HomeMy WebLinkAbout56514D - Soyars' CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification L,Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I cb
Rules attached.
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ing permit may be required by: vA (� 0See note on back regarding River Basin i
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CERTIFIED MAIL -RETURN- RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
lame of Property Owner:
address of Property:
(Lot or Street #,
N
or R�ty & County)
applicant's phone #: ���y Mailing Address: A? % �� L�GC
[ hereby certify that I own property adjacent to the above referenced property. i he inatvtauat applying for this pG,
has described to me as shown on the attached drawing the development they are proposing. A descriRtion of draw
with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no ob'ection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distanc
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate bla low.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information)
Signature
Print or Type Name
Zrian r erty Uwner Information)
Sigmnat
grto- ))2Se 1 A4 S
Print or Type Name
/-�1% W c
Mailing Address
10 23 t <t'.
Mailing Address
--+,•niLUtCl`1xn,t_.Llr1 "WUL'31PLU
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owners
indicating that thev have no objection to the proposed wort: or that the adjacent riparian property owners have been notified
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine
contractor or other individuals acting as an authorized agent on behalf of the applicant.
his form was sent to you by the following individual or company designated by the applicant as an
authorized agent*
Autho Agent's Signature
;dame of Individual Applying For Permit:
Address of Property: C�
(Lot or Street Street or Road)
cf V/L` C,
(.City and Coun,
/N'L 0Nf4, o✓
Thereby certify that I own property adjacent to the above -referenced property. The individual applying for this perm
.has described to me as shown on the attached drawing the development they are proposing. A description or drawin
with dimensions. should be ovided with this letter.
I have no objections to This proposal.
If you have objections to what is being proposed, please write the Division of Coastal Management, 1:
Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of receipt of this notic
No response is considered the same as no objection if you have been notified by Certified flail.
WAIVER SECTION
I understand that a pier. dock, mooring pilings, breakwater, boat house or boat lift must be set back
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive t.
setba ' you ust initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
WIF
I do not wish to waive the 15' setback requirement.
M
iMAN Mok 'a-
Division of Coastal P419t, Habitat Impact Computer Sleet
)licant. [Ayy Permit #: C-�P 5cQ511
e: a
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd 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)
J W
Dredge ❑ Fill ❑ Both ❑ Other ❑
p� l
Z�Q
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 ❑
= I1„q
PILINGS AND MORE
JOHN CASSIDY
PH: (910) 327-2009
169 LAKE HAVEN DRIVE
SNEADS FERRY, NC 28460
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For [x'�' / " (Oh
5967
66-3W531
Dete 457
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