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Home My WebLink About55853D - HurleyiCAMA / ` DREDGE & FILL ENERAL PERMIT Previous permit# nNew ❑Modification El Complete Reissue El 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 I SA NCAC it Name P-, /1%1 /C "�4iZ L cry 54ftles attached. Project Location: County &[f NSW/clC 7 7 LL -rts1 : e 2)a, Street Address/ State Road/ Lot #(s) /2 L _S'OA-d 4 , p ey0' 11{ StateAY C— ZIP (�) 9 7 7— 3 S .3S' Fax # ( > Subdivision zed Agent CPA,* i � 49a 6 e.., City /411y ea q C 4 ZIP 21 A� ❑ CW NaW_ El PT.*- Cam- ❑ PTS Phone # ( )/a Basin L( A i ElOEA ❑ ❑ El HHF IH USA N/A Adj. Wtr. Body (f)r nRiver A O4,• A t V w (nat j ❑ PWS: ❑ FC: Closest Maj. Wtr. Body �1 w yes / PNA yes / Crit.Hab. yes / no r/ ,f Project/ Activity Jee Z,4 � Q X 1.5.. �,4 L- . r4 R, i *I 'Wd , �✓ Sg �» /CUo% (Scale:=. ock) length — — — -- --- — m(s) t i i - pier(s) �¢ ength — .ember _ ad/ Riprap length S ,g distance offshore _ L iax distance offshore :hannel ibic yards mp - X use/ Boatlift 3ulldozing 1�c�J9c0,.. ne Length not sure yes 4 f - gs: not sure yes mum: n/a yes elm yesf Attached: yes ling permit may be required by:P d Id Q j8Q,4c /` ❑ See note on back regarding River Basin i A/ , - ) - 7 W / J e w w _ _ _ f J n - / . -.,'I - C �U#Ve-✓ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to r„ f N �� s (Name of Property -Owner) property located at 1 907 Sa lk-( Ia ) finr (Lot, Block, Road, etc.) on , in _ MKS iA , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) ri�ry _ &W7 end q .. J r/.. h 141- �uh�C i)Oa-,r<�t1re_ 0 ____ __ _________________________. (Information for Property Owner Applying for Permit) 7� k�r JI't! Mailing Address 1/ J/ N J -------------------------------------------------------- (Riparian Property Owner Information) /�/� Signature U. 5 4u:, / RbC, IP'i' kla�lJ.at'Ij:kt DIVISION OF'C.:C.)AS AI. 1• AN.,%GUMFA-1 AD.) k('F;N Y RIPARIAN PRf)VERTY f)�/'`l+,R STATEMENT i I;,:rcny t:� t7i i�.t!t.li 1 ts;i•n Prctf:urly� :uij,tc�nr ka _.�.1.'_!�1/`1 7:� /}/_� � / j �Clf ! t° � �5 (Nato • tsi• Propurty 6,wner l ��rc•p.acv lrr;ttt1 at ... /.�.�::._ �'�±��T..�cCl_�.>'�C+.G._-,�t .�C... _ .._.._�...__.• (LuE, Block, R ad, rtc. •.,ii ... __._._...._... j�.._f-Cal•..• .E} /✓ ', (fit :slerlrody) ( Town and!or C ounh,) Applicani's NlailinprAddress: _...... 1-tc ,i ;e NIS tf; t ti!.uti to nic as :Atuwt. bu!ow List: deveiotsrat.nt h, ,j - p Jp . � _. _... . Sao 1C IS 7 tirn,� a Ii1Jil�:h,:filtrti, and I havc ns obit•c:ti,ms 11) the propneal. , DESCRIPTION AND/Olt i)!t<MING OF PIMPONF:I) IyH;Wta,()I'IIF:N`.I.: (hulividuul prupa;inl; derdvilme1r1 must fill in descriplir„r below or alluclr a site drawhig Ii you have (objections to what is heiug proposed, you nnsst notify Iht! Divisiou of Cnnt:tul i'vlanatrement (I)CM) in writm ; itiihin 10Jays of receipt of this ouller. Cnrr•e%poofence shoulit ire mailed to 127 Cardinal IIri%c Ext. Wiitniogton, NC 31CM reprewntativex eau also be contacted at (910) 796-721>. Hc� _,*jmnse iY CAmyidcrcil rl►e sate as noyble(.-tiar if You h,wc been noiifed t�y_t�� rtifird Maii (1'roI►esly U�vnur infortu ton) _..C'' .... . Siynatretuu� Print err Type, Kim , / -- M:tiling,Atfdrtss r 4I�ipatiu t O►t tit r "'nation) Q rn Print or'[ ype Nat Madin}, Addre:,..; Lki vIS. cIZip __... ..... r•..t.._t..__..!.r..__.t_ _ ci•..r e> 7 -f ] C-:;p c t`ity r t;dr / Zip -,..Y NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director Dee Freemai Secretar AGENT AUTHORIZATION FORM Date: V game of Property Owner App ing for Pe mit- Name of Authorized Agent for this project: �- A r PS Gig✓' �-��---�-L �-1-�--'�-1`� R .. 1 �.L _ __ �.._ Dwner's Mailing Address: 2 &ja3 Phone Number 9 3 5`3S Agent's Mailingk ress: z- Phone Number(OD-1.„ I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): (my property located) at �'1 G� ✓ This certification is valid thru (date) Property Owner nature Date /W licant: 0l-Ie3 �-�V/ZZ e,, Permit* cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat 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/c temp impact amount Dredge ❑ R1,121—Both ❑ Other ❑ Cr— 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 ❑ C MARK HURLEY 5 �� Ff 304 KIMBERLY E HURLEY 66-112/531 177 ELLERSLIE DR FAYETTEVILLE,NC 28303-5918 V J ®®a ® a , BRANCH BANKING AND TRUST COMPANY 1-800-BANKBBT BBT.com i:0 5 3 10 L L 2 1111:000 5 2 9 5 90 6 2 1011'0 5 30 4 0200001TRACK Pat-1 No.0361. 99 1.lWld Clarke VIE BRITT BROWN 2752 RALD L BROWN PH. 910-842-5685 66-112/531 RUFPLY, LN N P PLY, NC 28462 A 1 ".) -,--\ - 1 - f A,/, BRANCH BANKING AND TRUST COMPANY I11'I& 1-OW-BANK BBT BBT.com ..... D S 3 10 1 1 2 11:000S 2 144 2963400 275 2 ma