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Home My WebLink About48263D - ParkCAMA / DREDGE & FILL 'ENERAL. PERMIT Previous permit # slew - -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 LJ Rules attached. Name / yj UW4 �� ` Project Location: County A) C A.( Street Address/ State Road/ Lot #(s) / (1 i�Ll I 'D� _State ZIP 2 [�' t (1 L /1�NF� "C/ F nL ( )j %0tFax #(_) Subdivision �/f N/)FL fir% . 7 City W I t YV ZIP L ed Agent � /"� � i � � + /� / % --- ❑ PTS Phone # (_) River Basin ❑ Cw O Ew XX p ❑ ES ❑ OEA ElHHF ElIH ❑ UBA ❑ N/A Adj. Wtr. Body J'i2 /yy " (�na4�f ❑ PWS: ❑FC: Closest Maj. Wtr. Body yes / no PNA yes / no Crit.Hab. yes I/ no _1 F Project/ Activity :ck) length T n(s)—-- r _ i I � i )ier(s) — -- - — - — -i ength , ember__ ad/ Riprap length I j ' ig distance offshore — - iax distance offshore — - --- - �_ , r channel ; ubic yards amp — ruse/ Boatlift Bu�lld`oziinngg �7 rWr,IC.t�- _ ) z ,line Length -- not sure )ags: not sure torium: n/a x: er Attached: (Scale: / ❑ See note on back regarding River Basii / - ildino permit may be required by: I L1v 1�i1UN Uk COASTAL MANAGF-'%TP, T AD:ACENT RIPARIAN PROPERTY QWNEt NOTIFICACIN/W.'�ypp FORJV= Marne of Individual Applying For Permit: Adcress of Property:l�,+'��Z 1�8�+f�►i? (Lot or Street, Street or Road) r' Lim. -,. (City and County i hereby certify that IF Own property, a4jacent to +die above -referenced property, The indivi-ry�< appleing fcr this penTrut has described to.rne as sho-wn on the attached drawing the development the are p-oposing. a escrivtion or drawing, with di•ncnsion s, should be provided with t :is letter. " I have no objections to this proposal. If you have oYctions to what is being proposed, please write the Division of Coast- h1: na;ement, 127 Cardinal Drive Extension, 'Wilmington, ltiC 2$4C,; or call 910-796-721 within 10 da�i of receipt of this notice. No response is considered the same as no objection You have been notified by Certified Mail. `'dAIVER SECTICN I understand that a pier, dock, mooring pilings, breakwater, boat house or boat iifr mutt be s� b6z a minimum distance of 15' from my area of riparian access - unless waived by me. (Is yo wish to v,-aive the setback, you must initial the appropriate blank: below_) f� I do wish to waive the 15' setback requirement. ILI'I a ^ot wish to waive :he 15' setback -equireme-a-- r z3-/I an e Date 't 0 SIC e Priat Dam' 9 - (off T 4etephone Number with Area Code NCDENR •%JZJL'SVLLY 1 XUZf%..\,LJ-Uy r "%J i:,1, 1 1 4J YY. N F. \ 1'4 I.J ' 11 1�..:'� 11'J1z� rr 1-�.�. • �i.� i vsv�+. ' me of Didividual Applying For Permit: ,m Ad�!ress of Property: % (Lot or Street 9, Street or Road) rya W\J 1 r)tl z- (City and County) I hereby certify that I own propemr adjacent to the above -referenced property. The individual appl}1n3 for this permit has destrbed to.:ne as shown oa the attached drawing the deveiopmeaT the, are proposing. A desc-nptiori or drawing, with dimensions, shouid be provided with this letter. I have no objections to this proposal, If you have objections to what is being proposed. please write the Division of Coasta Management, 127 Cardinal Drive Extension, 'Wilmington, NC 281?05 or call 910-7r96-721 within 10 days of receipt of this notice. No response is considered the same as no objection 1 you have been notified by Certified Mail. NVAIVER SECTION I understand that s pier, dock mooring pilings. breakwater, beat house or boat lift must be s bck a minimum distance of 15 from my area of riparian access - unles$ waived by me. (If-v( wish to waive the setback, you must Initial the appropriate blank below.) I do wish co �v aive tl-,e 1 S' setback rcquS reme►ii. I not wish to waive the t 5' setback requirement. Sigr.iyame Da:: Print 11.� ; arn1 NCDENR • . r Teierhone Number with Are& Code A MA N %D IR North Carolina Department of Env`ronrnent and Natural Resources Division of CoastaWanagement Beverly Eaves Perdue James H. Gregson Govemor Director Dee Freeman Secretary AGENT AUTHO 67-ATIQN FORM h Cate:.' V-16i Name of Property /owner ..� Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Acdress. A ant's MailingAddress: Phone Number (qto) Phone Number (?%G� I certify that 1 have authorized the a5ent listed above to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to Install or construct the following (activity). (my prcperty located) at This certification is valid thru (date) �-,C.", :5Q" 3�z3�tO Property Owner ignature Date NCDENR� North Carolina Department of Environment and Natural Rescurces Division of Coastal Mar:agQment Michael F. EastsY, xvernor James S. Gregson, Director 4Vrliiam G. Ross Jr„ Sa, Authorized Agent Consent Agreement b` is hereby authorized to act cn my cehG (Prinle Name ofAgal-0 in order to obtain ar.y CAMA permit(s) required for the prcporry i;sted below. The authorizatacn is i,mited to spec! -'lc aclivities described In the attaches sketch. I CCATION OF PROJECT: PROPERTY OWNER MAILING AQaRESS: AUTHORIZED AGENT MAIL(NG ADDRESS: PHONE NO.?ZV — PHONE NO $iy^^nature of Properly C)wner: Signature of Authorized Agent: D Date: 7 c�J"fv IT7 Cardinal Or.ve Ext-, 01mirctan, North Cannlina Adil..5:1Rax 3 MII n ci a N I IV / �. .- i I Q C Division of Coastal Mgt. Habitat impact Computer Sheet 3plicant: M00#J P ate: 3 jl a lZa below the HABITAT disturbances for the application. All values should match the name, and units of measurement escribe Fund in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fina DISTURB TYPE Disturbance total includes any disturbance. Excludes any Disturbance total includes disturbance. Excludes any labitat Name Choose One anticipated restoration any anticipated restoration and/ restoration or and/or temp restoration or temp impact temp impacts impact amountL temp impacts amount Q Dredge ❑ Fill ❑ Both ❑ Other W Dredge ❑ Fill ❑ Both ❑ Other 10 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 ❑ d❑ Dpillo Fill ❑ Fill ❑ Both ❑ Both ❑ Other ❑ Other ❑ ❑ Both ❑ Other ❑ l ❑ l ❑ Both ❑ Both ❑ Other ❑ Other ❑ ll ❑ Both ❑ ❑ Both ❑ Other ❑ll Other 0 DELTA DOCK & BOAT LIFT 402 AQUARIUS DR. 910-686-9700 WILMINGTON, NC 28405 - '40 ?- -�'br •m 66-30/531 II t"'l 365 DATE $tad AlPAY TTo THE P ORDER O c DOLLARS c First Citizens� 4Ss2b3 R Bank .com firswitizensU c s FOR AI 1 112001310 8n■ 11:0 53 L00� 00��'99 L 504u■