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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 IIIII� L D L4 L L6il' 2566