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HomeMy WebLinkAbout55891D - Best-{CAMA / DREDGE & FILL 3ENERAL PERMIT Previous permit# J,Kevv ❑Modification ❑iComplete Reissue ❑Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. it Name k.P R9 W 7 Project Location: County .�/�l� �✓S o✓i��� d /YC wPG /Z 7 J 7 Street Address/ State Road/ Lot #(s) -PA.%d _TSZ P 6•o9ch State /' C- ZIP 2 7 Y Fax#() ed Agent ❑ Cw awv Elm a" ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA [7 N/A ❑ PWS: ❑ FC: yes /(no PNA yes no Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin e-4ry Adj. Wtr. Body^,j < C)Jq Aq�L✓""J n(n Closest Maj. Wtr. Body 1g1 G1/w Df Project/ Activity f" , V f+ T if �/ <-','Z 7- (Scaler lock) length _ _ _ 'm(s) /0 pier(s) length lumber aad/ Riprap length vg distance offshore nax distance offshore channel :ubic yards amp )use/ Boatlift Bulldozing >/ZZOAf A ��PSsaAAe /!' X y ine Length a 0 not sure yes c: cgs: not sure yes <ng' )rium: n/a yes Q_> yes (!:F—� Attached: yes no p ling permit maybe required by: Onp A.✓ ❑ See note on back regarding River Basin SAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (TOR A PIERIMOORING PILINGSBOATLI.FT/BOATHOUSE) � I hereby certify that I own property adjacent to _ ` Is (``Name of Property owner) property located at aC� �`���-� St ` (Lot, Block, Road, etc.) on , in 0 \ C�ll l , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 510- �04-0-q`�Mailing Address:- ` Q He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. 1 understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (I T) 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 not wish to waive 1✓ I do wish to waive that setback requirement. -------------------------------------------------------------- DESCR.IPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing; development) ------------- ------------------------------------------------- ---- - (Information for Property Owner Applying (Riparian,,Propertywn Inf rmation) for Permit) Mailing Address Signature HAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to %�R, S . bg=;�i is rt / (Name of Property Owner) property located at t 0 /y e w,4 £? , t S (Lot, Block, Road, etc.) on , in (0 C -P 4 4 �� , N.C. (Waterbody) (Town and/or County) Applicant's phone If: Qi -L.40 -g43Nailing Address: �O R% T oP- He has described to me, as shown below, the development he is proposing at that location, and,1 have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (IY) from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) 1 do not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) ----- ------------------------------------------------- (Riparian Property Owner Information) Mailing Address nt C-:k, C1(`. r)q,4"q V> Signature .�.rlfhXrC p019 j o/,r?, �0?7/ „sb ap`swt /SkG`' x ;r- off � � � hX� L x ;kJ-/ /on I 07VP Yv .7_., V //h "L r - -,>/ Aap of #4CNewport St, Ocean Isle Beach, NC 28469-7626 KflRjEn s, Ue5V Page 1 of M,ap of ADNewport St, Ocean Isle Beach, NC 28469--VA1400/ 7626 9.1 2SO m Soo ft I then using any driving directions or map, it's a good idea to do a reality check and make sure the road still exists, ,atch out for construction, and follow all traffic safety precautions. This is only to be used as an aid in planning. ilicant: kg 2 Py✓ e: Permit #: S-f F-� / --�> cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. 6tat 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 Tina disturbance. Excludes any restoration and/c temp impact amount) G� 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 ❑ KAREN S BEST 66-85/531 40 NEWPORT ST. 1193165577 1099 OCEAN ISLE BEACH, NC 28469 PAY TO THE DATE ORDER OF $ ����aoo %JBC Bank- xnk (USA) -DDOLLARS m 1:053L008Sol: 11931-GSS77u� ,— l 0 9 9