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HomeMy WebLinkAbout60768D - ZikeDREDGE & FILL NO. 60 aENERAL PERMIT Previous permit# �New ❑Modification ❑Complete Reissue C Partial Reissue Date previous permit issued sized by the State of North Carolina, Department of Environment and Natural Resources �7 , N.1�(� Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC — J.,K Ryles attached. it Name Project Location: County �S "Al, Q1- Stre`e(tt Address/ State Road/ Lot #(s) State_ZIP2►)OZ lv' F aa) 2�K " 1P.�(.'(p Fax # ( ) .�I Subdivision iv .edAgent, .��1e ,. City�CQAvt yy '! I l ZIP Gpy+ n CW "AW 'XPTA —ES ❑ PTS Phone # (�) - River Basin Lum OEA ❑ HHF - IH UBA r I N/A Adj. Wtr. Body Ctll.V\ al (nat PWS: FC: _ yes �~ ol no ; PNA yes �/ Crit.Hab. yes(/no ` Closest Maj. Wtr. Body w Project/ Activity lock) le n h -m(s)— pier(s) length�� \�1� lumber i :ad/ Riprap length vg distance offshore nax distance offshore_ channel ubic yards amp )use/ Boatlift Bul dozing M X Nt,w : T I X _ _ r � 1- ne Length 1U not sure yes :gs: not sure yes es no _ L• Attached: yes no ling permit may be required by: Q I / c--,. , i r•....a:«:..... �' V? (1 a Vl A (a 6 l I ,._L•f A e . / I r-7 r. C (Scale: t(f ❑ See note on back regarding River Basin 07 13 12:06p Laurie Cook 703-28P-1 297 HAND DE! IVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIERINOORIVG PILINGSlBOATLIFT,BO.4THOGSE) I hereby certify tl.at I owr. property -adjacent to (Name of Property Owncrl Grope :y !.sated at _ J T t^4' (1-c•t. Mock, Road, ctc.) 2, ( en (Waterbody) (Town andior Count) ) Applicant's phone#:7.- Kt$Y--j66 Mailing Address:._ At?� Ic has Jacribed to me, as shown below, the develupment he is ptopoiing at that location, and, I have rm objections to his propose!. I understand that a pier4noonng pilings i bua-,Al i boatho se :r:w be set back- a minimur.: dis_ance of fifteel,, f ct ( I S') frum . , area of nparian access unless Hare-` by me. (if you wish to waive the setback, you must tnaia) the appropriate blank below.) r1 �i do not wish to waive — I do wish to waive that :ethick requirement, DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT: (Tn be filled in by indi, idual proposing dcw1opmera) (lnforrnatitrn for Property 01c App;) ing (Riparian Property Owner informauvnj for Permi(, �i�:.:nb Address _��—_l 5:gn_'arc City:N:•ateiZip � __ �F'ri.t;::r l',pr �:--.. T_ ieph ?e Number / I Tclephonc N,a: bcr Sicnatum ! Dstc Datc �� AWAF on& 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: f2 3o y Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: ZLk- AA, s Swt. fLt Owner's Mauling Address: L Agent's Mailing Address: Phone Number(3S4 gsr/' S79f Phone Number(%Q i !Z.6 9 Sri07 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): For my property located at -Tac 12WA44 /'f C zvy 4 f This certification is valid thru (date) Property Owner Signature Date 127 Cardinal Dnve Ext. .'N niVon, NC 28405 Phone: 910-79G7215? FAX 910395-3964 Intemet. wway.wxoastalmanaWment.net An Epudl OppuWme 1.. Affi abve Amon Fmplryer Nobne Caro ina tur. )VaI'm HAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to �% U A) s G (Name of Property Owner) property located at % �C -L � 7,-> S7 --' (Lot, Block, Road, etc.) Oil (Waterbody) #, J (Town and/or County) Applicant'sphone 79LIing Address:c lie has described to inc, 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 _t I do wish to waive that setback requirement. - ----------------------------------- ----- DESCRIPTION AND/OR DRAWING OFPROPOSED DE,EVELOP,14ENT: (To befilled in by individualproposing development) --------------------------------------- ---------------------------------------- - (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address Signature Cityistate/Zip —� Print or Type Name Cf If rIA6 o+Tf i FA . > � ...a® _ ,r Yam_ -�., _ 1�+ _. ��- i ��� T �-- . � i �,,,,,�.w � 1�t i ���; ,, p. �i �: U Division of Coastal Mgt. Habitat Impact Computer Sheet 3licant: I j'n a � �� Permit #: e: v v I scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. Atat 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 impact 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 ❑ Other 0 (Vv 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 ❑