HomeMy WebLinkAbout60774D - Jones,-CNo. 60
;AMA / ��-DREDGE & FILL
GENERAL PERMIT Previous permit# '�---
�lew —:Modification Complete Reissue -Partial Reissue Date previous permit issued ac I
prized by the State of North Carolina, Department of Environment and Natural Resources 'r/T . /l a Q
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC T
❑ es attached./
nt Name a/l O� S Project Location: County E
s ri% 2j Street Address/ State Road/t #(s)
�I ' (, ✓Gt-'' State %�iiZlp Z �6, 7a S6 %
,r 76 x # ( ) Subdivision
zed Agent City ✓ — ZIP ??.Y
d CW NyEW fTA C4�ES L PTS Phone # ( — River Basin
❑ [IOEA HHF UH ❑ UBA ❑ N/A
❑ Pws: ❑ FC: Adj. Wtr. Body C H A 111 �' J. �, nat
Closest Maj. Wtr. Body
yes(J:!1O PNA yes /4Z` Crit.Hab. yes / W A
)f Project/ Activity 1 I��S 4 8 / /1 1�'w .,., w a,,
�!Y 'f -+C i las L✓Gi1 / (Scale:
ock) length
ength --
umber
a�Riprap length
✓g distance offshore
iax distance offshore
:hannel
jbic yards
imp
use/ Boatlift ✓vtoc
3ulldozing
_ L
ie Length
not sure yes
gs: not sure yes-
rium: n/a yes
CAL..//� —i
yes -
Attached: yes li�oi _
ing permit may be required by: �.
x
r eo.� ✓ r..a - -. -_.
❑ See note on back regardin River Basin i
N.C. DIVISION OF COASTAL MANAGEMENT
AG1=NT AllT€ 0Rl7ATlON FORM
Date'_
Name of Property Owner Applying for Permit:
ay r e_ ✓1 I, P, w�
Mr -Ring Ac dress,:
6-4-/ 2 Mer;o,j
r4 �x 10 Nc z 07 s 3
balm£ for the purpose of applybg fo: and obta.aing al! f. &Ti4A Permits nec%my to
install or construct (acfiyjty, j -cfeW 71 k. be i[-f ! 44
a: (w.y pro?e: ty k►cated a►)
h s certification is valid t5 a (date)
/r7� �2--
�' Proparrr awne: S:goxture DLte
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner
Address of Property 70407 / 7"t Y• efo.-'T 47i Ay . AIL ---
,Lot or Street #, Sfiast or Rand, City &
Applicant phone
Mailing Address. f i n D r D y:1 d c.+i WL
A `C }'Ur w l-,n
SritG 1S r �iC AAL
l 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. i; descrFghon of drawing with aMgn#i0s must be Provided war ftits fetter.
I have no objections to this prop(mi_ _ . _ I have objections to this proposal.
H you have objections fo whatis befngpvopose, you must notify the +of Co@xod awuWemant
(DCN) in writing with!" 10 days of rece/pt of this rr *& faorrnW JnfmmaBon for DCid Wises is
available at www.nccoasUlmangomentnet/contsci dcm.irbbn or by calling 14=4RCOAST. No
rsspotrse is considered the same as no objection if YOU halve been notirmd bhr CW~ Lbil
V-!AP ER SECTiOK
! understand that a pier, dock, mooring pilings, breakwater boathouse, or lift 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 appropnate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
•ss�..�.�.���.ra•�wa�..-.�.��ra-r.�_.a. ___�-----r.-_.�._._._ ... _ ...�ira�>:..---..�as.w
(PropeOw.�
.Si
Snature
WA role , F.
PVt orTW Warne
�[ 544-7 �r, orI STI{jo►� �r
Meft Adds
&e,c , N L 275-3
,swta�
9114-35972.-
7'eleplrone Member
(Riparian. Property Owner information)
Signature T
Pant or Typ& Nome
3 �� /
Mailing Adidrm _—
i,t.; t(g,j S h2 6L �?y t 2_
Telephone AU7&ly r
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAiVER FORM
(Name of Property Owner: Wa r e n �/dm � ,-
Address of Property' 70ls7 / 7" Y. n A . NL
!Lot or Street 0, Street or Road. City g
Applicant phone * ID ZQl M-15: Mailing Address: A i-h n D r, c o 4 i' eh oel
I hereby certify that I own property adjacent to tne above referenced property. The individual
apply: this permit has described to ras as Shawn on the attached drawing -the development
— they proposing. A desafufwn m drawtng w,th a,rne must be mvided WV' !hls fetter.
�I have no objections to this proposal. _ _ I have objections to this proposal.
If you have objections to **Otis bs ftrvaposed: You must notifythe Divh*w ofCassW aanagement
(DCAV in oTifing within fo days cf receipt of this fr_-Vm Conbc, inforamabn &r DCM offices is
available at www.ncooasWnWWmentnet/coamrt dcm.hdn or by calling 14884RCOAST. No
response Is wns WW the same as no objection if you haute been notified by C&Vft d ;Jell
WAIVER SECTIOD:
I understand that a pier, dock, mooring pilings; breakwater boathouse, or lift must be set back
mil'"Mugn distance of 15from my area of riparian, access unless waived by me. (if you wish to
wai setb ck, you must lnitlal the appropnate blank below.)
�I do wish to waive the 95' setback r erlutremwt.
I do not wish to waive the 15' setback requirement.
(Prope : Ov = au r.)
Si}�s
- Y—
Pmit or T Ve !Name
5447 A s��o,1 l�
Me ft Address
C
e-x . AJC- 7-7D 9
'71 q - 326P Z-
T eMphow AWniber
(Riparian Property Owner lnfozme;,oi-
ce-
PnW or Type Akm
.:qrd <--I '!Z/l,Dm-v Rifee�
Haffing Addmss
C#yVSW
7/i'-P?y.,z-'-7 �®
Telephone Aftxu per
U
plicant: G Permit #:
T �D
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
DISTURB TYPE
itat Name 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/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)
Dredge ❑ FRIA Both ❑ Other ❑
Dredge ❑ Fil Both ❑ Other ❑
(0
qQ
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 ❑