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
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Ij'vRules attach
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ding permit may be required by: 0 �{/s+iL// ❑ See note on back regarding River Basin
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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'