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 ❑