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HomeMy WebLinkAbout62616D - Wilkins: 'f?AMA'/ ❑ DREDGE & FILL GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources j� 1201 Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC - } ❑ Rules attac ed. nt Name IC t t"�dr� Project Location: County s f'✓v.— 4i Street Address/ State Road/ Lot #(s) State ,i%e ZIP 2�'/Z Fax # () Subdivision V� zed Agent J Ahy �/ CityZIP ❑ CW © EW C+ PTA ❑ ES ❑ PTS j Phone # ( ) �� River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body le �l�✓ iCnat/� ❑ PWS: ❑FC: Closest Maj. Wtr. Body yes /Cng% PNA yess / no Crit.Hab. yes / no if Project/ Activity ock) length�— ength umber ad/ Riprap length ✓g distance offshore iax distance offshore i -hannel .ibic yards imp ws Boatli Bulldozing — I ne Length -� .� j not sure yes no gs: not sure yes n -- )rium: n/a yes— yes�' (Scale: [.. t Attached: yes ` ling permit may be required by: 4 114 ���—� /� �,(J/� f/jyT� ❑ See note on back regarding River Basin plicant: te' 2 "C uoV'1K,t"'s Permit #: �2C16 ,tribe 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 imopad 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) Dredge ❑ Fill ❑ Both ❑ Othery 6 (� 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 ❑ INE PIERS & BULKHEAIDS LLC 18811 11GHTSVILLE AVE 910-256-6357 11 NILMINGTON, NC 28403 1 66-21/53010141 2086170208961 1 DATE J i< I 4�z- p� �6 DOLLARS 8 k° 1 3 l lu' i:0 5 3000 2 L 9 208 6 L 7 08 q 6 Lu' I NCD�IR North Carolina Jepartrneit of Environme"t and Natural Resources Division Dc �,,oastal N4aragemert Pet R.,0rory BrWon C, Davis Joan �, Skva�ia, II' Governor Directo- Sacratay AGENT A VLt-LQH!ZA—TIGN E06—M Date: "I bl, Zv'L ^Marne of Property owrner Applying for Pe'mit: Narne of Authorized Agent far this project taw Owner's Mailing .Address: Pv 2� i:)�, Phone Number lc� g `�. i t Agent's MaitingAddress: Phone Number �_ I certify That I have authorized the agent listed above to ac° on my behalf, .or the Pur'Pess or �r✓FIY:�g for and obtaining all LAMA Permits rroessary 10 iristGil or .construct the fcllovving (activity): For my property located at _6 741 16 V, This certification is vaiiai ihru (date; - ; --- / �r �;4,0 Date Property Owner Signature ADJACENT RIPARIAN PROPERTY OWNER TATEMENT I hereby certify that I ovm property adiacent tc (' L prcpery located a* ��-yr L��k �- n (Name of Property Owner) (Address, Lot,. Block, Road, etc.) on (WaterboC"._ , in ) c N.C_ y) (CityjTown andior County) The applicant has described to me, as showy be ow, the development proposed at the above iocatic x I rave no objection to this proposal. I have objectiors to this proposei. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Indl"vidual proposing development must frtl in description below or affach a site drawing) 71 n r.-� 50I t0 WAIVER SECTION I understand that a pier, dock, mooring pi;ings, breakwater, boathouse, lift, or groin must to set bac- minimum distance of 15' from my area e, riparian access unless waived by rre. (if you wish to wai the setback, you must initial the appropriate b!ank below,; A I do wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. (Property Owner Information) Teter•hore lVur"ber 1 E f n..._ (Adjacent Property Owner Information) 7 N Signature Print or Type 'Nam Ma,ling Address C ./State a ,�- Tsle hone Number Emerson Solutions 910le41 ti14 p.3 CERTIFIED MAIL • RETURN RECEIPT REQUE DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONPNAIVER FORM Name of Property Owner -_,_ 1 ' �� ��- i h � Address of Property: -I L11 )"l_ K 1 1 1 E' 4 !ter' �.--- , .,f (Lot or Street #, Street or Road, City & Cou Agents Name #: Agent's phone t Mailing Address: hereby certify that I own property adacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A dascriDtion or dr&6LIncii. with dimensions must be orovided with this le r. _— I have no objections to this proposal. I have objections to this proposal. lfyou have objections to what 1s being prvposs d, you must notify the Division of Constai Management (DCM) in writing MINA 10 days of receipt of this notice. Correspondence shourd be marled to f27 Cardinal Dii a Ext, W11mingtor, NC, 28405-3845. DCM representatives can also be contacted at (90) 796-7215. No response is considered the same as no objection if Lou have teen notified by Certified "I. WAIVER SECTION I 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, yo-i must initial the appropriate blank below.) I do wish to waive the 15' setback requirement Z� I do not wish to waive the 15' setback requirement. (Property Owneranformation) Sipature r C t�l�; j-C-l. 1 �� I i�lr•� i Print or Type Name 82,>c- 1�C��� Mailing Address City/state/zip (Adjacent Property Owner Information) Signarure 4Qr bvs Print or Type Name Mailing Address �}'►4 W, n fthm N L VL514iZ Cit Mate.Zlp AJl)E CM015o'i 0Liu[un5 a ivro.* io i•r p, ADJACENT RIPARIAN PROPERTY OWNER "WN ERSTATEMENT I hereby cerify that I own propery adjacent tc (Name of Property Owner) property located at _i � - �-t (Address, lot,. Block, Road, etc_) on .t...Ll; (�v�. ��+� l r" _ __• in N.O. (Waterbody) (CftyiTawn andior County) ^ The applicant has described to me, as shown tre ow, the aevebpment proposed at the above local I nave no objection to this pr-uposal. i have objeotiors to this nroposat. DESCRIPTION AND10R DRAWING OF PROPOSED DEVELOPMENT (lndi"vidual proposing development must fffi in description below or attach a site clratvint NV L�� V y..:. ,r. l WAIVER SECTION I understand that a pier, dock, mooring pi ings, breakwater, boathouse, lift, or groin must be set bi minimum distance of 15' from cry area of, riparian access unless waived by me. (if you wish to v the setback, you must initial the appropria#e blank below.; ! do wash to waive the 15' setback requiremert do not wish to waive the i6 setback requirement. (Property Owner Information) ,1 1_,:2 (Adjacent Property Owner Information) Si.grtature Print cr ; pe N6Mr5 1 le Mauling Address 0 I AA C /St2te/ZI _0 '7 T6!hone Numbar ep /C_7^P,7 IF Tti[5 MAT; MW Of MMM A9 CAWT®dY C R IDT sty Ait�;�lfiAl By DKM ► M5no = HOW'.'.� LAT�W�pAS6�1MfMVrn�MA(,:VOID(Im#=WIR�l�9.�iy1�Ctl3TAyWNUp9yOF. it1 L/�rW1Av� i 1�i/IR..IV lY�f �^....^•�'�MINN.� L�J�.�.•�." yt � {l1tY AA E cc- V ROAD J 5l APE FEAR RIVER LOCATION MAC 1% Race— � �EOORA�07N�IOSO�.' '� '� oa�n eoc�lc a i� ruse: N9 �► : - 0SD 00[7k a 142 PAC,e t lbp a IAAt 9DOK b HIM U . 8 PAGp iQ g WpDD/ rua 3EE Adf»ABtT ' !. 055142 PO 211D eM714 sa rt. .. .ac AGRI'8 `u '• ` SS'att (� sc teta p9 999A i'G 124 I cowl ` x To ouvwvmuw-y ! :" �iw,an i�� hrrs Tw M es g f % {p r(me PC ow w ootna^po'ee 1I.p act, Road ! =mm 8) I I _ Ij "or WCIIMfD9UGlIViK1W9YOOUA�RM�y��4A[N1Ai f I *W " J7= drmw. W- BY fXN FlAN1']1i� >� 7�'9e19AMMOMSOALPONDD�kR1CadW t #: Lftl �yGgAmw. plitViOlriflY MARIiD f'J'f II<aM