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HomeMy WebLinkAbout57328D - SkinnerC,WA / -' DREDGE & FILL L2PN E RAL PERMIT Previous permit # New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources ' i Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC . 15Cv les attached. it Name y( ~��IV1h Project Location: County U Y l uit, StateN( zip �W Fax # ( ) Agent (t a i+'V\A 1/ Cw EW 0 PTA ❑ ES ❑ PTS OEA HHF ❑ IH ❑ UBA ❑ N/A PWS: ❑FC: yes / no PNA yes /FS Crit.Hab.' / yes Project/ Activity .; , r �(A l 7' � lVa ►r1.h i Street Address/ State Road/ Lot #(s) % I H n Subdiyision bid VS I�' A ity Y zIP��� Pkn ne # (c� i (U) 5 - ei} t River Basin Adj. Wtr. Body CAI nat Closest Maj. Wtr. Body (Scale: ■ r■■■■� �i■■■■■C4■�AnIR�9l�!■ROMIN ■ ■■F �1■■®■■■ ly�lttlt�I:N■r1111iM� 1�1 p ■�l�l``l.,��l����■� WENNEI�i�1U,i7Mt� ■OWN engthMIMI PA II� ,w� sail imber c1i_ ■lnlll■ri■■■11 ■■■■■� Itr� n■i ��::■■■■■■■■■■ ,g distance offshore ■�■■■■■■11■■■■■oiRm9 illitlbT.M■■■■■■■■■■ -ax distance offshore ■ ■//■■■■11■■ ■iIla&.7iiii1ELi■■1m 1i1■■■■■ loll me all I jbic yard ■.. N use/ Boatlift ■■ MEN ■■■■■■11■lI■■■■lll�G■■rr■o wool ■■■■■■■■■�11■o 1■■ ■■■W!"NUMM■■1 ■■■■■■■■■ ■■ OEM ■■■■■■e■■■■i •■®■■■ ■■■■■■■■■�■/�■■■■■■■■■■MEN ■■■■■■■I ■■■■■■■■■■I ■■■■■■rJ■I.■■■■■■■■■■■■■■ OEM ■ ■■■■■I . ■ mom ■■■1•■■■■■■■■■■ OEM ■■■■■■■■■■■I .r<..•iiif�imom J� mi■ ■■■■■■■■■■■ ■■■■■■■■■■■■I Ni■.�■■■■■■■■■■■■■■■■■■■■■■■■■I 1�■■e■i■■■■■ONE ■■■■■■■■■■■■■■■■■■■ . ■�A■■■■E37� F-IN■■■■■■■■■■■■■■■■■■■■■■I ■■Xi ■■ NINE ■■■■■■■■■■I • ■®►.ee■■■■■1■1■■■■■■■■■■■■■■■■■t1ta2! i■■�1■■■■■■■■■E.'71011W ■■■■■■■rl■I ■■■m.■ ■■■■■■■■■■■■■■■■■I ■■rXXV■14■■■■■■■■■■■■■■■■■■■■■■■1 ling permit may be required by:liv� W11-1t,jVgCx (�m4-L- ❑ See note on back regarding River Basin i - ---- - --11 r 1 -tr, n All t 1 I, r, ✓- 1 r-7 • 1 <1r 1 r .. A ! / --I . — ! �_'.. A - ►_ I f off / )ate £PA OS '�o.Addff �P P "Ila19 fyINS F E 1-71'f`0S v y�F � R/� h h b )-I A A2PA RCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Dater/' Name of Property Owner Applying for Permit: � t V" Mailing Address: 1(9 r ` sue, i f�,l P,U/�)xG-�S I certify that I have authorized (agent)' c' le 4; to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) I Name of Property Owner: 4e vie, PS C "")l , / .v .0 - : y Address of Property: �- I u( S " 1 iL �1 . C. C., � l (Lot or Stree�Street or Road, City & County) Applicant phone #: �(D Mailing Address: IC �i C U471C %-< rI I i I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter. C I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact infonnation for DCM offices is available at www.nccoastalmangementnet/contact dcm.hbn or by calling 14UM-4RCOAST. No response is considered the same as no objection if you have been notified by Certfied Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Properly Owner kdbm 0w) Signature Y 1. Print or Type Name t:FtEi�S-c�'�� Mailing Address t tLA < _ Cfty/Stat ip Telephone Number (Riparian PropeAy Owner Information) Signature �l Print or Type Name Malliog Address City/Sta ip yy .— Telephone Number Dare Date Name of Property Owner. i Address of Property: �c. !L4 O (Lot or Street #, Street or Road, GO & Applicant phone#: 007ic;)2 69 ' zi S i Mailing Address: /09 t"9" Aze-w�,e I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter. S-.e_ j_ I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DClln in writing within 10 days of receipt of this notice. Contact information for DCY offices is available at www.nccoastaimangementnet/contact din htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if ynu have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 16 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 wish to waive the 15' setback requirement. = I do not wish to waive the 15' setback requirement. Signature < -y < u C �q C -SI; tic Print or Type Name MaNing Address 9 iL'\(C,k-L s city&-utaft Telephone Number (Rift Property Owner Information) Signature Print or Type Name P v R,,,x zk L wing Address k." a- ll'2 r. , C 746� City)Stateop (q 10 LvS- 3e 31 Telephone Number -- ( - a Date Date 4,Z I;/- lkz- A / Division of Coastal P09t, Habitat Impact Computer Sheet Dlicant: S�Ne Syo r k !e: Permit #: v p 3?-�S scribe 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 ❑ 10 �0 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 0 Fill ❑ Both ❑ Other ❑ TOPSAIL OFFSHORE INC 3215 PH.910-328-2316 67-7194/2532 743 COCKLE ST SURF CITY, NC 28446 / DATE PAYTOTHE ORDER OF % W L-r i 4' DOLLARS e ZI. t1l F' st Feder FOR 09 , — is 2 S 3 27 L 9 4 Si: S80 6000 38 Silo 0 3 2 L S