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Home My WebLink About61629D - MurrayICAMA / J DREDGE & FILL N ERAL PERMIT Previous permit # �IVew ❑Modification ❑Complete Reissue [I Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :7 f :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1474-7 ' % Mules attached. t Name /a wee t le-e Z. A#r 1ytoH 7r, Project Location: County &Ilgi. Street Address/ State Road/ Lot #(s) P'Yr' �dr State_ _ ZIP l / / >r l�j� j1lh JS" tis-Ya �ir r/ Fax # ( ) Subdivisions ed Agent (hi'/ S City/Iv/ ��►,�r,� %Is-� ZIP 131CW D-EW ;DATA ❑ ES ❑ PTS Phone # ( ) River Basin OEA ❑ HHF IH UBA ❑ N/A Adj. Wtr. Body Wat C PWS: ❑ FC: yes /& PNA ( % no Crit.Hab. yes / no Closest Maj. Wtr. Body ■ ■■ 4�1111111111111 i� pr ■�■■■■ram■■■��.:��•�■■ MENOMONIE MENOMINEE= =11011■ ®mom ii j�me "Al MEMO Poo uIldozing .1 M 0 OF I ■■■�i%1■�■i%1�■%■ EM N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Zq I I b 170 Io,? Name of Property Owner Applying for Permit: l L- NAAA2 Mailing Address: I certify that I have authorized (agent) (2�^ Q--, S ci to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) A, at (my property located at) `� Ig «�4 aS�E.� (•. W ��,.� ., lJ_ C . This ce ation is valid thru (date) celo 1p�CtC NOE Owner SiMVure Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: LAwa Address of Property: (Lot or Agent's Name #: Agent's phone #: L rA ,,P.,e, --x. UI"f\t►I ll Q0"'i #, Street or Road, Qity & Mailing Address: 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. 4A— 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.nccoastalmana4ement.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.) r ,-_r- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prop Owner Information) SiOature L4,vrz0,� L-ykut Jx Print or Type Name 16 aemclaQec ' Mailing Addre LA J I I m, NjsAL)►J' Z)e)L4 t1 E-iL-:%.,=$ V#.-LJ DCM WILMINGTON, NC APR 3o2013 (Adjacent Property Owner Information) Signature 41%� �// L sa t\1 Print or Type Name 9yS Stil g6lo wl ,PRl ve Mailing Address ecaVw-r;,i oR 970ag RTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. Address of Property: L. (Lot or ScAet #, Street or Roa , City Agent's Name #: 9162— % (o� Q'5W Agent's phone #: 1 31 Mailing Address: /,S:yz 4d25 V4EI_ 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. 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.nccoastalmana_gement.net/contact dcm.htrr, 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 wi h to waive the setback, you must initial the appropriate blank below.) DCM WILMINGTON, NC I do wish to waive the 15' setback requirement. APR 3 0 2013 I do not wish to waive the 15' setback requirement. Ap Owner Information) lure Print or Type Name Mailing A15dress VJ,,,.,��f&3.C. c6q(I nt Property Owner Information) Print or Type Name 02-2- D-lve- Mailing Address W� LM i �.J ( '0oI Inc- 004-11 go V ;-/ DCM WILMING i ON, NC APR 302013 � 1 1 r �. DCM WLLMINGTQN, NC APR 3 0 2013 G ')]vision of "astall m9t. Habitat Impact Computer Sheet iplicant:�'C� �'� L _ %�,{-r✓r!'!, / Jr. Permit #: ite: /- IF scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. Ditat Name Z— DISTURB TYPE One TOTAL Sq. Ft. (Applied for. Disturbance total includes any or impacts) FINAL Sq. Ft (Anticipated final disturbance. Excludes any restoration and/or temp impact amount TOTAL Fen (Applied forated Disturbancence.Choose total includes any anticipattion restoration opacttemp tempimpact) Feet final anyanticipated and/orrestoration 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ COUNTS CONNAWAY MARINE CONSTRUCTION, INC. 910-794-8500 P.O. BOX 775 HAMPSTEAD, NC 28443 7 66-19,530 NC DATE 5�%�-�3 18515 6551 TO THE PAY ` _� /f� ORDER OF 4 C-- b /�//� $ Z`9e, BankofAmerica ACH RJ 053000196 Z&p DOLLARS u ""