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Home My WebLink About57310D - LambCAMA / DREDGE & FILL 3"ENERAL PERMIT (flew ' ❑Modification ❑Complete Reissue El Partial Reissue Previous permit # 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 [Rules attached. :Name R y CC L 'r►i�j' Project Location: County q a 1,"" c Ac %Z I k K tj C/'i E t 1:,1 . Street Address/ State Road/ Lot #(s) S` %�AIPCle A 2 y State 'r C ZIP', 7S�l (1�75" /GZ 2 Fax # ( ) edAgent (`�o�/-'s- 177,4.?-F..Z/ El CW ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A C PWS: ❑FC: yes / no PNA yes / no Crit.Hab. yes / no Subdivision City 12ry4" is �Oi✓�h ZIP Phone # ( ) River Basin Adj. Wtr. Body �� A � �41/ & /-V (na< Closest Maj. Wtr. Body '4 "'tv Project/ Activity A 1'44 ,/'�[ d l l P !� �s2 L, �. (Scale: / :k) len th J (s) it tt ■ ■■■■■■■■■■■■■■ ■■■ ■■OMEN■■■■■■ ■■■■■■■■■■■EE['fd(ili�ilE■■■■E■■■E■E■E■E■■ ■■■ ■■■■ ■ ON ■ ■ ■■001 ■�■■■NEE■■■■■■� I��I �■■■■■■■■■■■■■■■ :.. E■■■■■■■■■■■■�� fi■■■■■■■■■■ ■r■� -■■■■■■■■■■■■■■■ �1■ ■ ■■■ No ■■■■■■■■■■■■■■■ ■■■r■■■■■■■■■■■■■ ■�■■■■■■■■■■■■■■ ■!!1■■■■■■■■■■■■■■■ = ■■■■■■ice■■�■■■11■■■■■■■��■ ■■■■■■■■■■ - - ■■■■■■■■■■■■■Ei�■■■Eli■■■■■■■■■■ ' ■�■■■E■EI!1 ■■■■■■■�■■■�■11■■■■■■■■■■ g permit may be required by: s LP ❑ See note on back regarding River Basin ru PI L Canal m Estimated Proposed Elevator Lift. t--34 c J Y U d 9 N H C d L d D_ of20 L YI � LO' o1j) --S- L 50, f �A,� 5 Pender #iCDENR North Carolina Department of Envirbnment and Natural Resources Division of Coastal management James M. Gregson Dee Freeman Beverly Eaves Perdue Secretary Governor Director AGENT AUTHORIZATION FORM Date: Name of Property Owner Applying for Permit_ Mailing Address: �l Phone Number: (2,6) S n r-�� to act on my t certify that I have authorized (agent) behalf, for the purpose of/applying for and obtaining all CAMA Permits necessary to install or construct (activity) [Yid - at (my property located at) This certification is valid thru `1 t Date ViJ-b bita v'A- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTIBOA1110USE) f hereby certify that 1 own property adiacent to Bruce Lamb__ s (Name of Property Owner) property located at 5_ Pender St (Lot, Block, Road, etc.) on Canal _ _ , in Ocenn Isle Bea_c_h Wa (terbody) (`Town and/or Counly) Applicant's phone#:Mailing Address: He has described to me, as shown below, the deyclopmeut he is proposing at that location, a,�, 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') fmrn my area of riparian access wiles 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 ANWOR DRAWING OF PROPOSED IWVELOPMH.NT: (To be filled in by individual proposing development) Proposed Elevator Lift. 15' = 4 1 I.4_ 15' 8' 20, (Information for Property Owner Applying (Ripirria P perty Owner 1, formation) for Permit) < r _ Mailing Address Signature City/StPrint or Type Name ,a-rl Z' 1)t".Y V'Sc/l. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIIsRl,'1-f00RI1V(_, PILI'VGSIBOA7ZIFT180ATFIOUSE) I hereby eertifv that I own property adjacent to Bruce Lamb 's (Name of Prop.2rty Owner) property located at 5 Fender St (Lot, Block, Road, etc.) nn Canal _-_ ,in Ocean Isle Beach- _ N.C. (Wateriwdy) (Town and/or County) Applicant's phone #:a% 5 — �7 S *-N- Mailing Address: K__V A �{ 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 f Qcen feet (IS) from my area of riparian access unless waived by me. (If you wish to waive the setbnek, you must initial the appropriate blank below. _ I do not wish to waive I do v6sh to waive that setback requitement. DESCRIPTION AND/OR DRAWING. OR PROPOSED DEVELOPMENT: (To be filled in by Individual proposing development) (Information for Property Owner Applying for Permit) Miding Addres; 1� t---- City(StatelJ.�p Proposed PIS Elevator Lift. (Riparian Property Owner Information) Signature . _J u-- _-�-:{ - Print or "rope Name plicant: BIZ,� Q M te: 0/_� Permit #: 7�% O y scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremet and 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 FINAL Feet (Applied for. (Anticipated fin Disturbance disturbance. total includes Excludes any any anticipated restoration and restoration or temp impact temp impacts) amount) t9 tv Dredge ❑ Fill ❑ Both ❑ Other 2,_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 0 Both ❑ Other ❑ mareene Construction P. O. Box 370 Supply, NC 28462 DAY DRTHE NC; pt rO OF /4,0 1202 66-112/531 DATE $�C�. �av DOLLARS 12 � Dean. o„ e.o. BRANCH BANKING ANO TRUST COMPANY 1-800-BANK BBT BBT.cam / QP6(o5q4D l �, 11100 0 1 20 2n' i:0 5 3 i0 1 1 2 0:000 5 10 4 2 1 3318n'