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Home My WebLink About59119D - JohnsonCAMA / _ DREDGE & FILL GENERAL PERMIT Previous permit # New [Modification Complete Reissue ❑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 % iUO e i 2.P,5 ❑ Rules attached. ntName (�rd A - �;�,��gG,h Project Location: County kkey s_ } h"LtY'!e !�_�. Street Address/ State Road/ Lot #(s) State N G ZIP . l/1 1-f Fax #, �( ) Subdivision r ized Agent L' -i' ; ✓l• 1P-I!`e I City I-A/1l4s*'►Y ZIP OY le-1 ,d cw EW PTA _7ES PTS Phone # ( ) SCsM1 River Basin. r C.OEA HHF IH 1 UBA ❑N/A Adj. Wtr. Body l•ff"LG, �GJc nat ❑ PWS: ❑ FC: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wrr- Bony :)f Project/ Activity C i ,! tp lock) length length cau�mber hh ;ad/Riprap length /LS vg distance offshore nax distance offshore channel ubic yards imp case/ tli /d Xn. Bulldolin - t%,r, ine Length �- not sure yes 616-1 igs: not sure yes 413 )rium: n/a yes 44 yes no Attached: yes ling permit may be require f f11 f (Scale: / /! NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management lichael F. Easley, Governor James H. Gregson, Director Authorized Agent Consent Agreement William G. Ross Jr., is hereby authorized to act on my be (Punted Name of Agent) order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited ecific activities described in the attached sketch. )CATION OF PROJECT: ROPERTY OWNER MAILING ADDRESS: PHONE NO. ,;� ,UTHORIZED AGENT MAILING ADDRESS: :�ckso>✓ v ITN �. 2`> 59 D Signature of Property Owner: .......4�.�.. .-$ A..4-;r nA Anon DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Vame of Individual Applying For Permit: ki, C_a m ,r-1 s) ,Z kddress of Property: /% 0l F—uh;wA.C_4e__ewgA (Lot or Street #, Street or Road) (City and County hereby certify that I own property adjacent to the above -referenced property. The individua [pplying for this permit has described to me as shown on the attached drawing the development the, ire proposing. A description or drawing, with dimensions, should be provided with this letter. 04 back s i z e I have no objections to this proposal. :f you have objections to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721! vithin 10 days of receipt of this notice. No response is considered the same as no objection i ,ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se ick a minimum distance of 15' from my area of riparian access - unless waived by me. (If yol vish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. v I do not wish to waive the 15' setback requirement. Name Date F Pz_t_2c_o rint Name ��n DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM lame of Individual Applying For Permit:,/ —CI L yL /5' ,�� DYIA,5'p, address of Property: % Ol % tc_k, C j- .r_ �l , (Lot or Street #, Street or Road) 11//nJ (City and County) hereby certify that I own property adjacent to the above -referenced property. The individua pplying for this permit has described to me as shown on the attached drawing the development the: ire proposing. A description or drawing, with dimensions, should be provided with this letter. o� back s►be I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721. vithin 10 days of receipt of this notice. No response is considered the same as no objection i ,on have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be se ►ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yot vish 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. 6-1 ,ign Name Date &<o12GF T- /�jr►2Py 'Tint Name K. * A N c w flues �I�w ►2.►a��p tk�SfiNq Pie-Y FL,+Ck Cie e� G D;lvsston o? coastal Mgt. Habitat impact Computer Sheet plicartt: �,cC�� v�s1��-� Permit te: I III [2ol-Z scribe 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 tem impacts FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act 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) I/✓ Dredge ❑ Fill ❑ Both ❑ Other IV -G Dredge ❑ Fill lyBoth ❑ 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 ❑ .100E 001 IE 5 0.1 gQ2 001 311602 001 oil 00. ao3 ( b�g suaz«T:) Isn3 3NnAl'nO3 C 100A s 01e0 l L48Z JN NOIJNIWIIM ad >I3380 HOlf1d 4oL L vse NOSNHOP 3NIIS1!!HO teg/oe-ee NOSNHOP QadHOld zoos DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certiif! that I own property adjacent to / /t 10tlil SO11r-i 's property located at �`ane of Prove Orner)�-t�4 C/C on F1 / (Lot, Block, Road, etc.) /If Ar- 6-11le , in /lees/ , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. 4 y %I DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP_IMENT: (Individual proposing development must fill in description below or attach a site drawing) fL-- vv legeey No G� Lj�r/�GtPC�'J y -pr,v1Jvr Ae . 7b4$1 soti PC If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writi within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Eat. Wilmington, NC DCM representatives can also be contacted at (910) 796-7215, No response is considered the same as no objection if you have been notified by Certified Mail (Property Owner Information) (Riparian Property Owner Information) Signature Signature FEB 0 2 2012 Print or Type Name UCM WILMINGTON, NG Gcr Print or Type Name Ab 3 y - X" ," ( c' Hy 02 d 4,t4 Mailing Address Mailing Address