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HomeMy WebLinkAbout57526D - PoplarCAMA / DREDGE & FILL 11ENERAL PERMIT Previous permit# 'New -Modification El Complete Reissue El Partial Reissue Date previous permit issued ted by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concer, pursuant to I �1,C��A-C L/�G Ij'vRules attach Name Cr A t ck M ' Project Location: County• f Street Address/ State Road/ Lot (s) dw Gc�t stateNC— ZIP `" // _ /'�> f ( Same) Fax # O !d Agent _ CW EW [+PTA [ ES ❑ PTS ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: no PNA yes -g3 Crit.Hab. yes / no Project/ Activity r Subdivision City l Gk i ZIP ' e� Phone # () River Basin Adj. Wtr. Body (nati Closest Maj. Win Body Stiil,I-e- (Scale: /i ■■�■��■■dEYR� ■MilIi'iN■NEYlY� `s - - ■■■■■■■�� \` ■■t111� �� ■■■R'�7 ■ G7�=it l i7 �� le��ii`ilZiiil�■ ■■■■■■lIi/Y\`■■■::;;fib■■■ii�i\�"'��■111�!�i■■■■■■■■ ■■■■■■itiai+��■�����il��e����la�.!■ -0911■■■ ■■■■■■1■■■■N■■■■■I 1 I■®■■►\■■■■■■■■■■■ ■■■■■■ ■■■■■■■■■\�% ■■►��■■■■■■■■■■ M. ■■■■■■■■■■■I■■■■m■ ■ ■■■■■■■■I111ti/�■I�I■!J is NONNI 11r.R ROW ■!■■■■■■■■■fl.�liill�■ ■ ■�■■■■■■■■!i/■ifilitl !■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ .■■■■■■■■■■■■ ■■■■■■■■■■■■_■.■■■■■■■■..■.■■■..■■. ■■■■■.�®■■.■.■■■..■■.■ ding permit may be required by: 0 �{/s+iL// ❑ See note on back regarding River Basin Aloa�s T� I-e Uloz N wo Alm 11V A7111?11Vcc- coW$rXd6r-1aN > _("D WZ J Z W� Q U 0 O p zb=r ?Ohr //"T RECT J A i n 13oATI G/�T L/FT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERB,IOORLYG PILIAGS/BOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to POie /Crr r/'o vP Po i/rf I, _ _ (Name of Property Owner) property located at (Lot, Block, Road, etc.) on in FPL�e- r- , N.( (Waterbody) (Town and/o County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be se back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ESQ a #07 chi ear' ���✓�,Illy RECEIVED DCM WILMINGTON, N JAN 2 7 2M If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in w within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, I DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no obiection if you have been notified by Certified Mail (Information for Property Owner/Applicant Applying for permit) Mailing Address (Riparian Property Owner Information) Pulli• . M, Signatu GJi/�i� gfori, !�l/C I? Ala AI So __T____ 1T__ ADJACENT RIPARIAN PROPERTY O`WIiER STATEMENT (FOR A PIERIA100RLVG PILIAGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to F0 R/67 ( 6;7) VCR T Ui0-- //� (Name of Property Owner) property located at SCofl3 It& /� Loo��Qo4�ol �j (Lot, Block, Road, etc.) on -lif in E'ou 21�/ , N.( (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be se back a minimum distance of fifteen feet (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.) do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) RECEIVED DCM WILMINGTON, NC JAN 2 7 2W If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in w within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail (Information for Property Owner/Applicant Applying for permit) r o • 3OX 11"� i l Mailing Address fit% �irl ilk � /1, IVC d 8 vo (Riparian Property Owner Information) S ignatu �--�-- - - T_ 1T_ licant: (3"/( t/ Permit #: 5��ZG ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement 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 final disturbance. Excludes any restoration and/or temp impact amount) 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 2521 ® Wells Fargo Bank, N.A. PPIN MARINE CONSTRUCTION, LLC wNorth Carolina ellsfargo.com P.O. BOX 11291 66-21/530 10141 WILMINGTON, NC 28404 1/26/2012_____ NCDENR $ **200.00 undred and 00/100' DOLLARS NCDENR AUTHORIZED SIGNA UR W C-,P 59 II200 2 S 2 LII' i:0 S 3000 2 L91: S S L08688041I'