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HomeMy WebLinkAbout57362D - Henderson'CAMA / f DREDGE & FILL 1"ENERAL PERMIT Previous permit # lbw DModification ❑Complete Reissue El Partial Reissue Date previous permit issued -ized** the State of North Carolina, Department of Environment and Natural Resources /f :oastai Resources Commission in an area of environmental concern pursuant to 15A NCAC r/• //'/4,;G Fl�ftles attached. t Name Project Location: County SGC u NS 1-y i State ZIP_ (--) --- -- Fax # (--) - ed Agent ❑ CW J EW PTA C ES iJ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑ FC: yes /(r i PNA yes /_no_ _ Crit.Hab. yes / no Project/ Activity ngth -nber i J/:Riprap length 4,0 : distance offshore x distance offshore cannel )ic yards_ np ise/ Boatlift ulldozing Street Address/ State Road/ Lot #(s) %D1l le,A L '4, Subdivision Cityf/� l " e ZIP. Phone # ( ) River Basin L 4 r� Adj. Wtr. Body A L C Pr 1,4/ (nat fi Closest Maj. Wtr. Body /9/ �i/I^C / 119f4,1e ��M���N����M��i•01 ■ NONE MEMO INorAN ON MEM N r� =lamis (Scale:) -. ❑ See note on back regarding River Basin r ) r-.tDrD V'O rwAZ26 erC---v%J 3, �.5�u /vc,t,j &-T-7-T7va-T • 8 1 DMSION OF COASTAL MANAGEMENT ADJACENT T RIPARIAN PROPERTY OWNER STATEMFrFT ne of Property Owner, cress of Property: Aicant's phone #:_ Y14 - ! el; la (Lot or Street or Road. City do County) Mailing Address reby certify that I own property adjacw to the above tcferenced property. The individual applying of described to me as shown on dw attached drawing the development they are propmi n6. A �siso��i� a at be amvidsd nit ft letter. _ 'k�A-, have no objections to this proposal I have objections to this prop foes have objeetioas to what is being proposed, you mast notify the Division of Coastal Maaaten writing wises 10 days of receipt of tide notice. Correspondent sbonld be sallied to 127 CanUm i1911160oa, NC 2i405-384S. DCM representatives am aiw be contacted at (910) 7%-7215. No re Wind No s M wo odiection JXou have boom notified by Gera W Hag. WAIVER SECTION nderstand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum 'from mny area of riparian access unless waived by me. (If you wish to waive the setback, you must is ar waste blank below.) VJL I do wish to waive the l 5' set back requirement. I do not wish to waive the l 5' set back requirement. int or Type Name Ahilin r / A , /1 , — -7 7r-P rty Owner Informs Sign 1p pie Print or Type Name Mailing Address DIVISION OF COASTAL MANAGEMETNT ADJACEIN'T RIPARIAN PROPERTY OWNER STATEMEN-T ame of Property Owner: ddress of Property: (Lot or Street #, $ireet or Road; City & pplicant's phone #: 9/1 - qs? &yk Mailing Address: .2-b / ttereby certify that I own property adjacent to the above referenced property. The individual applying f< 0 described tO me as shown on the attached drawing the development they are proposing. I have no objections to this proposal I have objections to this prop f you have objections to what is being proposed, you must notify the Division of Coastal Manageaa t w►rMn within 10 dal►s of receipt of this notice. Correspondence should be mailed to 127 Cardin] Vibuizatma, NC 23405-39445. DCM representatives can also be contacted at (910) 79&7215. No ra HOWnd tie sane as a dk0la t if You have been notWed br Certified Mail WAIVER SECTION understand dw a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimun 5' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must in ppmpriate blank below.) I do wish to waive the 15' set back requirement. !1 I do not wish to waive the 1 5' set back requirement. ner 5 YL y1 'Tint or Type Mar," Property. ner Informs Si Aat&e ' e Print or Type Name Ronnie Jonas NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Managamant d F. Eavey, Governor Jam" H. Gragson, Director Authorized Agent Consent Agreement wa m G. Ros Hereby authorized to act on rr r to obtain any CAMA permit(s) required for the property listed below. The authorization is lim activities described in the attached sketch. nON OF PROJECT: • � iL . r/��si► 'ERTY OWNER MAILING ADDRESS: O ,, IORIZED AGENT MAILING ADDRESS: PHONE NO. !4� 65. 9 - / q/ ? PHONE NO. ah irra of i7rnnarty Cl.nar pplicant: Sry L.U) ate: Permit #: ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme and in your Habitat code sheet. ibitat 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 fi disturbance. Excludes any restoration an temp impact amount) �G Dredge ❑ Fill Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other "r �� '14r 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 ❑ 27bl K MARINE CONSTRUCTION P.O. BOX 1417 PH. 910-231-5438 WRIGHTSVILLE BEACH, NC 28480 L0046 51:0000 5 NP