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Home My WebLink About54550D - Riley(CAMA / 1 DREDGE & FILL 3ENERAL PERMIT kNew ❑Modification 'Complete Reissue ❑Partial Reissue Previous permit # Date previous permit issued 54 rized by the State of North Carolina, Department of Environment and Natural Resources .oastai Resources Commission in an area of environmental concern pursuant to 15A NCAC {QKRules attached. t Name IL Project Location: County ' ; I.L l 0 Street Address/ State Road/ Lot #(s) 570 1wi J - - State" � ZIP �,'U. S Y�-4 (10) ' Fax # () Subdivision N ed Agent n1 4 W n City. ZIP_ 2 ❑ CW *W � )PTA ❑ ES ❑ PTS Phone # �) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A - El PWS: El FC: Adj. Wtr. Body nat r yes no PNA yes no Crit.Hab. yes / no Closest Maj. Wtr. Body L� ' Project/ Activity =k)length (s)10 ;X I o � I� ier(s) X x igth nber I/ Riprap length distance offshore x distance offshore annel iic yards ip se/ Boatlift� dldozing Length not sure yes no not sure yes no _ um: n/a yes no yes no ttached: s no I ig permit may be required by: --___. - -- ''] 11 I iLCT 1( 1 1 LF ._ 1 _ i (Scale: I // ❑ See note on back regarding River Basin ru t � i :SEASHR I CONSTRUCTION FAX NO. :910 329 3040 May. 27 2010 11:51AM P4 PZ A PWA CDENR North Carolina Department of Environment and Natural Resources Division of Coastal. Management Beverly Eaves Perdue James H. Gregson Governor Director Dee Freemar secretary AGENT AUTHORIZATION FORM Date: 6 /a Name of Property ner Applying for Permit: Name of Authorized Agent for this project Owner's Mailing Address: Phone Number (q 10) I n -9C LYS Agent's Mailing Address: t Phone Number 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): OF (my property located) at cto Thi rtification is valid thru (date) ,�— t �5;-K`o Prnnprty 0wnPr . nnaturp nato M :SEASHELL CONSTRUCTION FAX NO. :910 328 3040 May. 27 2010 11:50AM P1 P� :SEASHELL CONSTRUCTION FAX NO. :910 328 3040 May. 27 2010 11:50AM P2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOQRING PII.I-NCS/BOATUFTJBOATHOUSE) I hereby certify that I own property adjacent torl� ame of Property Owner) property located at O 7- (Lot, Block, Road, etc) in (Waterbody) (Town and/or County) T Applicant's phone 0601210—f Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and,1 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 (1 S) 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 dq not wish to waive �do wish to waive that setback requirement, ---------------- ----------- ------------ --- --------------------------- — ---- -- --- -- --------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by iriulividual proposing developmenf) (information for Property Owner Applying for Permit) �� Rd doi 132 Mailing Address ZI)IIn7rr a-Y6 , AU. (, VUb DC>-- /c lq,(u f6 (Riparian Property Owner Information) Signature SEASHELL CONSTRUCTION FAX NO. :910 328 3040 May. 27 2010 11:51AM P3 MOM FA,� 40 3-1; to A. 24 Re: 0 73 A*jAMff WAgl,%N ftoMly oWnit STATPMT Mt* A PnmwooAoW MPAW&JIUMOAMMM I booby ow" 691 O"Pqpim skw-mv to 12 pf"m fD 0 (TOWS A~Aj- 1 pbfts kk km damwiNdia hm do c6ja4M 10 hie pqmul I wAmOW tot a pm&mV6tj plVap i bcWft/ be. cUe UA.bs 0 but a taro w= dhawA 0iftum tm (I T) ham my an of F*isu now WAW w"byern, (Ilyn wkAtm o*o 6s metbuk, y" out it ift qqnpb* Mw& b") Ofig wiA a miv. dw Wb,& mqkltwmL bxmnmrr*m Amum viuwft OF P90powl) mammm. (D koulf in ky bam"fift"Aws dewl"p-mv LWg— o0ve—.P—', 70' 41 ff7-. t4l-),O FLM-7'IlJc- --- .. . .............. . . ('**matww. in ter Mrmira PnW of Niffo ay�t nu VMS M :SEASHELL CONSTRUCTION FAX NO. :910 328 3040 May. 27 2010 11:52AM Pl- r K 6 SO F +e,dv.annc t NGINtATNNG (:UMP0 A•I'I)N Stlffi • YiU,(>t: Y;VfU. Of11il1,IN•.:...__....�d��..... • � L. .•-f_. '..'�+•�"...... .. a* ••�-��---`••• .- . .�. flW. , $„1LYY {'10. _,. __. ._._... -.__ . _..... _ tti 119 t� :! 13 7ti , 9 , I i .a� A �>� , , ; , : i • .... • 1 , i 1 T U 1 lT E rT 11 MAX, IiIiHEZZVE NOTE 52573395 C US MOTE IS LEGALTENDER �LLI DDESTS. PUBLIC AND PRIVATE 'I �� SERIES c 5505 - W4 "'�� II'IPIIIIIItIL f � 4Km mn AE • I 205 `J. . QCM WILMINGTOI MAY 2 8 2010 � �,1 �'��. �°�: 7' '.s r�-r-3.4°.'t'��.n}- �t y; Pw^�y'a"�v a .rv:� • + ,hz M A/a. ��`&i1-S.1"r4;w..r..�'Clre�n-�x..•:.,:tYbn!".f.::y�.�.4�'v6ri�..;'T[:1?.i.�.� Division of Coastal Mgt. Habitat Impact Computer Sheet licant:� �� Permit #. 5�550 -ribe 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/or temp impact amount) WDredge ❑ 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 ❑