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Home My WebLink About59288D - Gasque- , CAMA / DREDGE & FILL GENERAL PERMIT Previous permit # New Modification Complete Reissue Partial Reissue Date previous permit issued rued by the State of North Carolina, Department of Environment and Natural Resources tal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules_atrached. Project Location: County f fy 1�15 �1j I (, tL s_ 1%��I Y ". Street Address/ State Road/ Lot #(s) �i Yti 1�� E r 1 vn State lV-f ZIP -,7, 2"-1 I Fax # ( ) Subdivision A ized Agent td M1 i , c. 'r Pity6C uttk atv-' ZIP Z 4�� ❑ CW EW PTA ES I PTS � ne # (� LO M12' 14% River Basin d ❑ OEA HHF IH ❑ UBA ❑ N/A l`i _ u Adj. Wtr. Body .l. (nat PWS: FC: At w yes / no PNA yes (/ rl Crit.Hab. yes /(no Closest Maj. Wtr. Body A Project/ Activity i ock) length pier(s) length umber ad/ Riprap length vg distance offshore iax distance offshore :hannel ubic yards imp 1 ruse/ Boatlifti `_L Ildozing KAN X , ne Length not sure yes no gs: not sure yes no r- mum: n/a yes no yes no Attached: yes no (Scale: 1 i? ling permit maybe required by: kc ❑ See note on back regarding River Basin iC--- :-Iali ►inn A:.A All 114.— L.-AI CIA 1� A,.A 1A, —I iJ,._iIhr~ 4/ I' Io /ZIMI1 MUN 9; 33 FAX 910 571 0846 LUMBEKfUN KAUIULOGICAL 4 002/ - DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit:. .6en UP_ Address of Property:_Ct�- (Lot or Street #, Street or Road) (City and County) 1 hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A scription or drawing, with dimensions, should be provided with this letter. 7 I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the sane as no objection if you have been notified by Certified Mail. WAIVER SECTION i understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift imust be set bck a minimum distance of 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.) ftw I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement AIMM h�JA W -�/l Ir _ aane Date Ines R a b?e t W',1 +,0,r Print Names �02 - . / At f- �.r � it . �r•1�� /ZIMIZ RUN 9; 33 FAA 910 671 0846 LUMBEK'UN MIULUGICAL 9003/ DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER 1~ORM Flame of Individual Applying For Permit: & e - Address of Property: j 3 t a n S4 6 i (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, 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 of Coastal Management, 127 C2 rdinal Drive Extension, Wilmington, NC 23405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notiffed by Certified Mail. WAVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift incrust be set bck a minimum distance of 15f 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 1 5' setback requirement. I do not wish to waive the 15' setback requirement. 5 _ r '2- ign Name rr11 Date Print Nam A I Aff-f v A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management el F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr., Sec '-X4'W U V W /IQ YV t is hereby authorized to act on my behal (Printed Name of Agent) ,r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to tl c activities described in the attached sketch. TION OF PROJECT: &sf- � rn1—, 54 6 T5 ERTY OWNER MAILING ADDRESS: jADDRESS:I r. ?RIZED AGENT MAILING ADDRESS: V Mof75�er i3.-Ick E-5f LOJ 2&1 /VC a -ma PHONE NO. (� � � � O 1 / S PHONE NO. qIU - 9 Y 3 - W ys )lican ' co p t. ate q-1 12/) � Permit #: 5612n i ,scribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme and in your Habitat code sheet. bitat Name TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet (Applied for. (Anticipated final (Applied for. DISTURB TYPE Disturbance total disturbance. Disturbance Choose One includes any Excludes any total includes anticipated restoration any anticipated restoration or and/or temp restoration or temp impacts) impact amount) temp impacts) FINAL Feet (Anticipated fii disturbance. Excludes any restoration an( temp impact amount) j Dredge ❑ Fill ❑ Both ❑ Other 3 3 3 Z 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 ❑ BOYD B GASQUE, JR. BECKY A GASQUE 388 BROOKGREEN DRIVE LUMBERTON, NC 28358 MONEY MARKET FIRST BANK a XD PLUS RTONRTCAROLINA 2r8 66-456/531 m gate 1090 D w