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Home My WebLink About62647D - Stephens�CAlI /'❑ DREDGE & FILL / ly 62 GENERAL PERMIT Previous permit # —4�7! New ❑Modification ❑Complete Reissue 'Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources 'zoo Coastal Resourc fission in an ar pj yironmental concern pursuant to 15A NCAC �^ � ; � _ ( Rules attached. nt Name } P¢ 61� 4' t) C "11 ��/ �>R#! Rrbject Location: County �C N j� Street Address/ State Road/ Lot #(s) ' c LY' -D _ State zip Z k 4 P'-, L #) .,�tY SubdivisIn �►'f�t ASS V��l C �'� ized Agent f �� (�� City � ZIP Z D � CW SEW 1C�;PTA ❑ ES ❑ PTS Phone # ( ) River Basin C�f, OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body OLD T o PSA f (... C-t-f E at, PWS: ❑ FC: yes ! no , PNA yes / no Crit.Hab. yes /i no ' Closest Maj. Wtr. Body U ('5 � f �" S O V n ►f Project/ Activity i ... - (Scale: ' ►' ock) length _ m(s) length umber ad/ Riprap length vg distance offshore iax distance offshore -hannel ubic yards MID ruse/ Boatlift ulldozing (� k` ne Length V' not sure yes C� gs: not sure yes >rium: n/a yes yes Attached: yes no ling permit may be required by: IEF—,Kj D'C"'-ta— ❑ See note on back regarding River Basin PPlicint:01\rl1eS If ate: to !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::�q �� I 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 ❑ WESTERN UNION FINANCIAL SERVIEEg INC d coo do payableColoradr_-----�-- - at Wells Fargo^ Bank Grand J-c�Go.�_nlow: N.A. - ---- 14-758142198 t� 341149 U CR2613 _ $T 090608 k1 a �l oc 0 L. ii4i581. ?i98JUi D DotiARS AND NO CENTS ' iASER'S ADDRESS t,0 Lt, 7 5a L4 2 19 80111 PAYMENT FORIACCT. # PW-05-2012 E9:40 From: To:93294461 P•1'2 1hil l d 4ACENJ RIPARIAN PROPERTY OWNER JTATMW I hereby certify that I own properly adjacent io .— � � l l i �NF '� `VOf Property Owner), property located st .., r � _ Addrm on Z andlor H.C. The applicant has described to me, as shown below, the development propaeed at the above location. I have no objection to this proposal. I have objections to this proposal, DESCRIPTION ANDfOR DRAWING OF PROPOSED DEVELOPMENT (Indvidual proposing derefop~ must tA0In deserlp6an below or atteeh a site drawing) QK �' f�oa'1 V r St X Z 0 WAIVER SECTION I understand that a pier, dock, mooring pilinps, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access uniew Waived by me. (If you wish to waive the setback, you must Initial the appropriate blank below.) I do wish to waive the 15' ssffiad; requirement ! do not wish to waive the 15, setback requirement. Jpcpparty Owner tUre rt 9� (Adjacent Property owner information) _ signature POnto Cam. 9:� AJ�-2�-cull tz r-ori: i To: 9M92 1 P.1/2 CENT RIPARIAN PROPSRT) d.-WE I hereby certify that I own property adjacent to property located at 5 f\ ( u-m*, �r Owner). .� : , ^ jAddreaa� L71, Iock, R d4atq� on0�—�1 � 'SAti. Ll�rj4,in 5N N.C. The appl'cant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT OnaFlvidual proposing development must flit In descdipton below or attach a site drawing) r ek . L rV � I k � 4 \ WAIVER SECTION I understand that a pier. dock, mooring pHIW breakwater, boathouse, lift, or groin must be set back a rrilnimum distance of 15 from my area of riparian access unieas waived by me. (if you wish to waive the setback, you must InWal the approplate blank below.) ! do wish to waive the 15' settaack requirement. V I do not wish to waive the 15` setback requirement. PIco,perty Owner tttf Q (Adja Property G er Information) L P k p F4rIYAel�aie _ Plot or Typa NPrne , _ ►_ �i4 . i l.7 �d��D ��dy�� r �o��