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Home My WebLink About57374D - Todd :1 CAMA / ❑ DREDGE & FILL 3ENERAL PERMIT Previous permit # :]New ' ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued )'rued by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. it Name GAS 7 yy, State Ne ZIP k"W>� Fax#() zed Agent i EJ CW pEW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes / no PNA Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP z.. Phone # () `'' i �'� River Basin t Adj. Wtr. Body „ (nat Closest Maj. Wtr. Body if Project/ Activity 4 (Scale: j �■■■i�■■■ NOON■ ■■�"��■■■■�■■gel ►■■■■�■■ NOON ■■■■■�■m�■■�n!�■N�■■� ■l1�■■■■■■■■M■1/■■■■i■��tt�■I�■■ii■■■ ■■r�■■NN■N■■■■■NNEN■Nr�Nwl.�I:�itlfi�■■Ni�■■I ■�■■NOON■■■Tv■■■■■■�■®■■■■■■■■■■■■� ■■■�■■NN■NNNNN■ONNN■N■■Nri■■NN■I NNMENN■■■NN■MEN ■ Nt aIN■■■�■ ■■�■■ N■� NONEN ONNE�:IM E.■■■■■■'/■■■ ■■■■■Nil■■..: iL��■■ NNNN■�E'i■�II ■ ■/ E, ■�i1��,■ . ■M NNE MNN■NN■■N��iN■■■■■■I mom NEE M mIN ■vM■■ ■�� ■■■■ERN■■■0■r>r■■■■■■■i ■LIElNI= N■IMEN ■NNNNNN ENO N■MMIN■■■I W, HIM c ■M�rr�;�r�■►�■NIA■■■■a�Na■I■■■■■N■■■■■� ■ ■ ■''uMOE NEN■E■nENE■EMNEEEiii■'Ii ■ s■■■■■ ■mmmm■mommm■il■■■Nm■■E Length • N�■ ISO N.MII�IIJIL�N► H1'J,1111NN� Nil■N� ,w not sure yes . gs: not sure yes . rY■■■ I �'! h1lo'm"Now1II/■■N W■■NIM ■ EINi��MEN i 1iMOMUJE�N ■ Nip■ .■■N■N■■■N ,�l`II•N� M ■NN■■N fing permit may be required by: '_l e. r! / Sir ❑ See note on back regarding River Basin i m Lu Z , r--^o n 1411 r —,Z _ a I CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM i �, Name of Property Owner: I tJ c� Address of Property: (Lot or Stree , Street or Road, City & County) Applicant phone #: �rt - 4�C�` `� �i � Mailing Address: �-pUliX 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. 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 information for DCM offices is available at www.nccoastaimangement.neticonfact-dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 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. l / I do not wish to waive the 15' setback requirement. (Prope Owner T ation) Sigrlltttire Ll Print or Type Name Mailing Address City/Stateap Telephone Number ( iparian Property Ow er Information) Sign tztj e Print or Type Name Mailing Address City/State/Zjp� Telephone Number CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: (Lot or Street 4, � o or Road, City & County) Applicant phone M SAy —�'� S� Z _ Mailing Address:- & DI_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_ L. / 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 information for DCM offices is available at www.nccoastalmangement.neticontact dcm.htm or by calling 1.888-4RCOAST. No response is considered the same as no objection if you 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 15from 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. (Property ner info lion) Shnalure f % L��_ ��l Print or Type Name (Rips ' ope5Fy Own Inform on) l;. Signature Print or Type Name Mla�i/in�Address L \ Mailing Address 'i' CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: ts'�e,� (( D 4 Address of Property: C51 d 11 b1i d (-11w i (Lot or Street #, Street or Road, City & Coun`-ty) 1 W Applicant phone #: 1 U �'� U Sy Z Mailing Address: l94`� 01, 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 draw(na with dimensions must be provided with this (gttsr. MI have no objections to this proposal. I have objections to this proposal. Ifyou 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 Information for DCM offices is available at www.nccoastalmangement netleontaat dcm.htm or by calling 1-888-4RCOAS-T. No response Is considered the same as no objection if you 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 15' from my area of riparian access unless waived by me. (It 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. (Propertyipwner lnformftn) Sib ,alure L/ I Print or Type Name �J a 91 to., t V (cR e4 -f, Mailing Address C/tv/slatelzib (Riparian o erty wnerinformation) Signature Print or Type Maine I.dn(4)1- wsje 6*eey, Nod Mailing dress �o? MAY/24/20'1/TUE 12:54 PM WRIGHTSVILLE HAMPTON FAX Nc.9102561996 .. . ......... ........ ........ JUN 0 1 2011 ---.D.CM-WJLMlNGlQN,..N.C- Division of Coastal Mgt. Habitat Impact Computer Sheet )ficant: lil�c'S IG� Permit #.- :e: 6 / � 261l scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. ftat 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) !h Dredge ❑ Fill ElElOBoth her �2 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 ❑