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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