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HomeMy WebLinkAbout56532D - Soyars' CAMA / [3'DREDGE & FILL 1ENERAL PERMIT Previous permit # iNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7il/. `� 00 les attached. t�N,ame A' Project Location: County ,?/zy.,-rW/ C/C e. _ i Street Address/ State Road/ Lot #(s) / al, t/v=- State-- ZIP V✓ 22 Fax # ( ) .ed Agent J! CIC ;�CcyP 117- CW EW PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ` IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes / no PNA yes /brio, Crit.Hab. yes / no Subdivision City ZIP1 Phone # ( )n ^River Basin 410111 Adj. Wtr. Body �'flr✓9L (,P �/Gt�G✓ (nay Closest Maj. Wtr. Body "49 / �VGr/ Project/ Activity RG Pvpe lSraln• � � 1A 1e.....1. m(s) mommomommomommmm MEMO M ■■■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■E■Ei i length number MENOMINEEE■■�■■IM =1■.MINI ■ ON MEN No IN w1v`OEiE■■■■■E■■■m ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■N ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■N E■■■■■■E■EMO= moss ■■ MEN ■■ONE ■■MEN ■I --"-M-M■E■■EEE■■■■N I ME MEMO ■■■E■E■NOEO■■M■E! 1!O Y 0■■■■■■■■■■p■ ■■■■■■MEMO■■E■■■O116 V r•■■■MEE■■■NM�M ME■E■■■■= IN M■MNON IF ME■EMEE■ESE■■ ■■EM■EMM■M■ME■■E■■m iu ■■■■■■■►.■E■ON ■■■■■■■■■■■■■■■■■n i MEN ■N.i■■A■MEN ■EE■■■E■EE■■E■■�■! V I■■■■■I.ME�AI��RI{Li ■E■■■■■EE■■■■■E■ mm li: ■■■■■INL'!i Mum EEEEEEEEEME■E■r:.,.I.�E■Eu l.aw�■EWIN E■E■■■■■■E■E■■■� �a�lEEaa ®■■■■r��r■■r�■E■ ■■E �zQOE IL M■!Ei >,:: �:, Imo■ =rill Ai iWN 1— W ii/1 M■■■ . . EEE A. -"MUMS I Iff"E 1:�: � an I■M 1■ 1■1 NE111 EE►�M No ■■E7'�A1�!�pow I r1iNQUI11Ei WIN INN IN 1■! moo a ■■71�■ 7■ ■■O�riWfI�OE �NJ�►>19ON �all■rl■r■O■EI E■Ian■E WN EEEMEME■OE 11F111'l:ftl/■■EEE■EI ■Eii ifOEONE �EE■E■■■EEwWE NEIir�"E■1�■E■E■SEE■E■ME■ ■EEEEEMr��■...■EEEI■ MONEW�MEMEEE■E ■■■®E■EEO!■E//1JF�l �:l:},Ir.!►7�11INNEEmomomm ding permit maybe required by: h1ozol'a,,. ❑ See note on back regarding River Basin ;ant: Phtal/ e SOy��s 11b3/10 Permit #: ( p S 3Z_,D ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement i in your Habitat code sheet. :at 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/oi temp impact amount) 5 L Dredge ❑ Fill$_ Both ❑ Other ❑ S Z 5-2- Dredge ❑ Fill oth ❑ Other ❑ QO / Q 6 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 ❑ AM, *. ±tyr4A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management aves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary off'roperty Oivner Applying for Permit: AI I P N - So g Address: 0 q- �, that I have authorized (agent) on 111v for the purpose of appivilig for and obtaining all CAMA Permits necessal-N, to or construct (activity) property located at) ou�-XlAePD - ertification is valid thrti ((late) 0. 1 1 0 �■ .. 1C•1Z'�S�'.ill[1=1K�I�l���►'i�i � i :iiaT7LK'iTlrl:Ca*C:Ii � � 12/2010 15:52 FAX 704 549 9544 ALLEN TATF pro ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to (Name of . roperty Owner) rty located at (Lot, Hlock;'Road, etc.) on ('Waterboccly) Appl cant's phone. #: ftzjI Z001 (4A A%'t N.C. (Town andior Countyf Mailing Address: It)L 2� lie 4 described tome, as shown below, the development he is proposing at that location, and, I have Oo objections to his proposal.. rbq (Info for f DESCRIPTION AND/OR.DIRA'WING QF PROPOSED DEVELOPMENT: (To be filled In by property owner proposing deli elopment) iatiun for Property Owner A;pptying rmit) ►oq g Address ^ foil F------------ _--------- -------------- ---- (Riparian Property Owner Information) &xa— Signature Pri 1'vee Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to PA J - 0",qx S 's / (Name of P operty Owner) property located at l/ JCOT��J Zit vf/ L (Lot, Block, Road, etc.) on C7Ngl (�7 , in /-��'G(N5GJ/ C 4— 6au�l1 i' , N.C. (Waterbody) (Town and/or County) Applicant's NIZ 6 9 � Mailing Address: 4 Nr s hone #: 4� 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) V^ twI riy da(r' zoo jV/ -)� b, akP l,414 (Information for Property Owner Applying for Permit) i oU T;Ii,�Iloof Dz 115 (Riparian Property Owner Information) Signature c_JC)vc�e �` QAAI`��r—� Mailing Address d // ? 725/4' 9{ezvett Consmiction OT Ci'n- / `}{C1AlEtt P . 10-842- 17 1481 Standupry/ PJS`w SgpG, NC 98462-6037 Pay to the t4 C Or, Order of BRANCH BANKING AND TRUST COMPANY 1 •a00-BANK BBT BBT.00M ♦ M ♦ A 2948 88-11y531 23 � Date $ 1;tao .a0 I /�%C+� Dollars M' For