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Home My WebLink About56694D - Jones50 CAMA / DREDGE & FILL i E N E RAL PERMIT Previous permit # New GModification ❑Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources 1 2 O ;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,o ' 9�%les attached. t Name 1?2e,Z I, J`�> /)y S Project Location: County 3,? U'-' sue// C X PV 0 - 60 x / S 3 Street Address/ State Road/ Lot #(s) % 2G C ,_ i State,61,- ZIP ;7-- Fax # ( ) Subdivision ad Agents iY/�F CityL(/o, ZIP 2 F ❑ CW D EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin L w ❑ OEA ❑ HHF L 11H ❑ UBA ❑ N/A Adj. Wtr. Body '11i9,4 (na ❑ PWS: ❑ FC: ✓es / o PNA yes Cn - Crit.Hab. yes / no Closest Maj. Wtr. Body Project/Acti*lq k_PLQcA)0 Fxicf,,, fZ,,,g Al HfL'?�^11 (Scale: / ` ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ EVA�G ■■■■■■■■■■FOR =SEW=. ON ONE ■■ ■■■■■■■■■■■■■■■■■■■■■■E ■■■■■■■■■■ ■■■■■■�■■■■■■■■f■■■��7�F[�■ ■■■■■■■■■ ■®■■■■■■■r■■■� ■■!�1■■��■r�l■�%■■■■■■■■■ ■■■■■■■■■! I'■NI 11!�■■ill A■■■■■■■■■■■■■■■■ ■■■■■■■■El l i■� 11101RHti1■I■■■■■■■■■■■■■■■■ ■■■■■■■■11 ® ■■■U I ZM R. ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■ i■■■III■■■■■■■■■■■■■■■■■■ ■■■■■■■■■/wig'■■■■III■■■■■■■■■■■■■■■■■■■■ INEMMOMMUNIAMIiif/, ■■ II :■■■■■■■■■■■■I■■■M■■ .---!I■■■■■■■■ ■■■ ■■ • - • ■�I�I�w+�■ate■■�■■■■■■■■■■■■11■■■■■■■■■■ g permit may be required by: "'�j /c/o ❑ See note on back regarding River Basin ru DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to rr Qs t n �� "� �� (Name of operty Owner) property located at � I� �,U tr �,� �,TU'�1 �— c (Address, Lot, Block, Road, etc.) on GQ_- ,in L AUi� 1 L�CQC ,N.C. (Waterbody) Agent's Name #: _ Agent's phone #: _ (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) (Ripa .ian Property Owner Information) Signature ignature ne 5 Print or T Name O �% Mailing Address Tames Correa ��rol nwrre Print or Type Name I l ff 6 u r // i) q Mailing Address DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to 's C ' (Name of Property Owner) property located at day QhDC i) �t- (Address, Lot, Block, �,R,ppoa��d, etc.) on C' � in 4 WL_1 b Q N.C. (Waterbody) Agent's Name #: Agent's phone #: (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) Signatureeq IQ 4,-:57(0)vv 5 Print or T e Name v n �-. Mailing Address (,Riparia Property ner Information) Signaturre�epp / �e Print or Type Name Mailing Address �- Cs-41 bzit if CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: 1 as 1�,u.Uu�ot (Lot or Street #, Stre t or Road, City & County) Applicant phone #: (.3 - 8 a -3 Mailing Address: 6 O I 5�3 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, must be provided with this letter. // I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature of -T6neS Print or Tybe Nafhe C tRiparia operty O ner Information) 7-�il Si nature a rvl e S Oo rrecLhLN � I n o rre a Print or Type Name Ida I )IAIU 1 tt/► IL'I 1 ) I Mailing Address l l P ,du r h 111-)10n S+ Mailing Address CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: J (lU L J one Address of Property: 6a-c� d1lln I -suls�n-KAQ-2 / l( (Lot or Street #, Street br Road, City & County) Applicant phone #: �L �a C� 1 Mailing Address: ✓y 3 7 O 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 draw ing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimangement.net(contact-dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signalur Print or Type/Name �LIAJ-i h n Mailing Address 7ria,,,i�r rtyner� Information) Signature, Print or Type Name Mailing Address licant: / % o C y ,C'0(pf Permit #: j-/ / 9y it cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen 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 fine disturbance. Excludes any restoration andh temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other 336 3 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 ❑ J DEAN BURGE DBA JAB REMODELING PO 144 5535 FAIRVIEW CHURCH RD. TRINITY, NC 27370 m1c 66-219/531 1632 ... . ....... mmoir—, Communityo C 3RJ C.mmuni,,0,4i B.A. N.A. lyp NC 27282 ,:053L02j9ji: 3060306762 L 6.