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Home My WebLink About57431D - YoppCAMA / DREDGE & FILL GENERAL PERMIT Previous permit # 'New Modification Complete Reissue Partial Reissue Date previous permit issued NO mzel)y the State of North Carolina, Department of Environment and Natural Resources 'I Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. Name�ti�JS� • f�, I < P StateN<. ZIP #f.( Fax#O ized Agent !h.tJF1t1-fefJ `,4 fl d CW EW - PTA ES PTS C OEA HHF = IH _-: UBA N/A ❑ PWS: FC: yes 40fio) PNA yes / no of Project/ V/L) Crit.Hab. yes / Project Location: County _ ol, ; I g Vl Street Address/ State Road/ Lot #(s) QL Subdivision ftC(Z.A'c S G%L�rIC City__ ZIP 7 �' Phone # (_ ) River Basin J Adj. Wtr. Body_ [ ►lr�t (':�` s �i}Q Eii� nat Closest Maj. Wtr. Body KC W le-►,f 175 r r..4 f-{ (Scale: length iumber • ... ■■■■:■■■■�LC►L�� Zip■■■■'��I■■■■■■■■■■■ ■■■■■■■■■!!��!■E/.l!!lE7N�rl■■■■■■■■■■■ INN■:: .H■■■■■:■.■■■..........�I............ ■■ OEM ■■MEMO ■■■■■■■■N�II:■■■■■■■■■■■ ■�■�!■■■■:■■■■■■■■■■■III■■■■■■■■gloom ■■I�lMlr�l��= �II�■■■■�iil�■■�II�■■■■■■■■■■■ "ll am WS mom M1 ■■■■■■■■an■■■■�u■■■III■■■■■al. ■KELVE :.. MOME NEON ME■■■■■■■■■■NY■■■■■■■■■■■■■■■��J■OI NEON ■■■■■■■ mom ■■■■■■■■■■■■■Ei:■E■■t�Rl ■■:E■■■■■EE■E■■N■■■ENON NONE E■■■■mmul Noun mmommol ■■N■■■■■■ENri■NUNiiraEfiiY■M■■NN■■■■■I ■®■■■N■■E■■E■■E■N■■E::■■■■■■E■ENEM -, A• ,,�► • . E■■■■:■:■■E:■■E■■N■■■■ENE■N■■E■■■■KI N1111:■wNN■■■:H■■■■■NE■NON■EN0N■O■EN■j ■N1[Z rb :■■O■■I ■■■�■N■■E■I- M9n■E;VVr am}VP■"mom■■O■■■N■�■■mr■O M- ■E■■■E■■N'� ■Zi G(3v7 IZ rdamZliEFM a MIL MI■■■ENE■E■E■E■0O■■■■■■:I�N NEON N■■ mom EN■■EOM■■ENN■■E■■E■■■N■■N■N■■I ling permit may be required by: 44, S 14)1"/ C . ❑ See note on back regarding River Basin DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to (Name of Property Owner) property located at L � , (Address, Lot, Block, Road, etc.) onin �`� 1' -�- l�l m� C�fl. N.C. (Waterbody) Agent's Name #: Agent's phone #: (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have beenatotified by Certified Mail (Property Owner Information) Signature C � Ec= �1-14YIAIF-s Print or Type Name M RP(Vi w . Rt f& h rve_ • rmation) Mailing Address Mailina Address DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to C . e. (�4 MS ` 477 Y (Name of Property Owner) property located at 105 PIQa��4,1(,Q., _, (�(��'� ��Q, , (Address, Lot, Block, "Road, etc.) on �,Uulf �� in J rL�1 7 Q,�-��%1 tAt (Waterbody) Agent's Name #: Agent's phone #: (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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.net/contact 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 (Property Owner Information) (Riparian Prope Owner Information) Signature / Si ature na, 21& ku-fK Print or Type Name J Print or Type Name D 8 p I p, uL � � �P, Z-S ( Beer Mailing Address Mailina ArlrlrP..C.0 NCDENR North Carolina Department of Environment and Naturai Resources Division of Coastal management 'Masiey, governor James H. Gregson, Director Wham G. Ross Jr.. Secretary [date l — 1$ — I I Applicant Name C.�Qvl►1�,.1% r��u�= �� f�' :o Mailing i Address r I certify that I have authorized (agent) ___��1_� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) r This certification is valid thru (date) Signature (, -- r7D 4 w41 io Wc_ 2e ybatOLJ )licant: l ha� Ie"� " 1 / C LE6 410 CS Permit #: e: 7 J'2Z `37`f31 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd 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 final disturbance. Excludes any restoration and/o temp impact amount) Dredge ❑ Fill Both ❑ Other ❑ p 0 ZjY 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 0 Other ❑ C LEE HAYNES BARBARA K HAYNES BUILDING FUND 108 PLEASURE BOAT LN, PH 910-545-1747 SNEADS FERRY, NC 28460-9461 M--�.�� /ce-/C/ 105 66-112/531 BANKING AND'T ST MPAN ^ (� 1-800-/BANK /B8T BBT.eom 53101121i:0005106128725,,• - -"" �,,,k� O