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Home My WebLink About54530D - Martin!CAMA / ` DREDGE & FILL 3ENERAL 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 :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC [4Rules attached. t�Njame ,J /12 �,.0 � ,�.c�T Pa.•�'� �S�A'� Project Location: County 3e LlOJ-5w�C& / G PaQr r�: . t t'9 t sx�. � CG a e- Street Address/ State Road/ Lot #(s) 3 �/ 1 �/�,✓� lJ Ot ems+ CC a State.SC. ZIP 25. �f5 ax # ( ) Subdivision ed Agent Coil a%1 OVO,Q e city zip �� ZIP .2 ❑ CW DEW C-PTA IDS ❑ PTS Phone #v(- ) River Basin �1 ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body El PWS: ❑FC: �/ w �✓ yes A PNA yes / Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity 1 r 7 :k) length I [ r ,!m i(s) C4 1 ier(s) ngth nber i/ Riprap length ;distance offshore x distance offshore annel iic yards ip o $p tlift� illdozing a.- i Length not sure yes no not sure yes um: n/a yes Co' CP no ,ttached: yes ig permit may be requirec VLiu 4tyO G yr /�i4a P/ Z (Scale: ` � A� V-A& North Carolina Department of Environment and Natural Resources Division of Coastal Management 3everly Eaves Perdue James H. Gregson Dee Freei jovemor Director Secre AGENT AUTHORIZATION FORM ate: JT / ame of Property Owner Applying for Permit: U1*4 i, �� - 7612N TZr//,/) ailing Addr ss: S'� lone Number: ;ertify that I have authorized (agent) 2L� YX44t2E to act on my :half, for the purpose of applying for and obtaining all CAMA Permits necessary to install or instruct (activity) (my property located at) All*, lis certification is valid thru (date) 3� D I 5 / /D Mori�j Q��ti 6e,4ew opud Llft 308 sq' 170 sq' 530 sq' 4-o bz re,Nw� 11, b bu-2 VtA- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PLF"OORIIYG PILWGSBt1O`AIILF/fIBOATHOUSE) I hereby certify that I own property adjacent to W/ /�/ Acs3 's (N��Property Owner) property located / -* i /P. (Lot, lock, Road, etc-) on '7—,�, V V , in lzorvskv I CSC- , N.G. (Wate�[y) (Town and/or County) Applicant's phone #��_ Mailing Address: Fi,,e�IZa �� ; SC Z /� S-O/ He .has descn-bed to me, as shown below, the development he is proposing at that location, and, I have no obiecfions to his proposal. Iunderstandthat apier/IImoring pilings 16oatlift /boathouse must be set back a minimum distance of fih= feet (151 from my area.a 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 ttt DLSCRIP iZON ANDIOR DRAWNG OF' PROPOSED DEVELOPMENT: (To be filled in by bwWC &ual proposing development) (Information for Property Owner Applying for Permit) 7/,) / & �& d *2:�- Mailing Address r-- &,eae'- - (Riparian Property Owner Information) n signature ►b bLia Vtii- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIEP MOORING PILINGSIBOATLIFTBOATHOUSE) 1 hereby certify that I own property adjacent to 14111�VIAIf4l �✓�^ s (Na a of Property Owner) property located at ! / dV%" a �� i vie✓2��" ` rDe v /VL- (Lot, Block, Road, etc.) on �G l�V , in 'e 1^ifC�� , N.C. (Waterbody) (Town and/or OTUn Applicant's phone #`f3 is—�oS 5 `f 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. 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. DFSCRIPTION AND/OIZDRAWING Ok PROPOSED DEVELOPM NT_ (To be filled in by individual proposing dewlopmenf) (Information for Property Owner Applying for Permit) 70/ ��Z�wC��rr✓ �d ✓� Mailing Address sec �I 64 40 N � ter., (Riparian Property Own ormation) �,1 Sri ] re Division of Coastal Mgt. Habitat Impact Computer Sheet )licant: Sv �%fI2 f ,� Permit h /a scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen ind in your Habitat code sheet. bitat 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 fin< disturbance. Excludes any restoration and, temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other VJ 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 0 Other 0 1551 WATERWAY CREATIONS LLC 66-112/531 405 STONE CHIMNEY RD SW BS. 910-619-0655 �� SUPPLY, NC 26462-2662 —0Date P Yto theIs j order o Dollars W8R"jH=p�� or i:053 LOLL 2 Li:0005 294 29375411'0 L55 L