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Home My WebLink About56601D - MeadowsCAMA / DREDGE & FILL 'ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued -izod 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 F;iftles attached. t Name i i<' J� 1(� � 1 /a �,��%� Project Location: County �;�1;iS i,ti i SIC 111 tiw ; ee,--,L F\' I ------- -- 11 __ __ '1n< I Ste { State _ -- ZIP Itti S Fax # () ed A,gent C; ❑ CW DEW C9 PTA QES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: C' H L. Street Address/ State Road/ Lot #(s) Subdivision City Ll4"W (Sl-rtN0 ZIP 7kg6 Phone # ( ) River Basin Lk) /V1 Adj. Wtr. Body 0,1'V I ( ice' '�1. ( t Closest Maj. Wtr. Body rT i 1- (--!(A)~/ yes /1�►0, PNA yes / no nt. a . yes / no ' Project/ Activity (Scale: I " ■�■■■■ ■■ ■■�■■■■ ■ ■ ■■■N■■■ ■■■■■■■■ �NONE ON ■�■■■■■■■■■I■■■■III■■■I�■■■■■■■■■■■■■ ■ENE■M■■■N■■ rIEW30111 ONE MENOMEMENESIM ■■■■■■■■EN■■E■!■■!■■■■■■■■■■■■■■■■■■■N ■m"E■OdE■EAM■NI W■M■N■■■■■OMEN N■=NI uIldozing ■1■i�ii\�I:,:�'��1■■■t�i■■c��l�►.r�;!1 mil' I■■■O■■■■■OI WEEPS ■FAMOSSIOUR . MOU5100112MNN�WEENNOEM■■1 e Length NMEi■ ■11M■■\!! .�'i�■■■■�■OO■O■■■■■■1 not sure yas . NAY■■a■AIL'�f7NNfrO■■OOO■■■■■■■NO■■■■N■■1 ;s: not sure yes 'yes ■■■r■■■MOO■■■■O■■■■O�■■■■■■■■■OOI no E■■■�NN■■■N■■■■■w■w■■�■■■■■■■■■N■■■1 ■■■��■■EY�Er■�N��■■■■■�■�■■■■1 ing permit may be required by: pow / SL-4f"o ❑ See note on back regarding River Basin r A..- NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ael F. Easley, Govemor James H. Gregaon, Director Mann G. Ross Authorized Agent Consent Agreement is hereby authorized to act on my (Printed Name of Agent) er to obtain any CAMA permit(s) required for the property listed below. The authorization is limits fic activities described in the attached sketch. 4TION OF PROJECT: C I � PERTY OWNER MAILING ADDRESS: if W- :T-�Ufth) 21!f (24X�-zg7ci7,)0 %C - / j PHONE NO. 334 ke % 1 — S0 3 7 HORIZED AGENT MAILING ADDRESS: 1 CERTIFIED tiIAIL - RETUI N RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT pRIIjP,�ARIAN PROPERTY OWNER STATEMENT e of Property Owner: ` '"� lips ress of Property: w lsJ#ItO Di- W 620, je (Lot or Street #, Street or Road, City & County) licant's phone #: Mailing Address: -_1 " ,eby certify that I own property adjacent to the above referenced property. The individual applying for thi described to me as shown on the attached drawing the development they are proposing. A descriRtnof 4 i dimousiommust be provided with this letter. I have no objections to this proposal. 1 have objections to this proposal. ou have objections to what is being proposed, you must notify the Division of Coastal Management rriting within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal D miagton, NC 28405-3845. DCM representatives can also be contacted at (910) 79&7215. No respol aWered- the same as no obiecdon if you have been notified by Certified Mail. WAIVER SECTION �derstand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum di: from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initis wopriate blank below.) I do wish to waive the 15' set back requirement. I do not wish to waive the IS' set back requirement. rope Owner fo ati } gna Cells int or Type Name III ICJ [Stepp Q'- (Riparian Property Owner In signature L v MW ".r e_n &d av Print or Type Name 7 /c,cei A d44-,?� ailing Address nv_ 1 S No x C Mailing Address CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIP%A�R�AlN PROPERTYOWNERSTATEMENT me of Property Owner: dress of Property: III w pp.�p (Lot or Street #, Street or Road, City & County) iplicant's phone #:yU Mailing Address: C,�Z 4 ereby certify that I own property adjacent to the above referenced property. The individual applying for this s described to me as shown on the attached drawing the development they are proposing. A description of dr; th dimensions, must be provided with this letter. ,,/— I have no objections to this proposal. I have objections to this proposal. you have objections to what is being proposed, you must notify the Division of Coastal Management (E writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drip ilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No respons4 nsidered the same as no obiection if you have been notified by Certified Mail. WAIVER SECTION inderstand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum dista ' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial t �propriate blank below.) I do wish to waive the 15' set back requirement. _ I do not wish to waive the 15' set back requirement. 'rope Owner Information ignature 6kl—M& 4tb40bw( rint or Type Name Property Owner Information) Signature �,I& D1A✓I� Print or Type Name l ( r W l- 1409 P12- failing Address 51 � Lo wcy � Mailing Address a 6 Division of Coastal Mgt, Habitat Impact Computer Sheet icant: ,(vGAM) 0V6)C'4 X(0 Permit #: LAIH/tI 5UGOI ;vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement d in your Habitat code sheet. tat 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/c temp impact amount) 1 ' t Dredge ❑ Fill E� Both ❑ Other ❑ 1 ov I �70 L-) S 5 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 ❑ K MARINE CONSTRUCTION P.O. BOX 1417 PH. 910-231-5438 NRIGHTSVILLE BEACH, NC 28480 1:0 5 3 40046 51:0000 5 3 2756 TE J/ 2 �7 §%111 �/�/ / $ X- o', G� s�1 DOLLARS 8 _Ar