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Home My WebLink About57508D - Clemj..6 LTR NCDEE R North Carolina Department of Environment and Natural Resources Division of Coastal Management 3everly Eaves Perdue James H. Gregson ,;ovemor Director AGENT AUTHORIZATION FORM Dee r reel Secre Date: Ste: Llf#Z 04Y ame of Property Owner Applying for Permit: Name of Authorized Agent for th's project: ,10 (4AJ Ht Ah4 u fe !`M k- j Jo.%� iwner's Mailing Address: Agent's Mailing Address: 12r1 �� c 11 � Cdc �l I /JC a 0 54 ( I hone Number (210 ) 8(o (c,'77 (,(_LCrt Phone Number ((?'/0) c-3 / / AZ 14 r,,k 0�38 certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying )r and obtaining all CAMA Permits necessary to install or construct the following (activity): my property located) at "his certification is valid thru (date) /,_�roperty Owner Signature Date Ui'�._�..' ` �'i:J�.� •" �� i �. '� ti4a_��y^ 1 " : .1 �J I-R (_�� , fL �q � i\ \ 0) �,,�_ r" .�� 1 i' { ��LON. w:' " H—R, i Lflt)�: Name of 1. div n :duai AI'.piE''n2 !' o► YerI?ilt: Address of Property; t Lk Z."t (Lot or Street #, Street or Road) - 0 c i-- 0 C- A,� .(-t . `City and County) I hereby certiy that I own proper*y adjacent to :he above -referenced property. The indi- aprlj ing for this permit has des cr:b: d to me as shown on the aftached drawing the deveiopmei are proposing. A description cr za%ving, xith dimensions, should be provided with this let I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of 0 IN•ianagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796 within 10 days of receipt of this notice. No response is considered the same as no object you h2ve been notified by Certified Mail, WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bck a minimum distance of ? from my area of riparian access - unless waived by me. (l wish to Waive the setback, you must initial the appropriate blank below.) I do wish to vai�e the 15' setback requirement. I do not ,vish to waive ,he 15 setback requirement. SEP 20 2011 DCNf WILMINGTON, NC Sig{ Name/ Date �- Go / z::) ..�,.. Name of'.^dividuai .�ppiying roY :,c .._�a0�- GG��-t 4- J(.0144A Zc-t Address of Property;- (4 2_1 4- t `{ Z.q E=�,:�C *— (Lot or Street #, Street or Road) ;City and County) I hereby cer.Ify that I ow.n propery adjacent to the above -references! property. The ind applying for this perinit has descr;toed to me as shown on file attached drawing -:he developme are proposing, A description Cr -awing, dimensions, should be provided with this le I have no objections to this proposal, If ycu have objections to what is being proposed, please write the Division of C Management, 127 Cardinal Dhve Extension, Wilmington, NC 28405 or call 910-79t within 10 days of receipt of this notice, No response Is considered the same as no objec you have been notified by Certified Mail, WAIVER SECT104 I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bck a minimum distance of 1$' from my area of riparian access - unless 1.. wJved by me, i wish to waive the setback, you must initial the appropriate blank below.; UNQ� I Sign 'Name I do wish tc waive the 15' setback rcquir.i1n t. SEP 2 0 2011 I do UJ wish co waive the 13 setback requirement. J�.-.ivi WILMiNGTON, N4 Date A1NEWWA A /41 A"AT G -eLT To IpRoi STEK, A1CPA ID'o R6(.K ..�v ,} 1 RECEIVE SEP 2 0 2011. WILMINGTON 14 57 4 1.t4 tv �� r tWL •, v so 1 � _`. � i.OZQ► •c �' V FT- FI—I i a ti 7-4 V-1 -244-- a m A!J A211-- '00 • CAMA and DREDGE AND FILL N° 274 G E N E R A L PERM I T as authorized by the State of North Carolina Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC �% 0-. cant Name Tbl(� E w1 Phone NumbelC�'lio)(CKd D-4 Ss �L,77 �71,111, C P l .4. i \ �A-zN/\ State N C zip 2261 l c :t Location (County, State Road, Water Body, etc.) )f Project Activity 'Ptk D R6:0 ?fDS ,Dlzxrc T1 l►,nSmir V141 AILyV 611 �P5,a5;� a.9s ILA ECT DESCRIPTION ck) Length ength ber id Length distance offshore hannel dimensions yards np dimensions VEAV armit is subject to compliance with this application, site drawing anccrl canaral and cnarrifiir rnnditinnc Anv vinlatinn of these terms I � CAMA AND DREDGE AND FILL Ho GENERAL N° 22462 PERMIT as authorized by the State of North Carolina Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC `7 F 1 •-�L5 00 ocation (County, State Road, Water Body, etc.) ECT DESCRIPTION :k) length igth ;r i length -t�r' L-1 listance offshore s/t►rE� 1�1.1 �� annel dimensions yards ip dimensions SKETCH �.� I \ I�LI �S� rr�.ij F/� (SCALE: t-i 1" —S mit is subject to compliance with this application, site and attached general and specific conditions. Any Of these terms may subject the permittee to a fine, ` applicant's si; iment or civil action; and may cause the permit to be C Division of Coastal Mgt. Habitat Impact Computer Sheet plicant: �� C(e,rl ��O�h`�Uf Permit #:� te: ql� 17111 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. bitat 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) F Dredge ❑ Fill E$ Both ❑ Other ❑ you Dredge ❑ Fill ED 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 ❑ MARINE PIERS & BULKHEADS LLC NCDL 3831595 6314 WRIGHTSVILLE AVE 910-256-6357 WILMINGTON, NC 28403 t�c lovm c�- 17847 66-21/530 BRANCH 50004 DATE 4 Waft Fargo Sark N.A. C 1 515^1�j' r n 1 _ 1100 08 4 ?11' I:0 5 3000 2 191: 208 6 L ?0 2 9 C3 LJv' Nr