HomeMy WebLinkAbout62563D - WhiteCAMA / ❑ DREDGE & FILL N? 62
GENERAL PERMIT Previous permit#
JNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
nt Name L ZaA �i T YOLV1 W kl k Project Location: County r1 i U n �� "41 Lit—,
+• bww' - —StateWC ZIP L..0P2,
Fax # ( )05
izedAgent��ui�,l.J JV1yi.
d ❑ CW } EW ❑' PTA ❑ ES ElPTS
OEA J HHF IH ❑ UBA ❑ N/A
❑ PWS: 7no)
yes / no PNA yes Crit.Hab. ye / no
A Project/ Activity
lock) le
pier(s)
length
camber
:ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ubic yards
amp
case/ Boatlift
Bulldozing
1�4 n P X, ! _,!
ine Length Q
not sure yes no
sgs: not sure yes no
:)rium: ti es no
no
r Attached: yes H
ding permit may be requires
Street Address/ State Road/ Lot #(s)
;WLki 6a Ll-, ZIP_22A
(�� River Basin �-4 w
Adj. Wtr. Body Id AA nat
Closest Maj. Wtr. Body �LV�
(Scale: ;
r
Applicant: C,�vW►' ` V v Permit #:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Found in your Habitat code sheet.
TOTAL Sq. Ft
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied far.
(Anticipated renal
(Applied for.
(Anticipated final
habitat Name DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/oi
I
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
Dredge ❑ Fill ❑ Both ❑ Other
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7
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 ❑
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A .PIERIMOORING PLL1XGSIB0.I TLIFTIBOATFIOUSE)
I hereby certify that I own property adjacent toLso�Le 4 t rs,o kites 's
(Name of Property (honer)
property located at ai Liu M 6e f a
(Lot, Block, Road, etc.)
on C n_ ACJ1- , in H o Q e- IS - ) , N.0
(Waterbody) (Town and/or County)
ApPiicant's pho� : gg "7 ?/ G Mailing Address: INS
He has described to me, as shown below, the development he is proposing at that location, and,
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouss
must be set back a minimum distance of fifteen feet (Ifl from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
L Fes— I do wish to waive that setback requirement.
_-------------------- ----- -----------
DESCRIPTION A.N`D/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
nS E u-A St�'n OQE
Lowa.�' --)
(Information for Property Owner Applying
for Permit)
�a35 5ep-cxr--
Mailing Address
(Riparian Property Owner Information)
/*
�rX
�` / Signati
G 1 .► - n 1.It ✓►
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PLEA/MOORING PILINGS11BBO OATLIFTOATH USE)
I hereby certify that I own property adjacent to/..0±11•Li �ro' l IN klr_ 's
(Name of Property Owner)
property located at L--4.A _6e"Aw� a
(Lot, Block, Road, etc.)
on C n piC:J_ , in H p I cLe v) � , N.C.
(Waterbody) (Town and/or County)
Applicant's phone : Sg '� i� (a Mailing Address: INS e� All t 17s'.
H%, J , at W L. c% M
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION A_ND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
` ,e,c�c- ; >nZ eu-& 5-L� F' xa 4' N
(Information for Property Owner Applying
for Permit)
3 a 3S 5 eo_cr c� A►l'C,S
Mailing Address
(Riparian Property Owner Information)
Signatw
S L., ;:) of u K1 C_ a
E)6Ris /3. B a J t".) e- /. L.
CANAL
NORTH
- - 19' - - - - - -
)pe Of Work. -
(lace existing 8ftx24ft float
Replace I� T
8ftx24ft float
UP
10ftx2Oft
existing
dock
John Troxler Doris Bedwel
126 Lumberton St 122 Lumbertc
- - -- - - - - 26' - - - - - - 14'
mers: Lathe & Fran White Contractor: Richardson Construct)
1823 Chestnut Dr. 3235 Seacrest Ave S�
Hinh Pint NC; 97969 ci inni" nirr OQAa0
im 14 atlrl�4.
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