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Home My WebLink About60720D - MillerCAMA / 'DREDGE & FILL ✓ NO. 607 IFNERAL PERMIT Previous permit # New '—]Modification 7Complete Reissue Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources ` oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC [r�Rules attached. Name 1� ( �r !!'"1 t L (-- ac 2 S Plt'1/ I YN k 1 I"n 00 Vr-'V1 State ZIP D did ii(i 2 LS I Fax # ( ) W Agent al a"1 C1 T 11,11 V ElCW Cl EW PTA VfS ❑ PTSR ❑ OEA El HHF IH UBA —1 N/A Project Location: County Street Address/ State Road/ Lot #(s) S7Z iYli�71Sf Subdivision City t. (t7� ! Lf�3 .� zip -A 40 Phone # () River Basin"1Z"� Adj. Wtr. Body -'� 4 ❑ PWS: ❑FC: yes /® PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity N CAI) V jt:W- Vyi--�= E j `� !"F, n-r t RZ4V (Scale: r s -k) length 7-7— ngth nber 1911 b/ praa 'length s distance offshore rri� uc distance offshoreIt cannel tf bic yards np ise/ Boatlift ulldozing ,--) r4 N -'71Va 14 S� --z /oz. - I t'-. N� b Quo on9� / t_J- i ICyr� S �iV V !"�, L� f " s lra ��• $ _ � J , r ✓'sr. t 1 \ Iwo i/ bwa 141 North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F Easley, Govemor James H. Gregson, Director William G Ross Authorized Agent Consent Agreement to M �e f^� is hereby authorized to act cn my Printed N e o 'Agent) in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limit specific activities described in the attached sketch. LOCATION OF PROJECT: -s 3 a r-- PROPERTY OWNER MAILING ADDRESS: Ax�,Aoy r —� p PHONE NO q,lt-49q `2(0 } 1 4UTHORIZED AGENT MAILING ADDRESS: S (0OO C�� rhC��ae JcJ PHONE NO. °`4p-`{ - �l�°5`f $ Signature of Property 0* wner771D 01L y� Signature of Authorized Agen��%- , 'rQ' o rNA LUPARM ONWR I W" M" VW I C%Nn pqmty scW" to of Propsay OWCKNI. PWWW kK%tW it on agxa-t (Address, Lot 5kwK Road, In — dm; k1gZt)-V N.C. (Wkkwbody) (Cwrrom andf6r county) The app7has described to me, as skm bdw, the develaQment proposed at the above I twn no objecdon to this propoW. DMRIPT1614 AMCM DUVOM Of PROPOW DEVEA)PUM 0 111 a $ft o pyyeued c' u'.Ajs4v!c - 6;* elij�j A �P411 A f�r 'CAWvf-- 6*61 fr 0- eap, C, 0 e�A 0 Ot-kk $ Pied r -Ot>.J4,t-Q MA tZ6 tk PAJ Oy -2-5 3 z tm--CJ�N WAN= SECMW I wWwq"ind 00 41 VIK doCk Moorkg " bm*OMW,#' bolft -us& Ot or pAn mint �* ad bm*.* mill I■t of Is too, wq.,ma of rtpiriNr aocw urdsaw.welued by ma. (if you mma I dioVAMIAw"06 It? GS2mwkHMPAW"M"t I do nC*V6h-toWdwt* I& Smlbs&MWkWW& ownae 10H.Old IFZ - FAR i ADJACENT RI P QE OWNER STATEMIN I hereby certify that f own propertyadjacent toyC7'11ai-n / 's (—N @ of Property Owner) property located at Al2S (Address, Lot, Blocls� � Road, on t - !� in (,i✓4G N.C. (Waterbody) (City/Town and/or County) The appil nt has described to me, as shown below, the development proposed at the above location ! have no objection to this proposal, I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development;nust fill in descripBon below or attach a site drawing) C,A�tQa /5 0 e>4 w4PV - , s�`^etc rj?tlXeel0jH rl"A-LA U � k� Q `� �s�+ �� , ANER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16' from my area of riparian access unless waived by me. (If you wish to waive the setback, �Idc must Initial the appropriate blank below.) wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (PrOperty' r Info' ation (Adjac t Property Owner Information) lC�r Si G el -A M Lee- Signature rr t' rra, Print or Type Name Print or Type Name Mallina Addrass Madina Address Division of Coastal Mgt. Habitat Impact Computer Sheet flicant: Dot, 1A- __0 M 'L-L-M Permit #: kn, cl/101/i2- cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen id in your Habitat code sheet. itat Name 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 fina disturbance. Excludes any restoration andh temp impact amount) Dredge ❑ FilloBoth ❑ Other ❑ I (V o 5 - ' v Is 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 ❑