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Home My WebLink About55813D - Griffith..Pr -''CAMA / DREDGE & FILLI E N E RAL PERMIT Previous permit # New -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources ' Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC j Rules attached. nt Name { i T Project Location: County 59M Street A(,jddrees/s�/ State Road/ Lot `#(s) State ZIP g uys l D Dl4' q�Eet # ( ) 0 Fax # ( ) Subdivision 1,(d Sec (C,V S I�J�acIx, I ized Agent II 6 We city ✓v V F t ZIP d ElCW 4EW 'PTA ❑ ES -❑ PTS River Basin 1 ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 1 k nat ❑/PWS: ❑FC: yes/ / no, PNA yes no Crit.Hab. yes / no Closest Maj. Wtr. Body A Project/ Activity lock) length m(s) T pier - -- s) X �X 30 -4— length -. umber I :ad/ Riprap length vg distance offshore iax distance offshore channels ubic yards' - Imp _ Y _ ✓ Ouse/ Boatlift - NV I Bulldozing_ Igo Co✓w Z) ne Length — not sure yes no gs: not sure yes no Orium: n/a yes no yes no Attached: yes no ling permit may be required by: �7 (Scale: /U r15 tc,'Y+c ❑ See note on back regarding River Basin i ..J h{i t,.0 l��/ 1�r� •� L1� /i ' ...fin - - - -- - t, XAAL - Ag. 1 U itlti Kr t.. 'Llr 1 MZ V U 'LJ t P-W DIVISION OF COASTAL MANAGEMENT ADIACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of Coastal Management confirmation that a written 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 agent on behalf of the applicant. This form was sent to you by the following individual or company designated by the applicant as an F/aer: I^ N 3d Authorized ,Wt's Signature Name of Individual Applying For Permit:J117-1�!_11 641f'��%� Address of Properrv: �0 m ~ LJ� (Lot or Street, Street or Road) ,PAS (City and County) -I hereby certifv that I own property adjacent to the above -referenced property. The individual applying for this pern ::?gas described to me as shown on the attached drawing the development they are proposing. A description or drativir with dimensions. should be provided with this letter. 1 have no objections to this proposal. if you have objections to what is being proposed, please write the Division of Coastal Management, i Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of receipt of this noti No response is considered the same as no objection if you have been notified by Certified Nlail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set baci minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive setback, you must initial the appropriate blank below.) 4 i I do wish to waive the 1 5' setback requirement. 1 I do not wish to waive tl e 15' setback requirement. 4� • 'IL .. X,-Ji U - nr. 1 U MIN A _r-ir 1 MZV U LLJ ! _r_JJ DIVISION OF COASTAL MANAGEMENT DJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of Coastal Management confirmation that a written 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 agent on behalf of the applicant. This form was sent to you by the following individual or company designated by the applicant as an authorized agent: Name of Individual Applying For Permit: Address of Propem:� (Lot or Street =', Street or Road) r (City and County) I hereby certify that i own property adjacent to the above -referenced properr. The individual applying for this perry -has described to me as shown on the attached drawing the development they are proposing. A description or drawin with dimensions. should be provided with this letter. I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coastal Management, 1. Cardinal Drive Extension. Wilmington, VC 2805 or ca11910-796-7215 within 10 days of receipt of this notii ,.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 bacl minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. NI do not wish to waive the 15' setback requirement. . NCIDENR f�{nrih (`�rnlin� rlan,rfmnnt of I-n�Jirnnm••n+ r r .� Al ,+ r..l Ci ,r..., r,.,.� JYUtUI L/UJUJI11Ct L/UpOILIHMIL VI L_11VIIVIIHICIIL QiiU 14AtUI01 fIG0UU7r CJ Division of Coastal Management MichaBi F. Easley: Governor James H. Gregson, Director William G. Ross Jr., Secretary Date Name of Property Owner Applying for Permit: Mailing Address: ?Z2,,f b2 zg j I certify that I have authorized (agent) '/ C—Akj fv to act on my behalf, for the purpose of applying for and obtaining all CA l Permits necessary to install or construct (activi at (my property located at) This Yrfification is valid thru (date) C— 61 o� %Q Date I c ► --px �z�p-�Le iC Division of Coastal P49t, Habitat Impact Computer Sheet Dplicant: ate: 14l10 Permit #: 55?13 D ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement 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) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/o temp impact amount owDredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ 3 O 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 ❑ 14'r A- -.= /2-4 , n-0 PILINGS AND MORE JOHN CASSIDY PH: (910) 327-2009 169 LAKE HAVEN DRIVE SNEADS FERRY, NC 28460 PYdto—the)I o First Citizens rstca al ens.c P For A i:053 L003001:00L.5? L3 2?0 131" 5738 L9O i Vp 457 66-30/ 4 Uate $ ✓ U Dollars 12 COLONIAL IV