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Home My WebLink About61537D - Murray:AMA / L� DREDGE & FILL ENERAL PERMIT tkGPrevious permit# Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -• ed by the State of North Carolina, Department of Environment and Natural Resources �� astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ro ❑ Rul attached. flame G r✓ � Project Location: Countyt'�� Street Address/ State Road/ Lott #(s) State IV6 ZIP Z -`' S /Of - 716) 7 -703 VFax # (_) Subdivision i Agent % ✓'/�/JT_ijLG�-- City�/0-,OC7 S li��-�/� ZIP CW fi] EW �9 PTA �,IJ�JES ❑ PTS Phone # ( ) River Basin �T ❑ OEA ❑ HHF ❑ IH ❑ UBA ` N/A S Adj. Wtr. Body :s /.no ' PNA yes / � Crit.Hab. yes Closest Maj. Wtr. Body r' AV Activity ) length th )er Riprap length listance offshore distance offshore mel yards Boatlift dozing Length ' / —1d ` ` not sure yes no ' not sure yes m: n/a yes yes tached: permit may be required by: 1 J See note on back regarding River Basin r ✓— —Av., % Sc'L—// 7 GIE 8E ("Vo,qt popil:1.0 sw.+00,4s IAUIA �'�u PU�V�3 (hO LMq NbM MAN l� 49�� a fv4OY5 2-a/-e AD.fACENl T21PARfAN PftO'Cf7TY OWNER aiATEM NT ,r I hereby certify that I own property adjacent to _ Il An e �r/n & #)w-t 4 ,S property located at (Name of Property Owner) o7l Dal S�o�'e Ire r, (Address, Lot, Block, Road, etc,) on___ �� in 70lJ,sS�'/_,� , N.C. (Waterbody) —' (City/'own and/or County) The appGca t ttas described to me, as shown below, the development proposed at the above location. 1 have no objection to this proposal. _ _ I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individctal proposing development must fill In description below or attach a site drawing) New Vih yl huIk00'Ya6y „::? 7�;4• Na1< RIVER 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 wal a the setback, you must initial the appropriate blank below.) 1I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Propel+ Awner Information) (Adjacent P�r,jney Information) or Mailing Address Maili to -s Ci Sta elzi I Cif lSt ip _ �y Tele one Number Tele hon' a Nu b ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to i tw*y 9- Qeor a MU ri-,�\/ s (NaT"f r—o erty wner) P property located at 2 O2 SG )fGl� �`I�, to � s( .. CGi I�s� 2�T+4 (Address, Lot, Block Road, etc. on tC;I l SC�t�"ld in "PtilJ >` N.G. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locat I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) tre u.�efr c605,A- by seuevd ryjclnK CG)Ircdovs cur mac(/ Ls � wl Ste, 'c4e . �� cc in to prr&s s of +dL-Cq - (.e l( Gc ce t c- It(� -tic lr c pc4 ul<- Pc 4ye— 4 () 4-6 ace r c-}'Lc= i r C-fj [ O t4e cP(ecae CW ru.c cr)6 or Crl'c L ( 4 n4t- WAIVER SECTION f t 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. (Propert Owner Information) (A Sr t Ire/ Print or Ty Na e 20If Information) N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 121, .17, rp �ZO 1 2- Name of Property Owner Applying for Permit: -rim Mtk rrx- y Mailing Address: 2b(4 ChC% loge CAR.Y, N10 Z `7 S 18 I certify that I have authorized (agent) —T-6 p pp 1.n to act on my behalf, for the purpose of applying for and //ob``taining all CAMA Permits necessary to install or construct (activity) Sep. W c l I at (my property located at) 2102 )ri✓1 we- -Dry 7p�eGr�7" NCr 2 a4yjc-- This certification is valid thru (date) I zd 13 «/uJzoiz Property Owher Signature Date )ficant: (��?•l //'1a e: Z —76 - Zd/� cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final Disturbance total disturbance_ Disturbance disturbance. includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) �)J�J Dredge ❑ Fi!)R, 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 ❑ LINE CONSTRUCTION, LLC P.O. BOX 11291 _MINGTON, NC 28404 VR Fargo Bank, N.A. ®Wells North Carolina wellstargo.com 66-21/530 10141 2/19/2013 $ ""400.00 2693 100/100 DOLLARS )WAt - j - 4, AUTHORIZED SIGN B ID