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Home My WebLink About52439D - SkubicCAMA / ❑ DREDGE & FILL -MENERAL PERMIT Previous permit # JNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued rized 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 —1 Rules attached. It Name VIM �F-41 L Project Location: County �ASW1oy, Y"N. -L Street Address/ State Road/ Lot #(s) NU tyk- Lt (: tit State t' C' ZIP � ` l U �` ` ; ± -�f D1►r�l h Vr 1 Y L Fax{# ( ) Subdivision }NAA :ed Agent l L�City 7 TV (� I� 11 G� C �•. ZIP Z�y jG ❑ CW C EW�'p PTA ❑ ES ❑ PTS lhhe River Basin L M ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body `� l( (n ❑ PWS: ❑FC: A I WW yes /ino nod PNA yes / Crit.Hab. yes / n� Closest Maj. Wtr. Body F Project/ Activity � (t cti� ink W J Lj o (1( (Scale: ) // ,ngth amber �d/ Riprap length g distance offshore ax distance offshore hannel bic yards np ise/ Boatlift lulldozing -A JU ie Length '.lU not sure yes ;s: not sue yes no rium: n/a no yy Attached: yes no ing permit may be required b``y: M 16-t , k-XI(CU ,f 1 �j FSee tnote on back1regarding River Basin r - --- --- `i1t\ \7 -7\ A..A -EI xiY-t.I✓9.1 i1..t 1-, /1,.I J. -(, ._D. Ii.._i:n t A.. Al �CDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director AGENT AUTHORIZATION FORM ate: 1 ame of Property Owner Applying for Permit: 1400 fa Id S kUb, , failing Address: / 44 lbdaj a4-A ki( 462 hone Number: , 10) .3/#1 ....... ........... ... Dee Freen Secret certify that I have authorized (agent) to to act on my ehalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or onstruct (activity) AVJ., J nky- , t (my property located at) I q)% 5119it IC, s 1, 'his certification is valid thru (date) 7 i< Z oz s KI J u 1. 19. 2011 9: 29AM No. 6237 P. 1 18 2011 8:11PM Ricktj Hewett Construotion 810-842-7471 P.1 ADJAg9,N'r I IPA MAN .PROP RTY OWNER ST,A.'1'b,MFNT (PO. A PIE'IR1MOORINC: PII.IN(T.S'/13UA'1'Llf';i%130�1Ti�0USE) I hereby certify that i owri propet'ty utijaCont 10.u:.Z 46 M SKe�bt s Weule t,f Progorty Ow•ncr) property loeatetl at (Lot, Block, Rond, etc.) - p onNA (VVaterbndy) _ ... _... __. (Town and/or County) Applicant's phone fl: Q1� &�6-I (5 M;tilitig Address:� _ 1. Flo has described to rne, as shown below, the deyolopmeot he is proposing at that location, and, I have no objtetio►ts to his prppnsal. i understond l}tat a piorf nooring pilings / boatlift / boathowo must be set back a minimum dioance of itieun fei+r(l,S,) from ►t,y area of v1pariaq access unless \vtiivod by me, (It you Nvis), to liOni'Ve the Setback, you must 11111141 the appropriale blank below.) ' -1 ► ► t wish to waive l lam, wish to waive that stab.►ak r<:quire►nent. -Di�StIP�'LO.N �VYX1/vk DiZAW�NG, OIt P1Z01'OS�1) U h .. -- -- - ------ - .V:GLOI Mf,NT: (T'o bc ftlled /n by ►ndbidual proposing developuter►i) (�nfortnpelon for Propet-ty Olvaur ApplyNg (Riparian erty Owne..................... Inf .rinnti.. )—.. N o nation Ibr PcrmZt) . _1 Signature Ma�ll�i�ng/A,./ddrery �~ - City/SCatclZip vrint ok-=LA%--R—flMe pe b ate., v4A ADJACENT RIPARIANPROPERTY PIOLINGSBO ALNCR ENT (FOR A PIEkM IF BOATHD SE) I hereby certify that I own property adjacent to Z6,409 W 51:U61 ,S (Name of Property Owner) Property located at S +fg-r) IN 17L21u e ' `` (Lot, Block, Road, etc.) N{� D &p� JeAc- ,N.C- on ,in_ (Waterbody) (Town and/or County) �D Mailing Address: l" 5M'etl r Applicant's phone #: 9 l; A6A4Pnl �PA A A dg- S%4C 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) s E f d r,7tjlj J'� --------------------------------------- (Information for Property Owner Applying iparian Property Owner Information for Permit) - 1� 144 J f & Signature Mailing Address -,"ILJ VI - Division of Coastal Mgt. Habitat Impact Computer Sheet cant: Permit # q-0 s2y ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement i in your Habitat code sheet. at 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 4 (D &,Q V 3 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 ❑ ck� icli Constru: on orCiruft/ Yfewett 3194 0-84; -8317 1481 Stanbul RdSW s 66-112/531 SuppCy, Nc Z8462-6037 Pay to the Date Order of ' $ /,o0 Dollars s BRANCH BANKING ANC.' TRUST COMPANY 1.80p-BANK Br, BBT.com For SIR 053 10 1 12 11:0005 198 . 385958�1• 3 i94