The URL can be used to link to this page

Home My WebLink About62633D - MillerICAMA / ❑ DREDGE & FILL 3"ENERAL 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 -oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. t Name2� WA ✓ Project Location: County V' nl-)' () 3 u Cu ('` Street 2Address/ State Ro d/ Lot #(s) State ZIP I i J Y a V'�l i Fax # ( )_ Subdivision �y� :edAgent ,t A+ �- 1ti j i City —Al 6 r � (�� ZIP L - �C ❑ . CW D EW L PTA ❑ ES ❑ PTS Phone # �� iQ 1'B35 River Basin LV W ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A -W Qk C +� �, Adj. Wtr. Body gnat / ❑ PWS: ❑FC: yes / no PNA yes / no Crit.Hab. yes :/ no Closest Maj. Wtr. Body "wLJ f Project/ Activity (Scale: Eck) length I IV /� 1(s)1fi/ A I (AN Z :ngth amber id/ Riprap length g distance offshore ax distance offshore hannel ibic yards mp ise/ Boatlift lu Idozing C _iW t�" )c �a ie Length not sure yes no ;s: not sure yes no rium: ,,nJa I Yes no yes no Attached: yes no ing permit may be required by: , own CA *10 I C4'X )P(l (,tw ❑ See note on back regarding River Basin i _ _ _1i1 V"irtl ^a.nd ('II'fA'01ti 1,)rA1 ��L it1AA iAiInri tir10t11I.;�A. 4C Division ofCoastal Mgt, Habitat impact Computer Sheet \pplicant: l�C Vl Date: Permit #: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremenl found in your Habitat code sheet. Habitat 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 fina disturbance. Excludes any restoration andh temp impact amount) Dredge ❑ Fill ❑ Both ❑ Othe \4C) C) \ 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 [I Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ )SON UCTION 5441 66-112/531 Date 2 1 S 2 2 7 P 0 S t. R1..r*4 f'�rniir�� r1L>n�rimpr�i 4 Grllirnnmont : rirl W- lira! RP-!;nyrrP'.r' Division of Coastall vianacemen. arils � n�;¢: pQ.r; ur. lames H. Greason lee t-reen error i:irar o1 � AC F:NIT Al ITHOR.1TATiON FORM e of ornoarty Owner Aoolving for Permit: Name of Aijt'aioriZed Agent Tor tnts PrOjef.=l.Aki-Lbe-tl Q, LLR,, Ac-, r4w_� er,s fvtaifi ig Address: %;ycrii s F�lamrig Aaaress: IS�SP.�c,(' es t�►re,�c� -Phone Number rW P- _. _ _ and nbtainina all vAMA Permits necessary to install or construct ttt�e ,oiiowing tactivity j: S`f('ota-- s certification is valid thru (elate) Mailing Address ADJACENT RM-kRL&NI PROPERTY OWNER STATEAUNT (FOR A PIE-91MOOR£11iOPJLbYGS1BOATLr"TIB0A HOUSE) I hereby certify that I awn property adjacent to`s (tame of Property owner) property located at Block, Road, etc.) On (Waterbody) (Town an or County) Applican6s phone 4.7b`t--Sgq—,Z45 Mailing Address:5/ 6 e� He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set hack a minim ;n distance of fifteen feet (15) from my area of riparian access unless waived by me. (If you wish to waive the setback, you mast initial the appropriate b nb below.) to waive �I do wish to waive that setback requirement DnMPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (.To be fdled in by individual proposing development) (Informadon for Property owner Applying (Riparian Property Owner Information) #or Permit) Signature 4<7 - — t At— r c1 r l i h ADJACENT xIPARLAN PROPERTY oVVNER STA,TENUgNT PZM0k00R1IYG PUJNCnWWATYnMSOATUOUS ) I hereby Certify that I own proptrty adjacent to _ 1 ,D I I ,S (Name of Property owner) property located at Block, Road, et(.) on —LrP� (WatearbWy) T! (i'orvn in or Conaty) Aippiicant's phoneAging Addren. Z�w,�c�c, . CAIC9a a I has descn'bed to mt. as shown below, the dcvelopmemt he is gmpoamg at that loefidj , and I have no objections to his proposal. I understand that a pledinooring pilings boadift 1 boathouse omst be set back a minh¢mn distance o£ fibma fleet (I5� ftm my arcs of rqm= access ualew waived by mc. (If you wish to waive the setback, you must initial the appropriate bl 3c . betow.) • I do not wish to waive I. do wish to waivo that setback iuq�nt DESCRIMON ANWOR DRAWING of ]PROPOSED DEVXLOPIVWT: (To he JMd In by &&wduaI proposbig dexclopmcnt) L4a Gam.. (Informatiou for Property Owner Applying (Riparian Property Owner Informatiou) for Permit) Mom$ Address Signaixue n41i, AIc.- gU4(.2- -- c,Ur�enc.. W • MOL� ly City1ftkrAp Print or Type Name Qfll-�Z(,:')-n1-tLC` 9il) l.,9l) --J-/A —/ic6L Q-re-CL al,5 '-f -/- 6 ip WILLIE CLARENCE RICHARDSON DBA RICHARDSON CONSTRUCTION PH. 910-842-5596 3235 SEACREST AVE SW SUPPLY, NC 28462-2589 Pay to the Order of IQ 5441 /D-1-3 66-112/531 /D Date $ 260 !�C< ` Dollars BRANCH BANKING AND TRUST COMPAN BANK BBT 1BTBBT.co�n �n�1//�'l0�• 3D For j( 0531011211 000524 215892705441 ^' J-If 0S 6of.� WILLIE CLARENCE RICHARDSON DBA RICHARDSON CONSTRUCTION PH.910-842-5596 3235 SEACREST AVE SW SUPPLY, NC 28462-2589 Pay to the Order of_ 5441 Io % 1-1-3 66-112/531 Date &o !oC< Dollars M BRANCH BANKING AND TRUSTCO (`"IOIC wn "-NM -"-v Ae _ ! . 1-100-BANK BBT BBi yfp 3D So--09 For.._.-._ I:053&01L2L, 00052L524139 2711'0544L MT NIP