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Home My WebLink About59286D - Knoxs CAMA / DREDGE & FILL `. 57 GENERAL PERMIT Previous permit # New Modification Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources Cotistal Resources Commission in an area of environmental concern pursuant to 15A NCAC to 161 Rules attached. :nt Name i� G• a Project Location: County Y m.')W t L , s �, �"� Street Address/ State Road/ Lot #(s) YhV i d a 1 `V L. ZIPS State Z�6G. E:% r l t # ( ) Fax # () Subdivision !zed Agent ` V l t k v5 city (t cL ZIP ❑ CW ]EW . PTA ❑ ES PTS aPhbne # lL' )`1G5' 4 56-1 River Basin d ElOEA ❑ HHF �--IH ElUBA ❑ N/A �nj Adj. Wtr. Body l *,K (nat 71 PWS: yes / no PNA ❑ FC: (no yes / no Crit.Hab. yes Closest Maj. Wtr. Body AA W w A Project/ Activity ock) length LA m(s) pier(s) length umber :ad/ Riprap length vg distance offshore iax distance offshore channel ubic yards imp ,use/ Boatlift Bulldozing � ne Length not sure yes � no gs: not sure yes no mum: n/a yes no yes no Attached: yes no (Scale: ling permit may be required by: ' UWyx 64 UO UM 1 U i ;) O u, ❑ See note on back regarding River Basin &--_1-1 17 W f, I A tA d r I ei ., f CLi s,_ A 1''11" � I ,,.1— (. 4- . . 4CAMA / ❑ DREDGE & FALL N0 59 2 8 61` ENERAL PERMIT Previous permlt # ew DModification OComplete Reissue ❑Partial Reissue Date previous permit issued )rdzed 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 T 6 ules attached. it Name � (.{. cll `16Ax j Project Location: County , 4 (� I t P. b , Cox. Street Address/ State Road/ Lot #(s) A,4 p Statehht`Z ZIP. O Fax # (j 1 SubM�J& �n zed Agent 1.(� 1 `� �6 Qnke*# ZIP G� � iy j ❑CW W �TA [I ES ❑PTS Ato m-Liw+_ River Basin ❑OEA HHF ❑IH ❑UBA ❑NIA A. 0 PWS: ❑FC: yes (no � PNA yes f no d Project/ Activity -LA t-th Adj. Wtr. Body tnat 1QAnJunK Crit.Hab. yes no Closest Maj. Wtr. Body AAw-V w (Scale: I -2—cr 1 MLwd��ramp-M �M■ M�r� MM ■MG M■/�■.3� MISIVIMM■■S■SEEM MmWE M; —Mb�� MEwaE IN BEM E M■ ifi■ 1= r �. p. Nli�■M i=i8 VAT TI—A OEM MEMEM111 � ne Length �`r ys: not sure yes 8n. notsure yes oriurn: 0 yes no yes ves...�V.vj �ii� i�ii�� MEN ling permit may be required by: _ 6�w,kt See note on back regarding River Basin rules. / Special Conditions I. 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: J/�7/1.7 Address of Property: 3 9 (Lot or Street #, Street or Road) o / J-3 r%) c , (City and County) hereby certify that I own property adjacent. to the above -referenced property. The individ applying for this permit has described to.me as shown on the attached drativing the.development t Are proposing. A description or drawing. with dimensions, should be provided with this letter . I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coa: Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796-7 within 10 days'of receipt of this notice. No response is considered the same as no.objectio you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breal.-ti`•ater, 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.) I do wish to waive the 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. Z--- 0111 INallic Late kr.K�FA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ;rly Eaves Perdue Braxton C. Davis 9mor Director Dee Freemi Secrete AGENT AUTHORIZATION FORM Date:" of Property Owner Applying for Permit: Name of Authorized Agent for this project: is Mailing Address: 15ox � fVI"-'*> �& �?�1�3 Agent's Mailing Address: /C a2 Number ( ) Phone Number (9ie� 'y that I have authorized the agent listed above to act on my behalf, for the purpose of applying J obtaining all CAMA Permits necessary to install or construct the following (activity): v�C J� ' DI Q c k" � - L I Alk wkv iy property located at ertification is valid thr (date) �xcc i 7Pr a Owner Signature Date %� �� 7 at- . a plicant: /� +y� CA a K p)� Permit #: /—/-Ij 2 D scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremel Ind in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fin DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. bitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and restoration or and/or temp restoration or temp impact — mp impacts) impact amount) temp impacts) amount) l/— T1 Dredge ❑ Fill ❑ Both ❑ Other �Jv0 I � 0 Dredge ❑ Fill ❑ Both ❑ Other ❑ ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: rvl 1 CN A L3 C- 31LO0 TJI wow CSC SS3�o 2. Article Number (Transfer from service label) PS Form 3811, February 2004 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ A. Signature X ❑ Agent ❑ Addressee B. Received by ( Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ ReWrn Receipt for Merdtandise ❑ Immed Mail ❑ C.OM. 4. Restricted Delivery? (Firm Fee) ❑ Yes 7010 3090 0001 1221 7549 Domestic Return Receipt 102595-024A-1540 Dredge ❑ Fill ❑ Both ❑ Other ❑