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Home My WebLink About57503D - Mayfield'CAMA / ❑ DREDGE & FILL G E ICE RAL PERMIT Previous permit # ANew —Modification ❑Complete Reissue El Partial Reissue Date previous permit issued )rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. nt Name i 1� L "Y i ` \ 0, Project Location: County 91 V KyU I C iC PC; f�-' x c4 la Street Address/ State Road/ Lot #(s) ''t` State T. ZIP b 2 j t T �. "Z2kc1 Fax # (_) Subdivision zed Agent i SC t Y1� Ili �}t� C '?x ity ,_' ( 1'�-lS 1.. N,4 ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: yes / no PNA eJ) no Crit.Hab. yes / no ZIP2 sb�' Phone # ( ) River Basin( —'AK Adj. Wtr. Body Pr I t/V Y-\/ r�i, Closest Maj. Wtr. Body Pt l, W w if Project/ Activity KEPOfe t Ft CITn N 6- C w) �jmj�,��l� I V/ X) 2r Li I' RF >Ft i i r-0) 4' L eT,19WtQ 1Z Mal i/SiLL SET rift tL &LJ GY, (Scale: nck)lenvth n - ■■■■■ ■■■■■■■■■■■■01=1zngth lllf.�i �lf:1R,aGi■;'.�■'?'s►.I ■■■■■■■■■■■■■■MEW �!■ ■■�"i i..nw-"C"' 11101 ■■■q■■■■■■■■■■gr�iilwri■ri«��['rlYllil■rs�l ■■■q■■■■■■�ll��!i■■■!■■i1W'ii�'iRti�l■■r•!■+!!■i��■1■I ■■■■■■■■■■n�� ; �■�■ l i■■ �1■r■■■�•r■IIn.J■1 ,g distance offshore- ■■■q■■■■■HERII■■■ lone q■1[■■q■■■N�■■1 ax distance offshore_ ■■■■■sa■oro.i �l.,r� r�■!q■■■■q■■■q■■■I ■■■q■■■■■Y■■IiillY■■�q■■■■q■■■■■■■■I 11■■■ "MINE ■■q■■■■■■■■I rnp■■■■■■■■■■■■ 1:■:I■i1■■ .,- WIRMIiflMENN■■■■■■I use/ Boatlift ■■■■■■■■■■■■■■■■■■■ :�iC�l►■■■■■■■■1 N:EMM■■■■■■■■■■■I■M■■ '' ol7�iiloomm■■■■■■■I ■■■■■■■■m'a1■■■■■ ■ ■■■■■■■■■■■■■■■■■■I ■■■■■■■■mmum■■■■ ■ ■■■q■■■■■■■■■■■■■I ■■■■■■ogi it■■■■iq■iiuii■a■■■■■■■■■■■■I not sure yes no ■■■■■■■11■■■■■■q■■■®I■■■■■■■■■■■■■■I ■■q■■■li■■■■■■■■■■■mIMMMM■■■■■■■■■■I ■■■q■■■1l■■■■■■■■■■■1■■■q■■■■■■■■■I s: not sure yes no ■■■■w■■li■■m■■■■■■■■■1■■■■■■■■■■■■■■I ■■■■■■■li■fl■o■■A■m■■NI■■■■■■■■■■■■■■I yes ■■■■■■■M■LMiA■►AILIUiMMMM■■■■■■■■■■■■I • .. ■■■■■■■■■■■■■ommmmm■m■m■mmm■ m■I ling permit maybe required by: CA -le- IIjL4 0 ❑ See note on back regarding River Basin PPlicant: ate: IV( g/ 11 Permit #: S% S 0 2 escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurem( fund in your Habitat code sheet. abitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) 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 f disturbance. Excludes any restoration an temp impact amount) V Dredge ❑ Fill ❑ Both ❑ Other 2/ 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 ❑ _Lzffn ALVOS 11 MI .34ym 3A Jqw"ruorvt2�' 1 , r _ w 33"55'39.03' N , e 0 f ^, AI*A NCDENK North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Authorized Agent Consent Agreement J-e-6j c J` 1-M m6N 5 is hereby authorized to act on my be (Printed Name of Agent) n order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited Specific activities described in the attached sketch. LOCATION OF PROJECT: PROPERTY OWNER MAILING ADDRESS: /24tj AUTHORIZED AGENT MAILING ADDRESS: �.z/ 1/W/V5 141C PHONE NO. PHONE NO. A h9 —.,� / -36 = pip" kombdat, zi a' _ ao�m.ek, tee. oft) t) ('iw.el s.iAsr ter} 9k. �►;47 He ��ar� b.s, sss�vwA �, �b>e bpeopo�atirc � f bars so Mo llie p mpouL i usieo ind &d s p f bodb&/ bostMoasa moat bs setbssis s>�ia� disoaoosdif�aaa�et(i�boe apsaa aoaes..lese Timis bar sae. (ff jmw i is wdmAmsd6mdk, rwswst i■ft sl�s � Lidk bdw r terrrepee,rjo�►aterA (�ipasess Q��sr�) . ?c Ids#{`% wee . P hi�Rar'i}�oNssao g io-4y?—do7G7 3-- TeUpbow Nusba ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A P.IEIWOORIIYG PLUNG91BOA?Zl%'lBOATHOIISE) I hereby certify that I own property adjacent to 5A / �ey%%�r¢� � (Name oftrrnperty Owner) property located at Co r'Acfh"'D,ety (I.ot, Block, Road, etc-) on -r C t4l in dR,� 1;1 M� / /�ruvs w�G� (Waterbody) (Town and/or County) Applicant's phone ##.- I I -aa6 Mailing Address: PO box /a t� He has described to me, as shown below, the development he is proposingii that locatio have no obje Wons to his proposal. I understand that a pie dmooring pilings / boadift / be Est be set beck a minumnn distance of fifteen feet (IS) from my area of riparian wee&, waived by me. (If you wish to waive the setback, you mast initial the appropriate bl a below.) V&- I do not wish to waive I do wish to waive that setbackwent.. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT, (To be, f ed in by indivf&al PrqPomWB P 1 f� ,- e— .4 13R4rr1 /0/6-- Oinfor®ation for Property Owner Applying CUparian Property Owner Informal for Permi#) NC BOAT YARD LLC 00 / 3 P. O. BOX % Shallotte, NC 28459 66-112/531 j Date Pay to the Order of ,, Dollars BRANCH BANKING AND TRUST COMPANY 1-800-BANK BST BBT.eom Cb Business Value Checking R-) For l is053LOL12Li:0005L99258275ll'05673