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HomeMy WebLinkAbout57316D - Tate,CAMA/ DREDGE &FILL '31ENERAL PERMIT Previous permit # ;Kew , -]Medification LIComplete Reissue E 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 I SA NCAC E4%les attached. t Name Project Location: County K iIV;7,4 Street Address/ State Road/ Lot #(s) h State ZIP (9&') V$13 Fax # ( ed Agent 7J Cw EciEW l�PTA 'ES L I PTS EI OEA El HHF El lH ❑ UBA D N/A D PWS: L1 FC: yes (51 PNA yes /onq Crit.Hab. yes / no Subdivision city 0 . c,", Aa,9.c.A zip 2 �Yd Phone# (—) River Basin Z Adj. Wtr. Body (',e -, e e Cat Closest Maj. Wtr. Body A71 6V IV 'Project/ Activity 4 Oldly e -P AA I.. k r ,' 1 44 (Scale:,/ (s) nber &IJ IF Riprap length distance offshore i(distance offshore_ annel ■1■:■■■ ■■■ Jc yards INF®R—HIN KNEW ■■■■.■■■ 1P EMEMENEEN .e/Boatlift Emommoommoommm■IN■111011111001111 illdozing TLI �Doce • lion ig permit may be required by: 40 P,-Ve 4 El See note on back regarding River Basin rL iael F. Easley, Governor & & NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management James H. Gregson, Director Authorized Agent Consent Agreement William G. Ross Jr., Se is hereby authorized to act on my behz (Printed Name of Agent) er to obtain any CAMA permits) required for the property listed below. The authorization is limited to Ic activities described in the attached sketch. ►TION OF PROJECT: WOM N. .0 spa", - ERTY OWNER MAILING ADDRESS: r11k n Tip I_ PHONE NO. 91t)I ?j — d � 1 Z DRIZED AGENT MAILING ADDRESS: 1 1 0o's amt . PHONE NO, 9 I �/ 5�S -J?o are of Propertv Owner: DIVISION OF COASTAL TYLANAGENIENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOTt/VvAIVER FOEW Name of Individual Applying For Permit: JAPEs J 14-TE Address of Property: 1� T (Lot or Street 9, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The indil applying for this permit has described to.me as shown on the attached dra"Ving the developmer are proposing. A description or drawing; with dimensions, should be provided with this let? I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of C Management, 127 'Cardinal Drive Extension, Wilmington, INC 28403 or call 910-796 within 10 days of receipt of this notice. No response is considered the same as no objec you have been notified by Certified Mail. WAIVER SECTION r. understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift musl bck a minimum distance of 15' from my area of riparian access - unless waived by me. wish to waive the.setback, you must initial the appropriate blank below.) I do wish to waive the 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. - �✓��O' N UJ►M ..mrinr. �S 17 !-1 t /0 /�IJL aTi i tXl S (i ^16 IZ.f 1&5(( -TJC.KE wgtvtrL PmAcr i�x)-Ies Ttm 3r�1}. NM(.E AZ"'ED DMSION OF COASTAL NL4NAGENIENT ADJACENT RIPARIAN PROPERTY OW"NERNOTIFICATION/WA.IVER FORM Name of Individual Applying For Permit: �� UUaYr%ta l� Address of Property: (Lot or Street #, Street or Road) coca l/\ (City and County) I hereby certify that I own property adjacent to the above -referenced property. The indi applying for this permit has described to.me as shown on the attached drawing the developme are proposing. A description or dra+.vino. with dimensions, should be provided with this le v I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of ( Management, 127 'Cardinal Drive Extension, Wilmington, NC 23405 or call 910-79 within 10 days,of receipt of this notice. No response is considered the same as no obje you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu! bck a minimum distance of 15' from my area of riparian access - unless waived by me. ivish to waive the.setback,-you must initial the appropriate blank: below.) I do wish to waive the 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. ll ,&1P7J[Xw plicant: , �i�'r/ �f 5" �s9fe te: 10 / // Permit #: S 7—?/ j7 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei and 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 fir, disturbance. Excludes any restoration and temp impact amount) Q Dredge ❑ Fill ❑ Both ❑ Otherg / Y ro 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 ❑ JAMES TATE JR OR WANDA TATE PH- 910-579-4936 PO 130X 7480 154 ESTST THIRD OCEAN ISLE, NC 28469 1003 W7497,2&V O'Ay E TO THE 11 lo, POER — /1 1,1111 - 11 &— —'OAT. OF lPe=)\jj2, $ boa r� z �pm car0linas4elco 'had--. NC 29u21n0l 0' 45 316(6 r� 71: 1530 ?tri ? 0002220,8 1003