HomeMy WebLinkAbout54052D - Quinn CAMA / ❑DREDGE & FILL ,
IENERAL PERMIT Previous permit#
`New ❑Modic.cation ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources �O
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ' Z
ules attached.
:Name cl.cr-ES ` 1 \..1 C.IJ\,...) Project Location: County �� i�SZ
P D_ 3 j. it Street Address/State Road/Lot#(s)
1 r(-T E-k-A-A-> t StatetJL.- ZIP 2-)\-1S6o Z `v `- -------,A 1 ) 1 ►-\►.1 o Z (t__
(ctw )j 2., .% 3' e Fax#( ) Subdivision
ad Agent (f--&r`^Li: ‘r-. 5 City ;)Qc Z.--1---r7 ZIP Z-1l
❑CW /) 1EW UA ❑ES III PTS Phone# ( ) River Basir ac
❑OEA ❑HHF�Q❑IH ❑UBA ❑N/A
Adj.Wtr. Body ,- ?SrKI� `..-s."I ;� /n
❑ PWS: ❑FC: �---'
fie$`l no PNA CO no Crit.Hab. yes / no Closest Maj.Wtr. Body �'
Project/Activity - N.D5\ W x-'. 13,,.`C P I c a,.L 6
(Scale: 1 �Z
:k)length I
(s) —_er(s) _ i MI=
igth mmilEFEWIIIMM.411110/1111= i .
1.11 7�1 111111111111110 2W i
er
I/Riprap length' =1=1■ ■ � _- T
K distance
distance offshore _��_M � _
offshore
annel �� • ■�_�
i
,ic yards I IMIela.MMI i ._=_MINE
ip
ie/BoatliI X I M =111=
EIMMI MEEIMII
El
illdozing riMONItailki ___
�M_
IMEM ME�
■��--1.1.111.111■ a
Length >� �� �E __
��� 11111Erliall
not sure yes .,• 11._.11MEMIll I IMIIIIIIINI-REM
____ a ENE
c: not sure yes •o L MINNIMA MI
um: n/a yes � � p _
yes i!1!0° 111111M11 MEM
attached: yes •
ig permit may be required by: Ski.Q.._c.- .T.1-`) ❑See note on back regarding River Basin rt
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATT HOUSE)
I hereby certify that I own property adjacent to �G �,� e5 1/ jL 1,,14/ 's
(Name of Property Owner)
property located at q J e .
(Lot,Block,Road,etc.) /
on L'Aa.kive� v f /o�sQ;/ Sdu,Jd , in 3&r� C% y Pe/vdeceo ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 9,D &;; ) 03A Mailing Address:
//J e.e /wDOd, v /-S
He has described to me, as shown below, the development he is proposing at that location, and, I
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(15') 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 do not wish to waive
,lC f{ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information) moo°
C
for Permit)
Pb8 c A
Mailing Address ` Signature
Rite/U/Dd f/Y,C� ��5� /������ G /,5hs '7(
Letter of agent
I J a p, eS !/, ,Qr,(/i1//11 have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
I Gt /r S L' c is/itJ
Print name
ignature//> - 6ZD_ F3 (v 6:1-;n„m 0 date Z
Contact information
�/ 9 —3 730a,tic�
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restrictedamn Deliveryaddreis the
X11.6�/J�� /// l gent
■ Print your name and address on the reverse '1Lf_i`''` • /,; 0 Addressee
so that we can return the card to you. B. Received by(Printed Name) . :ate of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? l
If YES,enter delivery address below: CI No.
/fie//0//1y %/ea4 Av
d/� IJ4iife 7
fug t/a v7 J ?r/44, N
/ 3. ServfceType
/ l v Certified Mail 0 Express Mail
❑ Registered ❑Retum Receipt for Merchandise
0 Insured Mail 0 C.O.D.
Z
Lu -. A 9
h i
t
f
fPro/.sed i
I 1
Al/p roPosed
!it A?ea.s „4 _ w
h-a
•
3'k 13' -- I
li
k ‘ 7,,C1
f
I
I
CLEMENTS MARINE CONSTRUCTION INC 1681
112 CIRCLE DRIVE 910-270-9110
I-IAMPSTEAD,NC 28443 66-30/531
Date �'/ — 365
Pay to the Order of A/ / lJ/Z I $ �e'O"
0( ?-4 ) Dollars
First Citizens
Bank
firstcitizens.com w '
G� 5 55 co
For
1:053 L003001:00353 208 L458v 0 L68
> .�. ,
COASTAL VIEWS'