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
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illdozing
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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.
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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�
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