HomeMy WebLinkAbout60753D - CorcoranZCAMA / VDREDGE & FILL NO. 6a
MEENERAL PERMIT Previous permit #
New ❑ Modification ElComplete Reissue C Partial Reissue Date previous permit issued
rized 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 14, j j QQ
RrRules attached.
nt Name_ QtsI (_akC ok At-J Project Location: County 1GIL
s 3�2 i' N, fttN_(U N Street Address/ State Road/ Lot #(s)
ky-i'lW&ThN State VA zip ZZZy/ sid(J
# (_571) Fax # ( ) Subdivision
ized Agent IC 1�) j� ,��� —� r a CitynA-te- IA,(. No ZIP
d . CW I EW ❑ PTA Z6 PTS Phone # ( ) River Basin Ly/y1
❑ OEA ❑ HHF ❑ IH ❑ UBA N/A Adj. Wtr. Body ��s E-
❑ PWS: ❑FC: ' , /
yes / no PNA yes /� Crit.Hab. yes / no Closest Maj. Wtr. Body 4 W vy
A Project/ Activity l � �Yl Nc V'- ty 5-n f Au J L V- A NAO -0
(Scale:
ock) length
m(s)
pier(s)_
length _
umber_
I
!ad/ Riprar
vg distanc
iax distant
-hannel
ubic yards
imp
ruse/ Boat
Bulldozing
ne Length
to,),
not sure
yes
v�
gs: not sure
yes
rium: n/a
yes
•
e no
Attached:
yes a
ling permit may be required by: OA X ISL-409 ❑ See note on back regarding River Basin
Name of Individual Applying For Petrtit: DaR ot` co r-&V\
Address of Property- __3 ( 1)SiZ�r el+re cir
'Let or Street #, Street or Road)
'8rpm5�-) iCK
!Ciry and County)
hereby certify that I own property adjacent to the above- referer:cea propt.---� The individual
applying for this permit has described to me as shown on the amcheri drawir-g ;ne devewonwattt"
are proposing. A description or drawing, with dimensions, should Ce r•ovided with this kter
have no objections to this proposa,
i.t• you have objections to what is being proposed, please write the of COAM)
Management, 127 Cardinal Drive Exteaaion, Wilmin, on, ,NC 28405 or c:11E 91')-796-7215
within 10days of receipt of thls notice. No response is considered the some as no objectionil
you h%)ve been notified by Certified Moil
WAIVER SECTION
i understand that a pier, dock, mooring pilings, bronkwater, boot house or boar, lift must bese4
belt s min'tmunt distance of 25' from my area of riparian access - un,ess wai\ ed b% Me, of yoi
��isb to waive the setback, you must initial the appropriate bank belo\�
�o wish to Naive the l; setback reot:i�e�-�
i Qo not U ►sm to wnive the i .;' setba:k
7,let
,.e
go y
1123 30
mz
V1 A A C it r' �R -r.f :1 v )1 nn n . n
. wn, • • • i . ac s t lw. ,
fame of Individual Applying For Perrait.- D
address of Property l01 Se�r��in� dC•
-Lot or Street it, Street or Road)
CQ4 T�-rum W iCK
'Ciry and County)
' hereby certify that I own property adjacent to the above- referer:cea proper The individual
appl)?ing for this Permit has described to me as shown oaths aExcheo drawing :ne developmx-a hey
are proposing. A description or drawing, with dimensions, should to erovidecl withthts k'Rer
have no objections to this propesn
lt' you have objections to what is being proposed, please write the of Co6staL
Management, 127 Cardinal Drive Extenaion, Wilmin, opt, INC 28403 or c:III yl-7g6.72-15
within lb days of recoiptof this notice. No response is considered the same as nu objectianif
you ht:ive been notirted by Certified Mail
WAIVER SECTION'
1 uaderstand that a pier, dock, mooring pilings, bronkwater, wont nouse or boa, lift tt►ustbeset
bck a minimum distance of 1.4' from my area of riparian Qcress • uniess Nvai%ed b% me. (if you
wisb to waive the serbacit, you must initial the npproprimc blavk be►o«
z4o wish to waive the l; setback reoui
i do not \xisn to waive the i 3' sctba-.k !I -,-
to
Q �.
► ■♦ �w
14GENK
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
lichael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr
Drder
Authorized Agent Consent Agreement
( (tIrWF 1COM Ij UFIW�is hereby authorized to act on my b(
m�p of Agent)
s) required for the property listed below. The authorization is limited
�cific activities described in the attached sketch.
)CATION OF PROJECT:
16 10 '4,a r f- I i n e- dr.
�CZ-1C Ts .
;OPERTY OWNER MAILING ADDRESS:
(T/ mQ ton
PHONE NO. -� 0 3 ` 3'4(o-6,Sy3
JTHORIZED AGENT MAILING ADDRESS:
PHONE NO.
mature of Property Owner: ( \�
•-`, PO 11 b46
Soutbport. North Came" zwl �
E rall A 036%Raoi Cony
j I I t7(1S-}IhC
'110► 457-54db
3101-157-6551 F
J
)plicant: it,. I Cu �, v( �A .
/Z 1V Permit #: / v'753
ate: tY
j Z�SJ 12
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
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 FINAL Feet
(Applied for. (Anticipated final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts) amount)
Dredge ❑ Fill 2 Both ❑ Other ❑
1
lf�
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 ❑