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
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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