Other rf 11(J 5W Dredge ❑ Fill ❑ Both ❑ Other El/ 3►, Q 3;c,0 7C 75 Dredge ❑ Fill ❑ Both ❑ Other Ef", 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 ❑ --- .......... —1 .............. IARINE CONSTRUCTION INC H. OR KAREN Z. PERRY BOX 11046 910-457-5488 SOUTHPORT, NC 28461 06116 DATE -2 �' L 85106 66-30/531 453 $ Fey DOLLARS 61 w 2 TrS,0 2 3 t- j:oS3 1003001:00LIS31r- 3 Aa p k. VVM 14L 304K North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr. Authorized Agent Consent Agreement is hereby authorized to act on my b (Prinled Name of Agent) order to obtain any CAMA permit(s) required for the property listed below. The authorization is limitec ecific activities described in the attached sketch. )CATION OF PROJECT: ROPERTY OWNER MAILING ADDRESS: awn uF � tn� PHONEN0.2� r g JTHORIZED AGENT MAILING ADDRESS: PHONE NO. alto LI `J 'j S L(, S ignature of Property Owner: AMERICAN MARINE CONSTRUCTION PO Box 11046 Southport, North Carolina 28461 Email: AMC036000aol.com 8oat i INVOICE NO. # (910) 457-54 (910) 457-6! s r Q S si lame of Individual Applying For pen -air; J 3.(\ (' )an W&M of PropeM 6 e t1 �5 1. n(1 �Vr, i Lot or Stmet it, Street or Road) iLAM(15t�� CK Cinr and Co�mtyt hereby certify that i own property adjacent to the abOve-referer-ea propc;=. The rindividum pplying for this permit has described to me as shown on the amched drewlnoo the, developmw,"tl" re proposing. A descriati.on or drawing, with dimensions, sholalc be Crotided With thiS 1el#er have no objections to this proposai f you have objections to what is being proposod, please wrtte the Di. isi,-in of CoGS$L tlanagement, 121 Cardinal Drive Extension. Wilmington, NC 28405 or call 91'1796-711S vitbin la days of receiptorthli notice. No response is considered the some as ne oblt+ 6anif 'ou hove been notified by Certified Mai{. WAIVER SL• CTIO- understand that a pier, dock, mooring pilings, breakwater, bout rouse or boa, lift tnustbtset fck a minimum distance of 1,4' from my area of riparian access - unless Ivaived b. me. (if you vish to ivaive the setbnelt, you must initial the approprinte blunk below do wish to waive the l setback reaLire^-e -- 1 do nOt wish to waive the 1 3' sctbaCk,--!-_ Print Vatne Ali 2 � .. wn of Individual Applying por permit: J (.A (`(l an tigress of ProperEy _� C) (o �1 i a e L q�to (Let or Street 4. Street or Road) '_Cinr and Cowty I I Hereby certify that I own property adjacem to the above -referenced pmpc;—ty. The individuM )plying for this pentnit has described tone as shown onthe auached drawing :ne dtve t" -e proposing. A description or drawing, with dimensians, should be provide+ wEththk der have no objections to this proposa: you have objections to what is being proposed, please write the Di%-sit.,n of Coftow- lunugement, 127 Cardinal Drivo Extension, Wilmington, NC Z8405 or r111 91 -3 796-711S +itbia 10 days of receipt of this notice. No response is considered the some as ne obie&6nif ou hove been notified by Certified Mail. WAMR SLCTIO understand that a pier, dock, utvoring pilings, breakwater, bout "louse or boat Lift {n%st beset tck a minimum distance of 1=' from my area of riparian access - unless waived b% me. (lf)au }ish to waive Ole satbncit, you must initial the appropriate b1sr.k below o-W do wish to waive the I setacit i do not wish to waive tht 1-5' szrbaci; -ev=ire-* •r ;Tara print%tame