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Home My WebLink About56584D - AtkinsonCAMA / DREDGE & FILL iENERAL PERMIT Previous permit # New ❑Modification (Complete Reissue - Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources > ;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / f% �� G FQRules attached. Name ;/(` Stag_ _ ZIP (0 (-2e'l� L4,, Fax # ( ) rd Agent 6, ❑CW ❑-EW GPTA i-iES PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: Project Location: County 3Q 4"5 , , Street Address/ State Road/ Lot #(s)2,j Subdivision City >r �Ar -rsL �� zips Phone # ( ) River Basin LyM,� Adj. Wtr. Body n0/(natel'n yes / no PNA yes / no Crit.Hab. yes / no Closest Ma). Wtr. Body Project/ Activity _ p�L,q Q ( , S 10, •LA 1--k I L, ' ✓ (Scale: ��■■■■■■■■■■�■�■■�■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■iilli■�iGI�L:Ll1i■!i■■■■■■■■■■■■ 1�111111111�11111111111111�111111 iber- ... ■■■■■■■■■■■■■■■■nV■■■■■■■■■■■■■■■■■■ distance offshore ------ ( distance ■�■■■■■■■■■■■■� 1■■■■■'■ice■■■■■■■■■■■■ ■■■■■■■■■■■■■■�1■ram!■ ■r■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■Y�■I■fir■■■■■■■■■■■■■■■■ NNE 1=11111111111■ IN .0 yards_ MEN�11111:11111■ ■■■■■■■■■■■■■■■■le■■■■■■■■■■■■■■■■■■ ■m■■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■■■■■ ■M■■■■■■■■■■■■■■1 ■mil i■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■1 ■■1 ■OMEN■■■■■■■■■■■■■ _ N■MN■■N■■■■■■■■■NI■■Inm■N■■■■■N■■■■■MEN 1■m■N■■■■e■■®■MM■I ■■I ■INEWMI MM■N■■■■M■N■ ■■��■�� ■■■■■■■rPM■■■■■■I!■ MEN ■NEMN Length not sure yes .■■■■■■■■■■■■■■■■■■■■■■■■■�1■■■■■■■N■■ ■■■■■■■■■■■■■■■■■■�■■■■■■%1■■■■■■■■■ not sure yes ' ■ ■■■■■■7!■i■■■■■■■■■■■■■111/■■■■■MEMO ■NO■■■■■■■r■■iiMINE �1�1.1J■■■1%Ir■■■■■■■■■ 'tached: yes .:::1�1::IIi11:1ii:::ii:iiEM1ME::ME g permit may be required by: /-IC 'op 60,4-C .4 ❑ See note on back regarding River Basin rul HCDEHR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Dee freeman Governor 7irector Secretary AGENT AUTHORIZATION FORM Dater Name of Pronerty Owner Applying for Permit: Name of Authorized Agent for this project; r/cc�-- Owner's Mailing Address: w 4 %&,cc one Number Agent's !+hailing Address: 4 f 7 Sin e Lll4 s� ti/�y _0 c goot le 6edal AAL Pt,.one 14umber f /d S�i� f � S� i certify that i have authorized the agent listed above to act on my behalf, for the purpose of appiying for and obtaining all CAMA Permits necessary to install or construct the following (activity): l fr lA Ce m ee �i� nJ:n/4-ti (mv oroperty located) at _ o t Z l � f'>'l l Yt __ __ OC60itt LlP e 46-� /UC s -ris certification is valid thru (date) ---� Prnnerty Owner Signature it Date Pro f e4 / l ve, &&m 30OC;63 in i�f I� ►n�l� 5� u,l ;A-d�u� e ►1-f— oceeal ! W L41 ► Prv�vs2� ! ►b' � guny ►gay , �6 r �u��Gh I"r�Kiy1S0Y1 tic�G�:n ff�f�� vp liV i � � I Gl ►�►� l% lC D 0'7't U �yWi�rn�nyl�S� AND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT t hereby certify that I own property adjacent to � E,4 lien i. / E/nt all_'s (Name of Property Owner property located at —26 11), I m / n j S 4— /n� (Lot, Bloch, Road, etc.) / / on lavr",l AJ�u�.c,.-,�� in 6i/t �4 N.C. (Waterbody)' 5 y (Town and/or County) / Applicant's phone 0: 613 Mailing Address: L/ f k/ Z-'" e1799K� He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To beidled in by property owner proposing development) (information for Property Owner Applying for Permit) Mailing Address / Wl la rn 1 LI -70104 City/State/Zip iH > — 41/L er / / 7 S (Riparian Property Owner Information) ,C� Signature �ohq lG�, _ n Print or Type Name 712 v-2 '-nO3r HAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 3� (1 C4 n- 6 �K 1 Y' S v ^ 's f . (Name of Property Owner) property located at oL 61/J i I vn (Lot, Block, Road, etc.) on a4f,at a�) -61 c e:+ l- k11 ,�CW41 in nc: N.C. (Waterbody) (Town and/or County) Applicant's phone 0: 52 3-6 i3 Mailing Address: ) y� �c� c✓a � L /� He has described to rne, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) (Information for Property Owner Applying for Permit) -//An%��y �N Mailing Address b-i Z- 01>' #' < %A/ City/State/Zip -7/ �-,- yZ .Z - E1"17 3 (Riparian Property Owner Information) Signature Pri ti t or Type 9-66 y el licant: ��/� t"T/�� •h.�G / `� Permit #: :vibe 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 temp impacts) FINAL Feet (Anticipated fina disturbance. Excludes any restoration and/( temp impact amount) C^� Dredge ❑ Fill ❑ Both ❑ Other 115, 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 ❑ Dred:e[E] Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ IyI _ t i ru r 1 Sk- _—_ rr J�fnil.... MARITIME BUILDERS, INC. 12-06 910-842-3625 115 E ISLAND DR. OAK ISLAND, NC 28465-7612 Y THE DER OF t �ankofAmerica H RR 053000196 2166 DATE 66-19/530 2210 II200 2 16 611■ ':0 5 3000 1961: 2 3 7000 58 6 38 / OLLARS 8 w