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Home My WebLink About57563D - OakleyCrit.Hab. yes / no) CAMA / -DREDGE &FILL GENERAL PERMIT Previous permit# !New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued prized 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 ' 1 Z �� ❑ Rules ched. nt Name State [V . ZIP % Fe-21 Fax # ( ) zed Agent ❑ CW [JEW C PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑FC: yes / no. PNA yes / no c_ of Project/ Activity Project Location: County Street Address/ State Road/,Lot #(s) Subdivision City 4ZIP Phone # ( ) River Basin Adj. Wtr. Body 6t&6& O!Z" /f /tV4J (nat Closest Maj. Wtr. Body riN ;/� V e-i"10i (Scale. �_ If ��■■■■� ■� ��■��■■■� ■�� AEI zngth � imber MEN MEN MEN IN Ed/ Riprap length SOMEONE, ■■ti■M". T. sic/■.��t■■Z�L/��■■■■■■I _ ■■■■■■�■■■r�.■u�■w■■■�■■■■■■■■■■■■■■I El�■■R7■■■H■®■■O■■■■■■■O■OOOI ON■HMP EOO■■■OI�R ibic yards �i�Eli�Hr■�IOH�i�■�H��EI ■■O■ONOOI�i■E171■a■1!Il1�■■ �1■Ill��.�■1!!�!O/ll1 ■■■■■■■■I�ltiiiil■■ HIE�i�TIH��t:�H9ii��iiL■1 EE■E■ ■■■N■=■1■�0 N=_ s■■SIN= ■I ■■■■IF �=. M--- ,■ii■■■■ m■■■■■■■■■I ■E■■!■E■■■■■■■EHO■E■■E■■Length NOO■ONO■■■I not sure yes .0 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I Zs: not sure yes •■�■OO■■■■O■O■■■HOB■O■■�■■�O�O■■■■OOI yes • ■ ■H■■O■■■■■■OHO■OHO ■■■■■E■■O■■1 Attached: yes no,F] 7■HOOOHOOOO■H■SOH■OOOHOO■■■OOOI ing permit may be required by: ❑ See note on back regarding River Basin r T Name Of Individual Applying For Permit: Address 0= Property: 6 & (Lot or Street Street or Road, Ci ty. 1 hereby certify that I Own plODertV adjacent t n referenced property. to the above - The individual appl y, _ described to me as shown on the attachedng for this pe�rit has drawing the development they are proposing- A description o� drawin s oL' d be r 3, with dimensions, p_ovided with this letter. _ I have no objections to this proposal. 6a6wAv1f=7SiZ7 - o AL1 1 1 0 r oC3 MaiI 1 vnde=,stsnd tbzt.a Pier, do"- -mao_ Pilings, br + bouse or boat lift must be e�e�e-=, boat set baer a *'_.mum distance o- �' area Q= ==.par' an 8c^ess - 7-fZl ess waived, D a y.Me. vtBT the sa:: t � . t , L you wish to ..D3CG, you m7i�L , ..z�l �.hs appropriete bleni: below. } 7 do SI v i a v` r :.O w � `_.i1n -S ` SQraCIL _qQLe'IiZeIIt. . da-m= wish to waj viV the 2_5 isetback _re�-z'amant_ b::r..�:i = ►�� -mot =-;N �T _ `i1� Name 04f I:��iridual Applying For Permit : kl� Address 0-f Property: - (� 4 Jf,�- r s (Lot or StreA or Road, City I hereby certi fy that hat I own property adjacent to the above_ referenced Property. The individual appl j n described to me as shown on the attache Y- gTfor this pe�rit has they are mrovosin d dY cA -ng the development g A descriptioIl or drawing, with dimensions, should be pr ided with this le�.ter. 1 II r I have no objections to this proposal. C a ` . --Volo c is r 'o 1 uaderstwud pier, dock,.moar� -mg PiI-�g's, brenr.-water +� house or .boat 1i�t must be boa_ set bacr a m�rimuu distance of Is, `rcm ' a-ez af=ipariaa access - unless waived b waive the setb you mum= �., � � y .me. (?= you wish cc . ; pia_ the approariete blew beldvr. } ra`m�Ilt 7 dz-n= wash to waive the 1.S I setback xegc�-remant_ Authorized Agent Form Date: -- 1 Z, To Whom It May Concern, I certify that I authorize G Lf J5� 1 to act on my Name of Agent behalf, for the purpose of applying for and obtaining all CAMA permits necessary for my project located at Ll 5 W t -5 - Address Sincerely, Property ner �1 I 3 ZS (4AcZ Contact number Zx6?-Ti ti,& / 'T-- 1 W' Prorw 1.2 �--- g ` --i 4-- 1 6' Gog5 6, pPlicant: � O ate: :scribe below the HABITAT disturbances for the application and in your Habitat code sheet. Z/ 3 Permit #: S f S63 All values should match the name, and units of measurement ibitat 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 and/c temp impact amount) (Aj Dredge ❑ Fill ❑ Both ❑ Other ❑ 33 3 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 ❑