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
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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 ^
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