HomeMy WebLinkAbout54488D - CoxCAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
JNevv n,Modification. � iComplete Reissue ❑Partial Reissue Date previous permit issued
)rized by the State pf North Carolina, Department of Environment and Natural Resources )/
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
les attached.
nt Name $ i? /L e"e �'D .x Project Location: County 30, t.,fV.I4-✓-,t�C
i
;12-1 d /p , J, Street Address/ State Road/ Lot #(s) r ";7,
,9 LI6&e State )iC ZIP,2 d
(i/off ,c G'- ,�_S�O 7 Fax # (
Agent
CW --. EW PTA !ES ❑ PTS
OEA -1 HHF IH ❑ UBA ❑ N/A
PWS: ❑ FC:
yes / no PNA yes / no Crit.Hab. yes / no
9
Project/ Activity �Q- b e / 4 �i e't %)p C.e
dock) length CC
rm(s)
pier(s)
length
number
ead/ Riprap length
ivg distance offshore
nax distance offshore
channel
:ubic yards
amp
ouse/ Boatlift
Bulldozing
Y:� �•n. � 2 9X s�
Subdivision
City Is/r Xeoc -� zip 22 �Y,
Phone # ( ) RiverL
+ Basin 411VJ
Adj. Wtr. Body -Lc/ r ,A ( �i'` �` �� �y l✓ (nat
Closest Maj. Wtr. Body w
■■■■Rir■■ ■■■■■■
. ■■■n■■■ra■ ■■■■■■■
■■■�� ■ ■■
1
(Scale:
A
❑ See note on back regarding River Basin
Division of Crustal Mat. Habitat Impact COMPutar Shut
icant:
'>C �, C'ax Permit #: Y TFl
� � 2 � `
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
iitat 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 El
-EEI-
Dredge El 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 ❑
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Maw 04 10 01;12o Jeff Cox
P. 001//001
910 7S4 5605 p. 2
DIVISION OF cOATAI MAMArEA2ETtT
�.TI�A.'f1tl.rr nYv'l7TA }.i ,. r:.�ro.+..a4—, _
`z�+- �+1 �•� 2 Nit Cu+.,trySY _Crtt !MI tY S V ! Sl'/Ya7 O ?,WV 1U7ra AT!/'�ir vas
.. a VSi r7L l\LL11-L Uly%�Y t�ai vtiT ^lu
of �i2d3'r'ix'i:I$i nuu
1 �G f iyil�6 ern vyrnsir- 1 r r t
v;
Address of Property- - y p ak mdrA � ,-
kLot or Street #, Street or Road)
0Bean 34 6 i3r h (r��sLA4,&- �=-
,-:�__ ,
t. ►ty vuv County; -�.
I hereby certify that 1 own property adjacent. to the above referenced property. The individual
applying for this permit has described to.me as sho�s-n on the =achcd drawing the developrne v they
Are proposing. p; 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 Coastal
Management, 127'Carditial Drive Extension, Wilmington,.1-C 28405 or call 910-796- 7215
within 10 days of receipt of this notice. No response is considered the same as no nhsrrtinn it
Y U have ar'P-en ilotiiied Vy Certified Mad.
WAIVER SECTIOiN
I understand that a pier, dock, mooringpitings, break- rater, boathouse or boat lift must beset
bek a minimum distance of IS, from my area ofripariun access - unless w2ived by me. (If you
Wish to zt aive the -.setback, you must initial the appropriate blink below.)
I do wish to waive the 15' setback requirement.
.t
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- •I.a1; av ri [IItC It[C j ]CCI[_ST f',l' T'P!ll •1f?filPrf
' s
Si Nam Date
Print Name---"
1 � Z2S 2 �� .�...=... ,.._..r
Telephone Number with .area Code NCDENR
W/23/2010 10:23 9105791815 CB SLOANE SSB OFFICE PAGE 02/04
Fpr 23 10 09:59a Jeff Cox 910 754 5805 p.2
D VISION OFCOASTA1.,MANAGEMENT
ADJACENT RIPARIAN PROPERT n�VN£R NOTIFTCATION/W IVERFpr
Name of Individual Applying For Permit:
Address of Property-
(Lot or Street #, Street or Road)
(City and County)
I hereby ccrt fy that I own property adjacent, to the ahove -referenced property. The individual
applrin.� for this permit has described tome as showTj on the attached drawing the development thev
are proposing. A description, or dravving, with dimensions, should be provided with this letter.
I have no objections to thn) proposal,
If Nou have objections to what is being proposed, piease write the Division of Coastal
Nlanaoernent. 1?7 'Cardinal Drive Extension, W'ilmin;ton, NC 23.105 or call 910-79ti-7215
within 10 days of receipt of this notice. No response k considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
!understand that a pier, dock, mooring pilings, break�%,ater, boat house or boat lift must beset
bck,i mini m+am distance of13' from my area orriparian access- unless waived by ate. (Ifyau
"vish to w aiv chesetback,'you must initial the appropriate blank below.)
I do wish to waive the 15' se:back requirement.
I do not wish to waive the 1 S' setback requirement: -
Sigh N e Dace
Print Name Arlo, W.
Teleohone Number with Area Code - NCDENR
bM G�ew.90+r+L[w' or
1691
SECuFUTY SAMOS BANK, SSB
EY COX SHALLOTTE, NC 28459
66-714312531
AGE RD 4/29/2010
`., NC 28470
$ *•200.00
DOLLARS 8 W
tir
is 2 5 3 L 7 L 4 30i: 200 LO 17 3 30,''