HomeMy WebLinkAbout61581D - TaylorCAMA / -'DREDGE & FILL V`b A A r N? 61
ENERAL PERMIT ! Previous permit#
New ❑Modification Complete Reissue CPartial Reissue Date previous permit issued -
riwd 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 lJ % / rj U (l
❑ les attached.
t Name r ;✓ e- Project Location: County
r Street Address/ State Road/ Lot #(s)
State_ ZIPZ /F, DD i-Jq,.4A. T_
# ( ) Subdivision
zed Agent -�! /i,4,... City �J ✓ / ]� �ij � ZIP
Cw PtW L5eTA ,DES PTS Phone # ►River Basin CY
Ar—
C OEA ElHHF b IH ❑ UBA N/A Adj. Wtr. Body 6efp4 v�, (nat
PWS: ❑ FC:
yes / no PNA yes (4-7) Crit.Hab. yes /�
Closest Maj. Wtr. Body
A Project/ Activity �J ter( to�v�w �lti� 7� i✓l�� � .V%.i f� �G�i .� r i-.
lock) length
m(s)
pier(s)
length
umber
gad/ Riprap length
vg distance offshore
iax distance offshore_
channel 3 n 1 -L i 7 C
ubic yards
imp
)use/ Boatlift
Bulldozing
ne Length 1 Zed
not sure yes i
:gs: not sure yes
:rium: n/a yes � _ _-
yes
Attached: yes
ling permit may be required by:
I
(Scale: (' c
t
✓i� ❑ See note on back regarding River Basin
_ 1 �/
,2
i✓,, 9/1/
1,612,11
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IMMAA0 4
;,R PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
ant system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
ration, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, an,
Check with your Local Permit Officer for more information.
OF OWNERSHIP:
undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
as landowner on this application has a significant interest in the real property described therein. This interest can be
bed as: (check one)
n owner or record title, Title is vested in ��3/'G «� `�1L�';�see Deed Book
I- 3 z in the c .' County Registry of Deeds. L 3 l'.,3 3 1%3 2. j ( 6/1 rT� ow
n owner by virtue of inheritance. Applicant is an heir to the estate of
e was in
County.
'other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
FICATION OF ADJACENT PROPERTY OWNERS:
;rmore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
AL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
S1':117_d1:7,V2
'vS� �'�� /�'/iir,✓ 3��Q rL �ciL✓�z 5 �'� rz�✓ s 'll-ee /li.✓fi�,: f'P
3WLEDGEMENTS:
idersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
A problems associated with this lot. This explanation was accompanied by recommendations concerning stabiiiza-
floodproofing techniques.
more certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
.1 Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
this permit application.
This the 6 day off , 20 � �
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
hereby certify that I own property adjacent to W- % /7 V4- /� 's
(Name of Property Owner)
property located at 1-1'% 3 S/'b i �A�✓� 3
Address, Lot, Block, Road, etc.)
on l/✓I�QC'��yf� Irv/-c✓ in J U/fi� N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature /
Print or ype Name
�/J - 2 `;�-
Telephone Number
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA► MINOR PERMITS
hereby certify Dust I own property adjacent to 9.,J U C C- Zv iA V e- o A -s
(Name of Property Owner]
properly located at a i 3 .5,"O T 4/1 AI&I I L,3 Pc5 3� /3 z �TfI BAD rs Pi v
ef�A?- 0 A Address, Lot, Block, Road, etc.)
on IA'6< C wit STD � l-�lL✓. in -J4'X o e 17 Y N.C.
(Wah"tody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, 1 have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Print or Tvpb Name
Telephone Number
Date
srixe T4 ylor PIOJe(,-t-
Caul IV
3' ML4) LIS,
3v� �
r _
9kmp
Lanier-
C-kmej rovnj
flicant:
e:
/o�
Permit #: � /��/
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet. .
tat 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
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
I FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
J
Dredge
Fill ❑ Both ❑
Other ❑
7� o
101
4 %sue
Dredge ❑
Fil Both ❑
Other ❑
�� d
O �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 ❑
Y TO THE
'DER OF_
BRUCE W. TAYLOR
CAMELLIA S. TAYLOR
NCDL 2258327 PH 252-566-4054
4894 LAZY ROCKIN'T TRL.
LA GRANGE, NC 28551
i�eew�e
6e-77o4/2531
DATE z7e—/ —( 3
i'rfUA4ate-W - -
tatetate Empo�s' Credit Union',
Union®
Kinston, North Carolina
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