HomeMy WebLinkAbout62607D - Katopodis,f—'AIV A / DREDGE & FILL V
3hENERAL PERMIT Previous permit#
New ❑Modification - Complete Reissue nPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources �( I -Zoo
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1
Rules attached.
t Name JAmv
in j Project Location: County & U t1`J q-qJ"
o l i Street Address/ State Road/ Lot #(s)
✓�U�t StateN(--' ZIP . ' CA 1(_16kV1(C11A
+�3"' �b�1 I Fax # ( ) Subdivision �tY�
ed Agent , (A✓,l1� City OU UA `�7� V"XI(ck,. ZIP I $
CW _ EW El ES PTS Phone # i G )Z I - 54 L River Basin U 1
❑ OEA - HHF ❑ IH - UBA N/A Adj. Wtr. Body CGUkk 1C (nat
❑ PWS: ❑FC:
yes / no PNA yes / (0 1 Crit.Hab. yes / �ii� Closest Maj. Wtr. Body
A Project/ Activity
lock) length
VA
-\,\, 4 ut ivi'/ vlY1
(Scale:
ling permit may be required by: � L�� j'� L( S Lt (x (L ❑ See note on back regarding River Basin
h
pplicant: /� �n ` c rb �S Permit #:
ate:
I
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Fund in your Habitat code sheet.
abitat Name
ME
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 ❑
CONSTRUCTION
SOX 1417
BEACH, NC 28480
)-754-9740
w
1092
66-112/531
DATE
4ND TRUST COMPANY
BBT BBT.Co`m
—_ 44
,09211' i:053101121':134000Ll07533V
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ioiliilkl
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Brwdon C. t Jots Secn
Governor Director
AGENT A FORM
Date: 6 ?6A
Name of Property Owr@' APPIOV for Permit: Name of Autlroahed ApNK
Owner's Ah 0 9 Address:
Phone Number
i
s'
1 certify that I have awthorimd the agora listed above to ad on my behalf, for the purpose of 81 *"
for and obtatrrinp al CAMA Permits necessary to install or construct the kdowkV (scIJ'6ty)-
For my propa'ty located at $'D pAra9r1
This is valid thm (date) % o?0/3
7-z -/
Owrrar Dade
RECEIVED
W L 690rAM
DIVISION OF CO°-..�Ts� n,t�NAGEMENT
ADJJ ACENT u iP �R t AN PROPERTY Ow l NOTIF7CATION/W AIV ER FORM
Name of Individual Applying For Permit:? �T1N1 ��--r---'—
Address of Property: -- IQ D
(Lot or Street #, Street or Road)
"p-, _ I I e f r- a2� fj 1- l / ✓ �.
(City and County)
awt6 c-/�-
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• should
be provided with this letter.
V-> 20L— 1 have no objections to this proposal.
If you have objections to 'bat is being proposed, please call Debbie Wilson with the
Division of Coastal Management,127 Cardinal Drive Extension, WUM11319ton, NC
28405 or call 910-796-7215 witbin 10 days of the receipt of this notice. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, moorings piliags, breakwater, boat horse or boat lift
must be set back a minimum distance of 15' from my area of riparian access- unless
waived by ma (If you wisb to waive the setback, you must initial the appropriate
blank below.)
I do wish to waive the 15' setback requirement.
_, 4 Je I do Mgt wish to waive the 15' setback requirement.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual Applying For Permit:
Address of Property:
(Lot or Street #, Street or Road)
vim. _ . _ 1 _117�7 ( c Lk (0.
and County) - gev/ 6 �C
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, should
be provided with this letter.
` ){.� I have no objections to this proposal.
If you have objections to what is being proposed, please can Debbie Wilson with the
Division of Coastal Management,127 Cardinal Drive Extension, Wilmington, NC
28405 or can 910-796-7215 within 10 days of the receipt of this notice. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, moorings pilings, breakwater, boat house or boat lift
must be set back a mixtimum 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 15' setback requirement.
r � �
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