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Home My WebLink About56700D - KeyaaMR--^vw�z;.r.�,��'`5i£�4�'1"'w.?R�'�'?�'..; •' '.- �p'"*.Y'.,'-� '��—'�'� �?Ip►'3.-.�o;�"s"�f:'. ti 7"3�!-,'Pe`.''Si, N'�--'.` ;-LAMA / []DREDGE & FILL GENERAL PERMIT Previous permit # New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued Drized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC EgAules attached. nt Name li / !IF Jill � �� ✓ State' G ZIP - .2-? Fax # ( ) zed Agent CW ❑ EW ❑ PTA ES ❑ PTS OEA ❑ HHF ❑ IH --]USA ❑ N/A PWS: ❑ FC: yes PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) _3— Subdivision City �/ �.� 1 LP 6y4,4 ZIP ,2,PS/6 Phone # ( ) River Basin L �. -- g Adj. Wtr. Body ��,✓ /� /- fJ/�f- /7' /& Lt/ (nat (, Closest Maj. Wtr. Body �T'J 4/ /✓ if Project/ Activity e / / , J `' tL. P .� L � C 'E' ;�. 7� / S / � t ®/ P OQ � < < PsS ��! M y d /rL G� ��i`�JOIF (Scale: / length «s ■■ ■ice■■■■■■■■■■■■■■■■■■■ ■■■■■■I imber ■■■MEN ■■■MEN _■■■■�■■ ■■■■■■■■■■■I ■■■■■■■■■■�■r�nl�n■C!�'■■■■■■■■■■■■■■I eg distance offshore ax distance offshore- ■i■■■■■■■■■■■■■■■■■i■■■■■■■■■■■■ wEMMMNMMMMMM■NEON ■■■■ ■■■N 0 1 jbic yards NONE mp ■■■■■■■■■■■■■■■�!�lu:��■■�■■■■■■�■■■ 1 ■■■■■■■■■■■■■■■ 1■�■� ail■�■■■■■■■■■■■1 ■■■■■■■■■■■■■■■■ 1■■r't■■■■■■■■■■■■■I ■N■■■■�■■■■■N■■■■■ ie Length. v■■f�■�■■■N■�■■■■I not sure yes „�, ■N■■■■■■■■■I■■■■■� �� ■■■�■■■■�■■■■■■®■�I ■■■■■■B■■ ■�■■■■■■��■� 1■■■■■■■rl Yes ' ■■■■■■■■■■ ■■■■■■■�■■■■®■11■■�■■■■■■I ■■■■■■■Rf IMEMMOMMI ■■■■■ t . ,.: _ ■��■■■■�:�■■■rya■■■■■■�■■■■■■v■I ing permit may be required by: �l,ot�� ` SL �P�e� ❑ See note on back regarding River Basin e29/2011 12:54 9107549345 MILLIGANS DOCKS PAGE 01 e in Sang �(�ljn�r ,-"-,\\- �---� /G ro t1do� y - 42 42i > �P f- r-,�-I.-E.IVECU OCM WILMINGTON, NC APR 2 9 2011 ,�n NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management overly Eaves Perdue James H. Gregson Dee Freer overnor Director �e:re' AGENT AUTHORIZATION FORM Date: �� I ame of Property Owner Applying for Permit. wner's Mailing Address. d-LA 1 0<5 16Y hone Number��' 3 7 or and obtaining all CAMA Permits necessary to install or construct the following (activityY Name of Authorized Agent for this project: Za-a,& Agent's Mailing Address Phone Number (9A certify that l have authorized the agent listed above to act on my behalf, for the purpose of applying This certification is valid thru (date)Z� Z AAtrop- Owner Signature Date i3C'_1� �,✓' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIER!9?OORING PILINGSBOATLIFTIBOATHOUSF.) I hereby certify that I own property adjacent to IA-, —'s (Name of Pr perry vner) property located at MIm (Lot, Block, Road, etc.) on C�Qh ^� , in faa �----- , N.C. (Waterbody) do (Town and/or County) Applicant's phone #: ailing Address: U fie 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 (IT) 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 I do wish to waive that setback requirement. ------------------------- ----------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) . ry/ac-e- ra,'ts oh S- 'bnwz, deC,Crl4 (D- ,r. (Information for Property Owner Applying for Permit) NI cling Add s (Riparian Property Owner Information) Signature Print nr Tvne Name. ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT (FORA .P1ER='1?00K1:,'G PILL:1rGS1'B0ATLIFT,IBOATHOLSF.) I hereby' certify that 1 own property adjacent to _---_. _ s (Name of Pr perty Ctvner i proPert'S located at _ c 4 l &p — (Lot, Block, Road, etc.) LLLLL on in (Waterbody) !l%% (Town and/or County.)lailin Address:_�� Applicant's phone g lie has 3escribed to me, as shown below, the development he is proposing at tha[ !ovation, and, t have no objections to his proposal 1 understand that a pier'meorirg pilings i boatl4t,' boathou e must bt set back a minimum distance of fifteen feet (15) from my area of riparian access un.ess waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) do n9 t wish to v.aitie 1 do wish to waive that setback requirement. - -------------------------------------------------- ---- DESCRIPTION ANDiOR D42A�'i'�G OF PROPOSED 1}E 4'ELOPt1E T: (To be filled in by individual proposing development) • �DncS-�•r-cc s�- � i n� { 0,A V XI(O' -7 -7 • r�,(�� ray t s nav� de- C �- avl d ruyf- (Information for Property Owner Applying for Permit) -Z Mai ing Adler s , Sate; p.3237 (Riparian Propert}- Owner Information) Signature ,j - _ S_v6 W+ Pr!nt or V ? Nxne R'ri- 2-q-7- )2S31 licant: % lc)' ee f y1z/ Permit #: I k �00 - %) 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 fins disturbance. Excludes any restoration and/ temp impact amount) �S v G✓ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ JOSEPH V. MILLIGAN LARA R. MILLIGAN NCDL 4319111 4299734 P.O. BOX 131, HWY. 130 PH. 754-9345 ASH, NC 28420 ,-1 _ PAY TO SECURITY -- C,Pc5L-'1WC SmNGs BANK Shallotte, NC 28459 , , I / 1Y is 2 S 3 17 14 30t: 06 2000 66-7143/2531 5461 DATE $ 2�b fenw� &off S 2no S46 1