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Home My WebLink About57356D - WhitfieldCAMA / ❑ DREDGE & FILL R `� i E N E RAL PERMIT Previous permit # New EModification ❑Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources —7 j� oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC T T • e� �� Rules attached. Name 1\V` V k i i"s Project Location: County OMkL%1 �7 _141 ah KStreet Address/ State Road/ Lot #(s) State_ r_f ZIPlr`� J ��-� Fax # _ Subdivi ion L' :d Agent A741 i Icy City ❑ CW A EW PTA7❑ ES ❑ PTS Phone # ( ) ❑ OEA ❑ HHF d'IH ❑ UBA ❑ N/A Adj. Wtr. Body-:i�,� ❑ PWS: ❑ FC: (es / no , PNA yes / no � Crit.Hab. yes /(no Closest Maj. Wtr. Body — Project/ Activity ZIP River Basin (Scale: I'/— ■M■■■ ■■RM�r� RROM ■■ ■■■■■■■■EMN■ ■■��aW�3ibui�i/ice■■■■■■■■■■■■■■ igth WEEM ■■m ■■■■■■■■ ■ ::T;:? IUM I^i 7■■■■■1� ■J■■■■■■■■nber ■�MI��■Y■■■■■■■ distance offshore ■B■■■■■■■■■■■■■1/�■■■■IIYi�ik�lifi�'J■■■■■■■ K distance offshore E Ac yards ■■■■MNlp �►■■■}�■Ill■■■■■■■■■!■■■■■■■■■■ ■I i ■■ ■■■■■■■ti■■■■■■■■■ ■■■■■■■■■�■■W■■■■■■■�r_��s�t:�t�■c•■tea .■■■■■■■■iiiiii■■■■■■■I/_!:■■■ice■�[�'�t�l�h ■■■■■■■■■■■■■■■■■■■■�■�■■!■■■■■■N■Y ■�L'>�■■H■■■ ■■i��■■■■■■ ■■■ ■■■ ■ ■■■■■■■■�l■■H ■■■■�■■■■■■■■itil�■■■■■N not sure n .urn: ■■■■■�iii■■■ ■■■■�■■■■■■■■■■■■■■■■■ yes not sure yes no n/a yes no es •■■Ixtached: ■■■■ i�■■ NONE ■■■■.-. es no .. WINSN .. ■See note on back regarding River Basin rt "111 141,1\ n,-!.1 If n{C'`)1.�._t e-1--1, n—A I a,l.. �[ I—C. .I-i_ . ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 2EE2( �.Z" iY ►= i E:IC_'s (Name of Property Owner) property located at 4 O`{S LfI" (Lot, Block, Road, etc.) on (,GQP►t cr-,'. , in 57 CaT? , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 0119 —.595- t,,C:Z-I Mailing Address: 347 porwywAY 463 6 M �>>.r/ n Liyr NC 233cl � 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 \V4 I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) (Riparian Property Owner Information) 3q2 N t�H�JAY i�3 Mailing Address Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Z!E k �;kA EVES � n is (Name of Property Owner) property located at '-1 A� ti-T11 57 > (Lot, Block, Road, etc.) on �9MaI Lc1iS , in 6.0y = C i `( , N.C. (Waterbody) (Town and/or County) 3'L Applicant's phone #: 9 �4 -S i�- E GG ` Mailing Address: ` 4 �% 7 14?CAzq-? 'Y a3 C 07004-7 OUVr' 14C 3 I 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.) 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) -------------------------------------------------------- (Information for Property Owner Applying for Permit) (Riparian Property Owner Information) 3'1'7 NiL/03t; Mailing Address Signature "MP,LL, '� 7Y'N ?Fl,y ZoA-%A-X-C-� LD Affl� r NCDENR North Carolina Department of Environment and Natural Resources • Division of Coastal Management �l F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr., Sec is hereby authorized to act on my beha (Printed Name of Agent) �r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to 1 c activities described in the attached sketch. TION OF PROJECT: `I5- Lf' S 'ERTY OWNER MAILING ADDRESS: 7 x �0 r'✓-L _ �- -C - PHONE NO. t " J 0 �T � IORIZED AGENT MAILING ADDRESS: PHONE NO. / 0 -;Z ; V75 1 �r o. J 1 - -t� �1i �� - Division of Coastal Mlgt, Habitat Impact Computer Sleet licant: b( D�/ �l�k�• �Q d Permit 'vim cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name /W 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 l 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 ❑ ANTINORI CONSTRUCTION 145 VIRGINIA LANE SNEADS FERRY, NC 28460 (910) 327-3475 BankofAmerica. ACH Wr 053000196 'I 66-19-530 PAY TO THE �7 0 ORDER OF: $ Z OO MEMO 118009 L 2 LII' ':053000 L961: 0006505 2 L9901I' AUT ORIZED SIGNATURE ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: aaFSO SH)�s AN�PC�j CH�IaC.H 5A�.1�oRU , NC �733p A. Signature ° t� a' F Y.1 4 _ r* / �GtL L ❑ Agent ,--- ❑ Addressee•I i eceived by (Printed N me) C. Date of Delivery D. Is delivery address different from item i Yes If YES, enter delivery address be 0 Np jr 3. Service Type ACertified Mail ❑ Express ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7 010 1060 O 000 8469 6 514 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 r: ,. T .tom ilY i'i+ Postage $ Certified Fee Postmark um Receipt Fee y. _ � Here tment Required) ZDellvery Fee nt Required) lostage & Fees $ ,Hi...... Ipt. No.; . `nr� c ram' 1 ox No.--_$U.. fit-_- te, ZlP+4 300. August 200E ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. U.S. Postal Service,,., CERTIFIED MAIL,,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.com .O Box PS Form 3800. August 2006 See Reverse for Instructions TA.L A. Signature#:? MAY PM Nr�'^"► X 0— 0 Agw#w—"'- „trfZ�� ❑ Addressee B. Received by (Printe Name) Date 1 very t 1 A. i,lo Arl1-Ir. ♦.. D. Is delivery address different frorn item 1? ❑ Yes