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Home My WebLink About56519D - SolakCAMA / DREDGE & FILL" 3"ENERAL PERMIT Previous permit# New` Modification ❑Complete Reissue []Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources , I I -oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC { r Rules a ed. it Name_ !,� i I( - Project Location: County In ✓ __. Street Address/ State Road/ Lot #(s) Y ! StateZIP_ = i W✓i-- Fax # ( ) Subdivision VIA OAJW tt :ed Agent G kl ktlJ ( �� 1� , i �t Y'r'L. City L ZIP ❑ CW ❑ EW ❑ PTA f ES ❑ PTs Phone # Z' U43 River Basin ElElElEl� Q OEA HHF ❑ IH UBA N/A ' Adj. Wtr. Body RI � nat i ❑ PWS: _❑FC: yes ,( no) PNA yes no Crit.Hab. yes no Closest Maj. Wtr. Body F Project/ Activity ' -h (Jr ick) length mgth amber 1Riprap length g distance offshore ax distance offshore hannel bic yards rip ise/ Boatlift ulidozing R IS' 01 ie Length not sure yes n ;s: not sure yes no lum: n/a yes no yes no Attached: yes no ng permit may be required by: VwLi l k)Ahin'(( I WWA S (Scale: C . rt ❑ See note on back regarding River Basin r n. niin..A %a. .1 (Lot or St-re�-:z strzat '= Road, ,� , :erenG-� proper rZv . T1,e lnd.'L-Vid-u& a.upl ..� n . }' -h s , cr ed zo tige as shown on the a L�Lached t� ��_� n� the devel o: T. a.re Propo3L-)9 A desrr. i-Pr.; Dn or d sw� a g j w - tn Cli'ih..Tls s iLld be pr ov;.ded with this lei r.er . 1' have no obj eGt,�r°JnF`.Q i_II L� p_pDSSi . `vnzhaar =art e �- c� •* n r ; c ,., C l C? f r`i�ct fi .mi l= nm.- ltl rl= t7 ;'tom "n 2 a 4 L ` no- ..-.7�t1 fi1f� i l W�`',+'r'rri''T ri? ��/� �qy �.s y{�^.. ��q�� gg Q,� ��sy_y ��yy.w.yy ��•��.y,��. ply+ -*�ifJf.� Gm.y.,_._ , P dock, .P�L.../i "Z1?! 9 Qr -boat- -�.3.:a. T=s- 1>e set +de,: !s s: di;Stance of, .15r ea of _ ilaa::iau ao=ess - i I es s waived jD-r -me. .. you Wis vthe 9 w' :b3 ad You unist te' 3. tiL' ! '=T_3 C3na:. ja� - e ' -equ;-remenr DIVISION OF COASTAL 11A�iAGEI�IENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 5% AateY �Y` Q► ' C-4^'01.E So LA K (Name of Property Owner) property located at 1 % �� yiJ�� C ► � ►t ks,� a2 L o-- (Lot, Block, Road, etc. on CAiU 1L /Sov,Jz , in '�5wF C `t , N.( (Waterbody) (Town and/or County) Applicant's phone #: CT 10 — L S� Mailing Address: Q yQ-f yd2F Cj%7 IVc; He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) �.�a uF 75 ,0�jl'o, - vG- L� i 4 3�' CC A rl 1 �=a � If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in r within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington; 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 (Property Owner Information) (Riparian Property Owner Inform ioi (ram- Signature Signatur du i �Rci�So6A�C fl t&lLe Print or Type Name — J Print or Type Name r G Mailing Address Mail Address NCDENR North Carolina Department of Environment and Natura Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director Date Name of Property Owner Applying for Permit: c L-,A Mailing Address: ----I 0 g , — '�� ko� C�y� I�j C 2- Resources William G. Ross Jr., Secretary I certify that I have authorized (agent) k (! 1 A C to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 5�—j A,�va-U It) K at (my property located at) This certification is valid thru (date) Date un Uft: Jjp 7 A' f') c d?.E re 4) 4'jr Division of Coastal N19t, Habitat Impact Computer Sheet licant: Permit #. 5(P519 I 'V3 cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd 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 final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill Both ❑ Other ❑ 5) S > 14 Dredge ❑ Fill Both ❑ Other ❑ 5 1 571 Dredge ❑ Fill )] Both ❑ Other S W 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 ❑ Pay J) N C f Date to the order of r Bank '• Dollars 8 ofAmerica ACH R/T 05300D108 Memo ': 0 5 3 0 0 0 19 6 is 0�. 00653 2048181180230