HomeMy WebLinkAbout62582D - Long_' CAMA / 6REDGE & FILL
V
EN ERAL PERMIT
Previous permit #
-,New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
'2 BOG
Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC
ules a ched.
=OliYi
t Name ht
Project Location: County /Ve'-"
/
s ,�; ill , _5;,�(4
Street Address/ State Road/ Lot #(s)
/ /rV1 did ap, State/ _ZIP
# (�/�� ax #
Subdivision
ized Agent �l yylr�
�l
City��l f� /i,.s AA7 ZIP
d ❑ CWfWTA ❑ ES ❑ PTS
/� �,
Phone # ( ) River Basin C 1,6
❑ OEA HHF ElIH ❑ UBA El N/A
Adj. Wtr. Body _ nat
❑ PWS: ❑FC:
yes) no PNA yes /146"j Crit.Hab. yes / no
!,
Closest Maj. Wtr. Body
4 Project/ Activity _iy.:r75rI' ✓~ e! _,;' -7
,r
(Scale:
ock) length
pier(s)
ength
umber
ad/ Riprap length
✓g distance offshore
iax distance offshore
:hannel
jbic yards
imp
use oatli
�3�' l N
Bulldozing
ne Length not sure yes
gs: not sure yes
,rium: n/a yes
yes Lger M I. _11�.._�--f 111 Attached: yes
ling permit maybe required bt:' CG' . Hy7�rS �Q, See note on back regarding River Basin
3plicant: � OYll,'
Rr
Permit
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
jitat 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/ortemp
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
92
hft
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ FII ❑ 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 ❑
D S MARINE CONTRACTORS INC
PO BOX 868
WRIGHTSVILLE BEACH, NC 28480-0868
oe,)Y)z.
3237
15-3/540
} 893
DATE ✓S �!�
,$aef
OLLARS
SANK
wo � �1 n�,
6 / &%fZ1
z�l --------- --
30 3 2 3 71i' i:0 5 40000 301: 5 3 2 18 L L, 6 2 II'
North Carolina Department coastal yi on ent apd Natural Resources
Lames HGreaW
Ba"Ay Eaves Perdue
,
Gove'nor
craoma6
01*ectcr �"� �g�
rJ �
AaEY7 Al3T� H0� T,�0 ?0. �-,� /
r
'�� Lov
4fData )1M (9)Uj2 w
N a of ProQort Owner APPtYiniq for Permit
avmer's Mai11 g Address
S3
Phone Number
Name of �I r
lw
P;gant's
L�ST�� SLIM
Pt -,one Numtat� }.'�itY, Ar•.
I camify that i have authorized the agent 1!sted above to act ors my oe"a"f, for the purpose of eppiying
for anrt obtair ng all CAMA Per,rits nacess `. to :-Istall or construct the following (activity)
Ne
;my prapert� �ocaled) at t�
Phis ce0ificaliall v
thry (date',
property owner Signature
Xv�le earth
113,+Wljo,10
_.. n / f,vil.
y
FAS Marine Contractors. Inc.
1
DIV)SION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FOR
Name of individual applving for permit
Address of property - —_-- r, "� �''.,".lji�f,'a f ✓ i Rr;�,^}t.', <f1
I hereby certify that I own property adjacent to the above referenced property. IT
individual applying for this permit has described to me as Shawn on the attache
drawing the development they are proposing- A. description or drawing, with
dimensions should be provided with this letter of notific-ation.
Please initial below if you have no objections.
i have no objections to this proposal.
If you nave objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive 'Extension, Wilmington, N. C. 28405 or call 91
3 -3JW within 10 days of receipt of this notice No response is considered th,
same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
7,
I understand that a pier. dock. mooring pilings.. breakwater,boat house,lift or
sandbags must be set back a minimum of 15` from my area of riparian access
unless waived by me.(lf you wish to waive the setback, you roust initial the
appropriate blank, below.;
100 wish to waive the 15' setback requirement_
I DO NOT wish to waive the 15' setback requirement.
ti
Signature & Date RECEIVED
nr.nn wn nniNrTnni r
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM
Name of individual applying for lid
Address of property 4 � � LM /k Jr'�" p
W 'JJzQW
Al 91-ft
1 hereby certify that i awn property adjacent to theobove shown nced on the attached
individual applying for this permit has described me as own
drawing the development they are proposing. A
description
t notification.ordra drawing, with
dimewith thin letter odimensions should be providedS/i'�
Please initial below if you have no objections�x
I have no ob)e&ns to this proposal.
If you have objections to what is being proposed, pleese write the Division of Coast
Management, 127 Cardinal Qrive Exbcnsion, N%lmington, N. C. 28405 or caH 910-
8A within 10 days of receipt of this notioe. No response is considered the
same as no ob' on if you have been notified by Certified Mail.
WAIVER SECTION NJ)T
1 undeMtend that a pier, dock, mooring pilings, breaWAtsf,boat house,lift or
sandbags must ss waived by me.(beset back a minimum Of i5, from my area of 08d8n 2cGo"
lia setback, you must in tisi the
union wish ah ba waive
appropriate blank below)
I DO with to waive the 15' setback requirement.
I DO NOT wish to waive the 16 mac* Mquirement
y
M�D�E SOUND
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LOT 166
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LEGEND:
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