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HomeMy WebLinkAbout61513D - Stocks�iCAMA / ❑DREDGE &FILL GENERAL PERMIT Previous permit# ❑New -Modification ❑Complete Reissue El Partial Reissue Date previous permit issued orized 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 - Rules attached. nt Name (_ _ �T Cif �� Project Location: County 6yu0.5wI L Street Address/ State Road/ Lot #(s) , i e il3 /-+( C;,l YYdW State i `i ZIP ='' ` 5c t r, v #1� ``/'' Fax#( ) Subdivision ���( ��VII(iSL'�U._ ized Agent j(� yY1yy1\Ty V'htk r'bI City ZIP ❑ CW E EW -PTA ❑ ES ❑ PTS Phone # Li River Basin L.J) M L ElOEA [IHHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body c a ll u.l Z (nat PWS: ❑ FC: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body >f Project/ Activity ; �'� ; ; `r1I ; , ''i ld (ICY k4l l ock) length ' "; -,t m(s) !. �C .+X pier(s) ength . umber ad/ Riprap length_ ✓g distance offshore iax distance offshore :hannel jbic yards imp use/ Boadift I x Bulldozing K A A;�jG ne Length ?E not sure yes no gs: not sure yes no ,rium: n/a yes no yes no A=cfmd.X ("- yes no ling permit may be requirec '� (Scale: I /�= NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management -hael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Authorized Agent Consent Agreement (Printed Name of Agent) is hereby authorized to act on my bel der to obtain any CAMA permit(s) required for the property listed below. The authorization is limited t -ific activities described in the attached sketch. ;ATION OF PROJECT: C-T �ERTY OWNER MAILING ADDRESS: �rjlm :5�6c k-15 'gt 3 1loIcamaW �4C WocraI uty AIL d SYS) PHONE NO. HORIZED AGENT MAILING ADDRESS: %y I IVC aS� PHONE NO. ature of Propertv Owner. . 14 z dock c ve,e-ed Kcud t� UV N x 1b ►nP r �D ex�s�► h�ikh.� � Pen+nsvlu6�aT-6 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: OaLg -S+Q C k S Address of Property: Lo -}- j ,5- petl yl, sy )6 Q �rzjg (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individl 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. Y 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 910-395-39( 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 1 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. (Ifyo wish to waive the setback, you must initial the appropriate blank below.) CA I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. �Xa'ln �y11 /%_ 5 - // - / 2- >ign Name Date f�sch�� — 'Q0yY"k- ksfzi AA_C- LLC � i► DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM lame of Individual Applying For Permit: _ Oan �'OC�5 Lddress of Property: L G 4- (5- Pe n ( A+ a_Z (Lot or Street #, Street or Road) (City and County) hereby certify that I own property adjacent to the above -referenced property. The individuz pplying for this permit has described to me as shown on the attached drawing the development the re proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coasts Zanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390, rithin 10 days of receipt of this notice. No response is considered the same as no objection i on have been.notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yol fish to waive the setback, you must initial the appropriate blank below.) L-� C- 1Z I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ign NamJe Date Tint Name r AT. kpplicant:f C �5 )ate: Permit #: I n is l escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement fund 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) CV V 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 ❑ A "KS & BULKHEADS INC VSTER BUCK ESTATES PPLY, NC 28462 910-755-6861 6641 66-112/531 DATE DOLLARS �e . NO TRUST COMPANY 3BT BBT.com ^ � _ I