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Home My WebLink About54506D - AgeeCAMA / DREDGE & FILL r, EN ERAL PERMIT Previous permit # New _Moc'ification Complete Reissue El Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources —7 �astal Resources Commission in an area of environmental concern pursuant to I SA NCAC / / � ules attached. Name ; I— — - +a�� Project Location: County 3e (I NSUI (C� 44 WIL_L-GUG,H6`r /3L Vb 2i (SAP Statelj((, ZIP Z.-24 0 ` ( ) Z-69 - 3 313 Fax # ( ) Ftx r-o Tv')n1 ,ed Agent � "%e-r 6�r"r — CW ❑ OEA ❑ PWS: yes / no,, EW IOTA ❑ ES ❑ PTS ❑ HHF -i IH ❑ UBA ❑ N/A ❑ FC: PNA no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) ^C �..1112 Subdivision City (?JY= /5(.l V-9 ZIP Phone # ( ) River Basin l {' Adj. Wtr. Body 11/1. NTE G 41 tl - t{ _} �-L „'G N at Closest Maj. Wtr. Body —A I w 11111.11 Elm ■■■■■■■■ ■■ ■■■■■■■■■■■■®... .■■■■■..■■■■■ ■■■■■■■■■!v �• '% �■■ ■■■ MOMMIMMEN NE M■■i■■■� ■ ■■■�■■■■ ■■■■■ - - Elm 91 JUA MIMMEN ■ .,. -- _WlirllirNAME■■M■■■■■ IN■■�■f1Giil7■I: �:.� - �ia1�rGL1G��'.9��-,ALL!■ j:IEZIL MW No ME niii■illi�ai� CJ-% ine Length not sure yes igs: not sure yes arium: n/a yes yes Attached: yes ling permit may be required by: d/ ric /"K�l /lyy-9 El See note on back regarding River Basin An _i N �. 1n i77 AA IC XL- -7)4 . /-7 ;,i? / .r/ c4-, '- -.../ *I- � IS- A',t't MerchantsMetals the first name in fence solutions DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY 0`VNERNOTIFICATIONIWAIVERFORM Name of Individual Applying For Permit: ? e'_e— A Address of Property: 0 'Z (Lot or Street #, Street or Road) /�- T,,- Ie-� h A � A)L 'bru h5w, (City and County) I hereby certify that I own property adjacent to the above-referenced.property. The individ, applying for this permit has described to me as shown on the attached drawing the development tl are proposing i lion or drawing, with dimensions, should be provided with this letter, ave no objections to this proposal. If you have o jections to what is being proposed, please write the Division of Coa; Management, 127 Cardinal Drive. Extension, Wilmington, NC 28405 or call 910-395-3 within 10 days of receipt of this notice. No response is considered the same as no objectia you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus set bck a minimum distance of 15' from my area of riparian access - unless waived by me you wish to waive the setback, you must initial the appropriate blank below.) R) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. - a - (--Cr T)atP DIVISION OF COASTAL MANAGEMENT AD T ERTY OWNER NOTIFICA ION/W IV R F Name of Individual Applying For Permit: Address of Property: of 7, r i i (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced --property. The individ, applying for this permit has described to me as shown on the attached drawing the development tl are proposing. A description 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 Coa Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3 within 10 days of receipt of this notice. No response is considered the same as no objectii you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu set bck a minimum distance of 15' from my area of riparian access - unless waived by m 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. TlatP NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management �everly Eaves Perdue James H. Gregson ;overnor Director Dee Fre( Secr AGENT AUTHORIZATION FORM Date: �_ ame of Property Owner Applying for Permit: Na of Authorized A nt for this project: Nner's Mailing A dress: w y 7�0�' lone Number (336) Agent's Mailing Address: C�a�lsland NC:._ 2�� Phone Number R)O) -� 13 _5793 ;ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying r and obtaining all CAMA Permits necessary to install or construct the following (activity): ,y property located) at S,4'. 2° A E(�e. �� r��l�� s (Ar_iA ti G Z9-yas -iis certification is valid thru (date) S Property Owner Signature 6-6 -10 Date �„ MerchantsMetals the first name in fence solutions fir Division of Coastal Mgt. Habitat impact Computer Sheet ilicant: 1�ozfvt t r t� >cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. bitat 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 amountL 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 O Dredge ❑ Fill ❑ Both ❑ Other Co C 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 ❑ ROBERT HARRELL BRITT PH 910-523-2321 1191 SATEVILLE RD. SOUTHPORT, NC 28461-9696 Pay to the n G p �=N Order of �/ / BRANCH BANKING AND TRUST COMPANY j j 1-B00-BANK BBT BBT.com For •Z— 1 % Date 1:0531011211:L3400002L939?"m0L4L 1411 66-112/531 s» Dollars � �,•�,:�• ••