HomeMy WebLinkAbout60694D - LeeI4CNAMA / N DREDGE & FILL NO. 60
3/previousENERAL PERMIT permit # " 115,
�New ,Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
wized 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 b -
❑ ules attached.
it Name ��c�/�_N ` C Project Location: County
[Jy f /La4 J� • Street Address/ State Road/ Lot #(s)
FA State N4 ZIP 2£S wl 2-10 &i
11710 7-7157 Fax # ( ) 1 Subdivision
:ed Agent #A- t 6ari i }"nJ City TV (s51K" w- 105CAO( ZIP r `i'
Ll CW XEW t PTA _ S ❑ PTS Phone # ( ) River Basin c
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A "
Adj. Wtr. Body_ �i�' /l� � � C�/17111��--- (sat /
ElPWS: ❑ FC:
yes / PNA yes /ono Crit.Hab. yes %no) Closest Maj. Wtr. Body—TL�L 51%6W
f Project/ Activity
Wf 1r
ick) length
)ier(s)
�ngth
tuber
�Yikiprap length P
g distance offshore
ax distance offshore
hannel
bic yards
np
ise/ Boatlift
ulldozing
e Length
not sure yes
T.�s: not sure yes
ium: n/a yes
yes
kttached: yes no
ng permit may be required by:
(Scale: III_
I
❑ See note on back rezardine River Basi r
� ,1 , . ) ,/'0
:1 CAMA / ❑ DREDGE & FILL
GEN L PERMIT Previous permit #
New Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
by the State of North Carolina, Department of Environment and Natural Resources f
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
t r7 c9 f°' e
❑ Ryles attached. "•
-it Name� - f r�- Project Location: County
pt Street Address/ State
Road/ Loot #(s)
qg
co" State /' ZIP
F
rlt% Z /�' Fax # �() Subdiv*Ls�gn
zed agent. f�. _ - City-
0 CW QEW ...PTA ❑ ES ❑ PTS Phone # O River Basin
j ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body �•- nat <
yes. /jno ` PNA yes/rS]Q-� Crit.Hab. yes / no Closest Maj. Wtr. Body r
if Project/ Activity
(Scale: if'/
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ne Length 7— SO
not sure 1-11
yes
Attached: Yes
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JinQ permit may be required by: ii�it.,,fl/d_ r �A' ❑ See note on back regardingp,River asin
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORIIVG PILINVGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
property located at
Zio Bre-
(Name of Property Owner)
Vy-
(Lot, Black, Road, etc.)
onL, ,4�� ems., , in % Y �� E, N.C.
(Waterbody) (Town and/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 / boadift / 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 requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
P
(Information for Property Owner Applying
for Permit)
� 5 S� Jtc.,rr sue.
Mailing Address
,,, Rew WX1f
L-
(Riparian Property Owner Information)
Signature
ar-$ q q(c �, r� t✓� (C NN a t�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adi acent to (a A7 eT 0y, lee is
(Name of Property Owner)
property located at 10
on `�S�c.�x Jt��►
(Waterbody)
rc ,?�
(Lot,
Road, etc.)
in l 8 �t c I�� , N.C.
(Town and/or County)
Applicant's phone #• %G ZdS %1 ill Mailing Address: 61.5-( S-''/' ..Q- (..—x f t-
�J ,t,z z5 L(4(,:�
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 requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
I!c, LB44(,
(Riparian Property Owner Information)
r ► n n -, )n n
v Signature
�—A Aid n 1�;E
28 12 10:00a Hal Fogleman 810--270-3374 p.2
CAOMA 0, DREDC 2 Z
GENERAL P E P,',%;, or, pi 7,
rai
compic vo I,.- pm-tcl!
U�i'c� po-mov, peril'wt issued
at ii.hormcd by the rarr -.)f N-w: It Cat olum. Cu%x,i it -.�: L :V: I."! I!" p!
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d I fm Co .j.11 .:Oil If I I I I I 111 .11 1 r-1, iswjvI)I:rI,•ll:.l:....•..'�'.I!lll'l''It
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of F rojecc."Acl:-vicy
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(scale; J
Vjiv-- Atr i,twd ), 7, C, v
111.111611", .10,1111t :wtv or -),I:- k I "s Rivor B.I. fit I
,'otv!.! Special Condition: /o,
z
)plicant: Ca� eA �vlA
�
ate: [ � I �+
Permit#: S ( )5�
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
bitat Name
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
tem impacts)
amount
Dredge ❑ Fill Both ElOther El�D
Dredge ❑ Fill ❑ Both ❑ Oth
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 0 Both ❑ Other ❑