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Home My WebLink About60770D - McAllisterCAMA / i� PREDGE & FILL / NO • 60 GENERAL PERMIT ✓ Previous permit# N New LlModification - ]Complete Reissue Partial Reissue Date previous permit issued A orized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 '' / p� ❑ les attached. nt Name� (n YP &c 4 f/V tA_ Project Location: County 6/'y Q I) sZ!(/ ice &6 /U Street Address/ State Road/ Lot #(s) ! State ZIP Z �/� # (9 �'(9— 9z'3ix # () Subdivision ized A$ent _ F MG�{ City v ZIP Za d 7 CW W EW APTA WS I PTS Phone # ( `}--- River Basin _ OEA /`� HHF /❑ IH ❑ UBA N/A �/ f PwS: ❑ FC: Adj. Wtr. Body ZQ/ 1 4 //1 S✓/f C �• at, yes / PNA yes /( Crit.Hab. yes /(5 Closest Maj. Wtr. Body ar-k' P 0 dry A Project/ ock) length length umber as Riprap length vg distance offshore iax distance offshore hannel ubic yards imp - ,use/ Boatlift Bulldozing ne Length not sure yes 0-.._ gs: not sure yes orium: n/a yes _ yes Attached: yes ling permit may be required by: / (Scale: � ❑ See note on back regardin River Basin p,, Y ,) I,,) yo,O�wd e I CERTIFIED -MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner:?/I/7 Address of Property: 1(9 (Ld or 811694o sheet or Road, City A CounW � Agents Name;#- A,�ke&;,,&4 Meiling Address: Agent's phone S:��- I hereby certi+y that I own property adjacent to the above r eferencod property. The individual applying for this oarmit has described to me as shown on the attached drawing the development they are proposing A description or drawing with dimensions, must ba provided with`this letter. f YOZI have no utjecunn to this proaosrd. �- I have a�jections to this propose), IFYOU haVe ob actions to what is boingproposod, you must notify the Dlvlslcn ofCoasral Managomont (DCiw; !r .vriting within 10 days of fecolpt or this notice. Correspondonco should be mailed to 127 Cardinal Odve Ert., W imington, NC, 2840S.3&5. DCM mprosentadvos can also bo conracred at 1910) 796.7215. No msponse is considamd the samo as no objocdon If you have boon noth7ad by Carrifled Mail. WAIVER SECTION I understand that a pier, dock, mooring oiiings, breakwater; boathouse, lift, or groin must oe set back a minimum distance of 1 S' frcn, my area of ripdr"an access unless waived by me. (if you wish to waive the setback, you must Initlai the appropriate blank below.) � I do wish to waive the 15' sett:aek requirement. ALLI do not wish to waive the 15setback requirement. (Propwty-Owner n1 S1 %raP Ic 4/I P*# or Type e� U Iklm/to (l MaNnp Address City/Sfa (Adjacent Property Owner Information) S atnre Pnnt or Type Name .? ) t - t,r/. cgt7e /ice I T 1 Mailing Address G+ty/Stats✓Lp Telephone Number Telephone Number �l j it "Ilk ADJACENT RJEAR(AN PROQJRTY OWNER STAC> 1Vi1=�T I hereby certify that I own property adjacent to � I Ye - rrh,'P J11" 'ff / l property located at (�'�t 7 5 q (Name of Property Ow er on Vk/� (Address, Lot, Plock Rogd, tc.) f LI-41 , in }/ r' (� �� i�� N.C. (Waterbody) (CltylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location_ )C I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVF-R SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back 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. (Property Owner 11domat)on) Ma ,n Address CC cr • -,i A/ 1. -) '7 f i .1 Information) N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 1 " I) - I ` Name of Property Owner Applying for Permit: C-f-12,t Mailing Address: 2 /I kr6o & (f �( N(, )? 511 I certify that I have authorized (agent) A-,n/p, Ls, r-r, to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) r v I k� ea I at (my property located at) V i, This certification is valid thru (date) q— 2- /) FSWnAW Property Owner Signature Date )plicant: rni'e 1�1c ate: Lr// Permit #: scribe 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 bitat Name DISTURB TYPE 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) temp impacts) amount) (� Dredge ❑ F" Both ❑ Oth Z cam', z " Dredge ❑ Fill Both ❑ Other ❑ -714 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 ❑