HomeMy WebLinkAbout48264D - FerrellCAMA / DREDGE & FILL �/�-
'ENERAL PERMIT Previous permit #
Jew - Modification .—complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC`Rul s attached.
Name "V iM )— 1, Project Location: County S b
—
U Street Address/ State Road/ Lot #(s) %
uO State N ( ZIP
10 r 6Z~ `J Fax # (_) Subdivision
w� >F Izip-
IL z �4
Bd Agent City
❑ c�nr EwA SzrEg ❑ pTs Phone # (� I �) Z b Z �Z qiver Basing
❑ OEA ❑ HHF ❑ IH /❑ UBA ❑ N/A Adj. Wtr. Body $ A 1 WIN) (nat
❑ Pws: ❑FC: TOP SA l SDytsJ
Closest Maj. Wtr. Body � l)
yes /" no PNA es / no Crit.Hab. yes
' Project/ Activity
ck) length S X
'(s) 3 2'
angth
imber
id/ Riprap length
g distance offshore
ax distance offshore Al
hannel
ibic yards
mp
use/ Boatlift
Bulldozing
�'tA 2-
iAT-, ✓✓'u
0#1 Ex l
ine Length
not sure es n — N`
i
y
ags: not sure yes n
`I
orium: n/a yes no,
s: yes /no
r Attached: yes no
ding permit may be required by:
—2.
(Seale:
x t-fI
E See note on back regarding River Basin
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
hael F. Easley, Governor Charles S. Jones, Director
Authorized Agent Consent Agreement
William G. Ross Jr., SE
' 1 4l- u is hereby authorized to act on my beh
(Printed Name of Agent)
der to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tc
;ific activities described in the attached sketch.
:ATION OF PROJECT:
)PERTY OWNER MAILING ADDRESS:
65 PHONE NO.— 9
THORIZED AGENT MAILING ADDRESS:
L
c a,
E2,)X aZ
CV �c ziw<
PHONE NO.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OVINERNOTIFICATION/WAIVERFORM
dame of Individual -Applying-For-Permit:
hddress of Property: v 4 S -7
(Lot or Street #1, Street or Road)
14. C N�
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development tl:
are proposing. A description or drawing, with dimensions, should be provided with this letter.
k
I have no objections to this proposal.
J�
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 2S405 or call 910-77Gto
within 10 days of receipt of this notice. No response is considered the same as no objectiol
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse or boat lift must
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you wish to waive the setback, you must initial the appropriate blank below.),
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
C2-1"?-0(7
Sign Name
Date
� i6
Name Qr_L.diduai AnpyinQ�'or nern^:,..
Address of PI-opercy:_ 70 `t
(-rv\ _
(Lot or Street , Stree: or Road;
C;
(City and Couniy;
rti
�L"q
I hereby certify that I own property adjacent to the above-referencedproperty,T
applying for this permit has described to me as shover. on the o The ind vid
are proposing. A description or drawing, with dimensions h �d drawrj�g�e develcpnlent tl
/ � lr. be provided witL th:s letter.
I hav- no objections to this proposa:.
If you have objections to what is being proposed, please write the' Division of Coast
Wanagement, 127 Cardinal Drive Extension, Wilmington, NC ZW5 or call g10---Ir-lac, -
vithin 10 days of receipt of this notice. No response is considered the same as no objection
rou have been notified by Certified Mail.
�SOM��llilits,
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must 1
et bek a minimum distance.of 15, from my area of riparian access - unless waived by me.
'ouu wish to waive the setback, you must initial the appropriate blank below.) .
V ` I do wish to waive the .15'
setback requirement.
I do not wish to waive the 15' setback requireinent.
Division of Coastal Mgt. Habitat Impact Computer Sheet
)licant: -rom rEq-z— L�
e: If f U( �Zojo
for the application. All values should match the name, and units of measurement
scribe below the
HABITAT disturbances
ind in your Habitat code sheet.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
TOTAL
Sq. Ft.
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE Disturbance
total
disturbance.
Excludes any
Disturbance
total includes
disturbance.
Excludes any
abitat Name
Choose One
includes any
anticipated
restoration
any anticipated
restoration
tempmp
restoration or
temp impacts)
and/or temp
impact amount
restoration or
temp impacts
amount
OwDredge
❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ FiIX 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 0
LIGHTHOUSE MARINE CONSTRUCTION
P.O. BOX 2532
SURF CITY, NC 28445-0028 DATE
PAY
TO THE
ORDER OF
4' 6 -%0
3750
66-19/53C
$
/O0 - OLLARS 8
BankofAmerica���
ACH R/TT 053000196
FOR (.LP '48964 (C)n --
n5003750u' i:0530001961: 00065131L36WO