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Home My WebLink About54510D - Barbee❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # E-New -.'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued orized by the State of North Carolina, Department of Environment and Natural Resources Coasgal Resources Commission in an area of environmental concern pursuant to I SA NCAC / '] H 1 2-D Q ,,� T`Rules attached. nt Name YX k- e(, e2 F t; Project Location: County 5K R 05Vq ( d `)`` ['11✓\ State W-, ZIP # ( „ ZS� Fax # () ized Agent L_L T I OMh5 d ❑CW 3EW C.t�TA ❑ES ❑PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: Street Address/ State Road/ Lot #(s) 3(C-ti2 Subdivision City ZIP - Phone# River Basin r Adj. Wtr. Body t :.. ME . _ . ■■■■■■■■■■■■■■■■■i ■�■■■■ENWH®■M■qI ■■ ■■■■ ■■ ■■ NONEMari INNINNEEME_■■O■■�i■■■■�■■■ E ■■■■■� Iguffid"WOMMOMMEEM EMEMEM CiilirYi�■■■■■■■■■�■■■■■NONE M JIM MENOMONEE ■■■1�:p it`i11iW%!■v11'iiY�iltii:it�■■■■■■ ■asp ■i�i�l ilii`il��■■■■■■■■■■■!■ —RHO�.c SWEN ■■■■■ MIA ME I I ■■1I�N0�■F'1ME� ' �1-41 ONIEON■■■■ �■■■■■■■ length umber :ad/ Riprap length vg distance offshore iax distance offshore channel ubic yards imp >use/ Boatlift Bulldozin ne Length not sure yes cgs: not sure yes >rium: n/a yes yes Attached: es no ling permit may be required by: 00n< I SL-+rfl� ❑ See note on back regarding River Basin i Division of Coastal Mgt. Habitat Impact Computer Sheet (cant: l6eto6a, 009�s Permit #: 5q'S10 : 71610 ;vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement d in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fina DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. tat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration andh restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts amount Dredge '❑ Fill ❑ Both ❑ Other [3 143 1 4L L.,IV ► Dredge ❑ Fill ❑ Both ❑ Other ❑ �" e7l"1 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ COMPLETE•COMPLETE ■ Complete items 1, 2, and 3. Also complete nature item 4 if Restricted Delivery is desired. ' ❑ Agent ■ Print your name and address on the reverse /��e Y�C� ❑ Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B el Ite) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is IW m item 1? ❑ Yes rr If �nter d>; hf* adder below: ❑ No 09 .S/A�-PA _ /74"/SifWe IVL 2?�;-6 (2 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (E»� —1 ❑ Yes 2. Article Number (Transfer from service label) 7 0 0 9 1680 0002 3 7 9 4 4648 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 urtcuyc u . ui u —.. — - L-A4 NCD NR North Carolina Department of Environment and Natural Resourm Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director uwft Sm AGENT AUTHORIZATION FORM )ate: / p lame of Property Owner Applying for Permit: failing Address: AyS /fin S � '�e �1-e lal fW hone Number:] g ;ertify that I have authorized (agent) 9dl 144M4 S A—Y/i �;" &IM-0 to act on m :half, for the purpose of applying for and obtaining all CAMA Permits necessary to install or ,nstruct (activity) (my property located at) 3 is certification is valid thru (date) to r I I i t r njL 7rad � u v � r i CERTIFIED NL-IL — RETURN RECEIPT REQUESTED DZ-ISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Name of Property Owner: &—,-:2/,S Y 1 e- e-- Address of Property: 135-0 �Q�/h �/; ��Irt W`c (Lot or Street #, Street or Road, City & County) Applicant's phone #: �D �f a S / % Mailing Address: 1�12 "/ /-:� f� _ I hereby certify that I own property adjacent to the above referenced property. The individual applying for this p has described to me as shown on the attached drawing the development they are proposing. A description of --I with dimensions. must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (D( in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response considered the same as no obiection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum dis^.a- 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial tL: appropriate blank below.) I do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Information) VSignature norcs /'1'1 �arloe � Print or Type Name a n Pe ner formation) -�7 sip I Se f f 0-ouc.4 Print or Type Name Mailincr PAY TO THEd 8 ORDER OF BankofAmerica i�ACH R/T 053000196 DATE � K? `C C FOR /lL �i.�/�I.f.- ��'/ 1�1 0 / K, -- 11900 2 10 4 n' 1; 0 5 3 0 — — 0 0 19 6 1 r__ 2 3 7000 SB F. 38 411' DOLLAR;