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Home My WebLink About61571D - StocksCAMA / 7 DREDGE & FILL NV 611 IENERAL PERMIT `Previous permit # �" 1 Vew ;,Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 2 zed by the State of North Carolina, Department of Environment and Natural Resources >astal Resources Commission in an area of environmental concern pursuant to 15A NCAC ` ` •ILL L Rules attached. Name I c G S Project Location: County �'V U r l tip► << L 249 5 Wt (' ca ly'la W ;1�1 tiF�j Street Address/ State Road/ Lot #(s) kf 4(A('CaMaht StateN_zIP2. i � 4A ( ) - 9 311 Fax # () Subdivision J � � [ � 1 V � t\.- !d Agent A 61 OA t► VA a ldt ryl Citym\-Su ZIP cw Ew PTA - ES PTS Phone # (11 C ) y " 4Z46 River BasinL.l%f 11 - OEA HHF =1H - UBA N/A Adj. Wtr. Body Cur\(J (nab PWS: —1 FC: Tl I L.J 1) 'es / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity k) length (C X . S) :r(s) gth fiber / Riprap length_ distance offshore- ( distance offshore innel is yards P ;e/ Boatlift illdozing CAMP 44x 110' Length not sure yes no not sure yes �o r um: rn/a yes no, a3.L no (Scale: f L ig permit may be required by: ---211 W n L-� W(ut LS 1;, U (�— ❑ See note on back regarding River Basin r 1,1, n._ A All I-W.,.I I c'l..l _ n—A C,A..,: I ►/1)A1.1A 1. .. A.,,,11. NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management iael F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr., Secr (Printed Name of Agent) is hereby authorized to act on my behaM ier to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to tl- fic activities described in the attached sketch. 4TION OF PROJECT: L C- J,(, " s J � 0,-T 3ERTY OWNER MAILING ADDRESS: irk �Aa�^r�S z 3 16,ccalrack .'-J7610 (!�GIi7aly /V' ^ K0 PHONE NO. k %Df ~ 113'.X1 7)— 'ORIZED AGENT MAILING ADDRESS: 7y am see �uC,�' CS�ChPS PHONE NO L y�- ture of Property Own( pvat4A1 t"A , 9()) �. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Vame of Individual Applying For Permit: OLIA S40 CIS address of Property: p j S PP o ►, i 5 u) G G 1 (Lot or Street #, Street or Road) (City and County) hereby certify that I own property adjacent to the above -referenced property. The individual Lpplying for this permit has described to me as shown on the attached drawing the development they ire proposing. A description or drawing, with dimensions, should be provided with this letter. Y I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coastal ✓Ianagement, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-3900 vithin 10 days of receipt of this notice. No response is considered the same as no objection if 'ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you Dish to waive the setback, you must initial the appropriate blank below.) (A I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Weieln &77c S - // - / X ign Name Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM 3me of Individual Applying For Permit: Orin � - 3dress of Property: L d 4— (S_ Pe�--�— (Lot or Street #, Street or Road) (City and County) hereby certify that I own property adjacent to the above -referenced property. The individual )plving for this permit has described to me as shown on the attached drawing the development they e proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. 1. you have objections to what is being proposed, please write the Division of Coastal lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 'ithin 10 days of receipt of this notice. No response is considered the same as no objection if ou have been.notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you fish to waive the setback, you must initial the appropriate blank below.) L� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Ar,AwIn pplicant: ate: Permit #: 4 f sa— �1'51S L) - sscribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. bitat Name DISTURB TYPE Choose One Frestoration TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act 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 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 ❑ )t �- � -- 12"o C/L-j