HomeMy WebLinkAbout60706D - HelmsIACAMA / J DREDGE & FILL
/ NO. 60
GENERAL PERMIT
✓ Previous permit#
New . -Modification C'Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
-oastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC1.ou
t Name `
f � _1
H(IYYIS
_ f$f Rules attached.
Project Location: CountyjYVi1SWICLc
544
5�,
�
Street Address/ State Road/ Lot #(s)
!yy'
� t aState a ZIP 2 2DS
' lG
1
i (�) L Fax # (�"�)
Subdivision N�p,
�(G,,�
:edAgent 1/GltiY1�i15t`tyl�lfi).-,
itY )(�ll{1 t��( �iuCk. ZIP
��ho
CW EW PTA ❑ ES ❑ PTS
�(�)
ne # `� �f� - u i`�
,�tiver Basin YY�
OEA ❑ HHF __ IH UBA ❑ N/A
/1,�, ,��l�
Adj. Wtr. Body 1 /lJ� `fit` (nat
❑ PWS: ❑FC:
yes / no PNA yes lI no Crit.Hab. yes / no
Closest Maj. Wtr. Body W
f Project/ Activity
i
ck) len
,(s) x �'
ier(s)
ngth
mber ---
d/ Riprap length
distance offshore
uc distance offshore
iannel
)ic yards
rip
se/ Boatlift
ulldozing
Length ._
not sure yes j 0)
s: not sure yes
ium: QLa..,> yes no t=
yes
\ttached: yes no - )�--
ig permit may be required by.
(Scale: `11_
❑ See note on back regarding River Basin r
I t
1 � (i ,I In A .Lld ) ,ems j vy, a, 1'41
Snpeial Cnntlitinna
"I AA 4 �k I I
I
z-
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: 1
(Lot or Street V, Street or Road)
� rk4le� (-0 ,,�WjtH -1
(City and County)
hereby certify that I own property adjacent. to t e a ove-re erenced property. The indivil,
applying for this permit has described to. me as shown on the attached drawing the.development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co,
Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796
within 10 days'of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakm,ater, boat house or boat lift must t
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (I
wish to waive the.setback,-you must initial the appropriate blank below.)
I do wish to wane the l 3' setback requirement.
a` I do not wish to waive the 15' setback requirement.
Si Na4 CZj
me Date
PO M /q
DIVISION OF COASTAL MANAGEMENT
Name of Individual Applying For Permit:
Address of Property:
(Lot or Street P, Street or Road)
(City and County)
NOTIFICATIONAtiVAI
S
k)IL
t nereby certtry that i own �Pd
ent to the above-rererenced property. The indtvtd
applying for this permit has e as shown on the attached drawing the development t
are proposing. A desc ' n or drawing., with dimensions, should be provided with this letter
I have no objections to this proposal.
1 J P P
If N,ou have objections to what is being proposed, please write the Division of. Coa.
Management, 127 `Cardinal Drive Extension, Wilmington,. NC 28405 or call 910-796-7
within 10 days of receipt of this notice. No response is considered the same as no objectie
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b,
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to waive the setback, -you must initial the appropriate blank below.)
o wish to waive the 1 5' setback requirement.
�p I do not wish to waive the 1 5' setback requirement.
/Sign Name
rl?6
Date /
���� ��I,
LO
a i9c) s�
P--
�
0 Fr
/qspgxt) O C a��s
3�6 - L� a-\S = q ���
7
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., Secr(
E�f is hereby authorized to act on my behalf
Printed Name of Agent)
�r to obtain any CA 9A permit(s) required for the property listed below. The authorization is limited to tl•
c activities described in the attached sketch.
TION OF PROJECT:
=RTY OWN R MAILING ADDRESS:
u"t�
PHONE NO. 3 3 (O— 10
)RIZED AGENT MAILING ADDRESS:
PHONE NO. l(- q�3 — �-,q '
ire of Property Owner:
iC Division of Coastal Mgt. Habitat Impact Computer Sheet
pplicant: 11'/) fj 1,nn � Permit #
ate: I /
I�03-0� b
escribe 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
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
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
J
Dredge ❑ Fill ❑ Both El Other
t✓ S
m
19 S
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 ❑