HomeMy WebLinkAbout59260D - FletcherM 1
I / REDGE &FILL
eN E L PERMIT Previous permit #
New ❑Modification ❑Complete Reissue Li Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources IZVU
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
hhX Rules attached.
Project Location: County 1�fVYtS441C44—
���QV}Y1e Street Address/ State Road/ Lot #(s)
Q StateN G zip' �- l I 12.� M cy � I n "✓*.�
C0.7 Fax # ( ) Subdivision N i
Ized Agent Q
d ❑ CW EW X PTA ES ] FITS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes /(no ) PNA yes no j Crit.Hab. yes /Jeno
:A Project/ Activity
lock) length ' 1 x
pier(s)
length
camber
i
md/ Riprap length
vg distance offshore
nax distance offshore`
channel
ubic yards
amp
case/ Boatlift
Bulldozing
i4%e 3 x Ito
ine Length
not sure
yes
no
igs: not sure
yes
no
:)rium: n/a
yes
no
yes
no
Attached:
yes
no ,—
✓City ZIP .ZD `I
�Y�rone # ( ' (0510 RiverBasin
Adj. Wtr. Body Oa6AJ (nat
Closest Maj. Wtr. Body A -I W w
(Scalle-1 s
ling permit may be required by: ±1± Ickn Ieu.L, ❑ See note on back regarding River Basin
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To:B429M6
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NOM cwokm DqwAmg of ewmnnw'ad Nawd ftwmw
.vkio i of CAMN lip I snt
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PASSIBOUlki Agent Consent ABM
iB immaby auOwind to ect on
order to obiin 04 cmtA pm. j(
I %-.w rfor ft PMM.V Nftd b 0 1 a TV* authoriaaion is I
fjdft ad&Am dawfted in the WO&Ad skeWh-
XATM OF PPAMEM:
MOPS CVJWR MAILING ADDRESS:
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UnVICMUM #ARM MAHJM ADDRESS:
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To:8,429606
CEitIMED MAIL RETL-N, RFC ;.REOUMFp
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the purpose of this form is to provide proper notice to you as an adjacent riparian property owner the individual or
individuals listed below, The CAMA Genera! Permit application prcccdurts roquiro that applk=3 provide the Division
:oastal Management confirmation that a written scatoment has been obtained s
ndicacing that they have no objection to the ignad by �e adjacent riparian property ow,
ry ceni g t mail of the proposed work It chat the adjacent riparian property owners have been node,
:ontractor or other individuals acting us Oauthorizedn these oagent on beharms am lf foof The the adjacent
property owners by a ma
rhis form was sent to you by the following individual or company desigruated by the applicant as as
authorized agent:
s Signature
flame of Individual Applying For Permit: 1 I (1
Address of Property_ KA,0,_ I : C) -
(Lot or Street it, Street or Road)
(City and County)
hereby certify that I own property adjacent to the above -referenced property. The individual applying for this pe
ias described to me as shown on the attgched drawing the development they are proposing. A description or dray
with dimensions, should be provided with this letter,
------ I have no objections to this proposal,
If *you have objections to what is being proposed, please write the Division o du of Coast
Cardinal Drive Extension, Wilmington. INC 28405 or call 9to•746•7215 within al Vlan2gement,
ys st receipt of this na
No respoRse is considered the some as no objection ifyou have been sotir 1 1Certified Mail.
WAIVER SECTION
I understand that a pier. dock mooring pilings, breakwater,
boat kouse or
ba
minimum db-tance of 15' from my area of riparian access ..ualesswaived by ta�ao.u(Ityou wish to wtaiv,
setback, you must initial the appropriate blank below.)
I do wish to waive the ! S' setback requirement_
l wish to waive the IS' setback requirement. AV3*A
! } f tt3 t•t ' 1} • s
and y3
t. li !t+" t.t * [w �i.fRLt t: •'i
t: _ to ttt+, r .-ltss! c-.� s•� •t�r s �• :s t::" :� s ' is i
i,i'•' t /.1 ! :ttf: ,t," t t! :k•' 1[ • rt
t•'•�'•"iti: k.♦,t t_ Etr; +•'ti � 3It tl:tf.:�t+.`7. t'
t
t'" t t f'i''�r't.i t•; ti 25:A t IL t
is wbat is being� e write tke
[t� trays tt�rscai�pt sR s - _ 28405 or C&U 9-.0-395.
have des aoff d M 3�spessc is cad tote sa a 23 ao obi
a pjm,F6 &m* , Lreaic.�ra�, boa# koase or -boat � m
�a��tK'� iso�a urea of socras - � waived by n �*o t�aiatoeSo �•$�i®d�.ti� �b� below
i do wish ib Waive the 1-T
lbo Waive the ISt meu.
Olo o4 On J)a , _�_l. _ i n _
3 -:te-
i - A
? bla �e-�
PPlicant: �I /� I�DD'/ �j
Permit#: I2-4 0 D
ate:
5/ I2
,scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and 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/or
temp impact
amount)
1
` W Dredge ❑ Fill ❑ Both ❑ Other
0� I
Dredge ❑ Fill Both ❑ Other ❑
Sb
Dredge ❑ Fill Both ❑ Other ❑
—4S
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
JEI]Dredge ❑ Fill EllBoth ❑ Other