HomeMy WebLinkAbout59248D - CzulI CAMA / ❑ DREDGE & FILL
"EN ERAL PERMIT Previous permit #
]New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC • L
Rules attached.
it Name ' AlProject Location: County jJ1' UVISVV'k 0
Vk—
t_.. • 1 a -kia Street Address/ State Road/ Lot #(s)
ha d-eS -yo r J StateN V zIP 253 I'+ � ► 4- (
t ()952 -5421 Fax # ( ) Subdivision
:ed Agent City CaIaIA4J�ZIP
1�W EW PTA ❑ ES F " PTS Phone # I O ) River Basin VV r
!_ OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body (/UCa baJ k t Vtl- at
yes(7no) PNA yes / �no Crit.Hab. yes no Closest Maj. Wtr. Body
Project/ Activity ('�S tY J C T V �-4, �'A\J V V'o [ y YGtfi �h V\ 4 r IDS 4y, lii,%4
Jock) len th D "b ^ to
rm(s) V� is
• pier(s)
length
camber
ead/ Riprap length
ivg distance offshore
nax distance offshore
channel
:ubic yards
amp
ouse/ Boatlift
Bulldozing
�1
ine Length —1 J IF
not sure yes no
ags: not sure yes no
orium:c yes no
s: yes no
r Attached: yes
(Scale: I ��
ding permit may be required b
l See note on back regarding River Basin
7
MAY-18-2012 14:03 L 44D 6 30474E4470 F.03.'0
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MAY-18-2012 14:04 L AND V 30474644?0 P.06.0
' ADJACENT RIPARIAN PROPERTY OwNrR STATEMENT
(FOR A P1FR1.NX00R .NG PILXNGS1BOATUFr',8OATHoErS.E)
I hereby certify that I awn property adjacent to 3-11,
1 t L ('.4a le 40P�ro
lirfy' Owner}
property located at
t
{Lot, Btocic, Road,�etc,} n '
(Vw'attrbodyj jn __._, N.C.
(Town s►nd/vr County)
Applicant's phone #: ,ailing Add,ress:.!,f-Ad
fie has described to me, as shown below, the i5 he develo cnent
p 1 propcsIn,g a, that lacatioa, and,1
have no objections to his proposal. I understand that a pierlmooring pilings i ooat!ift / boathouse
must be set back a minir ium distance of f1fteen feet (15) from my area of riparia., access unless
waived by me. (If ,you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wash to waive
_- I do wish to waive that setback requirement.
AND/OR DRAWING (JF-pRUP4SLD- .-..........................
DESCRIPTION A
17E�• ELOPINLENT.
(TO be flied in by indfviduarl proposing; dewelopmemp
.Sec a#aeAed dtw�ri alr6
.............. •---- ----------------------- .----
---------- ------------ I ---------------------------------
(iaformatioa for property Owner Applying for Permit) ('fparuo Property Owner Information)
city!StateJ?ip
Signature
'pe Ivan:
St'7 _ r7 tl l 1
MAY-19-2012 14:03 L AND k
304746 4i470 P . Ely f 06
CERIUM tii4IL -. RE7!'R:`+I ItEC>` 'f ijE(�tiEsfED
DIVISION OF COASTAL M.CNAGE:v]ENT
ADJACENT IUPARIAN PROPERTY OWNER STATEMENT
Name of Prop"r OwneT: _-32 .4� —
Address of Property:
r (Lot or Street N trees or Raid, C:t;&tCdt�nty}���
Applicant's phone 0- Mailing Address:
1 Hereby certify that I own property adJacenr to the above referenced I:roperty. ""he individual applysng for this pem
has described to me as shown on the arached drawing the deve;opnier►t they are propo+trg. A crjguon of oraw�r
with djreltA,ra+ _ provided wil this le
_ I have no objections to this proposal, I have obFectic+r.s to this proposal.
If you bane objections to what is being proposed, you must notify the Division of Coastal'vianaRemetat (I)CM
in writing within 10 duys of receipt cf this zaotiee. Correspoodenee should be mailed to 127 Cardin'l Drive Ea
Wilmingtan, NC 28405.3845. DC 1 represetitaivet can also be coalacted at (910j 796-7215, No response is
considered as nv nb ecriprr i you have beets notified by Ceriffled'Mail
'WAIVER SECTIO
l understand that a pier, dock, mooring pilings, oreakwater, boathouse, or lift must be setback a minimum d:stence C
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 wish to waive the !S' set back requiremer;t
I do not wish to waive the 15' set baxk requirement.
(Property Owtur lnln
Signah,� "
Print or Typo Name
Malling Address
Jlajdo��(V 5-�1
City r State" Zip f
Telephone Number --2,
rty Oµuer Information)
5ignatur: _
- .�� _.
Print or Type Name
�-
Col &Airs. ToFischer
418 Dutchman Shores Cir
Chapin, SC 29p36
� s
taste -� �'- — ?4 l _2
Vicant: CP Sq ZC(
Y l P Permit #:
te: C�
2
scribe below the HABITAT di turbances for the application. All values should match the name, and units of measurement
ind 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)
Dredge ❑ Fill ❑ Both ❑ Other
2
li
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 0 Fill 0 Both ❑ Other ❑