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Home My WebLink About55839D - Burgun-DAMA / ❑ DREDGE & FILL r . 3ENERAL PERMIT Previous permit# JTNew L7Modification ❑Complete Reissue El Partial Reissue Date previous permit issued sized by the State of North Carolina, Department of Environment and Natural Resources /' Zoastal Resources Commission in an area of environmental concern pursuant to ISA NCAC ��/. ��lj L$Rules attached. it Name CO FL. I 2 C, 4 // Project Location: County BaQW vl a" e, C Street Address/ State Road/ Lot #(s)�/�j A// l 7�/P State `�� _ ZIP 2 iS `(v) 27y-26/1- Fax#(_) :ed Agent k. 9 0 4,C/V Subdivision City ZIP ❑ CW +B'M Eg."A LIES ❑ PTS Phone # ( ) River Basin Lu a ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body L� �l1 S !lam ❑ PWS: ❑FC: I Y 2� vvk �ci yes / r�t6� PNA yes ,/ no Crit.Hab. yes / no Closest Maj. Wtr. Body �`w�✓ f Project/ Activity /�'a a ,6 Pc✓ �r e ��9 �>< L .7 5,.� / t �G L r SGy r�� L • 7� X + '�' •►S 0" (Scale: l ,ck) length X __ J �P^ rti I IT iier(s) !ngth L - f�A tuber d/ Riprap length g distance offshore uc distance offshore iannel ---f --- -�� - / _� . f /+ r bic yards nP - ulldozing e Length S not sure yes s: not sure yes ium: n/a yes � ` 17 yes �o kttached: yesi _ -- L rig permit may be required by: ❑ See note on back regarding River Basin n Special Conditions I4u f u.J A, /,, jr ar W a c wo, I / A c a// e"/L. L- ST,a ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIER/MOORWG PILXNGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 01 's (NaiAe of PropcDty Owner) property located at I (Lot, Block, Road, etc.) on t_..► ke- 56%We Q )We , in �hc alb � , N.C. (Waterbody) (Town and/or County) Applicant's phone#:g1'D Q14 261GL Mailing Address: 'S-atti1P G5_�1ie— He has described to me, as shown below, the development he is proposing at that location, and, I 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 (15') 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 I do wish to waive that setback requirement_ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be fdled in by individual proposing development) At 1ac�e iS o, �(bosea `i co jeC+• J (Information for Property Owner Applying for Permit) 1 {112- CV &L c k Mailing Address (Riparian Property Owner Information) Signature c i ii lL 1 %/ '11I. 1 h r. AiA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management idtael F. Easley, Governor I James H. Gregson, Director . Authorized Agent Consent Agreement Mam G. Ross Jr., 4s hereby authorized to act on my be irder to obtain any CAMA permit(s) required for the property listed below. ' The authorization is limited :afic activities described in the attached sketch. CATION OF PROJECT: "1Qj• Ctcju3,k DPERTY OWNER MAILING ADDRESS:- fHORIZED AGENT MAILING ADDRESS: a 30� �1t3 PHONE NO.h: k-d a of Properly Owner. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to &-cC, 0 a is (Na a of Prop r�y Owner) property located at I (Lot, Block, Road, etc.) on L:,} Q- 56\�vWe Q,,Lve,in_ :S Abrk-i-e,N.C. (Waterbody) (Town and/or County) Applicant's phone #: q l0 .114 J 61 St- Mailing Address: S- - as o bode -- He has described to me, as shown below, the development he is proposing at that location, and, I 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 (I5') 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 I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) At+acl�ec1 iS o, �coPowA P,�c-o.ng (Information for Property Owner Applying for Permit) . a ( dcj\c L0.n(f�nn 111� Mailing Address (Riparian Property Owner Information) Signature icant: G92y % y�5 e4 Permit #: tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. tat 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/( temp impact amount f (�/ 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 ❑ kNTIC MARINE CONSTRUCTION P O Box 713 Shallotte, NC 28459 Ph 910-754-4247 DATE 1 fi nT Do � (RANCH BANKING AND TRUST COMPANY 1_W0-BANK SaT 88T.com u■ 0 0 0 L 6 3 4 ': 0 5 3 10 1 1 2 l �'000 5 2 9 5000 3- u -- .■ 1634 66-112/531