HomeMy WebLinkAbout59128D - Patea CAMA / ❑ DREDGE & FILL
ENERAL PERMIT Previous permit #
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
>rized`by the State of North Carolina, Department of Environment and Natural Resources Coastel Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
rt Name Project Location: County g✓UnS W► is )
551,5 Y05AJ CMIzA,nStreet Address/ State Road/ Lot #(s)
1 Stated ZIP Z (z. 1 J (p TU►1 a I) r► Vt.
Fax # ( ) Subdivision N�A
ted Agent( (� �L City H b doi, I; 1y''(Lt7a, ZIP 4
CW EW PTA Li ES J PTS Phone # J I )5'TL, 10S I O River Basin
OEA CF ❑ IH C UBA ❑ N/A 1/
❑ PWS: ❑FC: Adj. Wtr. Body �LI V'i(la (nat 1
/'` Closest Maj. Wtr. Body �1
yes j no PNA yes /r no Crit.Hab. yes / no
f Project/ Activity LOS+Y vZ � V4 W
(Scale: I s
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n(s) X
Aer(s)
angth
amber
id/ Riprap length
g distance offshore
ax distance offshore
hannel
bic yards
np
ise/ Boatlift
iulldozing
3XK9A*
x Plhno
Zb "
ie Length V-
not sure ves no )
not sure yes ! no
ium: n/a yes
yes
Attached: yes no -
ng permit may be required by:a ❑ See note on back regarding River Basin r
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UG-03-2007 10:02 From: To:8429806
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The purpose of this forts is to provide proper notice to you as on adjacent riparian property owner to the individual a
individuals listed below, The CAMA General Permit application Wecedures roquire that applicants provide flu; Divi
Coastal Mamganent confirmation that a written soaromeat has been obtained signad by the adjacent riparian propem,,
indicating that they have no objection to the proposed work at that the adjacent riparian property owners have been i
by certified mail of the proposed work. Often time forms am submitted to the adjacent riparian property owners by
contractor or other individuals acting as an authorized agent or behaltof the applicant.
This form was sent to you by the following ludivfdnsi or company designated by the appiicant as as
authorized agent:
Name of Individual Applying For Permir. -W-n PC4' Ae—
Address of Property:
( Lot or Street it, Street or ROW
Ol
(City and Counry)
I hereby certify that I own property adjacent to the above-refemneed property. The individual applying fox
has described to me as shown on the attgched drawing the development they are proposing. A description
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 Maaag,
Cardinal Drive Extension, Wilmington. NC 28405 or call 910-79&7215 within 10 days of receipt of
No response is considered the some as no objection if you have bee* nodfled by Certifted Mail.
WAIVER SECTION
I understand that a pier, dock. mooring pilings. breakwater. boat house or boat lift must
minimum distance of 15' from my area of riparian access - ualcsa waived-d n-Y-m-e. (tf you wish
aathaek_ vnu n.nat initial ALP ennnrnrintr hiantt hAnw_1
-2W7 10:02 From: To:8429906
The putpo•e of this forts is to provide proper Maria to you as an aQja m ripwicm Ply owns to the individual a
indiviA" !naiad below, The CAMA Cie wal Permit application prccodum requim that app Kwm provide ft Chvi
CoaSW MWWOUtnattt confkmatlon that a writia smoonmu has boos obmined signod by the adjxm riparian properr
indit Kft that they have no objection w do proposed work gt that the adjum riparian property owners have bias i
by artifiad "I of tk proposed wo& Often brae fora,# m a baimd to the adjaaertt riparian property owrars by
cons actor or 00W Wiv'kk" acting arc an authorized agm on behalf of the aWk.=L
This forth was seat to you by the kfflbwiug b dWvai or comp my de*nated by the applicant as as
atttbotitted argent: ,
s Signature Date
Nam of Individual Applying For Permit:
Address of Propaty: / `��✓'—'/ ( W'4 C/ / — ...
( Lot or Strict 0, Street or Road)
arid County)
i hereby certify time I own property adjacent to die above.rcfemf=d'propert`r. The individual applying for
has described to ale as shown on the avVhed drawing the development dwy are proposing. A desc6ptwn a
with dimensions, should be provided with this letter,
V I have no objections to this proposal.
tf *you have objections to wbat Is being proposed. please write the Diviflon of Coastal Manage
Cardinal Drive Extension, Wilmiwgt0a. NC 28405 or call 910•79&7215 within to days of M4M4pt or l
No respowe is considered the state as no objection if you have been notified by Certified MaiL
WAIVER SECTION
I nndersuad tlwl a pier, dolt. raooriag pilings. breakwater. bout kouse or bout HIT mat be
J6-Bi-2867 1W..82 Fran-
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in ardw is otAein wW C.AMA Pwn*S3 md for Om DnWft 6abd beam, 'the augor=uw
specifc aq*mTms deecibed in the aftdhed
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AWN)RUND AGM MAKJNG ADDRESS:
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Division of Coastal Mgt. Habitat Impact Computer Sheet
licant: pe er,� �� Permit #:
Sp1 �2�5 �U
ICNI
tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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/ortemp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tem impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑
Fill ❑
Both ❑
Other
`(0
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 ❑