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.
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Project Location: County U nsW i (J -
2 t y -5 WA, I isvi Street Address/ State Road/ Lot #(s)
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(L ) 231— River Basin k)W
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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
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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
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PHONE NO.
O_IZED AGENT MAILING ADDRESS:
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PHONE NO.
.....�f. era of Drnnariv riwrl P_f j --
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MS'II"Msul"j G160
plicant:
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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