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
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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� ,—
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