HomeMy WebLinkAbout55878D - FazzariCAMA / '❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
Yew (❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
Cbastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
nt Name lopq-4 A -z, A Project Location: County ;41ndc'r
s o2i(= (0 A f & 1 &A Street Address/ Sta�te`Roa�d/ Lot #(s)1.6
t IAiI �
4//4d/1 State N&ZIP VA 11IdP,[14 � !�'� �� �5v ,/-ac 1f
# (910) 3!�i- ZVFax # ( ) SubdivisionHV1641-6 111S �� —f P,/ L-4
ized Agent ,�1<�c,� Ja,c.� ( City a ZIP' , ��
❑ Cw Lfw L�'TA ❑ ES ❑ PTS iihone # (` I /y) �1��- "� �`1 g River Basin CayC
d ❑ OEA ❑ HHF :J IH ❑ UBA ❑ N/A , / I
ElPWS: ❑ FC: Adj. Wtr. Body yP o(A)A 1,6. �1-�L1[� (nat
yes / 00 PNA ye / no Crit.Hab. yes / no Closest Maj. Wtr. Body A!
A Project/ Activity )121 VATS �aa12 1 HOC 1�{ r�
(Scale: I
lock) length 130, X. (o — :. i _ _ - — -- i .
/I
•m(sl ��� fC I eL , ! hd =� 7K t t!-!=
length
camber
:ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ubic yards
amp
)Us Boatli
Bulldozing
) F►oai-- -U vl '
ine Length " 1 Dy
.not suro' yes no
,gs: not sure yes
xium: n/a yes o
yes o
r Atta j d: no
ling permit may be requirec
be'nc,ht.
r -
MW
by: �r^P-r t .Cj . ❑ See note on back regarding River Basin
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SEP-24-2010 FRI 10:16 AM FAX NO. P. 02
VISION OF O S
ADJACENT RPARLAN POP OWNER
NOTIFI ON/G�
Name of Individual Applying For Permit: _ rm
Address of Property:
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The indivi
applYing for this permit has mribed tame as shown on the attached drawing the development
are proposing. ,4 des iori or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co tal
Management 127 Cardinal IArive Extension, Wilmington, NC 28405 or call 910-796- 15
within 10 days of receipt ofthis notice. ,No response is considered the same as no objecti n if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, brenh- water, boathouse or boat lift must b set
bck a m1himum distance of 15' from my area of riparian access - unless waived by me.. (Z •ou
wish to wai' a the setback, you must initial -the appropriate blank below.)
I do wish to waive the IS' setback requirement.
I do not wish to waive the 15' setback requirement,
14
Sign ame C Date
Print Narae
Affl *A
IQ q71-3 2_k
Telephone Number with Area Code KDENK
aMnwerr Iwo H.u� ream
FRX NO. : 9103920572 Mar. 26 2008 10:41PM P2
CE.RiIkIk1JNIAIL-RE1URN Icl✓t_.k,ly1_.KL'VUE51Ell
DIVISION OF COASTAL MANAGEMENT
ADIACENI T RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORIvf
The purpose of tnis form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below. The LAMA General Permit application procedures require that applicants provide the Division of
Coastal Management confirmation that a wrinen statement has been obtained signed by the adjacent riparian property owners
indicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine
contractor or other individuals acting as an authorized went on behalf of the applicant.
This form was sent to you by the following individual or company designated by the applicant as an
authorized went:
ISCIAZA
Aa rued ent'S Signature Dad
Name of Individual Applying For Permit: 7_0�Ilv �tiz._—
Address of Property:
(Lot or Street R, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit
has described to me as shown on the attached drawing. the development they are proposing. A description or drawing,
with dimensions, should be provided with this letter.
✓f / I have no objections to this proposal.
If 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 if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back a
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive the
setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I d not wish t waive the 15' setback requirement
----r'�F . ---
IC Division of Coastal Mgt. Habitat Impact Computer Sleet
i�
aplicant:. 1 {�y► ���
ate:
LI/ 301co
Permit n 5r✓g�8
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
fund in your Habitat code sheet.
abitat 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)_amount
FINAL Feet
(Anticipated fin
disturbance.
Excludes any
restoration anc
temp impact
O�
Dredge ❑ Fill ❑ Both ❑ Other ❑
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l
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 ❑
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A WONDERFUL LIFE MARINE CONSTRUCTION
4522 DEAN DR 1010
WILMINGTON, NC 28405-2402 66-112/531
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PAY TO THE ��C � % Kd Q DATE
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B.auriiy
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