HomeMy WebLinkAbout61670D - PorterJ L
WWAIAMME
• :..
)f Project/ Activity
ength
■■
WE
ad/ Riprap length
�i■11■■�■■
■■■NI1■iI11W�■�■■■■�■
vg distance offshore
■■■
■
■■■■
■
■PIN
931F
MWlloomi
■■
iax distance offshore-
■■■
■■
■I■■■■■■■■■■■■■
■■■
■m■■■m■R�■■i1■■■t�■■■■■
■■
■
■■I:'i■■■■■■■■■H■
�■
jbic yards
®■■■�!!■■
11*1�
mmIIW
ENE
ME
��rar���L►�■■
�a
1N�:�
■■�._�■■■■
ENE.
E■■�■
■■�■■
®��►�,MIMEC&OM11=0J
■IM
.ii�
ne Length■
■■�■IN■■■■■NA■■si■
■■Yi�lT(4TU■N■■■:■ail■■�■
■■
NIMBI=
■G.■
�.....��
HN^
:■
0
IMU"FA
sure yes no
gs: not sure yes no
ENE
Ourn: n/a yes no
���►
uili■
ii
mnot
om
PRE■�ii■■■■
i■■■■
I-
yes no
■■■�i�i■■■ii�ii
■■■ii
.
yes no
i■■ii
ling permit may be required. 0
■ ...
'Division of coastal Mgt. Habitat Impact Computer Sheet
plicant: La &--v Permit #
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind 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`
r53
�rj3
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 ❑
7 1 — V-7 r-- — I.-) r -- ) �',-), U!
HOLDE & BULKHEADS
GREGOR OROTHY HOLDEN -203
5089
HIS NCDL 4 $ HERS NCDL 5202642
Y
-842.9732
1502 _ lE C3klMNEY,R -
/
DarF C_
LL S13� �! NE'28
�J
3 PAY r0 THE /v_
„ ORDER OF
Ji
e �
_
DOLLARS
lP D '^5K First
Community Bank
1:0 5 L 50 L 2 9 91: 8000 L 5 7 5 3011'
9
7 7
Ilk,
I ,I
'I,— 10 1 S . I n 6 '. I
6mu. I
IN
to�jj`-': i
1.4
f L
All
411 -fb
.p21
2'`
?vo7D
L�-'
-ak-ro -J�r.3
-tea a� fi°I s 6 I
zl x oZ.l
�v!; w
.Z-dv fl
dJSo�a?1�
l�-03-2007 iQ:02 From:
WhW F- EM". GwAmm
Tv : Bg2gW6
North Camhm Oepwiamt of Bw*M trertt and Nat wal Rmumm
Omsion of C*"W !Aertqp "m1t
Yev,-n1
Atuotrisetl Agent Consent AgrempOW,
is hereby aut wtmd to act
!n OMW IO aMM MW CAM pW&*gj required for UM pMPMY 01sted below. The authortZept
sPecft adMIM dNnbed IN 80 aftdod ekOch_
VOCATION oR PROACF.-
�9� Coc
PROPERTY OWNER MAILOG ADDRESS:
oC eS c4cy 1
�y, P /'-I e W 11�� Ja 11 �D -
r7Tlr, ".:.rift c.a. t t t ;1 :4
I'HT-GJ-CUIJ 14•YJC I[C/1'HJ\
ne pufposo of the fens is m pmvide prayer naftc m yaa m as a llxm rip mi pt VcM oww w On Mividual or
indinidnb hsud bclorlW. 7hc CAMA C.=V i pal* Wpkabp pr-tea+ empW dw appkmm provide aae• Divylon
Cam! "!� aeafammson tmt n wfii smmmmt ban boat abound SbMW by do I " m PmPeRY ow
itu im thy &= dm:y have no ekslsxtion m dim popmod cork ar dnt the afpcemt 6 ion proparap aehnaem have b= row
by mitisd lisp of tiro PffiVowd worlt. Ohm ft= Ihyle A Wt solrwietN to On adjecae rW owners lY R fm
carp ramr or a ithlliviAmis ant as an ahaclwd=d oam on bdalf ordle appliauL
TAia form Ins iear4 so y6a by *t (gnatrb be lmdWUsa or cDmVh y desdRagtrd by the appli3tt as as
mmshwrhohd mpse
r
Awtit+-i'vi�ir'�.a F►�'i.i7` S ��[:i""`
Name 04 :nd3ividim: Applyipil For Panr;a: Lz2Lg C
Addmm of i'rdptrty-
tL.ot or Smet S. S&wa or Rand)
yj
(city and cep
i heeeby comfy that l can The individual applying for hhr,
hu deanbed to oft as sbwn at the ac"d drawing the development they nit pmoasing. A desctipaon of d
wi,& dimes should be provided with this tenor.
r
� t !+�� sate s4si�tirarhs � t4+>!� ptopos4l= -
If yes hove ablMdow to +lrttat is b t V. pMprd. wrft the, Aare or Coos"! masm-gees,
Cardinal Drive Emusica, Wilming afo. NC 2UGS or call 91 .7%-7215 wid u !h dup of mceipt -f eba
at° — :
w, ,. .- ..,ems 4e� ,.,�� ; ;; if �. - "m mad! by +Ctrffmd MaK
i�Y .r�t/Y�fi ii ..i/Oy..Ir,®M ��
WAIVER SECTION
t un4rrsnad that as pkr, deeL maerhw ltWw*k brmicumter. beat house or bast lift rnussr Ix sir
mltdmmli +dL—m—eet of is, Dne: saw srem- sr Apar6m sceels - oak" WGW ��1Y_a1l4 fUvosa with in
mmtb*&, you sr=t mil the a —.—prop. *-e► ble—sk m I
i do Nei w `."".. 4m i 54- Pemba.4 .^''u-i'SL'^, unt.
i $UAW w it w wuiv': uw 1.4 w6w m4uisc�u�i�i
d4flAl= -7
Sign Week Dem/
AA
�oK� iZs H. Gi7,t�, � ✓'
I'HY-Z�>-Z171.3 14;191 Kr- /MHx r.
mAm- W,,c:m t ma: cd r r am: u-vrCJa�o
■! q .x tus 00tea.: • t !b:: _l, 'ti]
TU pmpm of *0 forte is m provide propar Police m you as an adjxaa tiper4n �topehsy ow*er to � fidi•ridual or
otdividmcls Riled below, 'itic CAt+A/1 Gmhe,raf Panttk �ppaCatioa pr..codt4e! � tttta dppl�ptttJ provide lira •DiWiOh
Coastal 11 Im Neat axtrumAdon disc a .rimes stummt ban boas obmimd s*tad by the NO)OOent n wvm PMPCRY ow
indicning dw day b c no Ob*cfm to dto p VpOSM wort xtd[ ttte mfjK tt fiptristt PrOPMY owtlera heK b=p hotif
by cam5C4 wag crag p vposcd wwJ6 ohm Mm Raga sec scrb,ti to dts adjamw nptiiiatt Pr "AY owners by n mr
c0lII agM or Gee mNridmis sew% p4 an aWmr>iid Mott on bohal f of mo appikaoL
Tbb fotw was ant d YM by the h011owitt IrdWMmQ or aoaW.W des4Sswd by We applianc as as
a.lbot a agenc
Audwtimd Ae=Ws S'tgmatre aoc
Natne of IndivWust Applying For Porynin
Add=at�Pmp=Y J w"L-0 " silt �
(Lot at Seeot 1, Saeet of Reed)
-e— &�j G m 5 m !
(City and County)
I Hereby cer"fp that 1 own p vpetty Aaaaef fo Me ebOvo-teMenaed proQeRy. The individual applying for thi!
has datcn'bed to ctlo as shown on 1ttC m"d drawing the develepmem thaw are proposing. A desmpnon W 4
wilt dimensions. should be prvvidod with this Icmr,
!/ 1 have no objections to this proposal.
tr'rm have objeecimm ce what Is belt propowd. please write the Divislon of Coasml 3laaadem,
Cord6al Drive Czahnsoao, ViMmInctar., MC ZUGS orcmU 910-7%-7215 •within i0 days at. ;pt of tki
14a raspome is eonsidend Me>omtte as ao obj=Ma if you brave bee* watstled by Certified Msit
WAIVER SSCTlpN
I uw4errtand lira a pier. deco. M41W eg pig. breakwater. belt bwo at beat tiR atusr be se
rakdreum dltaaloeg or lS tiara my m= at r4m riaw ttoeas - o, maivrar bt►.— (U you wesb Io 1
rao avast iniliai the appeeprimee SWtt blow.)
1 do wish to waive rite 1 S subaek tequ=ffmnc
wish to wnivc dte 1 S' K tmgilimmnL
ign erne
fir Lv
PAULM.20M ! —