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Home My WebLink About59217D - BatchelorQCAMA / ❑ DREDGE & FILL 31ENERAL PERMIT Previous permit# � 'New —]Modification LIComplete Reissue ❑_ Partial Reissue Date previous permit issued[ Prized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J ules attached. it NProject Location: CountyS Street Address/ State Road/ Lot #(s) 11it� v State % ZIPZ Y57_CIE E () Fax # "' C.. Subdivision :ed Agent City L ZIP u CW F_ I EW I_ PTA ES PTS Phone # ( ) River Basin ❑ OEA HHF IH UBA N/A Adj. Wtr. Body��4t G d?K Jf/iVGv gnat ❑ PWS: ❑ FC: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Pck) length Pier(s) ;ngth mber d/ Riprap length g distance offshore vc distance offshore cannel bic yards np ise/ Boatlift e Length` w not sure yes s: not sure yes ium: n/a yes f` yes kttached: y ' ng permit may be required ❑ See note on back regarding River Basin n N -.V) " 1,171 03/05/2012 11:21 COLLIERS INTERNATIONAL RALEIGH 4 19103531289 NO.206 1?0: 02-25-' 12 13:15 FROM -Central Maint . SHW3 910289607 T-003 P0002/0002 F-Q51 ADJACENT RIPARIAN PROPERTY OWNER STA.TFMENT {FOR A P R/MOO1¢ hG PHANGSIBOATUF )BOATHOUSE) l hereby certify that l own property adjacent to f= s (Na a of Property Owner) property located at 2 72 714 ( (2 t) S--r, , (Cot, Block, Road, etc.) on V' L , in ►2 1= [ 7` N.C.• (Waterbody) (Town and/or Coont�l) Applicant's phone H: 4Mailing Address: 16If �?e AI C It He has desruibed to ma, as shown below, the development he is proposing at that location, and, I / have no objections w his proposal. I understand that a pier/mooring pilings / boatlifi / boathouse must be set back a minimum distance of fifteen feet (151 from my area of riparian access unless waived by me. (If you wisb to waive the astback, you trust initial a $ppropriate lank/f below.) // wish to waive I dg wish to waive, that setback requirement. -- ------ -- ..................... ---......_ DESCMPTION AND/OR DRAWING 0 OpOSED DEVELOP NT: (To be ftled In by individad proposing development) .^ (Informador, for Property Owner Applying (Riparian Property Owner Infunnation) for Permit) Y7nti -1 - Miiling Address City/sTa ip t r-Ka-rlarl Print or Type Name „��n • �'$9_1�Q3 Telephone Number 6k, /l vc,- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHO USE) mve I hereby certify that I own property adjacent to 's (Na a of Property Owner) property located at SQ 5� sj2tiAA (Lot, Block, Road, etc.) on /�'1�,e1� 'L.�' i , N.C. (Waterbody) (Tow a or County) Applicant's phone #: 01 1q— �—ailing Address: 23A` He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -------------------------------------------------------- (Information for Property Owner Applying for Permit) (Riparian Property Owner Information) Mailing Address n Signature -�-��/��► . �a, n Qonfo�� a��k�.gam®s��n�ac��s=� � •�a��l Message Confirmation Report APR-23-2012 03:01 PM MON Fax Number Name Name/Number 919103531289 Page 1 Start Time APR-23-2012 03:07PM MON Elapsed Time 00' 22" Mode STD ECM Results [O.K] --- N° 59217--� Mq / l DREDOF • FILL GENERAL PERMIT Previous permlt#---'-,L ew 71vlodiflption - ComPlete M'ssue ! JPartial Reissue Date previous parmft Issued^ .� As authorized by the State of North C.nrollna, Department of Environment and Natural Resources � and the Coastal ResouurrceesCommission in an arm of environmental concern pinuant to ISA NCAC �PPllcsnc Nar/ry/�. ! a' N� ��n . � �- �I project Location: County , — — -- Address . l " f / Stroet Add�r/eOss/ State Road' Loft— '1A 1 r San /`L zIP 4$ —� �Gcy Q _ Phone # (If r �4.7 p.K City # subdlvl� j �rJ/,� 11 / . _ z+P ��— — Vwthorized nt • . - — _- Phone # ( ._ ) _ River Basin=_ Ll;w w APYA nis I IPTS �Q- Affected rIorr.^ MMF (Jim OUPLA I iWA Adj. War, Body C'41LR I �(ap-a',24 AEC(s)v ews 01 ,FC Closest MaI. Wtr. Body ORW: Yell l� PNA Yes no Crlt,Mab. ycs / no 7WPO ,-agar plans) - t I I I -- Groin e,qth number + t I t Build,aad dwtnplength are dptarce a!(iaro rwt dlttanco ofbh— I 1 0. 1n, channal )plicant:t�1BY1 ate: V/Z� % /-Z" Permit #: �� 7 ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind 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/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/o temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other ❑ D(N Dredge ❑ Fill ❑ Both ❑ Other t� 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 ❑