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Home My WebLink About56667D - FowlerCAMA / DREDGE & FILL iENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rijed by the State of North Carolina, Department of Environment and Natural Resources �� Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC i t Name I M Ao ? i, Y f%J ❑ Rules attached. Project Location: County i� ((( / 'U Gt ++ i Street Address/ State Road/ Lot #(s) l�T State` ZIP t �i 3 H W 4U - VU�1 fAlL7i ff -A1" — X DG # (LL 1 0? ao I Fax # ( ) Subdivision ized Agent ((C- \u"(' City ZIP : d ❑ CW ";� EW /❑ PTA ❑ ES ❑ PTS Phone # It ) 2JJOff River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A • A (Xv}1C� II �— Adj. Wtr. Body ! ` 11 al nat ❑ ❑ F yes / no PNA yes no Crit.Hab. yes / no Closest Maj. Wtr. Body 3f Project/ Activity LJ Q j NA i J %L &4-t �: (Scales ' // lock) length - ■ ■■■■■■ MM MA■ ■■■ �'`-'��1 • 1111101, 1I10 ■ itlr.. Oi■■■■■■■� I■R■11lIlEL!�V�■III■M■MM■■OM■■■■■II ■■■■■■MM1■ nM111ILf■r�■III■■■■■■■■■■■■■■I - ■■■■■■■■■I■f.1®1111■t�il�■III■■■■■■■■■■■■■■I ■■■■■■■■� I■■� 1111■!■t'�►Y■� I I■■■■■■■■■■■■EMI MENIMEMEMMIRE 1111 M■MMII'M■ MEMO■■■■■■■I MU"ANW E■ENIMM .ill■■■MMILO! !EM■■ME■EMEI 111OMM■■E■ELU! ■■MEME■M■■M■■ME■EMOW/A �N■■■■■M71■W, a ME■■■■M■■t■■ElitimaLmol ■M■EM■■MEMO■■EMENK. M■■■�iiiiilli�� [l,�>l�■M■■M■■■M■■f ■■MEI�II�t�1L%■I M■■■■MMlII■ltpm M■M■MEM■M■Ml1,�,1W!M■MM■MMI ■EMM MMENI■ WYN■MEM■■OMMM■MN■I ■M<iYJ:�■ ■■■■■■■IIM■YYME �MMMMM■M■M■t:�■MM■■/IME■I MEME11101R.W3 ■■■MEMEMMEWAME■ ■MM 111EE■E/I■EO■■I ling permit maybe required by: —A# " o& ( Co. ❑ See note on back regarding River Basin A iAA All l _) /.. ✓ ( ,-7 A 1 CI-4 ti ., ,1 ADJACENT RIPARIAN PROPERTY OWNiER STATEMENT (FOR A PIERI 10ORLNG PILIAGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Nk&y� It 44�d OOUAI,� Game of Property Owner) roperty located at iQ02 Cp ss G Z iowtwB tk 29 ot, Block, Road, etc.) n on , in A �ictcle-✓ C:o. , N.( (Waterbody) (Town and/or County) He 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 / boatlift / boathouse must be se 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 requirement. ------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposin; development) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in w within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail (Information for Property Owner/Applicant Applyin/ng� for permit) // � f (coz l� 1 4 (rGZ S 5 lC,d1. Mailing Address Aaws*k�, N 28,4qS Citv/State/Zi6 (Riparian Property Owner Information) M. , S ignatt r or�rr� �t°w[s Print or Tvne Nai CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Fume of Property Owner: Address of Property: 1p02 Applicant's phone #: (�L>d 11w ow^ i _ems{ M . Fo �, or Street #, Street or Road, City-& County) G 25 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pel has described to me as shown on the attached drawing the development they are proposing. A description of draw. with dimensions, must be provided with this letter. _ I have no objections to this proposal.* I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCl in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive l Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance 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.) 7%A I do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Information) Signature Print or Type Name �m 0-0yodg.-asp-12ca.cl Mailing Address (Riparian Property Owner Information) - Z::�L Signature dF Print or Type Name j S wrre-a L^,je Mailing Address k 11 I NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Vlichael F. Easley, Governor James H. Gregson, Director Authorized Agent Consent Agreement William G. Ross Jr., 0%0� is hereby authorized to act on my bE (Printed Name of Agent) order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited �ecific activities described in the attached sketch. DCAT10N OF PROJECT: ROPERTY OWNER MAILING ADDRESS: ��`'' boo? Go{�9fasn 2.A f4�r►�Oskto� W- a8N y 3 PHONE NO. / /0 71 F 0001 9/p 68,r •/6( t UTHORIZED AGENT MAILING ADDRESS: �ft(,- �a1%ai &A522 fle-�, Di, 2gHa S PHONE NO. Tro - ZCZ — Gyg9' ignature of Property Owner: C Division of Coastal N19t, Habitat Impact Computer Sleet pliant: mo'& O'Aa czv-rhu� qW `tY Permit #: P �- te: .5Ai/II scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind 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) Dredge ❑ Fill ❑ Both ❑ Other 1144 1 1 1 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 0 66-85/JiltAWES W. JONES, ONNA A JONES 22 DEAN DR. PH. 910-395-4999 MMINGTON, NC 28405 RBC Bank® HBcsdlcJ(Usn) •' Y� { i:053 10013501:0 2764 258 191" a V.L—k of wvuND woa-- a — o 2" 988 �j W4,