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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'/ ■■■■■■■■may■■■H■1 [!■YllMA! I■■� A!■'!■ �N■ �� ■■■■■■■■■■■■E MOON ■■■■■■■■■■I■■■■■■ �!■■■■■■■■■■■■�■ ■■■■■■■■■■per■■■ � I■■■■■■■■■■■■■■I MN A■■.■■�■■I■L ME■NAI� EN■I1l■■■■■■■ r���� ■■VILLY.0jai ■,+wL!XUillnili k31l■■ M!I■■■■■■■■■■I W�C�� ■■■■■�I■� MMeI■■■N■■■I ■■■■■■■■■■i'= UFANVI� il�illi■■�■■■■SI■■■■■■ ne Length 7— SO not sure 1-11 yes Attached: Yes ■I ■■■t■i/r■■■■■lam■!1■■■■■■�■ ■■�■■■■fi■�■■■■■■■■ 11 ■■ ■I ■■!■�■■■I■il■■■■■■!■ !1 ■ IN 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! .,r I[' N, 41,1,11 h 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 iplic.-Int 1-4.1111c, L rrc,,,.i LoLAILION. R- lie COWILY > A.. 'oacl' 'A 71P 7. 1 P L4 CYV EW r.-A )<'1Z., !17S 7:i%m i( IrrtorlMA 1-!W- Adi 'vV:!- Flf)-Iv .Z I W% I c 1W yc TINA 71 rv! X:!f W';- ;ody of F rojecc."Acl:-vicy Ill., im-4. & (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 ❑