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
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Agent
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EW 0 PTA ❑ ES ❑ PTS
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HHF ❑ IH ❑ UBA ❑ N/A
PWS: ❑FC:
yes / no PNA yes /FS Crit.Hab.' / yes
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Street Address/ State Road/ Lot #(s)
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Adj. Wtr. Body CAI nat
Closest Maj. Wtr. Body
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ling permit may be required by:liv� W11-1t,jVgCx (�m4-L- ❑ See note on back regarding River Basin i
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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