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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 >ck) len h 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 .. _ ` L i I I ").� n n r I n (1 I n (F , � 1 C L.. 1. /► �� i s ,1 I, --.kl . �W ?A�<WAJ ISI ei i lz w � M i 1 t 0 Q f r t UG-03-2007 10:02 From: To:8429806 �kdij X181 Al _.'ss , r r S r i . lI . . . u :; ►.r 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- #�Sd F,Ea61sy.9aeaaot •n Ta:9429806 .ram.. N� (;�� Qep� F.n�o9timet� �IREi RB�ares� omdm d COW N vAragserarr; :I�sl1. g1�oa, Okeclos Aube- I I I A00ft t:onseert AW�eelasol `-'I v `" \. - i6 therapy audXwt ed to et 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 pro"INSI V OWUM MO S`S"1 3 k wi s-�ea d C Ms-5 �4ele-vk Po�kto-- AWN)RUND AGM MAKJNG ADDRESS: l 5-e Z- S 164 -e " r w� Mo, /9 30/ 1� 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 ❑