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Home My WebLink About61615D - MooreCAMA / 0 DREDGE & FILL"- IENERAL PERMIT ` Previous permit# Vew Modification Complete Reissue C-Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources 'f >astal Resources Commission in an area of environmental concern pursuant to I SA NCAC �) Name Ahn, ` j��Q�n/ Mcba DQ Rules attached. Project Location: County �LZW W kAW A n t`MCC Street Address/ State Road/ Lot #(s) StateN(- ZIP Z (.._ I i ` ! Y 1 I. O Fax # O Subdivision 4mxy Z p-e-,� d ? t (; b1G Agent �� l t. Y� w�� JU r �!� City C 1�{l, C IL ZIP-� _ Cw D EW _ PTA [j ES n- PTS Phone # 233 ` 7 14S River Basin U r4 61 C OEA ❑ HHF — IH _ UBA ❑ N/A Adj. Wtr. Body (nat(� PWS: FC: Closest Maj. Wtr. Body es / no PNA yes / no Crit.Hab. yes / no Project/ Activity /1 (Scale: <)length gth fiber Riprap lengthy distance offshore : distance offshore innel c yards P e/ Boatlift Ildozing 1'5rV ll3 fb - �■■■■■■■■ate �9- •��'�� '�iii - . AMA / 2(DREDGE & FILL MERAL PERMIT `E' �`� Previous permit # :w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued d by the State of North Carolina, Department of Environment and Natural Resources TT ;tal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 ame`Vl�j Rules attached. Project Location: County t!�'1Sti/1 �•�tf• �'\I �"�Aw� r n I� tLE Street Address/ State Road/ Lot #(s) _ ...., _ StateN-& ZIP ��`�� — LY , 1.., si7a -t� —) -- -- Fax # { --)--- Subdivi ion f'J Agent r l' Y _a�aJ=Ctb,C� l} r r ` i . ' C! G("\ ] CW ❑EW i PTA XES YPTS Phi ne # ()J"LS River Basin LQ 616 ] OEA ❑ HHF ❑ 11H ❑ UBA ❑ N/A nat mar Adj. Wtr. Body l LC.N ( { ] PWS: ❑ FC: no PNA yes no C it.Hab. yes /Closest (no",'. h � w w Maj. Wtr. Body Ii� •oject/ Activity ength L _ :r iprap length tance offshore ` stance offshore iel ,ards !� Boatlift ozing rV lif 7 i o ^' ached: yes T'16 I i permit may be required by: (Scale: G ❑ See note on back regarding River Basin rules N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 3 -6 - l3 Name of Property Owner Applying for Permit: Mailing Address: ZZ2b t.Jmj-rtlA(-J ROA8 RALEIGrI , 4C 276o7 I certify that I have authorized (agent) DAr,i►Y _5PARk riAnJ to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) B uLK HEA IN , RoAnra* At4 D STATotj �D at (my property located at) 175 500124 FISrl U 36 H o t b El 96A6 t, rJG This certification is valid thru (date) 9-6-13 Property Owner Signature Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: PC -TEA A•-J b A,.),jA tlooie E Address of Property: 1'7 5 5006-m-tSr, b 2 Hoc6cj Scxier+, j (Lot or Street #, Street or Road. City & County) Agent's Name #: b^tJIJ'I' .SPA 2F<rwt' Mailing Address: 18y3 PI JTAIL ,10C, Agent's phone #: 91 o 512. .563 5 S"P Pay, �-j L 28 L4 62- 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 with this letter. 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 (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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, 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. (P77rt, y Owwner Information) Signature bAO�`f -5fAP-k-MA,) Print or Type Name 1993 P► t-�Tg ► t.. A J c Mailing Address (Adjacent Property Owner Information) 'gnc ure Print or Type Name Mailing Address til L..A r%,l _�/ ->Qi./ CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: PC-TE9 AJ 6 A,-),u^ tlooie E Address of Property: I rT 5 Swo(LD(`tSr1 R f )oL6C,-) SEACH, /J4 (Lot or Street #. Street or Road. City & County) Agent's Name # bApri'1' 6PA 9Kr-1A1J Mailing Address: 18g3 to/,JTA,L ACE Agent's phone #: Q IO 512. 50 5 S,AP P1 y, tit- 2S u 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 with this letter. J:56 I have no objections to this pro rosal. - I have objections to this proposal. ff you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at w°ww.nccoastaimana-gement.neticontact dcm.htr or by calling 1-888-4RCOAST. 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, mooring pilings. breakwater, boathouse, lift, or groin must be set back a minimum distance of 15from 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 (P rty Owner Information) ,g AGENT Si,;; rrut ttt-e grsa'f SPA ��A r� Print or Type Name 1943 P►t-.TgIL AJe Mailing Address (Adjacent Pr perty Owner Information) it Print or Type Name / 3y9 L— Coep-��^� Mailing,Apdre�s:�,t pplicant: P.�� ✓ V ��W� ate: Permit #: 141 l l 15 b scribe 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 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 ❑ Dredge ❑ Fill Both ❑ Other ❑ V Dredge ❑ Fill ❑ Both ❑ Other �"50 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 ❑ 6 10 WPVS OtA o-.Vry I ) N?pj t 0,619, PJA It rqTw-- ORE JR 8554 31 io G 66-112/531 M TRUST COMPAW f( /f bvs p, f( /f bvs p,