HomeMy WebLinkAbout57518D - PadgettCAMA / '❑ DREDGE & FILL
GE"ERAL PERMIT Previous permit#
LNew !Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources ' r
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC - 7 f-+ • j (O O e j Z
❑ Rulei attached.
t Name Doe-15 T f't D(=rC i Project Location: County �V�S� t'
ss ��/6 )iC5 Q � - F Street Address/ StatRoad/ Lot #(s)
State "C-- ZIP 7154A-�-
# d I to �00 Fax # ( ) Subdivision �+
sized Agent MT � �rTi n�vr�/ City GtJ.' f ' E ZIP Z24
d CW r.QEW ❑PTA LEES ❑PTS
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes /<MM PNA yes no Crit.Hab. yes
of Project/�Ac"tivity /I 5 /e
dock)Jenvth
Phone # M 10 )15;a � S00 River Basin
Adj. Wtr. Body CANAL 4i< / W (nat
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ding permit may be required by: 7 v'� (. / ❑ See note on back regarding River Basin
Vsf &N I Stkc�C4y
Authorized Agent Form
Date: 0 0fi ao ) )
To Whom It May Concern, }
I certify that I authorize �� �-f I�,p L'� 2 to act on my
Name of Agent
behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for my project located at 1 R 5ct 1Z., C+�
Address
Sincerely,
6. 0',Lp�
Property Owner
C'�//c>> 58r-L,;)b.:�
Contact number
ADJACENT PROPERTY
STATEMENT OF
NO OBJECTION
I hereby certify that I own property adjacent to 's
(Name of Prop rty Owner)
property located at
4
(Address)
on (o+6 Sj _a-,) .1 in Surf City, N.C.
(waterbody)
He has described to me as shown in the attached application and project drawing(s),
the development he is proposing at the above referenced location, and, I have no
objections to his proposal.
SigrIature
i�� •f�(7OVIc�Pri t or Type Na
RZP16.e and
Phone Number
/D
Date
JN i�cJ1 New 6�cJ��+�e.�
Return form to:
NC DIV. OF COASTAL MGMT 9W
1 '1 'i f' A T) Tl T-X T A T T X T %H
J
ADJACENT PROPERTY
STATEMENT OF
NO OBJECTION
I hereby certify that I own property adjacent to PJ I
(Name of Pro erty Owner)
property located at
;t:6 SF, SLm(Ll
(Address)
on to-r�. 55 - w,oc`\ in Surf City, N.C.
(Waterbody)
He has described to me as shown in the attached application and project drawing(s),
the development he is proposing at the above referenced location, and, I have no
obiections to his proposal.
g-n ture
Print or Type Name
ZSZ --7 9 C) -'19 (0
Phone Number
Del 2.2,�t�
Date
Return form to: �0 sf cRno.
NC DIV. OF COASTAL MGMT NEL) . (y
1'ii f' A DTI TAT A T T T.T wall .-
ExiS'hN°�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER1A100RI1VG PILLNGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
property located at
(-n+1 F'k
s
,(Name of r roperty Owner)
(Lot, Block, Road, etc
on � � C-O h C , in l N & 1 Ol N.C.
(Waterbody) (Town and/or County)
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 fifteen feet (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 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)
�'Nj E.t,J Wog
COO 18
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writin
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, NC
DCM representatives can also be contacted at (910) 796-7215.
No response is considered the same as no objection if you have been notified by Certified Mail
(Information for Property Owner/Applicant
Applying for permit)
r
Mailing Address
City/State/Zip
(Riparian Property Owner Information)
darn'ez) ".
Signature
� mES 1gR�t�i�l
Print or Type Name
ADJACENT RIPARIAN PROPERTY OWNTER STATEMENT
(FOR A PIER1A100RLVG PILLNGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
6+b
EEO)) 6 5 Ria Q, I
r, ,(Name, of Property Owner)
(Lot, Block, Road, etc.) '
on in
`p�� S� OhiS)OL.J , N.C.
,
(Waterbody) (Town and/or County)
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 fifteen feet (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 not wish to waive
_I./ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
' Kew D�cx L'xJ1
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writin
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington, NC
DCM representatives can also be contacted at (910) 796-7215.
No response is considered the same as no obieetion if you have been notified by Certified Mail
(Information for Property Owner/Applicant
Applying for permit)
C� I D l a-r- De le S an,c-
Mailing Address
Nc US90
City/State/Zip
(Riparian Property Owner Information)
/Signature
�ilJ�hilt � / GCIGZT��IC[�
Print or Type Name
iplicant:
ite: I D, 1 l
Permit #: 131 C% 1 y
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
'oitat 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/or
temp impact
amount)
Dredge ❑ Fill ❑ ❑
Both Other
3 Z—Q
3 `r
Dredge ❑ Fill ❑ Both ❑ Other ❑
7- Z�
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 ❑
!i Laniers`intircori
,9ac s nvhTe, N 28540
Phk(910) 346-9219 NCDL 1480887
N�
1
Dare
Dollars
WACHOVIA
Wmank, N.A. Padl
For �L2ml� Q+". St— I _'t►A,� h
�i
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a,ad �aa
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ofAmerica 1W- Cashier's Check
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AAutho—rizedignature
I" 204909011' 1: L L40000 191: 00 "L' 10006713110
DRIGINAL DOCUMENT HAS REFLECTIVE WATERMARK ON THE BACK THE ORIGINAL DOCUMENT HAS REFLECTIVE WATERMARK ON'