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Home My WebLink About62585D - Hughes✓ r :1CAft/IA V-1 DREDGE &FILL GENERAL PERMIT Previous permit# ONew :--Modification ❑Complete Reissue El 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 6411 % � Rules attached. ntName Project Location: County /LPy V �`%z'Lhp1•�i //G' S � t G v� �hi� �/(j 7 ►' . Street Address/ State Road/ Lot #(s) Nt m i �t1 State N ZIP `/� //" 3 f f �� Grti► n t l /7'laW h U' (i) % Fax # () '"� Subdivision Nr-e ft1//s-s zed Agent r/ City ��l /ti'+i/ tYi%1�� ZIP�z ,! ��'j1�s+sr ❑ CW &rtW PTA ES PTS j Phone # River Basin ❑ OEA ❑ HHF ❑ IH C UBA ❑ N/A 7- PWS: ❑ FC: Adj. Wtr. Body I'T rr (nat yes PNA {' no Crit.Hab. yes / no " Closest Maj. Wtr. Body 1 iG.Spki p'f' if Project/ Activity i t fl;5'> �t��7�/Z 1 (Scale: / A xk) length ength ember !#.Riprap length tg distance offshore iax distance offshore 0 :hannel ibic yards mp use/ Boatlift 3ulldozing • •� -��lliiii�Yil1�1 loll FNFE i1411 ■I �ii�ui:iu a ing permit may be required by: it CC. TN 514 ►feY p-71 hei) t . ❑ See note on back regarding River Basin n----.^--.. D, le. ,.,-1 /1 1In,, . —__I A,,, L. /L/---,/,/ ,pplicant: ?-VLA� V Permit #: 01Z S� ate: 9N ascribe 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/ortemp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) I FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill Both ❑ Other ❑ (' Z /'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 ❑ . ............... . . ............. 3TRUCTION INC. ANE 28428 BRANCH BANKING AND TRUST COMPANY 2445 1 -800-BANK BBT BBT.co. m 66-112/531 DATE ,$ �00- oio N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Bate Tz— /3 Name of Property Owner Applying for Permit: /Fonts td `1- 4 Mailing Address: _ qT? -joye / I - 44-4— ust_- rlMffe4;�-1124 I certify that I have authorized (agent) G J ,.i to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 2 C 0 L n Le LZJ h Le Ct at (my property located at) �� c� r( (1(,u L L4 �(, T UE A J � a 0 This certification is valid thru (date) , 3 �� 3 Property 00er Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEiVitNT I hereby certify that I own property adjacent to E Act L:t Joyce �� `� � � � S s (Name of Property O ner) property located at 3 �ct wLA e L 1 .4yPry D %Z t / (Address, Lot, Block, oad, etc.) OP s+44N NtaoLP Cl�rs��eL in NO;,) 1+4k'ouA2 LO , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiory. , 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) �2-t-P L 4 `s- l� � r S T �� c. i k-- LQ ci Ii &r i u4t) t,)e tq k bovt [�jlr I l . " � ,7v l k �eu Jr WAIVER SECTION I 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 requirernen:_ I do not wish to waive the 15' setback requiremem.. (Property Owner Infor ation) Z .Sigltrre IV Print or Type Name golafce Mailing Address City/State2ip q//0- sao- 7�71`� (Adjacent Property Owner Information) (-�4 cnj pf n;� � f� Rn j �` TYPe� ° � i � A tl StiC. F i�rCJ1 1J ►` MaffiAg Addre s I IV, ii V\ L -31( b0f i"I-r`"1ri�� Cj j(,) Telephone Number Teleppl*Aer ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to p,0 vtR d' Jo- a ° 14 J T � e S s (Name of Property 0 ner) property located at 3 !' /�. C � u wt.e L (� g (Address, Lot Block, oad, etc.) on X14N vita�P P a a 1 in ��cJ (T4 00J¢CZ C-0 N.C. (Waterbody) (City/Town and/or County) Th,Q ap , icant�Qlve described tQ�as shown below, the development proposed at the above I io no objectioni 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) 2-ep L 71 &Y t t4-(-Pj rUe ilk burg Dvl )t::7 iQu4 17vik-�eu ds WAIVER SECTION I 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 d irsht weal the 15' setback requirement. �J C� do not wish to waive the 15' setback requirement. (Prope/rtyy Owne Infor ation) (Ad- cent tt—Property Owner Information) zt,�Z-Lz'l ,X< S�, , , �?a e yt,�1-lJ S st��e r /Z Print or Type Name L Print or yp Name , ►-dam 2� lvlailing Ad res M ii ress City/ tate2ip City/state ip s_ 41d - 5��Zi 7 J L 91 o 6 Z. dv�ti�he.ad V �� 'Fcor� -- V ' tmJ �lV1al.) W a-v� ala C10 5Q I DCN