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Home My WebLink About54451D - DempsterCAMA / ❑ DREDGE & FILL 'ENERAL PERMIT New ❑Modification ❑Complete Reissue El Partial Reissue Previous permit # Date previous permit issued -ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached : Name Ishii- Salem 4StateAtc_ ZIP�-410 (3e)g22 -1ySq Fax # ( ) ed Agent 1 Y11 M J NJ G V ❑ CW C)JI`W PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: Project Location: CountyN44 �AiUVCY- Street Address/ State Road/ Lot #(s) Subdivision [, City I , I n ZIP_�; �- Acne#(� River Basin l Adj. Wtr. Bo Ra iA C G 11 {- (nat /n Ail y=/ no PNA yes �noJ Crit.Hab. yes / no Closest Maj. Wtr. Body L'� Project/ Activity __A :k)length (s) ier(s) ngth nber i/ Riprap length distance offshore x distance offshore cannel sic yards 1p se/ Boatlift "V 173 ulldozing NOME ■■■■■■■■■■■■■■M .:r�,■■■■■■■■■■■01 r (Scale: I // 5 ❑ See note on back regarding River Basin rt kDfi �,.�. C. k cf C^.�stal Maitiager'e�t Authorlxec4. Agent Consent Agr@DMGnt ,ti;v ar•; G ��-- -`L w $ heresy � t"or�z� : !a act on my t U! ngjy�l:� tr�E! �l�hPi�.;r Ilstej nqIUw, 'he c•t�UZl�,y Zl�<ifl�1 1g lif". i �pr to a,.!6in �ryy ^ a p •m`r:s° r��.�'�� `�' e-.ific activities 0e5jcr,aaa i^ ?he atiazned 5naic." )CATION OF pROJECT: :r.'OP`i:RTY OWwER MAILING AGGRESS. 2c- '-\2 vz.c :,UTHORIEO AGENT' MAILING ADDRESS' in Ge rrrL.. PHONE NO !2LO-- i._Rip�iti�r. w 1 F'_,TY 0V,1,rNr'L.R t`v( s,FI i.�..FORNMr Name of'.nd.,vidu«i Applyir:a Tor ?erm,it:._ Address of Property: (7,ot or Street ';; Strom or Road) ;City and Cc anti ? T hereby ce-ify that I own pro;e:-ty adjacent to the above -referenced proper:y, The indi`° apply"i }g for iris permit has des.=.bed to me as shown or; the Aached drawing the deveiopmer► are proposine, A des5;iptic or C'm- ping; with dimensions, shouid be provided with this lets I have no objectlorc5 to t?^las riopOS1i. If you have objections to what is being prcposed, please write the Division of Co Management, 127 Cardinal Drive .Extension, Wilmington, NC 28405 or call 910-796- within 10 days of receipt of this notice, No response is considered the sam+. as no object you have teen notifled by Ctrtifed Mail. WAIVER SECTION I understand that a ;crier, dock, mooring pilings, breakwater, boat house or boatlift must' bek a minimum distance of IS,' from my area of riparian Ac ess - unless iva ived by me. (l wish to Nv,,Ive the setback, you must initial the appropriate blank below.) I do wish :o %vaive the 1 S' se,�Cack requirement. I do rye �A ish to waive 15 setback requirement. Dwte rIKX31FA -EO u� i Nar~,e o`:nuividual apply ng "or Permit' Address or Prope -ty. (Lot or Street *,'Street or Road) (City and Cc unty; I hereby ce-::`}, that I ov n property adjacent tc t %- above -referenced croper.:y, 'he indiv applying fo,, :his permit h1s describ.-d to nae as shown on ti:e &-ched drawing the deveiopmen, are prop osinge, A dlescri tion or `ra- wing, with dirnensions, should be provided %vith this lerta I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Co Management, 127 Cardinal Driti-e Extension, Wilmington, NC 28405 or call 910-1746- witbin 10 clays of receipt of this notice. No response is considered the sarni! as no object. you have been notified by C'ertifled Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse or boat lift must 1 bek a minimum distance of 15' from my area of riparian access - unless waived by me, it wish to w4,ive the setback, you must initial the appropriate blank below., I du w,sy tc ti� give the 1 �' SC,�aWic requireinenC. I t;-iS to ;naive t?:e ; setback renuiremen:. 72,1��/( . Sign ?�amU Date AMX- WA Division of Coastal Mgt. Habitat Impact Corm -.Lida Sh aea cant: / t Dt4ys�ty- - Permit #: 5� l V 3/3cibo 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 tempimpacts)impact FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) W 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 1711 COASTAL MARINE PIERS & BULKHEADS LLC NCDL 3831595 6314 WRIGHTSVII..LE AVE 910-256-6357 WILMINGTON, NC 28403 DATE ' zl� ORTHEPAY � DER OF - -�� WACHOvia Wachovia Bank, N.A. wech`ov�ia.com FOF P 5gia -pc !�:f- II.O 169891I' i:O S 3000 2 191: 2086 170 89 II'