HomeMy WebLinkAbout54487D - BlakeJCAMA / ❑ DREDGE & FILL.
3"ENERAL PERMIT Previous permit#
-tNew -1Modification Complete Reissue Partial Reissue Date previous permit issued
)rized 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 �,
'p E3RWes attached.
it Name o� OP 21 lj, L ,4,e f
R�dg
State/Y c ZIP
IE (_20 f B d'� ' jr �lS Fax # ( )
zed Agent /3 c v f �� nr �•�
❑ CW DEW [IPTA ❑ Eg ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑FC:
yes / no PNA yes / rf6" _ Crit.Hab. yes / no
if Project/ Activity
Eck) length 7 '.,[
77-0
n(s)
ength
ember
ad/ Riprap length
rg distance offshore
tax distance -offshore
:hannel
ibic yards
mp
use/ Boatlift
3ulldozing
ne Length 5—Q
not sure yes
gs: not sure yes
�rium: n/a yes SSA
yes OP
Attached: yes
Project Location: County )?/L yNJw/Cx
Street Address/ State Road/ Lot #(s) -72 6p L o/1
Subdivision
City Ze 6.o,,c) ZIP z fr�
Phone # ( ) River Basin Lies i
Adj. Wtr. Body �� ��W 4-J (nat
Closest Maj. Wtr. Body 'd/ /` k-"
..
(Scale.,_
ling permit may be required by: �16 451." S [_ F 00 C ij ❑ See note on back regarding River Basin i
a
•1 r vI,I If ! -.
lc6Z'L -g�h ,(7/6
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�I Pi, q5-y---"*OQ
I -ell
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151
DIVISION OF COASTAL MANAGEMENT
Name .of Individual Applying For Permit:
Address of Property:
�z+i�l�lc� i
(Lot or Street #, Street or Road)
(City and County)
( YC-> c ;
c k1C
VS C,-,(
I hereby certify that I own property adjacent to the above -referenced -property. The indivi
applying for this permit has described to me as shown on the attached drawing th development
are proposing. A desc ' tion or drawing, with dimensions, should be provided with this lette
�l I have no objections to this ro p posal.
If you have objections to what is being proposed, please write the Division of Coa
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectic
Fou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat Iift must
et bck a minimum distance of 15' from my area of riparian access - unless waived by me.
'ou wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
CV
I do not wish to waive the 15' setback requirement.
i
DIVISION OF COASTAL MANAGEMENT
RIAN PROPERTY nwr1\Ti7v Mn-=7Tn A-I-T/11
Name of Individual Applying For Permit
Address of Property:
ITU
1
(Lot or Street #, Street or Road)
0 C
(City and County)
S cv i C
I hereby certify that I own property adjacent to the above -referenced -property. The indivi
applying for this permit has described to me as shown on the attached drawing th development
are pro osing. A description or drawing, 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 Division of Coa
Management,. 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3.
vithin 10 days of receipt of this notice. No response is considered the same as no objectio
,ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
et bck a minimum distance of 15' from my area of riparian access - unless waived by me.
ou wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
to /)o
n` Name Date
HCDENRI
North Carolina Department of Environment and Natural Resources
Division of Coastal Manageir-neWt
khael E. Easley, Govemos Charles S. Jaws, DirecW.
Authorized Agent Consent Agreement
'fit E= G. Ross Jr., S
)12;4 1�� Ege� is hereby authorized to act on my bef
(Printed Nam. of Act
)rder-to obtain any C A permit(s) required for the proper y listed below. The authorization is limited t(
:cffic activities described in the attached sketch.
,CATION OF PROJECT:
OPERTY OWNER MAKING ADDRESS:
PHONE NO. %U �
'THORIZED AGENT MAILING ADDRESS:
NO.2A)-41113 �x3
mature of Property Owner:
C Division of Coastal Mgt. Habitat Impact Computer Shut
plicant: eo� e Permit #: S L/Y7 -
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
ind in your Habitat code sheet.
bitat 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 fins
disturbance.
Excludes any
restoration and,
temp impact
amount)
�W
Dredge ❑ Fill ❑ Both ❑ Othero
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 ❑
STEVEN T. FARMER
TRA COM SERVICES
PH.910-754-2725
897 MIDDLEDAM RD SW
SHALLOTTE, NC 28470-5657
BW
BRANCH BANKING AND TRUST COMPANY
1- 00-BANK SOT BBTxom
For
I' C
11603? 29
3729
66-112/531
BRANCH 62401
5-
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