HomeMy WebLinkAbout54431D - DunnCAMA / DREDGE & FILL [
EN'ERAL PERMIT Previous permit #
-'New - ,Modification [-]Complete Reissue El Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources �� /� U
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
LL]'Rules attached.
It Name ; /~ ri y 3&,,.r Al Project Location: County X9 4 N s w.0 C Ile
t / S W G✓l��i 9� .f Street Address/ State Road/ Lot #(s) s/9/�j1
U State YC _ ZIP 2 7 Y� 2-
E Fax # ()
ced Agent ail✓. 2)4/ rv' n/
CW _iEW UPTA DES ❑PTS
C OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
C PWS: ❑FC:
yes / no PNA yes / no ) Crit.Hab. yes / no
Subdivision
city .S L zip
Phone # ( ) River Basin
Adj. Wtr. Body 47/ L✓ G✓ 'a4
Closest Maj. Wtr. Body t,9 /
Project/ Activity/ r► �Uy�L, �� fy �jl /S'�. ��
yti C ,C d !L P d P C c �i P , CO- fZ-197 4,e ,#i
(Scale:
length
lumber
ead/ Riprap length_
ivg distance offshore
nax distance offshore
channel
:ubic yards
amp
Ouse/ oatli
Bulldozing
ine Length
notsure yes no
ags: not sure yes no
:)rium: n/a yes no
yes no
Attache yes no I
ling permit maybe required by: uvSwAC/�u`. �i ❑ See note on back regarding River Basin
Ac
DENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ly Eaves Perdue James H. Gregson
nor Director
AGENT AUTHORIZATION FORM
of Property Owner Applying for Permit:
ing Address:
MI°1 SvJ �►lUuw► �I —
Dee Freeman
Secretary
"Z,
ne Number: � 10 � �
�rtify that I have authorized (agent) � to act on my
►alf, for the purpose of applying for and obtaining all CAMA Per its necessary to install or
►struct (activity) h
;my property located at) 1
ScpP
its certification is valid thru (date)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: _ �'_1'1 A�A/^--
Address of Property:
(Lot or Street #, Street or Road)
(City and'Count�)
I hereby certify that I own property adjacent to the above -referenced property. The ind
applying for this permit has described to me as shown on the attached drawing the developme
are proposing. A description or drawing, with dimensions, should be provided with this le
_4�_I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79
within 10 days of receipt of this notice. No response is considered the same as no objei
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
C �'Y1/L I do wish to waive the 1 S' setback requirement.
Sign Name
I do not wish to waive the 1 5' setback requirement.
Date
3
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
lame of Individual Applying For Permit:j�r ^; t J'V
kddress of Property: 5
(Lot or Street #, Street or Road)
(City and ounty) '
hereby certify that I own property adjacent to the above -referenced property. The individual
ipplying for this permit has described to me as shown on the attached drawing the development they
ire proposing. A des ription or drawing, with dimensions, should be provided with this letter.
f I have no objections to this proposal.
:f you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. No response is considered the same as no objection it
(ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
25
)ck a minimum distance of 15' from my area of riparian access - unless waived by me: (If you
vish to waive the setback, you must initial the appropriate blank below.)
I do wish to Nvaive the 1 5' setback requirement.
)ign
I do not wish to waive the 1 5' setback requirement.
/0 C;;zUJC)
Date
'N_____- ,.T_ _
�-_-Rio MW JOB
-_ Zw/ g (,// J
_ = SHEET NO. � � �� ,e� =
CALCULATED BY _DATE may/
CHECKED BY DATE // 2 I
SCALE
V _I- J,
i
cant: /fi /7i 1)4(
Permit #: 1—q V 3 J .—J,)
ribe 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
2'V
2
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 ❑
JAMES WALTER DUNN JR 25G6
PHYLLIS KIMERY DUNN
PH.910-439-5862 66-112/531
2760 L4
SUPPLYY,, NC NC 28462-2-2446
BRANCH BANKING AND TRUST COMPANY
1�00-BANK BBT.eom
1: 53101L20:0005L025
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