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Home My WebLink About57308D - Braswell,CAMA / DREDGE & FILL 3ANERAL PERMIT Previous permit# New ❑Modification ]Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources h� �d �i :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC US[Mles attached. t Name f Z( Pi? to< L✓C L L 226 State/Y C ZIP .7O (!)y yFax#() ed Agent &- / CW ; EW = PTA ❑ ES ❑ PTS OEA HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: Project Location: County 6R �� ,tiS�✓i�� Street Address/ State Road/ Lot #(s) -A Subdivision City h)a `cfP,.- 4''P9CZIP,2 7,V/, Phone # ( ) River Basin ZaIJ, Adj. Wtr. Body f7 „i ( o 4el jO�/ (Hato yes / no PNA yes /�5) Crit.Hab. yes / no ' ` ' .-1. ' 1... --"' f Project/ Activity &'5;41 fI C P s%//-L G /U C14' Y (fie -./ ■■■N ■■■■ MOMMIMMOME '■■NI'■JM" ■ON � ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■MM■■MEMEM■EMMOMMEMEME EE■UMMEM MEM ■M NONE EMEM ■�■■■■■■■■■■■� �■■■■� i■ M■MME■E■■EEI MEMO■■■■■ ■�■UME WME RM .r■■■■■►■■ I :set Boatlift ■■■■■■■■■■■MOO■■O■ '_rMO�•'i=ii�IM■■O■■I EOOE■■MOO■■O ■■O■ � I■■O`�.__� ■EEOE■1 ■■■■■M■ME■■O ■!!�� EO■■■OE■O■OEI ulldozing ■■■■■O■O■ IO■O�■ ■O�■E000■EOM■■1 - w1111■MiE.■■■■■�■■:1 irMis:: EMEM:iEEMEMMENIM MEMME■■u■e ■■■■■■■■■■■■■■■f 1■M■■■■■■� E000■MOO■■ ■■�O■OOM■■EEO■IIO■E■EEO■■1 Length ■E■O■■■■■E■E E■E■■■■EMS■�IE�■■■EEEI not sure yes ■■■O■■■ ■■■■■■■■ME■EME■I IEEM■EM■MEI S: not sure yes • ■O■■■OO■�II�OM■OE�O■■O�r�[�JOO■OOOOEI ■OO■■■OOOJ ■O�1t�t�Mr/��O J7■�11■■O■■■MO■1 . A o■EOEM■O Attached: yes ■■EE■O■■■E■E�■1 iOEM■■■EEEI ing permit may be required by: LcY o �PA ❑ See note on back regarding River Basin r licant: ,/ e / f �/�s �+/ e�� Permit #: U 912 ;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 Tina disturbance. Excludes any restoration and/c temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other Z 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 ❑ .9/2011 20:15 FAX 9196619669 STAPLES Z 004 Gk j AA �r MCDR North [-` arolina Departnent of Enviropment and t lat lral Resource:, Uvision of Coastal Management Beverly Eaves Perdl. e James H. Gregson Dee Freeman Governor Director Secretary AGENT AUTHORIZATION f=ORM Date: fame of Property owner Applying for Permit: Name of Auth(162 od Agent for this project: )wner's Mailing Address: 'hcne Number.,"Jig5-- Agent's Mailirn r A. ld (;ss, Phone Nuit be. r C certify that I have autnorized the agent listed above to act on my behal f; ,3- tie purpose )f applying or and obtaining all CAMA Permits necessary to install or construct the fu' awing (activity;: Amy property located) at 'This certificatior s valid thru (date) Property Owner Signature C) i Date RECEIVED DCM WILMINGTON, NC APR 15 2011 2011 .20:14 FAX 9196619669 STAPLES ICJ 001 coppprintcenter Complimentary Self -Serve Fax Co�,l(er Sh::.Aet TL At 1. L4 iber of Pages 0cluding Cover): E(C� .-C From: k Phone #:0 1 '.3 _t3o RePly Fax -4: Urgent C)011ifial Confirm ReceiptFl We'll do it right the first time -- quaranteed. Buck & white copies -Color copies& Custom printing *Binding - Folding • Wide-forrivt copol g • :.isle n mrrips e UPS ,.hipping and 1110: e N 1, 1 - 1, R that was easy% 12 . ...... 1111vill, *1 t .. P 5106bizg RECEIVED DCM WILMINGTON, N APR 1 5 2011 4/2011 20:14 FAX 9196619669 STAPLES @002 'Alk> V - ADJACENT RIPARIAN PROPERTY OWWW4'YA TEMFN F (FOB ,4 FIE&MODRING p11,1NGS1BQATL/FT/1: [TI"fUUS ) I hereby certify that I own property adjacent to U� .1 __ i ) La_ c ' f __. 4S (Name of - rt peaty Owner) Property ir; sated at 0 CL-1 Dr. i L' -'C. , _ _ (Lot, Block, Road, etc.) or, i n4,Ya occ �I�tQ. r,in hoIA ,." 16C.c��.kunty) ��5`�, ,N.C. W owri and or (Waterbody) CI' r Applicant's phone : Mailing Address. —a' , C` V Lt' u" .c-u lie has described to nae, as shown below, the development he is pro pc :.ink,, at that loca ion, and, t have no objections to his proposal. I understand that a pier/moorini pi inks / boatlifl ! boathouse mustbe set back a minimum distance of fifteen feet (IS) from my . ire; of riparian access unless waived by me. (If you wish to waive the setback, you must initis l t to appropriate blank below.) l/ I do not wish to waive do wish to waive that setback requirement. -------------- --------"•----- D:l7SCRIP7'I0N AMID/OR DRAWING OF PROPOSEI1 D E'V*.9t0PME1+"7T: (To he filled in by individual proposing deve: op rreril) IV,C RECEIVED DCM WILMINGTON, NC APR 1 5 2011 (Infortuation for Property Owner Applying (Riparian Props ribOi�,ner Inforriation) for Penmlt) Mailing Address Signature 4/2011 20:15 FAX 9196619669 STAPLES @003 ADJACENT RIPARIAN PRQPFRTY OWNER S` 'A.'CEMEN7 (FORA PIERIMOO UNG PILINGS1B0ATUT TBr 44 r ff OUSE) I hereby certify that I own property adjacent to -- (Name of Frei erry Owner) property located at Tt.f� r 7 Ct d''► - �` t�` _.. _- (Lot, Block, Road, etc.) tk L�- _( 1 t N.C. on,.fc C ;u.-S (Waterbody) (Town andh ir r ;ocnty) _� mailing Address:,- _r- Applicant's Phone #:1, �U, U _ ley ; IL V 3 () 3 He has described to ine, as shown below, the development he is pro, as rrg at that location, and, I have no objections to :his proposal. I understand that a pier/mooring pi' ng:. / boatlift / boathouse rnust be set back a rr►inimum distance of fifteen .feet (IT) from my a -ea of riparian access unless waived by r ne. (If yoia wish to waive the setback,, you must initial tl a appropriate blank below.) i do not wish to waive E do wish to waive Burt setback requirement. -------.7-- ____. _----------- -- --- RESCRIPTION AND/OR WING OF PR(IP09& T3 (Tn he file to _ ' idu pr�pasirrg dever vpMer;1) . piV-es, —_ RECEIVED DCM WILMINGTON, Ni APR 1 5 2011 - - --- - -------------------------- (In formation for Property Owner Applying (Riparian Prop-:rt: Owner Information) for Fermit) Jr Mailing AddrSignature ess 'i__I1 36L..i�........- ( 1 4' X!&Tee k NELL 8 BRASWELL DONALD D BRASWELL SUSAN B HARDIN 6621 226 NORTHVIEW DR PH. 910-484-7755 66-112/531 FAYETTEVILLE, NC 28303-5267 Pay to the Order of -1V C I-) r Dollars BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT 138T.Com For P I-YT 1:0 S 3 ID 1 1 2 11:D00 26 2aI1-0p:,G 2 1