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Home My WebLink About60699D - Knowles2CAMA / n DREDGE & FILL V NO. 60 GENERAL PERMIT Previous permit# New ]Modification Complete Reissue :Partial Reissue Date previous permit issued Drized 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 Y1 Rules attached. nt Name 1 S Project Location: County f Y J s Street Addr\e/ss/ State Road/ Lot #(s) f �1('bmks State zlP�: L�� X A- 6) G nTiZ W A U Cl it Rt a3 — 2-;r1 V Fax # ( ) Subdivision t\VA zed Agent -V.A1v4Aelt' MAAnl�l,�ll`si. City_ V (i�j�Y1Cl_Y11+GtAJ V1 ZIP CW �,EW PTA ES PTS Ph1he ( �0) �3 River Basin i OEA 'El�� f HHF IH ❑ UBA - N/A � ....._1 PWS yes /t no PNA ( yes / if Project/ Activity Dck)length % „-7(s) l L/ X ic, " ength amber ad/ Riprap length rg distance offshore iax distance offshore :hannel ibic yards_ mp use/ Boatlift 3ulldozing ie Length not sure yes t1 no gs: not sure yes (_no rium: \ n/a 7 yes no 1 yes no Attached: yes no ing permit may be required by: .- -._ --- liI Crit.Hab. yes /(no M Adj. vvtr. Body WIL tV,vClosest Maj. Wtr. Body ► `W Y �u (Scale: 1/Y U►► YV I L _ See note on back regarding River Basin i .tI . U - lI A ,. .1 t IWO NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Dee F Governor Director SI AGENT AUTHORIZATION FORM Date: ►0��ta Name of Property Qwner Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Address: c NumberPhone • •Ly Agent's Mailing Address: Phone Number I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): (my property located) at _a 4 i ) V., nS&cr, c�� ------ This certification is valid thru (date) Property Owner Signature Date A b i--f v t/z- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to `s (Name of Property Owner) property located at L yarwa..� AX t (Lot, Block, Road, etc.) on Z4 AaLl , in 1/2�t,•t�i .c. �J!'�w�w�� , N.C. (Waterbody (Town an or County) Applicant's phone #: Mailing Address: 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 (I T) 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 EQ I do wish to waive that setback requirement. ----------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) N� ' ,trhd � q � .e�i, a k�2�K </ 2--2. (Information for Property Owner Applying for Permit) Mailing Address (Riparian Property Owner Information) %/ �� Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PHUNGSIBOATLITTBOATHOUSE) t hereby certify that I own property adjacent to (Name of Property Owner) property located at #� 9 Ilcer�z2 (Lot, Block, Road, etc.) on a , in I ISIIIVAIS'&'Lk, N.C. (Waterbody (Town and/4 County) Applicant's phone #: Mailing Address: 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 (1 S) 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 re- uirement. -_ _---------rM______ ____ --------------------------------------- -- DESCRIPTION AND/OR DRAWING OF PROPOSED IbE OPMENT: (To be filled in by individual proposing development) z�` s;z-e saw (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) i Mailing Address V Signature ,r 4 4 7a- -Ji City/State/Zip Print or Type Dame 0 IMO v.14 ory pro Applicant: a (A) Date: lti � 17i Permit #: )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ound in your Habitat code sheet. labitat 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 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) Dredge ❑ Fill ❑ Both ❑ Other ❑ 1C'j2J 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 0 Fill ❑ Both ❑ Other ❑