HomeMy WebLinkAbout61678D - McCuiston/ NY NV
ICAMA / DREDGE & FILL
r
V
GENERAL PERMIT
Previous permit#
� New Modification ❑Complete Reissue - Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
nt Name
k 4 � � 1
r ules attached.
Project Location: County�V y6o I at,
s
i -I V'C Sx-
Street Address/ State Road/ Lot #(s)
State ZIP2�47-z-
" ` rl 1 Y
O%Ljj,31PFax # ( )
Subdiy' 'on 1 4amxl
vv
zed Agent S 4- , i(t
ity `1 VI GL ZIP
CW EW 40TA Li ES ❑ PTS
Ph ne # (`�) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
�II
Adj. Wtr. Body �-�t W v-)
(nat
❑ PWS:
q�
yes / no PNA yes Crit.Hab. yes / no
�_�n
Closest Maj. Wtr. Body &A �w
if Project/ Activity
Q d t P Ct.i i ��ti �� 4 i;°1 ✓') (Scale: 141
ock) length_
m(s) X
pier(s)
ength
umber
ad/ Riprap leng
✓g distance offsl
iax distance off:
:hannel
jbic yards
imp
'use/ Boatlift
3#ozing
�AJ�1P�
ne Length
not sure
gs: not sure
�rium: n/a
Attached:
ling permit m;
' ate: �( (Ut y Permit#:
ascribe 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
bitat 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
„r 11-H..,1..1 r a� a y
Dredge ❑ Fill ❑ Both ❑ OtherA l Z S g
«illN unNdus) 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 ❑
CONSTRUCTION
DX I'll 7
BEACH, NC 28480
754-9740--��
1084
SATE 6G-1 I2/531
r �I�
UST COMPANY
4n■ 1:05310i
$ .'2pd. �
121i' t' 000
11 3
_ 0 7 5 3 n■ G __ ____-- �__�.
RUM
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
McCrory Braxton C. Davis
vemor Director
John E. Skvarla, I
Secretary
AGENT AUTHORIZATION FORM
Date: L I Z 01 3
of Property Owner Applyin/g� for Permit: Name of Authorized Agent for this project:
If
�r's Mailing Address:
zd14 z z
e Number(`ild ) ?qZ -R/07
Agent's Mailing Address:
/?0.90s/-1gZ7
Gv kxxff75VS7.Gr= agnif-W
/V, C. -.) 8 e/8-0
Phone Number(q/0 ) .`/-cSy38
ify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
id obtaining all CAMA Permits necessary to install or construct the following (activity):
ay property located at
;ertification is valid thru (date)
Z� > . 'I'l—i e. Zo
Property ner Signature Date
Ti c C�4Z�
VoZ/t
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NtO/TIFICATION/VJAIVER FORM
Name of Individual Applying For Permit: M a ft!L 0.1 " LS -6) R
Address of Property: 'n A 9 _S" s V p f, 5'
(Lot or Street #, Street or Road)
n/e, zBgZZ
(City and County)
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 call Debbie Wilson with the
Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC
28405 or call 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
I understand that a pier, dock, moorings pilings, breakwater, boat house or boat lift
must be set back a minimum 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
bla - elow.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Z/oZ/V
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: &E9 1_5 u n `s r t' r Is. .
(Lot or Street #, Street or Road)
2! / (/ A t Al. . , Zg 412 Z
(City and County)
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.
r/ I have no objections to this proposal.
If you have objections to what is being proposed, please call Debbie Wilson with the
Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC
28405 or call 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
I understand that a pier, dock, moorings pilings, breakwater, boat house or boat lift
must be set back a minimum 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.) 0 0 i
' inv+-ial here, -
S I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
2
AT
LET
' x is / , w,
EW
10472 d. Dock h