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Home My WebLink About57390D - Brown'CAMA / DREDGE & FILL 3"ENERAL PERMIT INew Modification ',Complete Reissue . Partial Reissue Previous permit # 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 J;�K61es attached. t Name I j c-rea"°c _ State1" ZIPS Fax # () ed Agent CA Ow / Pf ❑ CW D EW ❑ PTA _, ES PTS ❑ OEA ❑ HHF -- IH ❑ UBA ❑ N/A ❑ PWS: _ FC: Project Location: County t Street Address/ State Road/ Lot #(s) `,16 Subdivision City W e ZIP L Phone # ( ) River Basin Adj. Wtr. Body (;91>A L 6 ZZ 15�//-v It,/ 1nnt yes /,'no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body _ "57/ /•/.-/ Project/ Activity j yATL bzA1, l LaA1)k9C- i:- V G 6"V7?"I f (Scale: �RE■M■■■■■■■■■■■ ■■■ ■■■■■■■■■■11 NMI ■=■■■■■■■■■■M■■■■■ ONE-MEN ■! �■■■■■■■■■■ ■■■ ■■■ i�1■■ R:..�,L,�� ■■■ ■■■■ ■■■_■■■.1_1 � .11 INNO N■■..��■■■.��■ MEN ■■■M ■■■ MEN ■■■UV LANNI.IN 0 im■■■■■■■■■■ ■M■■■■■■■.■■!�■■■■■� I■ 77■i■■■■■■■■■■ ■■ ■■■■■■■■■■�■■I■■■■■■� I■ ■■ ■■■A■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■�lA�■Iw■■L�■■■■■■■■■■ ■��mmmmmmmo NMI ammmmnailt■mmmmm■ mm ■■tl�ilA!liit'�3 ■■■■■■■■w■■■■■■t i■g!�i`i■1,llir�� EEM • .■■.G.■('�■.tw■.■■■■�■■■.ICI, r�■. 1-3M :M..E g permit may be required by: 64,,9.•1 .1f LC B% Aci/ C See note on back regarding River Basin rul North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves perdue James H. Gregson Governor owdor AGENT AUTHORIZATION FORM Date: --- d-121 // Name of Property Owner Applying for Permit: �1"Clr�Y �/o�cJil1 �T Owners MaifirgAddrew Phone Number l 25.. . Dee Freeman Secretary Name oo�f!! fAuthorized Agent for this project: (�Ft arkoj kr- 142rN Agmrs Malting Address: .. P" Numt '9) I certify that I have authorized the agent listed above to act on my behalf, for the purpose of apptying for and obtaining aU CAMA Permits necessary to Install or construct the foiiowing (activity): 93 4 Dvc k avr� k". - 1 < (my property located) at This certification is valid thru (date) b �i-ll Pr rty CiMrrier Signature Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIP PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit:''/ Address of Property: 1U,6- )JooGc (Lot or Street #, Street or Road) (City and County) 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 descriptiori or drawing, with dimensions; should be provided with this letter. i. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Manaaement. 137 Cardinal Drive Extension, Wilmington, NC 23105 or call 910-39t;-3900 within 10 days of receipt of this notice. 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, boat house or boat lift must be set bck a minimum distance of 15' from my area of riparian access - unless waived by r:e. (If you wish to waive the setback, you must initial the appropriate blank below.) V I do wish to waive the 15' setback requirement. I do not wish to waive the 1 5' setback requirement. CVIL'(4r Sig, Name Date DIVISION OF COASTAL MANAGEMENT Name of Individual Applying For Permit: �Y� 2�Y� wi� �i Y Address of Property: 4 t 6G/6= � r/e,cc ; (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individu applying for this permit has described to. me as shown on the attached drawing the development thf are proposing. A description or drawing, 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 Coast: klanagement, 127 Cardinal Drive Extension, Wilmington, NC 2840� or call 910-796-721 within 10 days of receipt of this notice. No response is considered the same as no objection you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be sf bck a minimum distance of 13' from my area of riparian access - unless waived by me. (If yo wish to Nyaiye the setback, you must initial the appropriate blank below.) J I do wish to waive the 1 S' setback requirement. I do not wish to waive the 1 setback requirement. y G es`Uit?i� cl"IV 011 l�S—i—Gn—Name Date F14014 MI ct , r, Print \Tama XVQWX pplicant: .67hoz •R y ��u. ✓ � Permit #: ate: �IZ !scribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme and in your Habitat code sheet. bltat Name DISTURB TYPE Choose Onedes L Sq. Ft. plied for. TDisturbancetotal any cipated ration 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 fir disturbance. Excludes any restoration anc 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 0 Both ❑ Other ❑ CHARLES FOX HOMES, LTD 16 CAUSEWAY DRIVE OCEAN ISLE BEACH, NC 28469 910-579-0908 PAY TO THE ORDER OF klEMO N BRANCH BANKING AND TRUST COMPANY OCEAN ISLE BEACH, NC 28469 66-112/531 Flu $ 2oo J Gt�S�3fo 0cl AUTHORIZED SIONATU E� lie 0L63291s i:053 01120:134000010740811' 1632(l DOLLA f. ol oft