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HomeMy WebLinkAbout62662D - StoneCAMA / DREDGE & FILL T� ' PERMIT '�NERAL Previous permit # NNew Partial Reissue u'Modification ]Complete Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' �r�- �yy,,, Ste 5 �L0Rulesattached. Name me i i'K Project Location: County lu; % L ,3Lo,eeopla. 1,-w Street Address/ State Road/ Lot #(s) r IOrl � fit! State_ ZIP Fax,#s'( )/ ^'—" Subdivision :d Agent City e'*IX-101404Fr� ZIP ❑ CW Limw ' P'PfA ❑ ES ❑ PTS OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Phone River Basin Adj. Wtr. Body ❑ PWS: ❑FC: ees /C PNA es no Crit.Hab. yes / no Closest Maj. Wtr. If Body 1 ��A Project/ Activity k) length y igth nber 1/ Riprap length__ distance offshore x distance offshore annel iic yards i Length not sure yes not sure yes ium: n/a yes yes no .� ig permiEmay be required by: �PL,4 (Scale: / � J %t7ih ,CirpA-yl��N See note on back regarding River Basin ri ite: Permit #: 6 2 /_ /„ 2 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. �itat 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 impactamount) 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) 4 " 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 ❑ ECK MARINE CONSTRUCTION INC. 3506 TALL PINE CT WILMINGTON, NC 28409 do j 4146 DATE �7 66-46/531 �d $ 2ov. 90 DOLLARS LJ��„� P1CH RT 061000104 iw 46n' 1:053 L004651: L 0 0 0 L49438 L93u' AE AAA N+CDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Dee Freeman Governor Director Secretary AGENT AUTHORIZATION FORM Date: a' 3 Name of Property r Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Address: 12 ` Q VS'�J Coet-£. t-k� Vic- wn(oc Phone Number - Agent's Mailing Address: 3$0(0 74LL O1NE r - lv e ZigY0�3 Phone Number (17j0 2.5(0 — 30g� I certify that I have authorized the agent listed above to act on my behalf; for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): &ot-A - For my property located at C- Cv�a1pv,�A ) NC --B This certification is valid thru (date) Property Owner Signature Date RECEIVED DCM WILMINGTON, NC OCT 07 2013 I hereby certify that I own property adjacent to IJ SEL%—K 's property located at `-l1 on (Waterbody) of Property Owner) Tess, Lo Block, Road etc.) in 0J N C. (City/Town andlor County) The applicant has described to me, as shown below, the development proposed at the above iacation_ have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing] WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back 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.) AI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement- (Propc&y Owner Information) (Adjacent Property Owner Information) c.] 1 ZVQ TypB Name Ma n9 ti dress ' Oily/ tate2in ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �4e-Y e— d' KQ-., (Name of Property Owner) property located at 4 �� 9 e�� ,� on (Waterbody) W, Lot, Block, Road etc. (Cityfrow and/or County) The applicant has described to me, as shown below, the development proposed at the abm I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site c WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be minimum distance of 15' from my area of riparian access unless waived b me. (if you M the setback, you must initial the appropriate blank below.) R by E I `. FEE LE-01 DCM WILMINGTON, � 1 do wish to waive the 15' setback requirement. OCT o 7 2013 1 do not wish to waive the 15' setback requirement. TP"perty Owner Information) (Adjacent Property Owner Informatior tore ,(� � Signat Print or,�(�@ /. Name P t or Typ�+�iame � � 1J����`i?,w � BWLJ�) 4"1&4 . LA Aj,,N I N C.) iri AN I-j L- V K,, AJ5 AfZAL-,'; WN T- Legend 0 Points Lines Polys Addresses