HomeMy WebLinkAbout57342D - Dunn,CAMA /'-DREDGE & FILL
3hENERAL PERMIT Previous permit#
JNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rizedany the date of North Carolina, Department of Environment and Natural Resources
�oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
les attached.
t Named li 1l Project Location: County G/ .✓ S 4/./f ��
�%1 L 1 2).' , Street Address/ State Road/ Lot #(s) / jq 6
u/L l 1N s ice f." State 1 c zip .1,1
(3?A Fax # C—)
:ed Agent �li P y No l We
❑ CW ®EW ❑ PTA ❑ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
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ng permit may be required by: A91- dip,-, I P,9C ❑ See note on back regarding River Basin r
3360-15-�,7
iC ri i i i� r
Kchael F, Eadey. G w mar
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To:9g29666
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AL :�'L'��,
North CMUM Depflrl mi of EnvOmment and Nahral Resources
Dhtk*m d C mW Mmn%Wns it
J m K GmgsmDkeaw
Auftwimd Agent Consent Agreement
vriftm
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in Order to obim ally CAMA pemvk(s) ragtared for mo Properly hsftd below. T'M authorization
SPecft actiVitie6 dOWAbed in U* ±cited sketch
LOCATION OF PROJECT:
a, `S r-
PROPERT1f OWWR MI►ILING ADDRESS:
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PMOlIE NO -3
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UC-03-2007 10:02 From: To:8929806
CE'I nF_iED, MAIL - RETURN REC&PT REQUESTEi?
r 11511 N1 ISIMS]•i : u: ; u
The purpose of this form is to provide proper notice to you as on adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Divisi
Coastal Management contirmotion that a written statement has been obtained signed by the adjacent riparian property,
indicating that they have no objection to the proposed work at that the adjacent riparian property owners have been nc
by certified moil of the proposed work. Often these forms are submitted to the ndjacent riparian property owners by a
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the following individual or company designated by the applicant as an
authorized agent:
Agcnt's Signature
: 7
Date
Name of Individual Applying For Permit:
Address of Properry�
(Lot or Street it, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individual appl% ing for th
has described to me as shown on the attached drawing the development they are proposing. A description or
with dimensions, should be provided with this letter,
1 have no objections to this proposal,
tf you have objections to what Is being proposed, pleuse write the Divislun of Coustal Managem
Curdinul Drive Extension, Wilminaton. NC 28405 or call910-796-7215 within 10 duys of receipt orth
No response is considered the some as no objection if you have been notii;ed by Certified Mail.
Wx1VLR SECTION
I understand that a pier, dock. mooring pilings. breakwater, bout house or bout llft must be se
minimum distance of 15' from my area of riparian access - _unless waived by me, (if you wish to v
setbacK-Y4u most initial the appropriate blank below.)
i do wish to waive the 15' secback requirement_
t do not wish to waive the t S' setback requirement. XT . ^A
7HY—HY— 1 1 H 1 I L FIM HI'II IUNti "U 1 L-V I Nt., k-UKI, 7174'Stl 1 rU
Ap �� 11 0;;.54p i►rq Holdrm
AlC 'Ir W~ 10: W Fr for :
94r981,s
1rl64?99N.
TM purport of tAv fr.rin to ur "vKk tlrOW mu" 0 you w o Wlwt:oac t+paian rropcfry W..w a On inCividw.l or
i►idivfdual111xcd below. The CANA Ce�l Ptrw+ t OppliRtkm poadlws rwquift That ap?tie:np pMvA do pivill
Comm! Manajtstlem wAntnnioa that w .nincw srtioa+oru hu ►e" oboaed s**d by dU trdtacent riparian grvperty
i ndkoting brat 6" how etc objection to tk proposed wWX $t d* tilt wdfw mm r: wim propatty swam Maw bm rH
by am fkd mO of the pfW" wwL Often drat kma we oboiNd to #r odjecett riparian pmpcfry trots by a
collwac or of Omer individuals arras as an 3066fiad scot Oa balwlf ordw Solkanr.
This kne nos Brat to yoit tly tk popoah a ladivWtfal or eompner dtAcc d by the wpPlltzat as op
a4thori1a4 agent-,
/"
Au dead is Si�taaMe OtK: ,
Name of Individual Apy�rin& For Paynk,
Addrees of Pwpet,,. _/� 4_ : _ � . ✓`5 ,, __.. _._�
(La or Steer 1, S t a
TC1ry aid Cowry)
I hmby certify that I own prop" a0j3cr.M to rho tbave4tfeteneea prppwrty. Tho odivi" appl;inp Ibr tl
halt dastrt�ted t0 if10 u Yi1D.� n �tf the at*selled drnwirt� the d�+elOprtterit t11@V art; Prp�1S 11Q Ado triptbft Ot
with dinwrisiom. should be pmvkW with this lettu.
Y 1 havw no 4jccaons to'h6 proposal.
if you bovt oejt:tdotu m rvhaf Is tieing prop wd, pica+a -.rite ►be Dlvh►lun of ce"ml :Nwtrol{ar
Cardinal ArIve Exawi;wn. Wllminceen. N C zwUS or calk 9 ta796 7215 within 10 dp;rs of itceipt otll
No rrlpoww to considered the some m± ne Objecdon if ya bawe been nedned by Ca-dfled X*Ai1.
WArVER sticnoN
1 sWerstand Mat as plea, datiL irdoriftt pffiap. brcbkwater. boat Mouse or boat I1R llitisr br I
Tlnliaum dkikeet et W rrom my arra of ripseas sans •.ta ta„ e����j>�d, l�" me• (U 9oa wen to
ttteoek, Yoq Most iaiffel eke appropriate b�ic btjiow.)
I do witch )o wui•e isle 13' w*Kk mauscemon,
Dplicant:2.�
ate: �/iz���
Permit #: 5- %3 "2 3
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
and in your Habitat code sheet.
TOTAL Sq. Ft. FINAL Sq. Ft.
(Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance.
bitat Name Choose One includes any Excludes any
anticipated restoration
restoration or and/or temp
temp impacts) impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fii
disturbance.
Excludes any
restoration an
temp impact
amount)
S L
Dredge ❑ Filf 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 ❑ Both ❑ Other ❑
HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW
SUPPLY, NC �284622 1
'1 V D
4-1�6 Ur 44
�IWABANCKMAw rf2 /,
un -y, NC 28462 GP', I J''INr J
anuru_ waccama wbo.,nk. tarn
T,6a,l " io` s 1F_:,r4
3979
66-1215131
SSA. ` c� e _ L tl 840
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WILDLIFE PORTRAITS®