60649D - Fucci

LAMA / r DREDGE & FILL
,/ : f ' NO. 60
GENEAAL PERMIT`' '
Y Previous permit#
5 .New Modification - Complete Reissue Partial Reissue Date previous permit issued--.
orized 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 % 1
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❑ Ruled attached.
S I n
nt Name / •
Project Location: County
s /14 440 /N XG. 740JI 4AW11*"-
Street Address/ State Road/ Lot #(s)
4AP5 7 � Stated ZIP ` G
(LJ� A4 /L LS j �i✓ r 44A41)
Fax # ( )
Subdivision 01-D
ized Agfent FIF Ye /24 y E. L. C t
City ra+�s �'�' ZIP r 9
d ❑ Cw w A p ES ❑ PTS
Phone # /0)Z `" River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
❑ PWS: ❑FC:
yes no PNA es no Crit.Hab. yes / no
Closest Maj. Wtr- Body
A Project/ Activity
ock) length b 'C
m(s) � 1 x �b
length
umber
ad/ Riprap li
vg distance i
iax distance
:hannel
ubic yards
imp I
Ouse/ Boatlift a
r
Dne Length ,
not sure yes
gs: not sure yes
)rium: n/a yes n
yes t..../ I
Attached: no
ling permit may be required by:
- - - _1
(Scale: / //-
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to H60-- 4--LP-1LA F,x u 's
(Name of Property Owner)
property located at j08 oL-O 6 LAr'ari& LAr4E I Lt--r 3
(Address, Lot, Block, Road, etc.)
on AIk--L c,REEiL , in 5t1GRD5 �-ew-`I , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above locati
_ I have no objection to this proposal.
/'V
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description1below or attach a site drawing
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WAIVER SECTION y
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bs
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to \n
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
-.v
(Props ner Information) (Adjacent Pro rty Owner Information)
Signature Signature
tJ EI L- Focx-i Ei %L &Age
Print or Type Name Print or Type Name
iolb OLD •MiLL-S br4E L/+Ni)iK*-, 1oa oLZ L-AIJD k6'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Ne1-4--LAEA FQcc-t
I
(Name of Property Owner)
property located at w ?, 0%-0 (v%t"t0,46 zRNai,iC, LAr►E % L ;
(Address, Lot, Block, Road, etc.)
on Nl i Q�Ei� in -4)r-►eAQ-> i:GWJ N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above locat
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOqED DEVELOPMENT
(Individual proposing development must fill in description elow or attach a site drawinc
tL OT 7-
v
pOC.K
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set b�
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to v
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope O ner Information)
Sign re
Print or Type Name
Ib$ r-A-0 LAACNt4 f
(Adjacent Property Owner Information)
V-4
Signature
Print or Type Name
I ► Z OL-O L-Ar Dy-4 (r

Neill Fucci
108 Old Millstone Landing Lane
Sneads Ferry, NC 28460
AGENT CONSENT FORM
I, Neil Fucci, authorize Peter Mueller to act as the agent concerning my CAMA permit.
ci
Aug 28 2012

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108 OLD MILLSTONE LANDING LANE
PRELIMINARY PLOT PLAN
FLOOD CERTIFICATION LEGEND
8P--"SA4'C IRCN PIPE PP--P0VM POLE mm—► "mm BUM we UK

olicant: tl ,/ t
Permit #: 6 0( t-17
;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
ter%p 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)
//
Uj
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑