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Home My WebLink About62505D - Strickland�Q$MA / DREDGE & FILL `/ N? -62 ?ENERAL PERMIT 1� Previous permit # New ❑Modification ❑Complete Reissue []Partial Reissue Date previous permit issued )rized by the State of North Carolina, Department of Environment and Natural Resources ' OC Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. it Name Project Location: Countyjl�t1 Street Address/ State Road/ Lot ,#(s) ;1 State zip )- Zj Fax # () SubdivPelljo ision zed Agent V&&GU1�t_c iLe� y � � h1rf ��5 City 1 e i f ZIP j ❑ CW DEW '�' PTA ❑ ES ❑ PTS 'Ph'orre # River Basin ❑ OEA '❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body Arl 1A) jA) (natS PWS: ❑ FC: yes / no PNA yes /ro Crit.Hab. yes / no Closest Maj. Wtr. Body lJ if Project/ Activity ock)length}� pier(s) ength umber ad/ Riprap length tg distance offshore iax distance offshore :hannel ibic yards Imp use/ Boatlift Bulldozing (Scale: i //= nor mm�m - - .--- ---w 00010ww■Mw■, MOEW7.wwwmmw , t `• r Imam, Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fin Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Choose One includes any Excludes any total includes Excludes any [Habitat anticipated restoration any anticipated restoration and restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) (� V \ �Dredge ❑ Fill ElBoth ❑ 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 ❑ y X'-i = 1 �( /27/2013 12:22 9103232219 FAYETTEVILLE WOMANS PAGE 01 F. iasley, Governor NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Chadw S. Jones, Director Authorized Agent Consent Agreement NO= G. Ross Jr.. Secretary 'Gt is hereby authorized to act on my behalf (Prinfed Alamo of Agent) to obtain an CAMA permits) required for the property !fisted below_ The authorization is limited to the activities described in the attached sketch. CATION OF PROJECT: OPERTY OWNE11 MAILING ADDRESS: LA L fit- 1100— THORIZED AGENT MAILING ADDRESS: v h-),u -�, L t- c.... PHONE NO. 3/,O-- I} d r7f PHONE No. Od q nature of Property Owner:_% DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM (`lame of Individual Applying For Permit: A v'A a-v�► LLU ��t /lv.� 5�-�-�c�.; Address of Property: �^ C A, C v �� U (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individu applying for this permit has described to me as shown on the attached drawing the development th are proposing. A description or drawing, with dimensions, should be provided with this letter. \A1 I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coast Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-391 within 10 days of receipt of this notice. No response is considered the same as no objection you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If y( 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. '�� a � LA V� AA'a .1'a N I,-, XWNWA DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: �J Address of Property: (ra veo St- OT_t2 (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individua applying for this permit has described to me as shown on the attached drawing the development the; are proposing. A description or drawing, with dimensions, should be provided with this letter. -� I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-390, within 10 days of receipt of this notice. No response is considered the same as no objection i you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift 'Must be se bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyol wish to waive the setback, you must initial the appropriate blank below.) V' I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Sign _ Date X70. - A �,tk !W/ . X N. Ll I 13 .r.- - ---,t 0 m