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HomeMy WebLinkAbout59299D - BrittMAMA / DREDGE & FILL GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued xized 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 Rules attached. it NamlI a � Project Location: County U nsW i (J - 2 t y -5 WA, I isvi Street Address/ State Road/ Lot #(s) State Kf ZIP ?iq (Z y_ aJ'W ( ) 44f4,pl Fax # ( ) Subdivision &cca Ate✓ S6rts zed Agent 0 OEA ■ HHF ■ 1H ■ DFQ •1/ lock) length ■■■■■■■ ■raN■■■■N length ■■■��■■■■►��n ■■1liIMM■■TIJ iumber Lvg distance offshore ■■■■ ■■ on nax distance offshore- OEM channel ■■■■■■■■■ ■■■■■■■■M :ubic yards_ ■:■■■��■ ■■■M■■■I amp ■■■■■■■■■■ :)use/ Boatlift ■■■■■■■■■■ ■■■■■■■■ ■ �■■■MENEM mom�!! no-M■■■■ ■■■E■■■■ MIME■■I■E■■I . ■■■N■■M" _■■■ ■■MAW-M MAIM. �% Lei'■ :. ► �1� City 50,I U ZIP C (L ) 231— River Basin k)W Adj. Wtr. Body A 0 !N (nat Closest Maj. Wtr. Body �`T u t // tI i e .� qc cuc- 0 � x k iJ 6- v� i DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ne of Property Owner: tress of Property: Aicant's phone #: q� =-y;� - % Z(I! Mailing Address: ( S tl-.),-- . weby cettify that I own property adjacent to the above referenced property. The individual applying for described to me as shown on the attached drawing the development they are proposing. A k=W&= i b dimaosigwmust beqmvided with this letter. `� L�,r I have no objections to this proposal. I have objections to this propos rou have objettions to what is being proposed, you must notify the Division of Coastal Manageme writing witbia 10 do" of receipt of this notice. Correspondence sheaW be matted to 127 Cardinal ilsisgboa, NC 29405-3845. DCM representatives can also be contacted at (910) 7%-7215. No req Wid.UlA the tame as no obiecsion ifa v d b a ai WAIVER SECTION aderstand that a pier, deck, mooring pilings, breakwater, boathouse, or lift must be set back a minimum ' from my area of riparian access unless waived by me. (If you wish to waive the setback, you mast ini propriate blank below.) I do wish to waive the IS' set back requirement. (,) f I do not wish to waive the 15' set back requirement. Owner Information) er. Tint or Type Narde � (Riparian Property Owner Informal Si afore vE Tint or Type Name l AP720'r" iA1,6k% S 4J • 1 r DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT erne of Property Owner. ddress of Property: ofVJ3 WIlK Sf'`J smeQ�' /% (Lot or Street 0, Street or Road, Cify & pplicant's phone it: 9 10 " Yfa 1) Y"' j Mailing Address: `( S`dT)1C bweby certify that I own property adjacent to the above referenced property. The individual applying fc as described to we as shown on d w attached drawing the development they are proposing. A anent be =YWW AM this 1Gtter. X I have no objections to this proposal. I have objections to this prop f you have objoctions to what is being proposed, you most notify the Division of Coastal Mans@eW1 ■ writing wig 19 Gals of receipt of this notice. Correspondence should be mailed to 127 can" Ndmingiots, NC 21405,3US. DCM representatives can also be contacted at (910) 7%-7215. No n smd*M d tie some ex Jtr..*#kcWm ify*!A have bath a9WW by Certi€Itod Mall. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimw 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must it wpeopriate blank below.) I do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Information) (Riparian Property Owner Inform /3.," Jj &t� Signat/uJre 1 Si ature Print or Type Naine /, , Print or Type Name NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management el F. Easley, Governor James H. Gregson, Director Authorized Agent Consent Agreement Witham Cx Ross Jr is hereby authorized to act on my (Printed Namara MOM)listed below. The authorization is fimite er to obtain any CAN A permit(S) required for the property fic activities described in the attached sketch. ATION OF PROJECT: 1 � I 1 S �-�-� , ►�} S �1 � iL >PERTY OWNER MAILING ADDRESS: t ctiJ t S ' n PHONE NO. O_IZED AGENT MAILING ADDRESS: wim 1• i[• PHONE NO. .....�f. era of Drnnariv riwrl P_f j -- Lj MS'II"Msul"j G160 plicant: �t te: Permit #: 59 -z9 t D >cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. )itat 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) WDredge ❑ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 4,1 x -I), ; a