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Home My WebLink About55804D - AngelF'CAMA / DREDGE & FILL N E RAL PERMIT Previous permit # ❑New EModification ❑Complete Reissue El Partial Reissue Date previous permit issued orized by the State of North Carolina, Department of Environment and Natural Resources 1-1 Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / /.12 d� y ORimles a`hed. nt Name_6 l�'f v' d /L 4'pr e5-4 ei✓G ,o ( Project Location: County 'flx ,j�/�CiC ;s Y c% 0 / Y G/l �'1 (� 2 eSs, li✓R,i Street Address/ State Road/ Lot #(s) 3S Pogw ' W-F 11,1 /P Stat%Y ZIP 2 # ( ) 0 / Gt Fax # ( ) Subdivision ized Agent A i cy Aj 'r/-V'Ot City C51c"-a , .fI e d��C%j ZIP Z �A ,d ❑ CW LAW Ffi A [14 B ❑ PTS Phone # 46"YI O River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A • Adj. Wtr. Body �� A � '� �✓ 461# (tI na ElPWS: ❑FC: yes /moo I PNA yes / Crit.Hab. yes / no Closest Maj. Wtr. Body �Y of Project/ Activity lock) length -m(s) pier(s) length camber aad/ Riprap length mg distance offshore nax distance offshore channel ubic yards amp _ case/ Boatlift Bulldo ing Los D ne Length d not sure yes igs: not sure yes n )rium: n/a yes yes no Attached: yes C'A (Scale. / — ling permit may be required ed by: Ono, � LP d �HG /1 El See note on back regarding River Basin i -fi. c .•,i i . o, -ir, /V - -f i .. _ ., - ./ 0-/ • A _ _ A-P .. va vL-,1v1%,r \�'� /11i'kC TIGt�1 fj� X�C% 1 �(�.C►�11Ll[� � � (� P.O. Box 1365Lo hailotte. NC 28459 A�v x / �' + r �'( X 1U t 3 ' .. L i� c; tZ 3e c jL "ice p1 fjve rto D ti doi �441) DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual Applying For Permit: Address of Property: (Lot or Street #, Street or Road) bhp �/-tt �`1 ZC1 h A iA , (City and County) hereby certify that I own property adjacent to the above -referenced property. The indivic applying for this permit has described to.me as shown on the attached drawing the.development t Are proposing. A description or drawing. with dimensions, should be provided with this letter ��✓'� ' 1Y `__ I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coa Management, 127 'Cardinal Drive Extension, Wilmington, INC 28403 or call 910-796-7 within 10 days'of receipt of this notice. No response is considered the same as no objectic you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breai.wnter, boat house or boat lift must b bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If wish to vv-aive 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. n_:_� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM Name of Individual Applying For Permit: Address of Property: (Lot or or Street #, Street or Road) (City and County) hereby certLty that I own property adjacent, to the above -re erenced property, The ind—w-16 applying for this permit has described tome as shown on the attached drawing the development tl- are proposing. A descriptioci or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coas Management, 127 Cardinal Drive Extension, Wilmington,. NC 23405 or call 910-796-7i within 10 days of receipt of this notice. No response is considered the same as no.objectiol you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakm,2ter, boat house or boat lift must be bck a rninimum distance of 15' from my area of riparian access - unless waived by me. (If wish to Nvaive the.setback,-you must initial the appropriate blank below.) IrS' jNar..�me I do wish to waive the 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. Date *7 .' `A n_:_. 1.i_ —- NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ael F. Easley, Govemor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr_, Sec is hereby authorized to act on my beha .orPri edil*mofAgenq ier to obtain any CA permit(s) required for the property listed below. The authorization is limited to I fiic activities described in the attached :!Watch. ATION OF PROJECT: Difto (s, iPERTY OWNER MAILING ADDRESS- PHONE NO. 'HORIZED AGENT MAILING ADDRESS: If 1AA-1-1113 / 6)e /�(9 PHONE NO. rfzU wkw of Property Owner: Y JtA'4t�. C Division of Coastal Mgt. Habitat Impact Computer Sheet iplicant: Gh'2S, g,a e--CPermit #: _ S-7oy ite: �� Z scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen .jnd in your Habitat code sheet. ibitat 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 fin, disturbance. Excludes any restoration and, temp impact amount) 0 li✓ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ STEVEN T. FARMER NCDL 5716744 6505 ROBIN G. FARMER NCDL 4103077 66-112/531 PH. 910-754-2725 897 MIDDLE DAM RD.. SW r/r SHALLOTTE, NC 28470 U e 9acurlly D.1.11, en B.c.. BRANCH BANKING AND TRUST COMPANY ^� 141100-BANK SOT BBT.00m 40 5 3 LO L 12 0:000 5 L 1903 0 6 50 5