The URL can be used to link to this page

Home My WebLink About60760D - BlackCAMA / DREDGE & FILL / IENERAL PERMIT V New Modification -Complete Reissue Partial Reissue ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commissigkil 2p�r f environmental concern pursuant t o 15A N%4 Y V! A V%cl Y� _ No. 607 Previous permit # -- Date previous permit issued_% N c4�Countyeetdr.ess/ StateAVe Road/ Lot #(s) Vv(1.r1�_ s z& qd l qpu ; a Subdivision Bd Agent f %dam S't' �+ City .fit!/f c_-!� ZIP CW I EW PTA S PTS Phone # (—I River Basin OEA ❑ HHF IH ❑ UBA N/A AP �,�1 a 13 na Adj. Wtr. Body 1 PWS: ies o PNA ❑FC: ye no Crit.Hab. yes Closest Maj. Wtr. Body�" /� Project/ Activity ✓ S Q ( � I r Qr 0 :k) length _. (s) er(s) igth nber I%%l p' rap length distance offshore ( r c distance offshore 2 annel Ur^ sic yards_ ip >e/ Boatlift dldozing Length t -� not sure yes ,. not sure yes um: yes no yes ! G0 :--F attached: yes 4 __ ig permit may be required by: f (AMr 4 �acale: WN I' L.. - 5 ❑ See note on back regarding River Basin rt DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to 1 110 A G 13t 4' f k 's property located at y 0 J 0 (Name of Property Owner) P. f, -- 4 (, �y ( (Address, Lot, Block, Road, etc.) on > �� 4' h4 ( , in Si'� �� V , N.C. (Waterbody) Agent's Name #: TIC Agent's phone #: (City/Town and/or County) Mailing Address: ra He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoasta/mangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) Signature 044k,, a kIb s Print or Type Na e (Riparian Property Owner Information) Signature A,h4 Print or Type Name fi5r j l 1,-�h �� ? R L101 Mailina Address .41 Mailing Address DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to ' i1 u 13 t4 ( s property located at y 0 J n (Name of Property Owner) f /. f, r. �� (Address, Lot, Block, Road, etc.) on �� f �� 4 hli , in 5�,� f ��V , N.C. (Waterbody) (City/Town and/or County) Agent's Name #: /G r� S / Mailing Address: La)) �f 441kk- Z� Agent's phone #: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) (Ci�a� F� if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoasta/mangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) Signature Print or type Name Mailina Address (Riparian Property Owner Information) "4-e Signature M,A4 13 (L Print or Type Name / 1 t cc. ; )b Mailinq Address N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date /17 "0-4 2 Name of Property Owner Applying for Permit: IA 4 //, Mailing Address: I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) I> v 1 2 f ' at (my property located at) LW O This certification is valid thru (date) ii - M, _ O D......n.-+cr nwnPr Cionature /Z)-If' -/ Z Date CAMA / DREDGE & FILL N' GENERAL PERMIT Previous permit# 4New Modification Complete Reissue Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15 NCAC I1�� 1II ,,�� .. ,, `` L1,j �} Ru a he . t Name 3"-e v CT Ct �'�� 111 f Q JU Iect ocation: County Street Address/ State Road/ Lot #(s) Or- �h Statel�L ZIP ol1 �i OpplFax # ( ) Subdivision ed Agent f_>f �' 0�►�1(V n iSUJCity _ ZIP Z L CW XEW *A ES - PTS Phone # River Basi44C ❑ OEA ❑ HHF ❑ IH ❑ UBA N/A Adj. Wtr. Body, nat L PWS ❑FC: yes /(no PNA yes no\) Crit.Hab. yes / o Closest Maj. Wtr. Body Project/ Activity [,l�4' (Scale: I �� —k �r__MOMMUMMMEMOMMEM1E length riumber a • ... NONE ■ ■■■NO■ EN■■EEEEE■■E■■1!�■w■NNi■E ■■EN■IN EEN■■■ mom ■0■ME0aN te,J..,H131ME■■NEE■ENN■I. NiiN■■■■Ni::::iiii:ii■�■i NOON■■ E■EE■■E■E■ENE■ENE■■■■■EEi■EEE■E■■ Tv—g distance . EEEEE■E■EEE■ENEE■NEE■■■E■E■E■��E■ max distance . E■EEO■E■■■■�r:+I :,■■■r■ ■■Er■E■/■■E■ EOEE■■■NE■WWIT;�' ■IDOL■■■I■■E■ �■■■■■■■■, ter i i i�■■■■■■EEE■ 'Comm - mom ENEE■■E■E■■■■■ ■ENEE►IEEE ■ M cubic yards ramp— i ■■■E■E■NE■ ■■ ■■■�■�■�.� ■■E ■■■ �� ■E■EME ' ► Eric ■ rw --_—i, Wiz..,= EWEN NN■■■■■■■■■MON VE►EM EE■NO■ notsure yesn:E'�EEEEEEE■■■E■■EE�r�■ENEE■Erg■■■■■■E■ — yes yes s: yes ER';EEEE■NE■■■■EhNEOEN ■EE■EW Ln�,J■■■■■■■■■■■■■fii!■■■■■■■1�■■■■■■LE EEti MEL,�,.11id■EEEE■EOE■E■EEE■EE■■■■EI�E■E !r Attached: AV-.iiiii��■■�■■i�Ei■■■�■iiW■■iiN� ding permit maybe required by: C J17f1.+ [ See note on back regarding River Basin ----- _ -�� --w inll r1ro All L I, fi_A CA. _I .— ,I - ilicant: e: _ IL Permit #: cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name TOTAL Sq. Ft. (Applied for. DISTURB TYPE Disturbance total Choose One 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 ❑ Dredge ❑ F Both ❑ Other ❑ ,) v Q VO� 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 0 Fill ❑ Both ❑ Other ❑