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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 °"'!!lii�llllllllll I!!!i 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 � � bQ I x I i f i i I 3 rCE7-7 i