HomeMy WebLinkAbout56691D - JonesCAMA / '_7 DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
I
>rized by th&te of North Carolina, Department of Environment and Natural Resources
Coastal R ;rces Commission in an area of environmental concern pursuant to 15A NCAC 7H, a 00
LRules attached.
-it Name a" f* I .S Project Location: County i6et / lll. W /CSC_
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yes / no-"' PNA yes no Crit.Hab. yes / no Closest Maj. Wtr. Body LUILL 1
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ling permit maybe required by: [ /� << /9- fl7y 0 ❑ See note on back regarding River Basin
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLI'FTBOATHOUSE)
I hereby certify that I own property adjacent to Doi
04AJ.:W.
property located A)— _ 7U—V(oC o a of roperty ow er)
6w4--
(Lot, Block, Road, etc.)
on AANS
f—, in f ill , N.C.
(Water ody) (Town and/or County)
Applicant's phone ##: 3,%2�� 2 Mailing Address: '3 &08 AA466flv ✓tC
&P eCIU5 &AQ At-,7-7�0.
lie 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/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') 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
A Vt
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------------------------------------------
(Information for Property Owner Applying
termit)
Mailing Address
(Riparian Property
tion)
�Si nature
�1rVf�
/A btu Yek�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR AMERIMOORINGPILINGSIBOA/TLIF (BOATHOUSE)
I hereby certify that I own property adjacent to �' 2(-} /,aR ,)AeS
a 3 �h s+ o� ..1-S (A v 9 acne of Property ner}
property located at 4a 41-
(Lot, Block, Road, etc.)
/�-- 19 -,?0- 5-/7
P(A- i41/
0
on �)A Vt� �A-1- , in IS �n __._, N.C.
(Waterbody) (Town and/or County)
3�1v-zqz- zzss' ��rso>u e
Applicants phone #: Mailing Address: 3(00
20-" &OT10 N G 7,K0
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/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (IS) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
V I do not wish to waive
I do wislt to waive that setback requirement.
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Ste- 4"�4 0,Ld b1z��J
PECEIVED
MAR 17 2011
" ., rill IrVt A41, N GT07) N R!
(Information for Property Owner Applying (Riparian Property Owner Infor tion)
for Permit}--�w
C � eiR- .� aAXs
3 (R o )111 SNv kut-
Mailing Address Signature
iA a» V C/t-
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR AP.TERMOORINGPILING&BOATUF (BOATHOUSE)
I hereby certify that I own property adjacent to kaR J
"A(Name of Property Owner)
property located at �A t# / C'
(Lot, Block, Road, etc.)
on %A V-ls 0 AAA?— in AYS (40v-f\ --- , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address: 015 4"tSIyV °L
l2ee"!E= 6V G • Z 7X0 3
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/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (l 5� from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
V I dp not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Pro erty Owner Ior tion)
for Permit)
C � of R- 10AS
Mailing Address Signature
Division of Coastal Mgt. Habitat impact Computer Sheet
)licant: C."19 lS n fl—L5
Permit #:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
Oat 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)
ow
Dredge ❑ Fill ❑ Both ❑ Other M/
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Dredge ❑ Fill ❑ Both ❑ Other u/
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7 S
th /L
Dredge El Fill El Both ❑ Other g
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2 L
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3 o
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 ❑
TERRY S. JONES ' ' -8200
PH. 336-292-2255
3608 MADISON AVE. gate
GREENSBORO, NC 27403 2 vv
Pato the -order of
Bank of America
H R/T 053W 96 ��`7./�tn' I ` Ar
Memo
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