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Home My WebLink About60695D - GriffinCAMA / DREDGE & FILL NO. 60E MN913AL PERMIT Previous permit # - Zd%e Jew odification Complete Reissue -_. Partial Reissue Date previous permit issued :2— izeTby the State of North Carolina, Department of Environment and Natural Resources ^� oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �7 ff __ ii Rules atta ed. Name u Es-(Z. (� l'U J ,` Project Location County :.14 I- S 4 Z 'x- State NG ZIP2-25YY.L ( 367 —.22 /D Fax # ( ) A Agent /P" CW W ZTA —ES PTS OEA =', HHF = IH C UBA —'N/A -. PWS: ❑FC: fes / o� PNA no Crit.Hab. yes / no Project/ ActiviW a ia P !/ k) length s) w(s) gth ber Riprap length distance offshore distance offshore nnel c yards a/ Boatlift Idozing IT Length . not sure yes no not sure yes no im: n/a yes no yes no tached: yes no permit may be required by: nnrinl C_nnrlirinn. oeiA- rJ Street Address/ State Ro d/ Lot (s) AZ �rC �n "fw Subdivisio —4 ZIP Z �5-y Phone # ( (jiver Basin Adj. Wtr. Body �� n Closest Maj. Wtr. Body Zd—t/—i (Scale: /111; 71 •—1,D' Nt-k' 2,08,4'a TFRRI PIPPIN 910 270 1290 p,2 CAKAA I DREDGE & FILL I? # ENERAL PERMIT pr-VICOUS pemllt prinvious permit issued Amodificafion Fe:ssueDate Resources zed by Lhe SVIU'01 tADI-1h C '1'0lm) ro'2:13mlert 1 x, r opmal Re Conimim�icjn isZll al-71, of sources atled, 0, jai;project Locatioll COUrl'y -h ee c ddrc s, S tz rz Roads Lot S) Jf zvo2 &-t� 3 _ZZ /6' Fix _r 711 or/ 4- f.wd Aq.elll 1- cw >4,.,v ES -TS River Ba-si-i OEA �c PWS: Y! A; iro on.,-h wr, _qiL:j I'L 1(1:no permit mall be reCjk_1'-(.d by C _Z_ �ee riot- oa bacl- regarding River 3c.s r rules 7 Jc !s.i Spec4al Condstionc __Z__ 6WA / IJ OREI)GE & FILL GEN,ERAL PERMIT Previous permit # 3New /11 Modification 0 Complete Reissue OPartial Reissue Date previous permit issued )rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission ih an area of environmental concern pursuant to 15A NCAC r f it Nam LJ Rules attached. Project Location: County ,ed Agent LJ OEA /' C] HHF El lH El UBA 0 N/A El PWS: L1 FC: yes / no PNA yet I no Crit.Hab. Project/ Activity k) length gth iber---- Riprap length I distance offshore distance offshore J_ - yards V Boatlift .ength I not sure not sure T n/a -Street Address/ State Road/ Lot,#.(s) Subdivision CityA zip Phone # River Basin Adj. Wtr. Body (nat /r yes Closest Maj. Wtr. Body Z.� I (Scale: I tl' I iched: permit may be required by: X to `.�,t' (J A, r , ZW �x .,} Xo' r �XtiX%< XA� 16, ll c- 8 ' 'd Gassed e nd y Ara eAe f-fa�ft ego 4f11w !rmz- v v ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �/� 0 11A - 's n„ „ , 1_ A J44ame of Property Owner) property located at f 2SoC Id-1.1 T d!W (Address, Lot, BI ck, Road, etc.) "(Waterin 'n ( ity/Town and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above location. X I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 1 �►g X 4Gp Flom`' kzcad "0^0 'Ro.se, �Ax /06 I/ y-x�6 x ?61 WAIVER SECTION 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Owner I Print or Typel9Vam`e r7 ') r- .. roperty Owner Information) Signr ire G4 J / (��a Print{o�r Type h�N�ne >'C�, N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: S 11 I certify that I have authorized (agent) 1' 1;2 i'JbOL:�l jV to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 7 X 14 l5fP}�'t fff� at (my property located at) ,��.2 aye- {dJl3 Ica, This certification is valid thru (date) /�/z .r //L Date Page 2 of Temporary Certificate of Vessel Registration Temporary Registration Expires 0,13-01-2012 PAKMA4 DAMES GFWFW A M WASMGTDN ACRES R3 F AWSTEAa NC 2W3 Transaction ftndiny; New 3 Yost Rep1*. Tile Issued By: hAWER 1TWOE #14"1 Rsolstrateort 070=12 Issued: Fftlofa ballOtl � l �'�(} t 5 BrpMes: vM W Chi~ NC Registration is NG5449 DW MAID Kum bar: NL RJ(103F21 Tkbd: Y Ye or, 2913 Model: 1994 SKV ManufacturerTIDEWATER Length 010ir Cmmuvic lew! 4` Lh e : +>rleKur r Fuel (;&iilfie Pr op u is ion: OuUjowo Type: OW ftnalture of Primary Q1nw, ftnature of Secondary awnew" ,1ht is ybtw feetawuip GeftVicale d rr.mbar It malt be GIIIW Ofd 4aeliw t ,Hot— . ryt,W 4VAC004 9br e. Pie &VWW1 CWIN .Mf & RuRftbef ",JK-al wN bo maaaa to Ur atlases U the peaery army bef ufe the iwwepreq r-,WO, Af , —Z> MW— yMU The NR C gFpeaaar Nf w*w mars[ by aMaar O to the ssel Olsr ee vac 1 IIaa N� ,%sirwen "Lonber 8l+eij evan wait m6f low efts,%l 60 m Me !OWW►W, Owva1.rwom you db'0 new tQ'Wave t1Mc fts -,tw t w Ml Ln'V, be repMC4n the decal'Se4 bllton I decal aletmmeMi e1Nn11:t.r U. 1 tt rmff veavv OCAN r" ' 9— -WNW- --+�e:amar afl�eed ti r�i4�o�"r_1 rw4hX"a e N tv p�vpw vwc em at 6re r mlff" S11 i' "1" v ed rags+r n u - I— . � ; ti 3 Y'9'1i �. —+ate � "Ia KM I dM1a tw41f I, emirswa ce ,w Yeiier N wvmw- I WWI, il+rt fsalC as muft vow Nb bnla ata �[, _'., .nrl ±fetal rv,u9r Ife naaWr s>8 a- tee slaradeA tide b the ieN sad tsi:.eria mmw errs syy cotw ei W.Q wI ltwy ccpgr at elate We br-,FO,-j of the VMS W.'1�) Cl The rwWp l rfin irlt ', I . t� iMs YMler ,. !} WM+P'e rrwasl tat awwr++,ee udr< IAe letrt OW% trF MVowls Ktly /lelatna Vestal Decal Rit"treae , c,t tress MInXtww The deraf must be Rs'�llliol r \r •rtY l.. �� :. I;1tl! ✓`th k titlr►Yk � 91l1e1t1 t.'r k1 {1if iTl/ly At'Mk1 Pw50 I� "it krl afiAR d msell if t{lp� rtnct. t�IL' 2#001 3/19/2012 05:11 000-000-0000 BOB & MEG ZACK PAGE 01 2 03:22p TERRI PIPPIN 3 y 910 270 1290 ADJACIEN7 RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /tQ/?�1/ r? 4(/ -, V, s (N me of property Owner) property located at %9..2 61-)/41e A/10; r (Lot, Block, Road, etc.) on � fPOSQ Pi' in �P/r� S i`I C. W erbody) 'own and/or County) Applicant's phone N! 3� 7'�.21 Mailing Address: -�� S��i�t� /'`zrf''f ' He has described to me, as showr below, the development he is proposing at that location, and, I have no objectionstc his proposal. ----------------------------- —..-----------------.._. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELO>PMINT: (To be filled in by property owner proposing development) P--�--- - - - w _....J ...,...... -- -----........ - -- --- ------------------..---a ------------------ :::: --. -. ------ (Information for Property Owner Applying Npariao Property Owner Information) for Permit) XAi 'I:.... AAA—- applicant: �GVIn �� f Permit #: !� )ate: ZZ �� / %l lescribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement Fund in your Habitat code sheet. abitat Name DISTURB TYPE Choose One Dredge ❑ Fill ❑ Both ❑ Other TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) �j 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 ❑ 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 ❑