HomeMy WebLinkAbout57365D - HoweCAMA / DREDGE & FILL
;ENERAL PERMIT Previous permit #
�4ew Modification Complete Reissue -Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
1 �-Rules attached.
: Name &!/ e g / C Tr #,f� Gv 4 Project Location: County
Street Address/ State Road/ Lot #(s) ;5O/e ;
State ZIP13
(G %� �'--.��-A; Fax # ( )
:d Agent, cy
❑ CW DEW = PTA L' ES ❑ PTS
❑ OEA ❑ HHF IH I UBA _� N/A
❑ PWS: I FC:
ies /(TS PNA yes / no Crit.Hab. yes / no
Subdivision
city -de_ P'4e' �s t o e,49c zip 2 U"4
Phone # () 4 rs
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g permit may be required by: CCO/'7N -e ❑ See note on back regarding River Basin rul
(r(Z-V ory (oloLj-2&41W4P1A -") —
' ` - � 114"
A*A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
hael F. Easley, Governor Charles S. Jones, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Se
is hereby authorized to act on my beh�
{Prins a of Ageno
der to obtain any CAMA pe it(s) required for the property listed below. The authorization is limited to
Ifc activities described in the attached sketch.
ATION OF PROJECT:
PERTY OWNER MAILING ADDRESS:
PHONE NO. � Y 3 _ (� 7
-IORIZED AGENT MAILING ADDRESS:
/lam-
PHONE NOJ/ V��— ? /`� -3
iture of Property Owner:
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAI'
Name of Individual Applying For Permit:
Address of Property:
AI (
(Lot or Street #, Street
(City and County)
:)d(�4-
(s�-
Road)
Air
hereby certify that I own property adjacent to the above -referenced property. The individ
applying for this permit has described to.me as shown on the attached drawing the. development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
i,61 t I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 'Cardinal Drive Extension, Wilmington, NC 23405 or call 910-796-7
within 10 days'of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakm,nter, boat house or boat lift must b�
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (If
Nvish to waive the.setback,-you must initial the appropriate blank below.)
u�Err
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
d�
Date
X IMA
DIVISION OF COASTAL MANAGEMENT
A
Name of Individual Applying For Permit:
Address of Property:
(Lot or Street #, Street or
•
I hereby certify that I own property adjacent to the above -referenced -property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co'-
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-?
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
�•�
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Date
STEVEN T. FARMER
TRA COM SERVICES
PH. 910-754-2725
897 MIDDLEDAM RD SW
SHALLOTTE, NC 28470-5657
/ -/) -//
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BRANCH BANKING AND TRUST COMPANY( ^ti
, t 600-BAN-BAKKBBT BBT.00m ) ___._
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0052LL9-60L&1004059
Harland GIaM1e
4059
66-112/53'
C/70
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WILDLIFE PO
3plicant: �22 t e Permit #:
to
ate: /
/ 4
,scribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
Lind 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 fi
disturbance.
Excludes any
restoration an,
temp impact
amount)
p ��✓
Dredge ❑ Fill ❑ Both ❑ Other
`/
2/ Q
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 0 Both ❑ Other ❑