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HomeMy WebLinkAbout59185D - Lyerly-JCAMA / '❑ DREDGE & FILL 'ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Ly ElRules attached. it Name i .� ' Project Location: County ?, V oskyl (A 1. 5311. (J uld m' we l Q-W Street11'Address/ State Ro\adL/- Lot #(s) �G1 Y7;i State NC. ZIP' �% `T AAA ✓ it Subdivision :edAgent (Ai'p�Q1 City 'C U'1 ZIP 2614 Li Cw dew ETA 11.1 es ❑ PTS Phone # ( H+3 "Zy River Basin ❑ OEA /❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes Co } PNA yes f Project/ Activity TVT ock) length n(s) fier(s) >ngth amber d/ Riprap length g distance offshore ax distance offshore hannel bic yards np Ase/ Boatlift V X' 2. lulldozing ie Length not sure yes Eno s: not s yes rium: n/a no % . T no � Attached: yes no �-- ing permit may be required by: 1_i 1 Adj. vvtr. Body nat Crit.Hab. yes �. no Closest Maj. Wtr. Body (Scale: l ��wn Gf M I(U li i Gbh- ❑ ee note on back regarding River Basin .AGA WDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 4ichaei F. Fasley, Govemor Charles & Jones. Director %Ml'iam G.:Ross Jr.. secretar/ Authorized Agent Consent Agreement t'i'! \V Il CE M is hereby authorized to act on my behalf (FWnted Name of Agent) )rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the �cific activities described in the attached sketch. CATION OF PROJECT: !4 ctllrnt--(j. DPERTY OWNER MAILING ADDRESS: �Z— , e a 81�2 ���� ter/ C f HORIZED AGENT MAILING ADDRESS: Nc iature or Property Owner: iature of Authorized Agent PHONE NO. PHONE NO. �t L� q q 5� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY O'%WER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: / L �—' ' e r Address of Property: l' r i�! r � 'I'j (Lot or Street #, Street or Road) Nd {C ()/I (City and County) O'C' I, /�] C - I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit has described to me as shown on the attached drawma the development they 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 Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck a minimum distance of 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.) 41= • , I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Sign Name Date Print Name r �� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual Applying For Permit: /� �, t....° Address of Property:_ y Y r in r (Lot or Street #, Street or Road) 1--� ld,�n (City and County) -eac % K C I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they 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 Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck a minimum distance of 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. -A 91!!Oa— M 9 °Z� Sign Name L Date Print Name 0 'Mork Cecil lvc - plicant: A `� I te: L Permit#: Gal1�SD scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. iitat Name W 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 Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other I I �—� 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 ❑ Fill ❑ Both ❑ Other ❑ -41-E0I2 05:20R FRON:0ARNPP'S DOCKSWULKH 910-755-6871 TO: 3-9573964 l'o:910 75. 6871- ,-03_2012 08-08 From: N LAMA / r DRUDGE A r-l" PrOVIOUS Permit ENERAL PERMIT sum L]PnnIaIRW"u0 Due PrVAOuz PO"nir ow rModincalon FIr-empliateRels ,I $tam *I t4cMtN Carolina, Oapwtpnent or linv1wMwt and Natural kwuma j the Coastal Resources ConambsI wiftrizod by th on,n an W42 of ,Iro,1nwtj (cmegm pursuant to I SA NCAC - ProledLocntjow county7D&&rA po"Int NvrwA ACE't, 41 W- 1� NZ 101dMI - AL 04 Strom Addrassi smw Rftdl Lot #W 11 4.A Ion one -M e FIX # 71P 264 lla— I*W11W Aont :4-�- Yet 820" Phona # f6cw U CW �*YA '%%W LJ P" Ad), Wtr. Body n0FA 41mmf nim FJUSA 11WA y n Fws- � FC. closen Mal, Wv, Do-, rAw of Pr*ct/ ActivItY Pier t) WVM-- I— PlaQfswm(s) t ` I !. fl �j {II 1 CT L -i� Finw Groin IwVh t nvmber aLikhow Fjpmp lervt avg dkora* max dwwKa .4 Basin, channfol, cubfc yarda-- Doe MW ftqlhcus4P ftach BAdeft War smmitne UwWh I SAY: not Mrs Yea no SandbW.' obt Yes no moratodam: Ala no W*4w Atmhmwd: no A W110n; pormIt may be Mquired by 11-fil ILI