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Home My WebLink About60626D - KeeverLAMA / DREDGE & FILL No. 60 i�NERAL PERMIT Previous permit # New -Modification '-Complete Reissue Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources :)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attch d. Name Project Location: County 1�U t'lSVvI C (�- U YL 1 ^ Street Address/ State Road/ Lot #(s) I State NC: ZIP 404✓h A 1'a� )r 15o Fax # (q) Subdivision N l A -d Agent (I (dA �ngLl ZIP L ❑ ❑ �` CW ] EW 4PTA ES PTS one # ( )�� 1 U River Basin [AJY1Jj OEA ElHHF ElIH ElUBA ❑ N/A Adj. Wtr. Body , (�k (na�td PWS: ❑FC: W A',YV ` `, 4 t<'o res / i PNA yes / no Crit.Hab. yes no Closest Maj. Wtr. Body f� Project/ Activity k) length igth fiber / Riprap length distance offshore c distance offshore annel is yards ip ;e/ Boatlift Adozing GIMP ti x I to Length _ not sure c: not sure yes no um: n/a no e no kttached: yes)Xn� ig permit may be required by: UI (Scale f /1 ❑ See note on back regarding River Basin No. 601 LAMA / DREDGE & FILL WNERAL PERMIT Previous permit# New Modification ---Complete Reissue Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources - :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC "j'� (60 W 1 Rules att ch d. t Name_ 6w� , Project Location: County ! 6V4.1I (-4- �� UYI- State NC ZIP �5p Fax #A () ed Agent gaawA.�i/ (�/lG(,Y eu 1.61/ sb NCW �W IOTA ❑ ES -1 PTS """"OEA ^ HHF IH C' UBA -J N/A PWS ❑FC: yes / CIO:) PNA yes /L-0 Crit.Hab. yes ' Project/ Activity I i/ " Street Address/ State Road/ Lot #(s) Subdivi ion 1v A ity �aoL ZIP_Z_ one # ftt )1 H b River Basin 1J1)Y6 Adj. Wtr. BodyA AA a (nat Closest Maj. Wtr. Body ck) length A ++-- I(s) ier(s) CVv ngth tuber_ Of ��{� d/ Riprap length ZI�Krn distance offshore j uc distance offshore_ cannel ,s , Sic yards j LyaQZ np _ C t1+C J V7� Ito ( ise/ Boatlift A 6 _ f _.,r ,ulldozing 0 0(2 X 12 .'AMP lix1t� ie Length f5b or not sure yes n ;s: not sure yes no •ium: n/a no ApX ye no T ` \ Attached: yes xn _ (Scale /� , ng permit may be required by: i/1 tl `(l-e'Vl U , See note on back regarding River Basin i III 1i,; - .11 1 - .I . I n I- _ r i A ( 1 w 2 PI P Proposed 10,0001b Boatlift Removal of old wood wall and installation of a new viny wall Proposed Floating Dock - ---50' 123 Lumberton St. Proposed Dock N 210 Sq f t HCDEHR North Carolina Department of Environment and Natural Resources Division of Coastal -Management Beverly Eaves Perdue James H. Gregson Dee Free Governor Director Seca AGENT AUTHORIZATION FORM Date: b - ; -I Z Jame of Property Owner Applying for Permit: Name of Authorized Agent for this project: „SaAI.It-I owner's Mailing Address: gZa,;�— �1� 2 7 "hone. Number Agent's Mailing Address: / Phone Number certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying 'or and obtaining all CAMA Permits necessary to install or construct the following (activity): (my property located) at % a2 3 .�, .✓s•-1�- L �� _ �- This certification is valid thru (date) Property Owner Signature Date F` JUL 0 9 2012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER4WORLNG PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to , aJ w4t-eA I- aul4f Wei/tie `s (Name of Property'Owner) property located at t Z 44/ b ze u 5 - (Lot, Block, Road, etc.) on eeo�CtAAzj , in 1-4el ;rJ , N-C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: 4fGl He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive g16-1 I do wish to waive that setback requirement. - DESCRIPTION AND/UR DRAWING OF' PROPOSED DEVELOPMENT: •t (To be filled in by individual proposing development) sue' f 7r�c�r� (Information for Property Owner Applying for Permit) Mailing Address (Riparian Property Information) Signature City/State/Zip� rint or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/mOORING PIL'INGSIBOATLIFTIBOATSOUSE) I hereby certify that I own property adjacent to Of es 06 l��e✓� i (Name of Property "ner) property located at 1-111-ki4c (Lot, Block, Road, etc.) on C✓ GC , in t--,n � �1 (�1 , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 3� �L' 1 Mailing Address: 401 Se. tW O% IN, i Q!, ,o Z 2 7ZG� �7 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback zequirement. --- ----------�-__�___�_ -- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: • (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) MaiilingfjAddress j (Riparian Property Owner Information) City/State/Zip /' 49:_f Z V Printor • e-/J(51/ G/ r7 16' PI L 10' 1 1 6' 5 0' 123 Lumberton St. 10' cu m 1 Applicant: T 1C i Permit #: Date: 111 lh {J Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurer found in your Habitat code sheet. Habitat 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/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL F& (Anticipatec disturbance Excludes ar restoration s temp impac amount) S` Dredge ❑ Fill Both ❑ Other ❑ V � 5� Dredge ❑ Fill Both El Other El Dredge ❑ Fill ❑ Both ❑ Other —�5U 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 ❑ m s��'�0¢x