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Home My WebLink About59194D - PowellCAMA / DREDGE & FILL GENERAL PERMIT Previous permit # P- %A New ' Modification Complete Reissue ❑Partial Reissue Date previous permit issued J 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 _% 2 Oy i ❑ Rules`hed. -it Name W i% fl /i% lOII'il Project Location: County % Street Address/ State Road/ Lot #(s) State/ ( ZIP 6 S— � �-� �- ��=� �'z^ srr � o ✓ # (_ ) - Fax # ( ) ized Agent / t3yt I ^4 r r d CW uEW — PTA =ES PTS C OEA ❑ HHF AH ❑ USA ❑ N/A ❑ PWS: ❑ FC: yes //53) PNA yes / no Crrit.Hab. yes /, fffo )f Project/Activity f 1,4 Z dock) length rm(s) pier(s) length lumber ead/ Riprap length ivg distance offshore_ -nax distance offshore channel =ubic yards amp ouse/ Boatlift Bulldozing U S — ine Length /_C17' not sure yes ags: not sure yes orium: n/a yes yes Attached: yes no 0 Subdivision City>11 ' (_ ZIP a� Phone # River Basin Adj. Wtr. Body A —164 (nat Closest Maj. Wtr. Body 3'1 v r^ 7� (Scale: 1 �'%( / lo ling permit may be required by:1.Z❑ See note on back regarding River Basin ;LSna�iel Cnnii:rG�ne _ 1A:i riA n /f'/ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: �- Su C; of AW I certify that I have authorized ( o act on my behalf, for the purpose of applying for and obtaining all CAMA Per s necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) PrnnPrty nweer Sionature Date CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL. MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATiONIWAIVER FORM r Name of Property owner: C [_.I gn Address of Property: (Lot or Street #, Street or Road, City & Applicant phone #: ��(r % - ? — Mailing Address: I hereby certify that I own property adjacent to the above referenced property- The individual applying for this permit has described to me as shown on the attached drawing_the development they are proposing. nr or drawirtu irtr#h di : - drii + ti3i tier. aaie no objections to this proposal. I have. objeetioos to this propnsai, IFyou have objections to whatis being pmpos t, you mast noW the Division of Coastal l4¢anagemerrt (&)CM) in writing within 'Ili clays of receipt of this notice. Contact Information for DC� off►cos is avari1able at www.nccoastalmangement.neticontect_drm.htm or by calling 1-888-4RCOAST. No rasponse i$ considered the saam as no 0! jUctivn ifYou have been notlfledby CetYlfled Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance o€15' from my area of riparian access unless waived by me. (if you wish to waive the setback, you m9*1 inilbid the appropriate blank below.) r ja ~"do 4• waive the 15' setback requirement. L'� U _ 1 do not wish to waive the 15' setback requirement. (Property Owner information) XI rra t off We Name o/ Mafl g Artess fX 9'Y qf J (Riparian Property Owner information) Signature Pnnt or TYPO Name !Nailing Address 5 P r� 7�:A\N -,, '� o' �� S CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: CC, Address of Property: 2- Z�cvf (Lot or Street #, Street or Road, City & Applicant phone #: 91&- Sq 7 - e0 t Mailing Address: 50-rnlx A 5 '4 LX- I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. v ^, t have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sigma re Print o ype Name Mailing Address (Riparian Property Owner Information) Signature - l Id, Il61 Print or Type Name 20 Mailinq Address Permit #: te: scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd 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) cd Dredge ❑ Fill ❑ Both ❑ Other L 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 ❑