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Home My WebLink About56622D - ChambersCAMA / ❑ DREDGE & FILL 'ENERAL PERMIT NL'N []Modification ❑Complete Reissue ❑Partial Reissue Previous permit # Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources 7 -oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / t Name bwl oe E 1 [ Cis r ��1 11r ZJ Project Location: County �Rales attached. 39 N •�•S �✓es �< ,Z ;<�'w S Street Address/ State Road/ Lot #(s) 2 P P,ySstateZIP 2 y,,z� '' (71k) L l - 'G Fax # ( ) Subdivision ;edAgent %7?ilL,� lic -V9,{,- e ('�NSfitvcY�.. City6'2CPA;- -'erlSe 06//9ch ZIP ❑ Cw DEW ❑PTA `,ES ❑ PTS Phone # ( ) River Basin L v.-iE ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ' Adj. Wtr. Body 9 C ❑ PWS: ❑ FC: ,✓ yes / o PNA yes = Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity _Cd rI S,de a� AA 1e...••1. a f ✓ " I 41017-1 11r, f/c C iC 'I (Scale: ■■■■■■■■■rlf�lll■ftlr■�■■�■■■■■ SOMEONE ■■■■■■■■■■■■1■■�■�1■S■■■■■■■■■■■■■■■■� Ingth ■■■■ ■■■ 1� f ■■'"' - ■■■�....1I �J�BLUMl■■ ■ ■■■ ■■■ ■ ■■■■■■■■■■■■■■III■f�.■!/r C3J�/■■■■■■■■■■■■ ■■■■■■■■■■■■■■ II tf�i�i■\■■/�■■■■■■■■■7■■ distance offshore ■■■■■■■■■■■■■■■ !11■■■i.�■■■■■■■■■■■�7■ _x distance offshore- ■■■■■■••■■■■�■ !�■�■■■■■■■■■■■■■■■: iannel ■■■■■■■■■■■■ I��lI1 �■■■ 1■■■■■■■■■[�� ■■■ ■■ ■■■■■■■■■■■S!I■■■■■■ I j■■■■■■■■■■� tic yards ■■■■■■■■■■■■■■■■■■■■�f I■■■■■■■■■■i ip ONE ■■■■■■■■■■■■■■■■■■■■Z IJ■■■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■■■ii I■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■11■■■■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■■■■■f j■■■■■■r.is■ ■■■ ■■■■■■■■■■■■■■■■■■■■■1 I■■■■■►Ardor■■ a■■ ■■■■■■■■■■■■■■■■■■■Mf I■■■■t OW0511■■ i&Mr,l •■■■■■■■■■■■■■■■■■■■M1 I■■■NW."5001011■ ■■r ■■■■■■■■■■■■■■■■■■■■■1 I■■■1/stun■■■■ Length ONE ■■■■■■■■■■■■■■■■■■■NE1 I■■■■■r:E:=rh.%■ not sure yes . ■■■ ■■■■■■■■■N■■■■■■■■■11■■■■■I Ltli■ ■\`� not sure yes 1111-10 IM11=10111111 ME IN -me yes rig permit may be required by: r pfJw / �L [ �Ot�c ? ❑ See note on back regarding River Basin n _Ta be !, orr+n I �2Q�0.CQ. i i�m 1011 h I I 1Nst. nt.a .k C rA kJe Darrel dam 10h '7o j i F 10arH rl j Doc'k-tr W O -#4 St ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERiMOO&NG PII.1R'G.VB0ATUr,TBOAT HOUSE) I hereby certify that 1 own property adjacent to�1� _rlbzf 5 s (Name of Property Owner) property located at $ � �� C( �} C- T—,13 (Lot, Block, Road, etc.) i on ,-� , , in — _ OCean T51 e— et1C, N.C. (Waterbody) (Town and/or County) Applicant's phone 1t::33co _ i, _�1ailing Address: Gr? ,Q:3knu.: 14L 2!14iD I It has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatliift / boathouse rnust be set back a minimum distance of fifteen feet (IS') from my area of riparian access unless waived by me. (If you wish to waive the setback, you most initial the appropriate blank below.) I do not wish to waive ✓ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT. (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) 6 T,-4 &,br4)1 — Mailing Address City/Statwzip (Riparian Property Owner Information) y _ Signature Print or Type Name 12/25/2011 11:02 9105790952 PLUMBRITE IZTC.i�.Y# .A.TMACENT RIPARIAN PROPERTY OWNER STATEMENT (r,O,R A PLER/VOOBING P,TLINGSIBOATLLFTI'BOATHOUSE) I hereby certify that I own property adjacent to D r (2ft's (Name of Property Owner) property located at (Lot, Block, Road, etc.) one CbnCr 1 � , in gl& CO. , T.C. (Waterbody) ('Town and/or County) Applicant's phone #.�>ta��Q, Mailing Address: 5602 787t!:�#'S�dfl dw,epis roll NC 27-�Ho He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal, l understand that a pier/mooring pilings ! baatl.ifft f boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requitement. DESCRIPTION AND/OR DRA.'VVING OF PROPOSED DEWMOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying (Riparian Pro a ner Information) for Permit) 'Vca ? r d- I ( L>-' Mailing Address Signature a t/' '7-7a 1 i%% R A.1 _., - NCDENR North Carolina Department of Environment and Natural Resources. Division of Coastal Management idmd F. Easley, Governor James H. Gregson, Director . Wham G. Ross Jr., Authorized Agent Consent Agreement >< - ' i ac! l` _ n . pis hereby authorized to act on my be (Printed Name of AgwX . . rder to obtain any CAMA permit(s) req ' ed for the property listed below. - The authorization is limited cific activities described in the attached sketch. CATION OF PROJECT: T ceaf, s-S[.e, - I�Pns)a . t� C., ?PERTY OWNER MAIUNG ADDRESS:- . - )z_��.\\ 2�?"flQ PHONENO.C33(,) iv(,S- 2-02 7� r'HORIZED AGENT_MAIUNG ADDRESS: 5 ho,11+fit Q c' PHONE NO. q j O 1 S� ya y% 2t1ffe of Property Owner. plicant: Awe te: 2��5-�j Permit #: S—�s ,i�Z 2 - scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei ind in your Habitat code sheet. )itat 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 fin disturbance. Excludes any restoration and temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other Z 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 ❑ Both ❑ Other ❑ 1711 ATLANTIC MARINE CONSTRUCTION 66-112/531 SHALLOTTE, NC 28459 PH 910-754-4247 atc l7t BRANCH 6A _M AND TRUST COMP � � t' ♦ t�oo-er♦rnc esr ear_om C �o ,} 1:0 5 3 10 1 12 o:000 5 2 9 50008 v M /� 6ccu�11Y ❑ R��tui�t B�a4. /1W IIF 2�11'0L7LL