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HomeMy WebLinkAbout53951D - Upton CAMA / DREDGE & FILL GENERAL PERMIT Previous permit# New .Modification 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 5A NCAC ? H • / Z._' Mules attached. int Name ,. C ,fL L;Z c.- Li pie... r--' Project Location: County_ ?E ,.. — s =) - ) }`; I. ,'�=^.7-,�-;' ' r= ' ` \`•--L Street Address/State Road/ Lot#(s) . La,Zr G:S T'j State IsC--ZIP Z Lis" > , --' ) 1"i i-►- A..% �.. ri--c # ( ) Fax#( ) 327•(7 35-3 Subdivision ized Agent k‘,-,�ice?T1 City ->:'9-(.- 6.-.L'T \ _ ZIP //7�i Q.q 1 d ❑CW EW PTA ❑ES ! t� PTS Phone# ( ) River Basin A?G ❑OEA ❑HHF ❑IH ❑UBA I N/A • Adj.Wtr. Body9;"•ASP �-s --r7 na ❑ PWS: ❑FC: Closest Maj.Wtr. Body yes / no PNA yes o Crit.Hab. yes / no T W/ Y✓ of Project/Activity rJ j I--L ti )( ' ' t C ''''i ,J X 1(G L— H L 1-0 ' )'I r>c r'-,5 cpi E,Z— LX IL 4'x—r r Z n l )2. C- ?ZL& (Scale: dock)length `p ACCiC pier(s) 3 3' rl i Fill i } length MIt I-lumber �ead/Riprap length I �.=J i -•• ■' ••• ■ ■ ■�■ ■� 3vg distance offshore �� `mn� .■®■■■■■■.� 1 I U���������� ����'����� nax distance offshore iiIIIiiIII!! iiII!iiiiIIIII- IIHIILIIIIIIIIILJLJIIL ine Length I f-!�, not sure yes II WENN ags: not sure yes f III .. I orium: n/a yes •••� 111110 yes •. Attached: yes no. iing permit may be required by:'7'\'Q. c _L\ 1 See note on back regarding River Basin LSoecial Conditinnc �r=-t'z .N..., u . - ..x-e i I/. Consent for Use of General Permit 7H.1200 Lot Number/Address: County: 1 g Subdivision: Criteria: (check all that apply) Primary Nursery Area. Less than 2.0ft deep. ❑ Greater than 2.0ft but less than 3.0ft. ❑ Submerged Aquatic Vegetation. o Bottom habitat. Comments: 1 ) 0 j< 11 TQ P.S p u 2- 1 r-T- Decision: o Issue General Permit o Elevate to PA çjco � NC Division of M. •(' isheries Representative Date Ade irmil/ttj 1 T � 20 0 NCDENR . North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F.Easley, Governor James H. Gregson, Director William G.Ross Jr.,Secretary Date //mil D7 Name of Property Owner Applying for Permit: Mailing Address: Slro Pr slag -c vpL c17 .ti L Ogyyj— I certify that I have authorized (agent) C/, / to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) fI ,%c^it Siy at(my property located at) sj-o /7-74yr_d•-.PT- zp ‹.1 zoet� This certification is valid thru (date) e("- 74 6'' , t? is Prop Owner Signature Date ••, •.•i:k.c lr t tt.t. u 1S'i ED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM e purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or lividuals listed below. The CAMA General Permit application procedures require that applicants provide the-Division of astal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owner: icating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine tractor or other individuals acting as an authorized agent on behalf of the applicant. '.s form was se t to you by the following individual or company designated by the applicant as an horized aa,-. .. c77ff-� c C 4j,ie /rifvl Oy -•sized Agent's Signature Date le of Individual Applying For Permit: (///LjL £//',7 A. ress of Property: .-57S-;' -7Lir--C,-, ,7-- Z. (Lot or Street T, Street or Road) 5ViLr Ci y , c 42 /� (City and County) j v Y 1y by certify that I own property adjacent to the above-referenced property. The individual applying for this permit scribed to me as shown on the attached drawing the development they are proposing. A description or drawing. limensions. sho be provided with this letter. I have no objections to this proposal. s have objections to what is being proposed, please write the Division of Coastal Management. 127 nal Drive Extension, Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notice. ;pause is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION rstand that a pier' dock mooring pilings, breakwater, boat house or boat lift must be set back a :din distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive the ou must initial the appropriate blank below.) c‘ssi._____ I do wish to waive the 15'setback requirement. __ : do not wish to lye the 15'setback requirement. Y `��. — ti.0 Y CERTIFIED MAIL -RETURN: PT RECEI�'T rcr: UFSTi.I3 DIVISION OF COASTAL MANA GEMENT 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 owner: indicating that they have no objection to the proposed work 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. This form was sent to you by the following individual or company designated by the applicant as an authorized agent: Author' .Agent's Signature Da Name of Individual Applying For Permit: /'//1 Address of Property: ,$ Q /9.7ie y (Lot or Street#, Street or Road) 'A-, C sv C yyJ~ (City and County) :hereby certify that i own property adjacent to the above-referenced property. The individual applying for this permit As described to me as shown on the attached drawing the development they are proposing. .A.description or drawing. rh dimensions. should be provided with this letter. v,L 6/714_2 I have no objections to this proposal. 'z' you have objections to what is being proposed, please write the Division of Coastal Management. 127 ,rdinal Drive Extension. Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notice. Fo response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back a ;inimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive the thack,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive t"e 15'setback requirement. A J ke PILINGS AND MORE JOHN CASSIDY 55553 PH: (910)327-2009 169 LAKE HAVEN DRIVE ) 66-30/531 45 SNEADS FERRY, NC 28460 CJ 457 Date TYder oe A/C i.)/q I $ 2.010• Gv r eeiures w l�✓Kr/ cam! ii,setrs « Dollars el ,tv." First Citizens �j fiBrstcankzens.comp `fir i✓ For /114t !' ,T/ --=Yr ^� I:0 5 3 /00 3001:00LI57 L3 e70 L31 d 5553 Harland Clarke COLONIAL CLASSICA