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HomeMy WebLinkAbout62514D - Winsteadr-, ✓ ,T� ° ❑ CAMA / DREDGE & FILLv �ENERAL PERMIT Previous permit # New ❑ Modification ❑Complete Reissue ❑ Partial Reissue Date previous permit issued Drized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCACyc / '' nt Name f �'► El Rules a}�hed. Project Location: County 11 A Z, 11�1 s �3 4 �� �T b Street Address/ State Road/ Lot #(s � 1 �SAlf"!�` � State�K ZIP 2�) � % ' 0 Fax # ( )_ Subdivision zed agent hs City ;(4 `�� { SP�I ZIP ❑ CW JpEW PTA ❑ ES PTS 0 OEA I7 HHF ❑ IH ❑ UBA C N/A Phone # River Basin 4-- `K�►7/ S C �h/ Adj. Wtr. Body na ❑ PW_5: ❑ FC: yes / n� PNA yes / o Crit.Hab. yes / no Closest Maj. Wtr. Burly A Project/ Activity ock) length length umber ad/ Riprap length _ vg distance offshore iax distance offshore :hannel ubic yards imp /JI )Use/+(pi *--; XI7 Bulldozing '/4 f61 ,, ►f (Scale: ne Length not sure yes gs: not sure yes y >rium: n/a yes n 1— - yes Pt -T -l- - Attached: yet no - ling permit may be required by: r L'✓►'f Q V✓✓I,�5 (✓1 I�! , 444]See note on back regarding River Basin pplicant: / Lo (e L7 �/ h ���11 lip ate: Permit #: ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. bitat 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/orternp impact 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) �v v Dredge ❑ Fill ❑ Both ❑ Other OK /taamount) 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 ❑ LINE CONTRACTORS INC PO BOX 868 ;VILLE BEACH, NC 28480-0868 Z' ? 3111 1:0 S L.0000 301 3173 DATEII ip $ �d �-" 532L8i46 OLLARS 15-3/540 B93 AM-14-2010 ®8:52 From: To:91025630b2 P.? 1 &A kl^rth Carolina Department of Irttvlrpntftent and Natural Aeaourms of Conti$ Manscement 9w UVI r SolL ` /,fie P,0. Box8M (910) 256-3W Des Fmw2n wrei F9 ti ✓y �/ � �s1b� �jui�iL�l7 ►�- Name Autha ed A440t for INS ptoleot N c,'xisriir 76,0 G g3 Cd l�w;Tb 4 V phone Number Agent's MatyngAdMMS: Phone Number that I have authorized the agent ttsted above to tot on my behadrfoeor the Purpose(Ocjjat aPpk�n4 i °1iY o IdtT� t ln/�a�taNor conatruo► , for With otnaintnA att C - Per�m� !_l%kiluc i 6i (my ¢ropaM IwAted) of ihfattltlrtlon id vaVid thru (date) D&O Proo*rty pyrfor $Ipnature RECEIVED DCM WILMINGTON, NC JUN 2 1 2u113 :)ogle earth n v)'1szv'D 3 RECEIVED DCM WILMIN aTON, NC JUN 2 1 2013 �/"1tl1J 1T..�� �1OL70064� rL-wl til 'Won-. @NEW! w � awe � JJ <t t i� " • r � V F j ,; �r �nadjProp 010 OMSION OF COASTAL MAWOMEN ADJACENT R#pARpRQPEM OWNER NOTWKA- TiON &WAIVER FORM 'l Name of I"dMduaf appfying ftw Pam* ldim at i hweby COMFY that I awn property add to the ebm MWMlt=d pfotfe". The indiwi" g;0 for tfds penntx hee dwaind to an n show an the dfuwtng the pmeot fty eve p ft. A dexriptlm or drmMi vAM dl� should y►Quld be pf whh Oft btbw Of i pkme d beww if YOU Neva RO QAje ivna. I have no ab*60" to Oft p � if ym have obodorw to what iM bWV ArbP15 1' • Pkww write ate t4Mion of Coop" mumemmty 127 C6010 Mw eiftrokw% VWminqtoni N. C. 2B406 oroa 910~ n14" at WAniER SN I wtdarotpad that a piari do* moo" pong1k Weakwowbod WACO or sandbW moat bold back a mWnwM of iF fmm nrl area of rtptWn trde" wwv d by Awdff you vfth b **w the sue, rau M* fil" ft � C E I V E ft* b* w.) '- I M WILMINGTC I D4 w$h tD wad Dte 1& aelba* rags J U N 2 1 201 I DO NOT whh to valve the IF mbb* ImIrpi emeed. S� a4L a! prfiett tie �r k&trA%."sat irw Cede & m" DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FORM Name of individual applying for permit Z(--l°'v W �512�ft �I,u Address of property 23 bl*ob /� �., ✓� �� I hereby certify that I own property adjacent 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 description or drawing, with dimensions should be provided with this letter of notification. Please initial below if you have no objections- ' i I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910- ithin 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or sandbags must be set back a minimum 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.) I DO wish to waive the 15' setback requirement. I DO NOT wish to waive the 15' setback requirement. ��j%� Signature & Date