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HomeMy WebLinkAbout56524D - AtlanticF CAMA / DREDGE & FILL 23ENERAL PERMIT Previous permit# -iNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued )r4z 0 by the State of North Carolina, Department of Environment and Natural Resources coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -f ❑ Rules attached. it Name , _.. 1 / I t !' �(f f K yft!o ' Project Location: County k t Street Address/ State Road/ Lot #(s) 19111 -_ State Ne-, ZIP Fax # ( ) :ed Agent F-� C CW KEW PTA ❑ ES ❑ PTS C OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWs: ❑ FQ yes / e PNA yes /c Crit.Hab. yes / no Project/ Activity kllancrh Subdivision City ZIP Phone # ( ) River �� Basin Adj. Wtr. Body —AP h'< ��YH� (nat Closest Maj. Wtr. Body �y��h✓� / -�61i (S c a W: // IYI V31iii AW"4'22['J'�/■■■■■■■■■■■■■■■■■ �■Ylrr■■1■■■■■■■w.. — O.■■■■■■■■■■■ Riprap, length mimmommm MU ammy I■■'■■N owl f m7w■■■■rI■■■■1■I■■\l■■■■■■■■ ■rfi'Z2,.lm ■1■■kil■■■■uM■■■■I■ I IN MEN! .vg distance offshore �ii■Mmam■I■ ■1■■\1■■■■■■■■■■ I■I■■■■►/■■■■■■■ Tiax distance offshore■■■■■►.I■I\■1■■E11■■■■■■■■■1■I■■■■►/■!m■/1. channel is ■■■■ MEMO ■■1■■■■■■■■■■M1 IEM :ubic yards amp ■■■■■■■ HIM, ■■■I 7■■■■■I■■■■■■iIIII�:i■I■■■■\\■■■■■■ ■■■■■■■■■■I■■■■■■■■■■■■I■I■■■■■1�■■■■■ ■1■■■ON-WI■■■■■I■ ■■■■■1■1■■■■■�1■■■■■■ I■■■■■IJ■■■■■ Bulldozing =■■I■■■■■ ■■11■■■■■■I■■■■�I■ ■■■11■■■■■■I■■■■■f■■■■■■■■1■I■■■■/IEEE■■ ■■■11■■■■■ ■I■■■■■I■■■■■■■1■1■■■■IJ■■■■■ ■■■11■101■■■■1■■■■■i■■■■■■■1■I■■■■■A■■■■■ ■■■B■IIIIMISSION Eiimmmmm■■■1■■■N■■■■KMMM■■■■■■■■■■■I■■■■1/� ����■■■w■■w�la■■!■w■�■■■■!w�■■■■ ��I ding permit may be required by: �Gyy� 71 b*11? � $ee note on back regarding River Basin ,[ ! , // L . DIVISION Of COASTAL MANAGEMENT ADJAO`ENT RIPARIAN PROPERTY OWNER NO' -1`1 1CATI0"N & WAWEER FORt, Name of individuai applying fYr permit11 Address of property, b l ,� 1 S �/,�a »mil gL I hereby certify that I own propel adjacent to the above referenced Property. Tt individual applying fir his permit has de=rri�d to me as shown on the attache( drawing the developrnent they are proposing. A description or drawing, witth dimensions should be provided with this letter of notification. Please initial below if you have no objections. I have no object -ions to this proposal. If you have objections to what is being proposed, please write the Division of Com Management, 127 Cardinal Drive Extension, Mmington, N. C. 264050 or call 91( within 10 days of receipt of this notice. No response is considered the ? 96 'Pd same as no o§edion if you have been notified by Certified Mail. CEIVED -- _MINGTON, NC 0 7 2010 WAIVER SECTION I understand that a pier, dock, mooring Pilings, breakwater,boat tmu3e,lift or sandbags must beset back a minimum 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 1 v' setback requirerntaInt. I DO NOT wish to waive the 15' setback requirerrie t. �S� Signature & Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION & WAIVER FOF Name of individual applying for permit //I�'�✓ l "��` ��`� ���'`�� �i Address of property b11�-��1���`� I hereby certify that I own property adjacent to the above referenced property. individual applying for this permit has described to me as shown on the attach, drawing the development they are proposing. A description or drawing, with dimensions should be provided with this letter of notification. Please initial below if you have no objections. I have no objections to this proposal. if you have objections to what is being proposed, please write the Division of Co Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 9 .395- within 10 days of receipt of this notice. No response is considered t nn f 16 /4 jS same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater,boat house,lift or sandbags must be set back a minimum 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- E C E I V �/ DCM WILMINGT 100 wish to waive the 15' setback requirement_ OCT 0 7 2( I DO NOT wish to waive the 15' setback requirement. ���� � S' AJ ,,2 Signature & Date R-14-2010 08:52 From: To:9102563062 P.1 ;DER Natural Resource North Garc�iina Department of Environment Ma Management Djvision of Co .lames H, Gregson 88vetty Eaves Perdue Director Govemr AGENT AtJiW4RtZA71�N CORM Date; / 3 dM1 D Name oL"2jg*rn;8rApplY!ng for ermit Ate owrters Mailing Address. a CSC ;✓/,�6L —/—I Ij� L Phone NumberE-5 $6 Do Free sea{ Name of Authorized Agent for this project 9/4/ Agent's Malihng Address' rye &�� x Phone Number the purpose o€ appiYln9 1 certify that l have authorized the agent listed above to act on behalf, e he'€�ooQ ng (ac ivity): for and obtaining aA GAMA Permits n cefis install or Construct 2�d - j 'g� (my property located) at This\\�A n is s6 91)l b R�, Date Owner Signature RECEIVED w�bK►��� ,�•�� �^ J 'Z�Y� /�C�t� �C�'l�i�,�G N��'rd ���Ls AAYAI. o • fAO*W — sr-.r r } i s T U �x Z o if >O N i is, z r- 1- - sz W �. o CD ui 1 i oas� 64, ANA oasTMa � ,� axx c%"IUWAY CAN~ AREA {VFIM GOM GAMCAMAM MGOO �76LK , ApIMLi01Mrt ' Ii OUASM I� w c ld"kt� `62Y1 A 146#311jo ge* lkk u RECEIVED DCM WILMINGTON, NC OCT 0 7 2010 Division of Coastal Mgt. Habitat Impact Computer Sleet dicant: /e/is/iv ;cribe 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/c temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other y 3 3 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 ❑ PAY TO THE ORDER OF F AND S MARINE CONTRACTORS, INC. P.O. BOX 868, TEL. 256-3062 WRIGHTSVILLE BEACH, NC 28480 38613 - 4 ' i 2 66-85/531 DATE RBC Bank- DOLLARS RBC Bank (USA) ci P'%Sa4,Cn) FOR Iit��IG' Q l_vu-c II' 000 3 8 6 1 3 n' l: 0 5 3 10 0 8 5 0 ': O Z 7 2 0 0 5 8 0 9 II■ --------- --- ---- ------ - ---- - Np