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HomeMy WebLinkAbout54014D - CarterCAMA / ❑ DREDGE & FILL liENERAL PERMIT Previous permit# New ' ❑Modification El Complete Reissue El 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 i?R les attached. Name_ Cott{✓ Project Location: Countyl�v�/ 6twl Street37!r;�f esss//State Road/ Lot #(s) State k ZIP _ () .• Fax # ( ) ~"" Subdivision d Agent / t/i///h/it// City �/�%► �r>M%rui ZIPS YCi OCW Z W R*A ❑ ES ❑ PTS Phone # ( ).//� f1 . River Basin el ❑ El 1-1El�K OEA HHF IH UBA N/A Adj. Wtr. Body C � /Wl Wna rr ❑ PWS: ❑FC: .01 y Closest Maj. Wtr. Body h r?t res / no PNA no Crit.Hab. es / no Project/ Activity k) length ZZZ7 X& ,$) Zd X 2 b :r(s) gth fiber / Riprap length distance offshore c distance offshore annel is yards P to.;t1i1x Jh Length _tes.Z!/ _ not sure yes Ind not sure yes ._.... .... . um: n/a yes yes ttached: yes/ ig permit may be required by: - . -- i./_ -7u (Scale: OV4 %r ❑ See no a on back regarding River Basin rul DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOF-M, Name of Individual Applying For Permit: �e�� Qn�� )2Mi C/-}✓�P� Address of Property: 1651 M �Ar+ �"V. . �0" dl (Lot or Street -rur, Street or Road) M1, ni ac (City and County -rod P C--, I hereby certify that I own prope-ry adjacent to the above -referenced property. The individc applying for this permit has described to me as shown on the attached drawing the development th are proposing. A description or drawing. with dimensions. should be provided with this letter. 9_�9� I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coast Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72 within 10 days of receipt of this notice. No response is considered the same as no objection you have been notified by Certified iY1ail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be bck a minimum distance of 1;' from my area of riparian access - unless waived by me. (If y wish to waive the setback, you must initial the appropriate blank below.) 6�� I do wish to give the 15' setback requirement. I do not wish to waive the 1 5' setback requirement. Date Print Name ems: 51'46'56" W 210.54' (DEED LINE) E 1 .)DE n 49 ` .5111 It,00ttt�777 ra ` a unaaa. JO�� g62 51'46'56" w 210.54' (DEED LINE) jOC 1 ?CEO a49 .3171 Itt60attt� q sioiYy� ti. * s� s Jz Vp gU�; r AEtitiO•`S``• NY A7L*A RUM North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director AGENT AUTHORIZATION FORM Date: Name�of Property Owner Applying for Permitle ly-t-Lo - Mailing Address: 28'�1zS Phone Number: (Xy) (S, ?_ WA/ 4, 2-z,5 0101 Dee Fi Se 1 certify that I have authorized (agent) D /} i/ i 0 S n ` "T Y) C" ty / ry act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) `� at (my property located at) 76 ��Y � t/� G�d+/e �c XAim 7eA VC/ 2Q This certification is valid thru (date) DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: ::57ZrF Co47--Pl/ �'t'hd fifr ', 01V Address of Property:_ 76 S }' (Lot or Street #, S W �� van (City and Co - I-e 6 km e et or Road) Q c.. 2,q`( I hereby certify that I own property adjacent to the above -referenced property. The individi applying for this permit has described to me as shown on the attached drawing the development d1: 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 Coas Management, 127 Cardinal Drive Extension, Wilmington, NC 28403 or call 910-796-72 within 10 days of receipt of this notice. No response is considered the same as no objectioi you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock. mooring pilings, breakivater, boat house or boat lift must be bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If i wish to waive the setback, you must initial the appropriate blank below.) Simi Name I do wish to waive the 15' setback requirement. I do not ,vish to waive the 15' setback requirement. Date Print Namei�f1� H .�µTMB6Z E 5p0 e:' IDEED LmE) ,o' a a +I I I l pP 1 s / / / i / $G14 O �� PP 51'46'56" w 210.54' (DEED LINE) ,ROI... 4y SIOro:••y AEL�P�` 4uill!00 0 �0% 5-0 I. 7- z o NG- �X2d F-4- r ryb 000'60- L 9, AMW Or W(Y L Lze02l - 40� -�w ""Oodl WIR7 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management everly Eaves Perdue James H. Gregson governor Director AGENT AUTHORIZATION FORM ite: - -.4-3 -,-20�� ame,,of Property Owner Applying for Permit: HIV-- r 7P,-e* ailing Address: Dee Free SecrE none Number: 5f6 ?aV w1f2 Z9y6 J�� 79v 52/ - 1153' - %rrl� ;ertify that I have authorized (agent) p A V 10 (5 )(1 lv / iv act on my ahalf, for the purpose of applying for and obtaining all QAMA Permits necessary to install or )nstruct (activity) : (my property located at) 76 G-eye, 4PP u11'tAi rjj 7M/ /VG (6j his certification is valid thru (date) Division of Coastal Mgt. Habitat impact Computer Sheet licant' �� �-�,�lr Permit #: 1/U --I-f I�I'�� 1 tribe 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 final disturbance. Excludes any restoration and/or temp impact amount) Ji1 Dredge ❑ Fill ❑ Both ❑ OtherI 3 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 ❑ DAVID C WINNER VIRGINIA P WINNER (910) 45&-4577 (910) 547-3206 406 ATLANTA AVE CAROLINA BEACH, NC 28428 Pay to the . _ D Order of / 2068 Date 16-66i1220 1182 I $ Dollars ul Bank of America Customer since Rancho -Encinitas 1 9 9 9 1340 Encinitas Blvd _ Encinitas CA \ 760.6 .3 QQ ��� f\ For 1 .J 1:122000660:206811,IL82411,04L.571" �'