HomeMy WebLinkAbout55840D - CatselisCAMA / DREDGE & FILL
.ENERAL PERMIT Previous permit #
-iKew` ElModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources �r
�oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / , 2 QG O
LS#Mles attached:
it Name C L N,4 B . Ce3 Sc G [.s Project Location: County 3-9 y,V-r s✓ i�
129 L , .Z ?-Jd .S % Street Address/ State Road/ Lot #(s)
P �.r L S09C�► State
%�IC w2k k69
\!/ V ) S-2 Fax # ( )
ed Agent "Ye', " L7f "V C U ("415
❑ Cw [j1 WV IAA
❑. OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
yes A� ol� PNA yes /C
' Project/ Activity k .p
lock)length L11W 7 ,
pier(s)
length
lumber
!ad/ Riprap length_
vg distance offshore
nax distance offshore
channel
ubic yards
amp
)use/ Boatlift
94ES ❑ PTS
❑ UBA ❑ N/A
> Crit.Hab. yes / no
Bulldozing
-�T
Subdivision
City
ZIP
Phone # ( )) River Basin 14 M,
Adj. Wtr. Bod' i GV N (nat,
Closest Maj. Wtr. Body Qi kv `')
P
ne Length / L
not sure yes
gs: not sure yes I _-_ ....... ...... _ _.-....
i
)rium: n/a yes E—
i
no I
Attachedf-2 6) no
ling permit may be required by:
.i
(Scaler
❑ See note on back regarding River Basin
)6
Ll
III " `" I Or 4) 1 16 v
�. _
WA
A���
RMENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F. Easley, Governor James H. Gregson, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Sect
t'te�7lu'l i�c,. is hereby authorized to act on my behal
(Printed Name of Agent)
!r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to Ill
c activities described in the attached sketch.
TION OF PROJECT:
�'�Eands�-e-
ERTY OWNER MAILING ADDRESS:
PHONE NO. "1 1 O — y I q -sa
)RIZED AGENT MAILING ADDRESS:
I
PHONE NO. 9I0-- "��I Q —39 qcy
.are of Property Owner: �A -�
---7 1-1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
Name of Individual Applying For Permit: ElNA
Address of Property: /a 9
(Lot or Street #, Street or Road)
dC� Ss i', e,,�
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individ
applying for this permit has described tome as shown on the attached drawing the development tl
are proposing. A description or drawing. with dimensions, should be provided with this letter.
i/ . I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of. Con:
Management, 127 Cardinal Drive Extension, Wilmington,.NC 23405 or call 910-796-7.
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilinjs, breakwater, boat house or boat lift must b�
bck a minimum distance of 15' frorn my area of riparian access - unless waived by me. (If
wish to waive the.setbacic,'you must initial the appropriate blank below.)
r- kl I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
Sign Name Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVERI±ORM
Name of Individual Applying For Permit: � %�/ • A -�.�F� r�
Address of Property: 1 Q 9 8ree-
(Lot or Street #, Street or Road)
D' .ergs
(City and County)
I hereby certify that I own property adjacent, to the above -referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development they
Are proposing. A descript' ' 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 Coastal
Management, 127 C-ardinal Drive Extension, V4ilrnington,. NC 28403 or call 910-796-7215
within 10 days;of receipt of this notice. No response is considered the same as no abjection .if
you have been notified by Certified Mail.
WAIVER SECTION.
I understand that a pier, dock, mooring pilings, break-wzter, boathouse orboat lift must beset
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (Ifyou
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.
S i am Name ate
4
cant:
e�h-e 1`-f
Permit #:
tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d 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 final
disturbance.
Excludes any
restoration and/o
temp impact
amount
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 ❑
I
First Bank
Shallotte, 6lorth Carolina 28470
ITS BETTER BUILT INC. 8/24_ _ _/2010
4287 Carolyn Ave
ShAlotte, NC 28470
(910) 512-3946
$.�20� pp_
ORDER OF E yy
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