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Home My WebLink About57510D - Hickox'AMA / L-1 DREDGE & FILL ENERAL PERMIT Previous permit # Jew _Modification El Complete Reissue —Partial Reissue Date previous permit issued E. by the State of North Carolina, Department of Environment and Natural Resources -7 61 , """) astal Resources Commission in an area of environmental concern pursuant to 15A NCAC F1 Roles attached., Name Project Location: County Street Address/ State Road/ Lot #(s) State ZIP -Z Fax # Subdivision VI I d Agent L'f 1, City ZIP Z — Cw ❑ EW D PTA E] ES El PTS Phone# O River Basin C�4 El OEA ❑ HHF c__ I H D UBA El N/A Adj. Wtr. Body G e- Ade, 11 PWS: D FC: Closest Maj. Wtr. Body OV /60 es PNA IT>/ no Crit.Hab. yes Project/ Activity s- (Scale: ■�■�■■■■■■■■■■WiRIMM■M■�■■■�■■■1M ME MOME 0 M IMMIAMW MENEM NEI ■YE1W =I' MEMO No _M MERMIZINME N 0 M MM & M5 10% Zi *3 �__q RA.MMI 5i' is (distance offshore mnel M EMEM skilwA PRA ON MOMME INN■ONE IN ic yards MENEM V, 0.■No MR07,_A2 AFA p MEN x" V 91SMI-1 ■EEMI ;e/ Boatlift 3409 W130 mrR)"d w4M FAI 0■ M NMI 00 M UNIM111 W010 M! MI illdozing__ MEN 0 V■V Mr," ",_ A M WE& M ME MEN 21 ME MEM No 0 MEridw,", 0 ON MI ONE■0 ■MENEM N V __ No IN MEMEN■EMEME■NONE■9 00 IM1 M1 Length ERR ME 101■No NEI not sure yes n? i M MEN mism�mmi A w NMI not sure yes A Iiiiiiiiiiiiiillm immm NEI urr: n/a yes no N■LEE MM NMI nol.1111 INIMMIMEM M M 0 NMI yes M NEI ng permit may be required by: See note on back regarding River Basin Datea * 41 lia-p—me of Property 0-,,maer App�-,-vimg - - X- ia ilta g A di al rew. W-Ift ri. GL Rm Jr., ortdy thhatt 1: have ars-talorh;ed '49." fzq- the purpse-se of' app'*rfing for an rd onl�tajn�- Perm -ea neemary to g ag Or coustrucy 1 *.�Prgperq- i6eared at" caSyw i-e43t0cat,iin me vaihdd tim-ra (da-k, Q; vrslG= or, COAs AD A CENT RIPARIAN: PROPERTY OWNTEz . N:OWICATI€ N/WAIVER FORM The moose of {his farm is Za provide popper narce o you as an adjacent ripaizar. Property owner to the int#iyid3 individuals tiled below. n. e CaMA Genera? Permit application procedures require that applicants provide the Coartal Manaenneir confirmation that a written statement has been obtained signed by the adjacent riparian.pt indicating chat they nave no objection to the proposed work or that the adjacent riparian property owners hav by cert'rneci trait of the proposed. work. lifter. these 'forms are submitted to the adjacent tiparm.-properdv 0 co ?;;actcr or other individuals acting as an authorized agent an behalf of the applicant. F iris form was sent to YOU by the following individual or company designated by the:aj suthiDr izeci agent: 1./ Author reed Ageenr' ignax-tit:. Name of Individual Applyi is For Permit: /?u ,"-/ Address of i rope-rv: (Lao ortrewc `, Street or goad) P` [Ciro an Coi=;lrv) ` ereb-v certil'V that: I auto: propem, adjacent to he above -referenced property. The individual applying far this�ser x i t#escr'i ed to rn� as shown o the attached drawing tine deveiopment eheE are croposinQ A description ordrawin-g tli.dimensitons. should b- rcvided with this letter. I have no objections to LIN_ proposaI. kv Qu: have objections to what is being proposed, please write the Division of Coastal Manaaernent,,:117 al Drive Extension. Wilmington, C 28405 or call 910-796-7'115 within 10 days of receipt of this nr>`tic. kPonse is considered the same -as no objection if you have been notified by Certified Mail. WAIVER SECTION an'de6land that a.pies-, dock, mooring pilings, breakwater, boat house or boat lift must be set back a i1ni distance o ri; f 15' from my area of riparian access - unless waived bv rote, (If you wish to waive the 'bzt must initial the appropriate blank below.) ✓ I do wish to waive the l ;' setback requirement^ wtc waive• I setback requi<remenz. .z4a // [Ciro an Coi=;lrv) ` ereb-v certil'V that: I auto: propem, adjacent to he above -referenced property. The individual applying far this�ser x i t#escr'i ed to rn� as shown o the attached drawing tine deveiopment eheE are croposinQ A description ordrawin-g tli.dimensitons. should b- rcvided with this letter. I have no objections to LIN_ proposaI. kv Qu: have objections to what is being proposed, please write the Division of Coastal Manaaernent,,:117 al Drive Extension. Wilmington, C 28405 or call 910-796-7'115 within 10 days of receipt of this nr>`tic. kPonse is considered the same -as no objection if you have been notified by Certified Mail. WAIVER SECTION an'de6land that a.pies-, dock, mooring pilings, breakwater, boat house or boat lift must be set back a i1ni distance o ri; f 15' from my area of riparian access - unless waived bv rote, (If you wish to waive the 'bzt must initial the appropriate blank below.) ✓ I do wish to waive the l ;' setback requirement^ wtc waive• I setback requi<remenz. .z4a // DiVT OF COASTAL YX �� ZQL V(— - - --- n E`Y'T ADJACENT PIPARIAN PROPERTY 01,&(�4ER NOT IFICATi0N/WAIVER FORM7. The purpose of this form is to provide proper izo€ice ;o you as an ad}acent riparian proper€y owner to the individ3 individuate tiled below. The CAiv{A Genera! Per mi=_ application procedures require that appucarrs provide tFie' Coastal Manaaement confit t ration that a written statement has been obtained sided by the adjacent ripadan :pr indicating that they have no objection to the proposed work or that the adjacent rigariatt property owners nave.... by certified mail of the -proposed work. Often these fornm� are submined to the adjacent ripariam ptpgerxu aw# connactor or other individuals acting as an authorized agent on behalf of the applicant. �F This form was spent to you by the following individual or company des�vnated ley thie a0plic€t authorized agent* r Authorized rit's Signanum 4 --ne of Individuai Applyi�ia For Permit: �v�✓ ///CXG,r Address of Proper:: of of Sweet =t, Streei or Road) aS ycd (Ciro and County) �Jherebv c4rify that I own property-- adjacent to the above-rzfierenced property. The individual app(ving for this-p twiuescribed to mw e as shown on the attached drawing trhe development they are proposing.. A description ordrawtt h.dimensions. should be provided with rhis ierren l have no obiectiors to :l?is proposal. p. have objections to what is being proposed, please write the Division. of Coastal _'Management,_iZ ' € aI Drive Extension, Wilmington, IC 28405 or call 930-796-7215 with -in IQ days of receipt oftMs no-tir pc�nse is considered the same -as no objection if you have been noEi� ed by Certified Mail. WAIVER SECTION u_Wermad that a,_pier. dock- mooring pilings, break --water. boat house or boat lift must be set back .a :t-ciisrar£e o€15` from ray area of riparian access - unless waived- by me, .(If yflu wish to waive the 'y must initial the appropriate blank beiovv.% , I do wish to waive The 15; setback requirement. i do ,tor wish to waive I5` serback requiremenr. :i�_f� Permit #: cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id 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 final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fillja 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 ❑ 1: 0 9 5 5 Sal: 700314313 22?Ps 314382273 111'ckg-