Loading...
HomeMy WebLinkAbout56506D - CahounCAMA / C316REDGE & FILL GENERAL PERMIT Previous permit# -iNew ' ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources �7 /J / �oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC //7 // OlJ p` ��7• �2 �� L94taTes attached. it Namey p2 Project Location: County "Rx"ovJ w .0 k U 6,4 S 7' _ _ � < Street Address/ State Road/ Lot #(s) Y3 Sc✓� Z-P52 G State t' ZIP Agent ❑ CW ; EW PTA ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑ FC: yes i- no PNA yes /i4167 ' Project/ Activity 1— c ALA 1-6 Crit.Hab. yes / no Subdivision City, uL�c h ZIP 7 Phone # ( ) River Basin L v i Adj. Wtr. Body ��L C ;� -6 4 � (nal Closest Maj. Wtr. Body A1w4v , /Yo ,, ®/t, V4/ (Scale: / `_ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■■ ■■■■M■■EEME■EENOMMMMONNEE■M■■MEN am M ■■ONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■EMMEM■■■■■■■■■■ ■■■■■■■ ■■ ■ ■■■■■E■E■■EMEMMG`M�E�■■ME■EM■■■■In ■ ■ ■■■■■■■■■■ ■M■■■■mlp ■■■■■■■ ■■■■■■■■■■■■■■o ■Emu No No NONE■■■■■■■■■ ■■■ ■ IEE111101 hi i E� ■ a■■■■■■■■■■■■■ ■E■■■E■EME■EEM■M■■ i■ ■EO■■■MMNWN— ■ ■■■■■■■■■■■■■■■■_� iM ■NO■■■■.■o�M■■q IN=■NENENMENON Wlwmm ■■■A� ee9nMN■WLNI"Ri'E� ■■■■■■■■■■ ONE �� �� �� �a��r IR210i r MIR. MEMNON EXEMENNEWE ■ �111111111 I111111w.- low �. ■� �� �i ■■■■■■■■ R' . :: MEii■a..... I■■■■=1 0■■■■ME■1 ■NOON■■■ E ■■�■■■■■ MEN ■NZUA 0■■■■EE■1IEE■■■■■■ ■M■ME MEMz r e�■lilt■ill ■■■■■■■■ ■■■M■E■B ■■■MOZZYM,d?a■■■■■1 m■■■EME■ ME■■■■■N ■■■■■■■■■N■E■■1 ■■■■ ■■■EEOEO►� nO ■■■■■■■■■■■! �■■■■■■■■ MEMO■■■■� ■■ E■■O■w.�OMOMFA MEM■EM■M EE■i®ii�i■■ii ■■EOmiE■■■■ Em■EEmEE■ ding permit may be required by: / /7� t! po,., (U 0,4 f n ❑ See note on back regarding River Basin �' 1 -t_L • c r '-,rvnn rr1Hr f "1'- i *Ojb b w v *A - ADJACENT RIPARIAN PROPERTY OWNER STATMENT (FOR A PIE"00JUNG PZL.;INC"OA7*L' TI. OA'Wof1SF) I hereby certify that I pwtt property adjace(Namnt toe ai I'rvperiy tI}wttar) ►t R. GCS f z op►x lot:ated at t=W �� ' 1 ,.,y....— t= (Lot, Block, Road, etc.) ont ��SiAt:.caNfl i--- ._• ir► (AL uD� . N 1- wsterbodyj 2wn and/ County} Applicant's pl+ooe �OMailing Address: He, hU described to me, as shown below, the development he is proposiM at that location, and,1 havr. no objections to his proposal. I to dtsrstand that a pier/mooring pilings / boatiift I boathouse must be setback a minimum distance of "tt en feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you most initial the appropriate black below.) don t wish to waive wish to waive that setback tequircnmt. VESCRIPTION ANDIQR DRAWING OF PRC)P'[3StD DFVt.OPkZNT: (-ro be filityd in.by indivldaal propas ng p(evelopmeott). LO ----�................... _...... (Information for Property Owner Applying for Permit) z Mailing Address sty%State'Lip (Riparian property Owner Informatioa) Signature Print or Type Name ""''"'""' Tbj�A�A/RA P.111mF1Nr 1V/11/3VIV MVN 1}i 5L 3+AA 171V LYy Vv14 "': VGNG KAr '.iVxV=+�' ,dvv— vva .�i'il/2010 1356 3366740370 CALNQI- PASE K ADJACENT RIPARIAN PROPEIM OWNtR STATEMENT i bwfeby testify that I own proputy adjacent io !fit (N0Am roperty owner) i peitY located at �-. ' Zv � �• P. '? Fs+ (Lot, Block, Road, -etch.) (Weterbody) (Town Andior unty) ,Ap licarttas n¢ �a7�8 MxltRag r'kddr+��� i�,...�-'�'►�' C@�_�• tqx- H6 has dcscribed tome, 23 sbown below, the deveiopmnt he is pcopas4 at Chet lecatten, and, l havc no objaxions to his proyosal. ............ &NDIOR DRAWING OF PROPOSM DYMLoP14llENT' (To 5e fdkd in.by property owner prop ping derefo+,p"CW) , Z_ _ 1 _--- - - -..... __ _ _.._.s.........._ (Inforn-adoA for Property Owner Applyieg allnarian P Dwoer'infvrmatian for Perm.itl I?5c5� 'DoN C-A mailing Adtims _ (� Signature In 22- 1'ruf�%Typ�,--Nam City/State(Ztp AN -A5 PLA 0 �tie�phoiic N�umbcr �� 1 Tele��hooeNutt►be: 10,/ 1112810 13- S$ 3366740370 CAL-64�N ff,.pJa PAGE Ei3 ADJACENT RIPARIAN PROPIERTY OWNER STATEMENT (FORA P.LERWOORING PILING&fOA?Li'FTS0AW0U-%V I hereby certify that I own property adjacent to ' 1� `s (� Namme.o Properly Oweer) property located at (Lot, Block, Road,, etc.) � in Ic ra ��tA�s� 1�4,AY; Lo, N•C- (Waterbody) (Town and/or County) Appllesnfs pbone 403?0 Mailing Address. He has described to me, as shown below, the development he is proposing at that loeatlon, and. I have no objections to his proposal. I understand that a pierimaone$ pilings J ix:atlift! boethou58 mast be set back a minimum distance of fifteen feet tlrse T) from my aof riparian soatss wless . wsived by me, (Ifyou wish to wive the setback, you must initial the appropriate block below.) 1 aat wish to waive —1 l2 wish to waive that setback requirement. ....MY.................�. DESCRIPTION AND/OR DRA1'VxSO OF PROP68F,1D D)E'VtL0PM1NTc rrd Dt fillei�d in by W dd4l propos. ; d�P�x* .. ,r A i ........ --.Y------ ------.--r------- ([n(ortnation for i'roperty Owner APplying AParjsn property Owner Info n) for Permit) ! rSDSCAL'�3.. 1 - — - Nlsalinz Address Sigltature City/statelzip ne Neunber Prin�orTypo �Naame Telephone Number 1(,1-1 1--.z:9110 15; ."-'( Lt-VI-b-jHHKr'IHI." ADJACENT RIPARIAN PROPERTY OWNER STATEMENT scent ed to�~-k (A � t Ufa �'S I hereby senify ttist I own property j C--- - , WO a perty twnorl property located at - (Lot, Block, Rood, We.) ��c�yu'adla' aunty? (weterbody) Ap�,Jjcmtls Anne p;? D Mailing Addrew E3e has described to ma, as shown below, the development he iS Proposing at that 10CAtion, SM, I have no objections to his proposal. ...._... DESt RIMON "DJOR DRAWING OF pRopwxo DEVELOPM-W (To be figed in by properq owner propmIniv dcwJvP0wn ) l 'Itif"mation for Property Owner A.ppWag (Ril&Fsaa Pro" QwntJ xa f rvnationj for Pamit) Mailing Address City/Sta taip ( �� t,1 - Sipature *,al, %-o x, Print oar Type Mme. TPIenhene Number licant' Aavloa ty Permit # �—� -�� i'--p cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id 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) �4"j Dredge ❑ Fill ❑ Both ❑ Other �� Cj� 6 L Dredge ❑ Fill ❑ Both ❑ Other ❑ Ci— 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 ❑ N-H calhoulf — 66-30/5311 1310 ,C 13 calhouH 069 4505 Domeaster ,Dr 1iree/tsboro, VC27406-9722 iBank E ^ /� I / %'jam') co { F _ ------ - - - -- �Pv�i U VV m j� Se.uritY DOLLARFirst Citizenssizen .com 1 1:03 L00 30040006 2 7 L 59B L6 ' 0