HomeMy WebLinkAbout59249D - WitchgerCAMA / DREDGE & FILL
3ENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue -Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC,�
�j �� NRules attached.
it Name 1�,(( 1� �, Project Location: County VY U1•SE.,;
la l'r Y r Street Address/ State Road/ Lot #(s)
S State Z-4� 2� Z - I y�
( ) Cr Fax # ( ) Subdi ision LAn V
ted Agent { Citypp,�� 0 rG �., ZIP
CW G EW [PTA ES PTS Phort�4# ( )'J j River Basin
OEA HHF IH UBA N/A
_ Adj. Wtr. Body nat
rno)❑ FC:yes PNA yesCno Crit.Hab. yes/ no Closest Maj. Wtr. Body
f Project/ Activity
xk) lengt ' n 11,0V
Z
)ier(s)
angth
amber_
id/ Riprap length
g distance offshore
ax distance offshore
hannel
bic yards
-np
use/ Boatlift X 1
�ulldozing
ie Length
not sure yes no
I
5: not sure yes no -----
,ium: n/a yes nod
""yes no
J,t4hed: //eyes no _
ngj5ermit may be required by:
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(Scale: I ��
Wn bt t-9 16 &1 0-fu a., ❑ See note on back regarding River Basin r
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tea • :.4 Pam
f2J6-03-2007 10:02 From: To:84299% P.21c
CItRTiF1 D IL - RETURN RECF�'T, EQ!g STEin
DIX1SION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNS& NOTtFICATION/WAIVER FORM
The purpose of the form is to provide proper notice to you as an ad*m riparian property owwcr to die individual or
mdivWnb Hood below, The CAMA Getwid Permit application piwodurw require that appiicm>a provide tho Division of
Coeatal Managemmu confirmagon that a wrinmr sratenreat bar boon obsiwed signed by the adjacent ripargw property ownort
indicating that ibey have no objection to die proposed work gE that the ad*= np m property owners have been naffed
by certified wail of the proposed work. Ohm dine f xins are sabaiaW w die adjacent riparian property owners by a wiaririe
contractor or other individuals acting as an audroriaed agent on bahaif of die appikarx.
This form was sent to you by the Wowing iadirldaal or company designated by the applicant as an
axtborboad agent:
A Agent's S*rmmue Dale
Name of individual Applying For Parnit: 0!3 fie— � .,.TGL4 t
Address of Property: L o 4 1 �e - W e- a v, L.w"•�Ll k
(Lot or Street fl. Street or Road) j
(Cky lod County)
I hereby certify that I own property adjacent to the above -referenced property. The individual appl}ing for this perms
has described to me as shown on the attgched drawing the development dun an proposing. A description or drawing,
with dimensions, shouid be provided with this letter,
I have no objections to this proposal.
If yam have objectioas to what Is being proposed, please write the oiviak a of Coastal 3laa2gem*nL 12'
Cardinal Drive Extensiew, Wiilmirtgtw NC zsm or calf 910.79h-7215 within 10 days of receipt of tbia notice
No raaponse is considered the ware as no objection if yea brave been notified by Certirwd MaiL
WAIVER SEMON
I understand theft a pkr, dock, aroodit piling% breakwater. boot ►oust or bent Uft must be set buck
nrioimum distance of 15, from my area of riparian access - us m waived by me, (tf you wisb to waive th
WNW the approprink blank below.)
1 do wlsh to waive the 1 V sesbacic requirement.
i wish to waive the 1 S' setback requirement
Nerie paw
:W-03-2007 10:02 From: To.g4298%
CER'1'MED MAIL - RETURN RECr&,IPT. _ REQUESTED
The purpose of this form is to provide proper notice to you as on adjacent riparian property owner to the individual or
individuals listed below, The CAMA General Permit application precedures require that applicants provide ttu Divi:
Coastal Management cont3rmo0on that a written statement has been obtained signed by the adjacent riparian property
indicating that they have no objection to the proposed work o= that the adjacent riparian property owner have been n
by certified mail of the proposed work Often duse forms are submitted to the adjacent riparian property owners by a
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This torte wtas sent to you by the following individual or company designated by the applicant as an
authorized agent:
s Signature Date
Name of Individual Applying For Per'mir.
Address of Property: h
( Lot or Stree >t, Suict or Road)
G��P ti �1 o ell
(City and County)
I hereby certify that I own property adjxent to the above -referenced property. The individual applying for tl
has described to me as shown on the attoched drawing the development they are proposing. A description or
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 Manager
Cardinal Drive Extension, Wilmington. NC 28405 or call 910-796-7215 within 10 days of receipt of tl
No response is considered the some as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I uedcrxtond that a pier, dock mooring pilings. breakwater, boat kouse or bout IlR must be s
rainimurh distance of 15' rrem my area of ripariea access -.unit" waived by me. Rf you wish to
,*w
1`OtF ICI UVZA
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pplicant:
ate;
Wii-chSeY
Permit #: vJ✓I
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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
1195
CW
Dredge ❑ Fill ❑ Both ❑ Other
O
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 0 Fill ❑ Both ❑ Other ❑