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Home My WebLink About61655D - RitterLAMA % ❑ DREDGE & FILL N e 61 GENERAL PERMIT Previous permit #.- lk4ew ❑Modification 'Complete Reissue Partial Reissue Date previous permit issued >rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC t 2 ex "1 ❑ les attached. it Name 1 Project Location: County L Street Address/ \State Road/ Lot #1(s) j State_N(--. ZIP M V , t�`t�`-✓ 1 < �, � n � tg l v 7q01 Fax # ( ) Subdivision a zed Agent Iio ✓ t �/� Ci ZIP � ty i ❑ CW Y4EW PTA ElES ❑ PTS Phone # ( ) River Basin El OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body r" ❑ PWS: ❑FC: yp§ / no PNA" y / no Crit.Hab. yesC/ Closest Maj. Wtr. Body �� V f1y P SO U t f Project/ Activity >ck) length L n(s) :)ier(s) angth ember id/ Riprap length ,g distance offshore ax distance offshore :hannel ibic yards mp use/ Boatlift 3ulldozing ie Length not sure yes gs: not sure yes rium: n/a yes yes Attached: yes ing permit may be require( (Scale: I ��. cant: Permit #: b ( % !�� -ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement f in your Habitat code sheet. DISTURB TYPE Choose Name Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. TOTAL Feet (Anticipated final (Applied for. disturbance. Disturbance Excludes any total includes restoration any anticipated and/or temp restoration or impact amount) temp impacts) FINAL Feet (Anticipated final disturbance - Excludes any restoration and/or temp impact amount) 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 ❑ STRUCTION, INC. NETT LANE MY, NC 28460 BankofAmerica —� ACH PIT 053ODDI96 66-19-530 22831 �� &a- b -? 7 8 AUTHORIZED SIGNATURE 283on ':OS3000i96,: 23?OlS337748ll■ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date I 0 Name of Property Owner Applying for Permit: Mailing Address: 7-6 kmv� R[dc�, I certify that I have authorized (agent) �� a (.V ✓�I 1' U r U� act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)��- at (my property located at) This certification is valid thru (date) Property 0wn r Signature ij 13 Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: �` V /- C�(AV0 f i (Lot or Street #, Street or Road, City & Cou Applicant phone #:------------- _---------- Mailing Address: y (' ,f7.{AX 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. V 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.nccoastalmangement.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, or lift 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.) J--- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property qriWn r Information) Signature-��------- -�l�-------- Print or Type Name 7 `t ° Mailing Address City/Sta elZip -7 t 0 -.? 2 Telephone Number (Riparian Property Owner Inf mation) Signature nn - i^r11 Print or Type Name Mailing Address City/State ip Telephone Number CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: party 1� Address of Pro i (Lot or Street #, Street or Road, City 8 County) Applicant phone #: Mailing Address: r Ill-, 1 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. _ t have objections to this proposal. tf 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.nccoastaimangementneVcontact-dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection H you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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. (Property Owner Information) Signature 7 Print or Type Name �yo M� LA)-ui, �6 r�V Mailing Address 41- L y I � 10 C-!_ ti' c Z& 14 City/S el Zip Gi c, 3 �� 1 Telephone Number (Ri an Psop�e Owner Inf ation) '! Signature Ia ,4 #1 /'I Gr✓'�� Print or Type Name I -SO Y (S' Mailing Address CvStatel ip Telephone Number Date Date I I i I ... { _ I- ,.. ,_, ....... .. , , ti.... �..., _.... ...... _ ....... ..,. ..._ .. .. . _ . __.. ..... _ i _ .._ . _. _._..._ _ ___.. _ ..._ ..,.__ .. .1 f _ _. � I I i I I' I i I � � � j .. � _... S I