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Home My WebLink About57381D - FjelstedCAMA / DREDGE & FILL "ENERAL PERMIT Previous permit# iNew,• ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rued by the State of North Carolina, Department of Environment and Natural Resources Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �( J! ' Rules attached. it Name t d2�i S ti r ' ` "t Project Location: County o Q _ L l e"yv � j/1 Gi r), b V % _ Street Address/ State Road/ Lot #(s) Tf; VA f r' _ _ State "yZ, ZIP E O Fax # O / Subdivision red Agent s `, R y'�1 Ytr~ Z f')YA iAr) City ❑ CW ] EW APTA ❑ ES ❑ PTS Phdhe # (11c )554d" ❑ OEA HHF ❑ IH UBA ❑ N/A Adj. Wtr. Body- 0 PWS: ❑FC: Body - yes (no) PNA yes (noCrit.Hab. yes (no) Closest Maj. Wtr. Body_ L �� zIP 21691� River Basin (Uf? f Project/ Activlityf , , t;G h5i y u(: hw �� ji 4;(" A t y m 4 l raw v Ul � ✓S Q N A { r }sWj V)ai I)6 tL, l(1'� (Scale: .M■E 1M■■■■■■Xx ■■:.M'■: ■■■ ■■■■■■■■ R.�...■■... ■■■:m■[aNjwa"ft' imber N, ME■■n■■■■ME:::ON ■1 IENEEM ■■■■■■OM=W■■■■■■■f-NORWI III E !� g distance offshore 2x distance offshore ■■■■■■■■■r!■■■■1�►.■■■ ■w■ r.■��wr�a hannel ■■■■■■■■■fi��1■■'I,i��■■■■■■■■r■■■■■■■1 ■■■■■��1MwO■■I■■ mammon ■rawr��l■■■ :bic yards 11�C!■■■■■�1�111i71■■■fi�lliiii■1/■■■(■■■lC��?'- i Mp ■�■■■■■■■� II l il�l1� ��!�l�J!!11,C7■I��'■�■■■■■■1\■■■1 ■ U■■■ :ANIE 111M■rM■■■lWN ■■■■■■■■■III■jG�■■■■■■■■■■■■■■■■■■■■■1 le Length not sure yes . is: not sure yes no ■��'�l�L9i■■■■■■■■■■ice■■■N■■l�■■■■/1[*`Liil ■i■■■■■■�■■■■■■S■■■■■■■1!!■■■■■■1 yes no ■■■■■■■■ a■■■■■■■■■■■■■■ri.■■■■■■■1 ling per�iifmay be required by: Y " ��- Zo klJ ❑ See note on back regarding River Basin i —il.. A/Alt „If . I .-_>-t I-1_.l. 1..-1 r,J..—1 . "I I I 11 04:27p Paul Fjelsted 9197731133 p.2 U6 2011 21 04pm P LRSER3ET F19X 9106755311 P- 2 11 11 04:55p Paul Fjelsted 9197731133 FIV I It - - AATAOM IUPAVIW F"PERTY 0 WNRR STATOWIT {Fsq!!APACIO 001Ri MM"pis tj I ttlrt�Tl�Glf�7Ji,rOt-1�? z bctabp+ caeeib cpaY 7 ours poopcn�r Rdjectsrs m1' �V `1 • tea' �� i�� _.3.�. tWatarb." tiro an"r Comfy) $e b+s derm*ed w me, as sb.wabolo*%*8 dmiGowwe1+.IapmposIR9.Ltitot Soe.aoQ ends l iuve m alp2ddou td ltis pmpas.l. I �rsmed floc a yfierhmoodn� pi1"rplp � bo.sJ iR! borthasre t�a.s ba s.e bask a„ idama dv aaee at &UM fret (t!7 a ma vW &w& at dpwI n oc a m0w waWW by cr— (Itym wbh to wla""teftsdr, ym mustioNid the approprst to WIMA batave.) I de adt WLOL to write Y �a vhu� 1a r�•i�e Brat aatSb acic�egaittctecu. LI a 1170 � brlflVldrfod �l0�04T�1� d��Re� Urmviews "Swi mu4WMSaMNorepena,rnMwaUvUwao>wwoiawM%FMOW"Oa pww w,kwx I 4$p aI nzalpc 4ttkis ftwom 4tiAsip.trip.s lhootd ae *i.ited / a ]27 CeYdl..i DrN1e S'1Ef. DL7i egeaaatrtlew e.n .les po eo.r.ao.e rf �3t4 !1f►1313. . � . Mtbtesa"n rarpvvperp ow"clA,p*wf A fgll" tar permit) PIP IN I(tJPJ40 ^M Av— ipw" .L7 a=� er I�tt�rnmtlea) ' Sign■t++t. r f C4 PRRl6l�0 RInO r a9(e-400 ebophaae NuMbIr c .to AGIA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date A 21- 11it Name of Property Owner Applying for Permit: Mailing Address: Gush 4Z , z ,fz y I certify that I have authorized (agent) _ rYC ZM /��, �,.� S to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) AC2 Q / A' tI A � �C at (my property located at) % G ,J rl This certification is valid thru (date) r // / 2- ADJACENT RIPARIAN PROPERTY OWNER E R STATEMNT (FOR A PIERl4100RIXG PILLYG /BDATIJFT/BOATHOUSE) 1 hereby certify that I own property, adjacent to�� /�. 7�g 1) I1 _iin:me of Property Owner) property located at " t` I �� O r t 1'/ I (Lot, Block, Road, etc.) 1 on l ��°�` }I"1 �� in C1 N �� C� i,� , N.C. (Waterbody) R (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/mooting pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (1 S� 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 indliddual proposing development) i lL r4- --- 1f you have objections to what is being proposed, you must notify the Division of Coastal Managemenf (DCM) in writing within 10 days of receipt of this notica. Correspondence should be mailed to 127 Cardinal Drive Ezt, Wilmington, NC DCM representatives can also be contacted at (910) 796-7215. No resoonse is consider the snme av no obieclion if you have been notirred v Certified Mail (Information for Property Owner/Applicant Applying for permit) Mailing Address ?-715�q City/Statc/Zip Tele honk umbe ��JIUnn7JrA�%' I Date (RipaPrty OwufirInformation) i ",,T Signaturo ash No 1 fc�� r�R e Print or Type Name >nyo�3 -�4 L4d3e Telephone Number Date LIO -/,0412/1 Pav1 rJ�1s f C Division of Coastal N19t. Habitat Impact Computer Sheet olicant: C-1� �-- Q Permit #. G P 1 le: I Pow 5+3s1 D acdbe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. )itat Name Juj 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)_tern TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) 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 ❑ Dredge 0 Fill ❑ Both ❑ Other ❑ B AND B MARIN WIL11 MS° E�NS9 RUCTION PAY TO THE T� ORDER OS 1208 6&21/530 DATE �� . _ / BRANCH n� C W �' AC �ka moron W Wells FSark N.A. DOLLARS �!w o FOR �208112.....':o s 3000 2000 yy4B 7O011•