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HomeMy WebLinkAbout55867D - Brown1dAMA / [� DREDGE & FILL 3 EN E RAL PERMIT Previous permit # 4 ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources -oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / [9%les attached. it Name /44 of 0 d1 <tiJ1 Li _ Project Location: County �/2 f/.✓S!✓/ C/� 21 .Sf, , Street Address/ State Road/ Lot #(s) 122 ypL,p, PHA- State ZIP 2 s 6S! O o7iP Fax # ( ) ed Agent 61 mi� /ydide,•% CW LAW ❑ PTA ❑-}ES ❑ PTS OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Subdivision City //r l d o,-, deocA ZIP 2'701� Phone # ( ) River Basin L W,., , Adj. Wtr. Body Cl. "O ( (na r C PWS: ❑ FC: yes kno PNA ye no Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity�4= z r C- �ti l/l�11 0,4 f/ 1 5 Ally w ck) length ngth tuber Riprap length SQ / distance offshore_ x distance offshorei" cannel _-.-... - -- Ac yards ip { se/ Boatlift i rd I 4 V". a Length J a , not sure yes 64 not sure yes -) um: n/a yes Qio no ktached: yes no -- c"� i c7�f L�� F/jV /''Z4, (Scale:/ .1-49 ig permit maybe required by: NULdo//i✓ Agw-/1 ❑ See note on back regarding River Basin ru Special Conditions, �L L CO d. /G,.. f %/ - %%OG A S l-✓ P// AS A// d �� s .,0 N,Ydl cq 6 r,/ saSZj,$ ��'M amond i IS -sm -�� $ too-rSC-7 VNSwum OL jo lmmvow VROW Pie ma uq pYqpmpp �olMquoyns o u Vpq P" 1Iaftm04 A4 Pw.w(**U"d 4*0 14004M As Aq"q e4 Ive - Q119oAV juq"w3 *mft P�l- Mnv lummeasum p Mamma MAN P� 3 !a w e "Wa ft a %MN FC `30662t,H: of �. ws � �1�Puo u "Mom-:Imm we-j_q M=1bl Low-m-x -2007 10:02 From: To:8423805 CEIi'fTMD_MAIL - Ra ETUR I R1�CEIPT REQUFSTED The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual of individuals listed below. The CAMA General Permit application ptecedures require that applicants provide the Div], Coastal Management confirmation that a wrinen statement has been obtained signed by the adjacent riparian property indicating that they have no objection to the proposed work or that the adjacent riparian property owners have been n by certified mail of the proposed work. Oftn these forms are submitted to the adjacent riparian property owners by t contractor or other individuals acting as an authorized agent on behalf of the applicant. This form was sent to you by the following Individual or company designated by the applicant as as authorized agent: Agent's Signature Name of Individual Applying For Permit: Gl-e,AO&Jb Address of Property- �8 �l�h. e ( Lot 4or Streeett 0, S eet or R (City and County) I hereby certify that i own property adjacent to the above•referenced property. The individual applying for t has described to me as shown on the attached drawing the development they are proposing. A description of 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 Divislun of Coustni Ntanaget Cardinul Drive Extension, Wilmington, NC 2W5 or call 910-796-7215 within 10 days of receipt oft No response is considered the same as no objection if you huve been notified by Certified mail. WAIVER SECTION 1 understand that a pier, dock. mooring pilings. breakwater, boat kouse or bout llR must be minimum dis-tanee of 15' from my area or riparian access - uttlem waived by me. (if you wish to setback, you most initial the appropriate blank below.) i do wish to waive the 1 S' setback requirement. dicant: G✓A_� E &21�l e: 'V o Permit #: J ` t — - 6 2, 46 cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement rid in your Habitat code sheet. itat 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 fina disturbance. Excludes any restoration and/c temp impact amount) i2el, Dredge ❑ Fill 34,Both ❑ Other ❑ S Q T"G Dredge ❑ RIIJ4 Both ❑ Other ❑ SQL S QQ 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 ❑ -03-2007 10:02 From: To:8429806 CER'CIFTED MAIL - RETUR f-REC IPT;REOUESTFn r tl s r a .. U UiTsimmal i t' : {, i �� � ► r \ ► \ � a * ►V . FLU The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or individuals listed below, The LAMA General Permit application preccdures require that applicants provide the Division Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owl indicating that they have no objection to the proposed work 1 that the adjacent riparian property owners have been notifi by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by n ma contractor or other individuals acting as an authorized agent on behalf of the applicant. This form wus sent to you by the following Individual or company designated by the applicant as an authorized agent: Agent's Signature Date Name of Individual Applying For Permit: a AIA Address of Property- /3 ! k (Lot or Street 9, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this K has described to me as shown on the attached drawing the development they are proposing. A description or dra with dimensions, should be provided with this letter. I have no objections to this proposal, If you huve objections to what Is being proposed, please write the Divislun of Coustnl Managemen Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of receipt of this r No response is considered the same as no objection ifyou have been notified by Certified Mail. WAIVER SECTION 1 underttund that a pier, dock. mooring pilings, breakwater. bout house or bout (lf't must be set t minimum distance or t5' from my area of riparlan access - unless waived by me. (if you wish to wai setback, you must initial the appropriate blank below.) I do wish to wnivc the I5' setback requirement. /1 Z1 I da!al wish to waive the IS' setback requirement. XWA HOLDEN D q & OCK & gU LKDyLKHEgDS HEg 910- OOROiHy HOLDEN TONE NCDt 457 6438 1502 SUPPLY CHIMNEY RD SW HERS 5202642:' NC 28462 JVC ';053142 Harlantl Clarke j:8p00 is 7 S 301190 3 7 /Zo10, pa WILOLIFE OMS. J