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Home My WebLink About59282D - TownsendCAMA / DREDGE & FILL 1 E N E RAL PERMIT Previous permit # New ❑Modification L_Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources , �� O Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC -(� Rules attached. t Name i; w 116 e:1 C Project Location: County rJ 1lt,' I)� W 1 L IL 'Vol l l��y _ stat wj� ZIP Z950 Fax # ( ) ized Agent L y. d CW EW - PTA ES PTS OEA HHF IH USA ❑ N/A PWS: FC: yes i no PNA yes P no Crit.Hab. yes no A Project/ Activity Od Street Address/ State Road/ Lot #(s) Subdivision N / A City [)U" L 11 �.t a a ZIP z�.. 4 phc;0 # (TIC) 9 C, 9 5 River Basin Adj. Wtr. Body aj (nat Closest Maj. Wtr. Body ■ ■ir'�:7'�II!■ri'I � i ■■■tiri�'!R'■�■■■ �7lf�liKr�liiiYfl�■■■�iiryiii■■■■■� length umber ad/ Riprap length vg distance offshore iax distance offshore channel ubic yards Imp Ouse/ Boatlift ne Length not sure yes no gs: noDn yes no ) Irium: es no yes no _ Attached: yes Cn). _-.J— ling permit may be required by: (Scale: l �� j Ut j ti ❑ See note on back regarding River Basin A I,1 A All /, . r. i ►- re j r- L� i s I :. J(eA , i 1 �... I. D1/21/2011 17:29 9105799096 GRICE CON PAGE 01 I North Carolina Department oTEn 71r,onme'nt, and Natural Resources Division of Coastnagement Beverly Eaves Perdue James H.son Dee F Govemor Dire $ Date: Name of Property Owner Applying folr Permit: owner's Mailing Address: Phone Number,, e of Authorized Agent for this project: C \ C_S? C-z�' . At Ls� 6 Mailing Address: I certify that I have authorized the agent listed above to Act on my behalf, for the purpose of applying for and obtaining all LAMA Permits ne(essa_ry}-to Install Dr construct the following (activity): (my property located) at This'certificatiorl is valid thni (date) _ Property owner Signature Date HAND DELIVER . ADJACENT RIPARIAN PROPERTY P Q � SBO OWNER ATHOUSSTATEEENT (FOR A PIER/MOORIN I hereby certify that I own property adjacent to (Name of Property Owner) property located at (Lot, Block, Road) etc.) on in (Waterbody) 2� y (Town and/or County) 4'leo Applicant's phone #:� f �"` Mailing Address:—y2qE�� 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 set back a minimum distance of fifteen feet (I5') 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) ----------------------------- (Information for Property Owner Applying for Permit) Roov u r, >JP� Mailing Address (Riparian Property Owner Information) Signature r,"; j PM L "Q (1414 0 L TI 1 17, -1 (1 9 XEVISOT-Ore 091 02 No AWACENT RIPARIAN PROITUIMY to Lf (FOA APIEWMOO&N2 PILF I hercbv certify that I own property adjacent to Is VIV Pt. Block, *Roiald, If Late (T wn Nam (�Q 4C A.D --7 014 H,,- has described to me, ai;Shw--1 Oa;. devolopm i ht is PpZip"Al ebiec!;n.nq to t-i.i proposai. I understand that a pie /Mooring pilings I boallift boathouse ruA be- sat btak a Inhiblium Wouce Ot 1;11m"11 ttm( ( I lof wy t. waived by me, ((f You wish tO WR1V* MO ii4i, Y."ii " I donotWish to WAIVO wish (9 waive that setback requirenwril-'. 1)%,V "I,OPM .,Lb. - ]DIRSOUPTION ANDiolk WAAM4" it l04!n by -,4duu1prop., Sing 4e*17PMWI# Ind., C-A yi .......r. .............♦........... -------- ....... ....or Ap hin Property Olinar 111fo"A"fivil)(IrtormvIM f F roPary wr=- for Hermit; lLn City/State/Zip :L-7 6q � Q Rl 7-4 cla Ac, 11 flicant: � � Permit #. P e: �./ III I2 cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. tat 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 tem impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other WDredge ❑ 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 ❑