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HomeMy WebLinkAbout62501D - Stanaland�GAMAI/ ❑ DREDGE & FILL GENERAL PERMIT Previous permit# XNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued )rized by the State of North Carolina, Department of Environment and Natural Resources 1 I� Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC rl . Rules it Name h ea tA attached. Project Location: County BV RNI' l L L- y / Street Address/ State Road/ Lot#(s) >�1 6!`i� State ZIP 2.S32.0 � � �>J'r n �iN �✓l Lt O Fax # O Subdivision zed Agent a Vam `� U (til City W e'k, ZIP Z ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS �1 Phohe # River Basin i C OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 11 OJ (nat PWS: ❑FC: '� i -- DKIA �/ 0-_:« U 1. �r�,.. Closest Maj. Wtr. Body if Project/ Activity ock) length m(s) pier(s) ength umber ad/ Riprap length ig distance offshore iax distance offshore :hannel ibic yards imp 'use/ Boatlift I Z X Bulldozing i ne Length not sure yes no gs: not sure yes no mum: (n/a i ves no ling permit may be required by: I UINn Ut 121CH-tA .- - -- --- — 11 1-7t,,n A , . ,I n1..1 r.I ❑ See note on back regarding River Basin ,.-7,. 1 -L— I „ "... 4 ( __I . -- i „ , .. I - L C Division of Coastal Mgt. Habitat Impact Computer Sheet )plicant: /�,�/ Permit ate: � 13 ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. abitat 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 LH 4 Li 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 ❑ :S & BULKHEADS INC ER BUCK ESTATES Y, NC 28462 6712 -755-6861 -7 66-112/531 DATE I-, ------------------- I --------------------- s "300 OZ UST COMPANY BT. cim0, , 211, l:053&0LL2&1:00052; ?92 211- 15o 4- re tjaa .", w NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management °I F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr., Secr A 01 is hereby authorized to act on my behall (Printed Name of Agent) !r to obtain any C MA permit(s) required for the property listed below. The authorization is limited to tf activities described in the attached sketch. nON OF PROJECT: OuchGw sr hL6 =RTY OWNER MAILING ADDRESS: )RIZED AGENT MAILING ADDRESS: 7y Mt7A-�ftOr- eyck ES -- 0Iv Nc. y69 I PHONE NO. 101- G40- 7q 8a PHONE NO. 1W�/S— Page 4 of DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: Address of Property:__ 1d 1 Ou f 4i 11i Oeac j, (Lot or Street #, Street or Road) ' r (City and County) 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, 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 Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-3900 within 10 days of receipt of this notice. 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, boat house or boat lift must be set lick 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. V� Sign Name - Date J il� Print Name113, ;W Telephone Number with Area Code NCDENR S`:cama`.shells'riparianproperty.frm DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: -Mack :5iavia land Address of Property: 16 � OU/ harp S+ Houeo &0(h Vlal (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individi 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. 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 28405 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. Sign Name �-1 poo nil 1 IDS