HomeMy WebLinkAbout57489D - HordCAMA / - DREDGE & FILL
"3E N E RAL PERMIT Previous permit #
New -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rrized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCACj=
f ii�� NRules attached.
it Name {,( Yl ' ljfi #'Ii V U Project Location: County b VU nsW(- (,
E IocaIt _7T. Street Address/ State Road/ Lot #(s)
V\GiY �U{'1 StateZIP �7.C' i�� +�f�U� i,-a
k () Ott` - 22-
Y-; Fax # ( ) Subdivision
ced errt i t."Y, City I-,\- In ISIt C40\ ZIP Z� G
❑ CW EW PTA ES El PTS Phone # (110 n2-,,,3` (A River Basin
❑ El
t/h
OEA HHF "IH URA ❑ N/A Adj. Wtr. Body t,f \� (n
at
ElPWS: ❑FC:
yes (no PNA yes ro) Crit.Hab. yes / no Closest Maj. Wtr. Body A , W W
MOM
OAF
PME 0
• mam
==ENV, Zlimu19 IWOMME■
,ngth
ember
,d/ Riprap length
g distance offshore
ix distance offshore
hannel
bic yards
np
ise/ Boadift
ulldozing
2A M P4 y'x I�
e Length
not sure yes no
s: not sure yes no
ium: n/a yes no
yes nl?
41tached: yes no
(Scale:
i
ng permit maybe required by: LUtUAk6 x6 dL ❑ See note on back regarding River Basin n
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIQN/WAIMMI FOR'
Name of Individual Applying For Permit:
Address Of Property:aZZ2.'Z,'
�u
(Lot or street, Street o Road, City & County)
I hereby certify that I own property adjacent to the above --
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal.
Ifyouu have objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 28405, or call 910 395-3900 within U
days of receipt of this notice. No response is considered the same
as no objection if you have been notified bX Certified Mail.
WAIVER ;SECTION
I understand that a pier , dock , mooring pilings , breakwater , be
house , lift or sandbags must be set back a minimum distance of 15•
from my area of riparian access unless waived by me. ( If you wish
to waive the setback, you must initial the appropriate blank Belo`
I do wish to waive the 151 setback requirement.
�� I do not wish to waive the 15' setback requirement.
09/14/2011 10:20 9107549894 THE UPS STOPS 45077 PACE 02
DM ST03y OF CtASTA L MMAiaEMT
ADJACENT RSQ'ARIAN PRDPXRTY OW CA=GN IVBR K=
ZName of Xndividuak Applying Fold Femit : / V
Address Of P'roperW:
Qr Stxlmt e , C,t. .ro Cauuty%
i hereby oer=fy that I own p mparty adjacent to the abonz�-
referenced proporty. The individual aWiXing for this pe=It hs
+deec ribed to m an sbown on the a'tt mobad dramUM the de"lop pent
they are proposing. ,A dowarilptivn or cWmdng, with dimensions,
aboutd 'be provided with this letter.
-4 X have no objactions to thin ptopoeai
If X!?!! have objQ0tioma to what is hero„ propoead plea wznitra tho
Divisi s of COagtal IftnMVRMt, 227 Caxinal Drive Kauai_
Nliimi,m t forth Ca"llpa 28405 or +c�t7I 910 305-3900 �tbin V
dwm of rwaai.v't of this noti.op. No remmc ,sw is Cloaftitim-SKI them amna
Fes._.. SECTION
Y undOrs and that a pier , dCCk , mooring pilings , breakwater , bmt
house , lift or sandbags must be set back a minims distanca of L5,
frc m my arm of riparian acmsa unl.ems waived by nee. t if you wish
tO ' aMivw the sethaak, YOU must: i nitda7. the appropriate blank boaa+ r
I do W19h to wa VQ the 15, setback requirement:.
T do not wish to waive thtg. 1.5 1' matbacjt .i t.
chael F. Easley, Governor
.h
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Charles S. Jones, Director
Authorized Agent Consent Agreement
William G. Ross Jr.,
is hereby authorized to act on my he
(Printed Name of Agent)
rder to obtain any C pP rni { ) required for e pro-ohy listed Belo Th t ,
MA r. , t s ,a d h t-' iJ, uVJ. The authorization is uillitcu
rifir nrtivitiec r4ccrringr"1 in the pt+uohod cLo+nh
Jly fill I.
-ATION OF PROJECT:
?PERTV OV! WER M ILING AvvRESSS:
6e,4 L9, &ej� Sr.
>zh4 � _
/ ar%x Ala ,Paqod
'HORIZED AGENT MAILING ADDRESS:
A M
It"
PHONE NO.1o0/- 99a -
PHONE NO. 9%CP
tature of Prnnerty l jwnar / Z' - r v 9L.,_ l 1
Division of Coastal Mgt. Habitat Impact Computer Sheet
)licant: e4V C . q 6Y-A Permit #: 5-4L+�q
9/f
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
iitat 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/oi
temp impact
amount)
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑