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Home My WebLink About61559D - MooreCAMA / _ DREDGE & FILL A `9 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 i Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1 . IZd Rules attached. nt Name a „t Q (>j Project Location: County s f 4"-Vl (/ �li V4+ � /� t Street Address/ State Road/ Lot #(s) _ State ZIP # ( Y Fax # ( ) Subdivision Azy ized Agent 7NO �d s elf ' U d CW E PTA ES PTS OEA HHF IH UBA ❑N/A City f— ZIP 2&A L Phone # () River Basin Adj. Wtr. BodymA� (nat PWS: FC: yes / no PNA yes /{no Crit.Hab. yes no Closest Maj. Wtr. Body J W A Project/ Activity ock) length k m(s) pier(s) length umber :ad/ Riprap length_ vg distance offshore iax distance offshore channel ubic yards imp )use/ Boatlift B Ildozing �M xlt� ne Length not sure yes no igs: not sure yes g )rium: n/a yes. no yes Attached: yes no (Scale: ling permit may be required b : I OW Ot to I d e" 1',dCl(,L._ El See note on back regarding River Basin - -4-�� 11AnA..A All 1k-1 A e-1-IA �:�:I l/ 0JI 6 11411 - I „-1. N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 3.6 - 13 Name of Property Owner Applying for Permit: A N IA M ooRE Mailing Address: ZZ2b Limrrf'tArJ RoA0 RALEIGt'1 .IJ6 27607 I certify that I have authorized (agent) Nt-WY ,5PA�ekr1A J to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) B ut.K HEA 6 , Ft04T1aG Art b STA*M*,.%AA%r LaGX, at (my property located at) 17 5 5"RD FI Srt iuy E H o t.bEa SEA6M I 1%G This certification is valid thru (date) 9 - 9 - /3 Property Owner Signature Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: PE'rEA A,J 6 A,.),JA flooi9,E Address of Property: 17 5 500"F-LSrl b A HoLtcrj ScAe,,-i, pt- (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: IbAtJ,-)"l SPA (ZKCIAP 910 51? - 5*0 5 Mailing Address: 1643 PIJTAIL ACE S LAP P►,Y. tit- 294 6L 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, must be provided WM this tatter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what Is being proposed, you must notify the Division of Coastal Management (DCAQ In writing within 10 days of receipt of this notice. Contact Information for DCM offices Is avallaltie at.www.nccoostalmons-aementnoticontact dcm.htm or by calling 1-888-4RCOAST. No rosponse Is considered the some as no objection If you have been notified by CertiNed Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Py Owner Information) 7"rt', A �1GE�T Signature bA,J-1`t -5'eA Akre A f-) Print or Type Name 1843 P► t."T,4 ►L A Jc Mailing Address (Adjacent Property Owner InformaWn) �gnarure ff 65�2hi✓1e- L - Ei-I CICSai � n r Print or Type Name U 13 Mailing Address - DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: PIE -TEA A,�i O A,.)t►A t1ooieE Address of Property: 115 Ho Lb ro ScAcrl , p t- (Lot or Street *, Street or Road, City & County) Agent's Name #: bAPOY SPA KFcrwa Mailing Address: 18y3 PI JTAIL AJi: Agent's phone #: 910 512 - 56 3 S S H40P►.Y. IJC Z9 y 6Z 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. I have no objections to this proposal. I have objections to this proposal. N you be" obi jectlons to whit 1s being proposed, you must not►fy the Dhftlon of Coasts/ AMnagement (DCAt) In wrt ft wWon 10 days of mce/pt of this nodce. Contact inlbrm"w for DCM offices is available at or by caNng 1488-4RCOAST. No rwya an fs conaWwod the same as no ohOctlon M you haw been nodfNd by Cerdffed Mail. WAIVER 8ECTION I understand that a pier, dock, mooring pilings, breekwaier, boathouse, lift, or groin 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 jnNW the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (P Owner Information) " A �� AGF�T Signature b A-.U---`f SPA9*MAa Print or Type Name 1943 PrrETAIL AyE Mailing address (Adjacent Prpperty Owner Information) Print or Type NarrK 349 L— Co4 P / ... L I riff.., MaAing�Ml A -S 30G S NY101 pplicant: ate: `i /CV13 Permit #: 6155,1 D ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. bitat 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 arnoount) 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) El El Dredge Fill Both Other 2 O� D V 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 ❑ )OREJR 8554 W112/531 B�CM. WD TRUST COMPANY IIIII �GI.LfJ 1.11.1Gh f El //VYI iLC - , `K AV