HomeMy WebLinkAbout56507D - SpierCAMA / DREDGE & FILL
iFNERAL PERMIT Previous permit#
Kew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
sized by the State of North Carolina, Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
E]HWes attached.
it Name VA t' !t ,I i .dam Project Location: County 06lLcl v.S w / t AL
7' 2, i2 t, e C "o' 4 Street Address/ State Road/ Lot #(s)
StatedC zIP2 _ 201
Fax # ()
:ed Agent 'AAe (-1-S %-"IeR'. e
❑ CW EW ❑ PTA ❑ ES ❑ PTS
OEA ❑ HHF IH ❑ USA ❑ N/A
PWS: ❑FC:
yes / no PNA yes Crit.Hab. yes / no
Subdivision
City&atd,P.✓ ZIP 27
Phone # () River Basin L 4/,
Adj. Wtr. Body ems? 9 � --- /1/ G✓/- (nat
Closest Maj. Wtr. Body 1.9/ 4Vlt/
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/06/2010 11:55 17045219442 OFFICE DEPOT 41 PAGE 01/01
i'AMA.-
D R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James N. Gregson
Governor Director
AGENT AUTHQRIZATION FQR YM
Date: - 44a—
Name of Property Owner Applying forP rmit:
/4 CIA"
Mailing Address:
2 . �/ o��-s 7-
",-7-ZE Ala 2 (F-� 7
Phone Number:
Dee Freeman
Secretary
I certify that I have authorized (agent) —CkL: 4" to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or
construct (activity) /SLj/
at (my property located at)
This certification is valid thru (date) d %
Property Owner Signedure
/0/
Date
10/06/2010 11:5
3 17045219442 (DICE DEPOT 41
m-rm D mAIL — RERECXT?T REOUY_
PAGE 01/01
eA
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN >pRQ?ZRTY OWN*i.R STATEMENT
77
elm
`` s
I hmeeby aoxttfy that i avvn property adjacent to G 4 (,Name Property Owner) —
Property located at ��� ��/ C �D/N f Ae �T
(Lot, Rl * Road, et
/�IL�LI.L�_ U -
on - (Watcrbody) (Torun and/or Coven )
Mailin Address: ZZ/Z 6[f€i►�S�P�C r
Applicant's phone : 7[w-. 3 ' 7� �.._. _ � �yj-� Al e 2 0 7
He/She has described tome as shown below the development he/she is proposing at that looation
,
and l We no objections to tttc ploQosal.------------- --- _�_.-.
DESCR TION AND/OR DRAWING OF PRbPO.3ED DEVELOPMENT:
(Xrtdivid proposing development ntuffli llt in dewKpteon below or attach a site drawing)
lac/s r//vim
car �TG',�4�'t Auv /��CS�2D �`IAI
ityoo Mare obj tdow to whit b being prepoar-d, you arise netlty the Division of Coastal Manarme;t (ACM) in wrKtoS
wMkIt►10 days of receipt of 013 tottee. Cotrmpeadence should be maikd to 121 Cardinal Drive Est. Witrolttgtee, NC
I U .1p. OlAtsttvas eau also be contacted at (910) 7%-1215,
(property owner Information)
Sig/naituc / U
Print or Type Name
2z 12—
Maj�^g Address
Information)
x
I (.:, A&I.W 11i E X
]?tint or TVpc Name
J!5-3 X/
Mailing Address
A�� dew �✓�- ><
City / State /tip
City 1 State / 2tp
Number
�Ol
Telephone Number Telephone.
Da . / o Date
1Z7 Cardinal Drive Ext, vJWrigton, North CanoiVrta 8405 3&t5
Phnna 91U.796-72151 FAX: 910-395-3960 intenter www.nccoasWmanagMenknel
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,. J1 t,4/ At�.�Jf le✓K--
IDZ• I
(Name of Property Owner)
property located at
'/ (Lot, Block, Road, etc.) �{
on C>1, Cay /:I�Rct{ H.[�R130i1°, in yDLI7FJt1 /✓��4C'i`/ , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 70 q " 33,1- 7941 t{ Mailing Address: 2—**—�! 2- �u� N-3 Zw-p 6—R'
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)
41�
f /Zb KA /` EC�iT �Ta,rZr�1 64-ar� /(E C oel� �igirtJF�u.
(Information for Property Owner Applying
for Permit)
�2 l 2 (3
Mailing Address
L,1qgA1, /Ve ZS-Za7
City/State/Zip
(Riparian Property Owner Information)
r Signature
Print or Type Name
--17 . .. -7o. i --I I-%.,.. , /%i.. r— ,. --) es_ - J
Division of Coastal Mgt. Habitat impact Computer Sheet
cant: 1r 4b
' ) Ar% 5,0eP2 Permit
/ I1Z2)� 1)
;vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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 I
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/o
temp impact
amount)
S (_
Dredge ❑ Fill (-Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑
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 0 Fill ❑ Both ❑ Other ❑
eene Construction
P.O. Box 370
Supply, NC 28462
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
GP 5J01 � -BeJ wJ
11'0000 L00a"m 1:0 5 3 LO L L 2 L1:000 5
1008
66-112/531
DATE
$ <�0. 061
Z-W
NP
104 2 L 3 3 LBii'