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Home My WebLink About54599D - MasseyCAMA / DREDGE & FILL P� • 3JENERAL PERMIT Previous permit # el�lew 7Modification Complete Reissue El Partial Reissue Date previous permit issued wized 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 ❑ Rules attached. it Name (Ij% H'1, Project Location: County � Street Address/ State Road/ Lot #(s) �✓%Gbkyd +I! &4(stateAr ZIP_ Cf&Se 41 e, ()�/`, Fax # ( )'� Subdivision ,_._ zed Agent L%DW h .TD�'►� S City s� ZIP ❑ CW p•EW UfiTA ❑ ES ] PTS Phone # River Basin C _ii� ElOEA 1-1HHF ElIH ElUBA El N/A 1 _ —` f ❑ PWS: ❑FC: yes /,fio ' PNA yes / /no f Project/ Activity T: Eck) length :ngth tuber d/ Riprap length g distance offshore uc distance offshore cannel bic yards np ise/ Boatlift ulldozing e Length I12K not sure yes no' _ s: not sure yes ium: n/a yes yes n . \ttached: yes L Adj. Wtr. Body ✓J�'l / i,Kf / (nat Crit.Hab. yes / no Closest Maj. Wtr. Body r<«iY iI, ii (Scale: � ig permit may be required by: T®!y/�/ %� . ❑ See note on back regarding River Basin rL t NCDEN North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director Dee AGENT AUTHORIZATION FORM Date: "7 i 1 Name of Property Owner Applying for Pen -nit, Name of Authorized Agent for this project: • rA• ^passe- �'� K_ _ �� ..� �san � Owner's Mailing Address: Agent's Mailing Address: _454 Caacsew �D� .$� _NC 219486 K_3,0.._ s t Phone Numbr (qlo (2)910 '2 a� Z�Sg Phone Number -Z cz C q9 g, 1 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): I ff (my property located) at _ -4-�,e p r' hI o—� This certification is valid thru (date) (t i w •w, . ,M orn.�.c� �', C � Cr(Zs zo i C� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR .A PIER/MOORING PILINGSBOATLIFTBOATHOL'SE) I hereby certifv that I own property adjacent to W . M . 0 q SS P sA a-%" • 's (Name of Propert Owner) property located at 4 Omm se W o vA -D�r (Lot, Block, Road, etc.) on O�Ia S C hime ,in Igo 12>t0A N.C. (Waterbody) (Town and/or County) Cl 81,5 Applicant's phone #: Ct 16-Z5(6-46ft Mailing Address: CaAsf L�,, .AEG, . 1 AJ C. z P, 4g d He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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.) O-C F I do not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: O��(pT(o be filled in by individual proposing d/evelop/�ment) CC D / I / c� e- c c c • (�✓ i t i h '}'tt v G 'f�r �,��% c t G?C i s� --------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) ADJACENT RIPARIAN PROPERTY OlvV ER STATEMENT (FOR A PIERIV100RLVG PIL1JVGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to `_� .��^w,5 �ti. 's (Name of Property Ow er) property located at t1+,� 0►i s`x� {-w•1�.,SPs �r�. `'�.+s�ct�u 41: Y (Lot, Block, Road, etc.) on 1td',�:9� "v�r� , in �.r, Wit. ,z:�. i-;ta<<r ;N.C. (Waterbody) (Town and/or County) Applicant's phone ¢ "11Mailing Address: 'iiC00 Qr , oil V4 a" A sv��l� ��►c�► ono C— He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive / - I do wish to waive that setback requirement. ------------------------------------------------------------------------ -------------- ----------------------------- DESCRIPTIO V ANDiOR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ii5 Ca 'RPPI czar mf' . .�v /n5:�c%� G. �G,�1"1`i�n C�` ij1,t\,.^s� Fes+�er )- 'I k�3 �a:1ij',,.r 6✓�,�� react P r c- ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 4(Rb Mailing AddreSs Signature � , \r, - P�., e,. to r Sk 4 skn I tM 0 Irl Xj 5 0 so)3 NC Division of Coastal N19t. Habitat Impact Computer Sleet tM ApoiicanW r ' w' 5z-'Z� S V'017 ]2*;V54� Permit Date: 0 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurem, found in your Habitat code sheet. Habitat 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 Fee (Anticipated disturbance. Excludes am restoration a temp impact amount) �/✓ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other 171 A WONDERFUL LIFE MARINE CONSTRUCTION 4522 DEAN DR 66-1/2/531 WILMINGTON, NC 28405-2402 Vi0 DATE PAY TO THE D E I N I $ a &j ORDER OF / d ��. OLLARS 8 BRANCH BANKING AND TRUST COMPANY 14100-DRANK SOT BBT.com /yj. yt'� Q(t"'1 � � L••fit NIP �� 1:053 10 L 12 11:0005 L044690toS"m L 06 N.n.�d clan.