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Home My WebLink About63789 BRUMBLE 201409097 'C A 'G,E & FILL P E ERMIT Previous permit # �4� N! I E]Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural' Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A ...... E�)J'Rules attached. A 011,00"If "Ne" Project Location: County r All Street Address/ State Road/ Lot #(s) N"'; Subdivision ) Cit t 1P UCw w TA (A ES 0 PTS Al Phone# River Basin Affected E0111 OE A HHF 11 1H IJ UIBA L N/A AEC(s): Adj. Wtr. Body.- LI PWS: El FC: i Closest Maj. Wtr. Body no rit. Hab. ORW: yes /(no.) PNA yes C yes no Type of Project/ Activity Pier (dock) length Platform(s)-- Finger Groinlength__ .. . ........ ..... . ....... . . ........ number Bulkhead/ Riprap length avg distance offshore_ max distance offshore Basin, channel cubic yards Boatramp Boathouse/ Boatlift 11111111 Beach Bulldozing Other A building permit may be required by: Notes/ Special Conditions (Scale: See note on back regarding River Basin ruses M Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet, TOTAL Sq. It. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for,, (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance, Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts impact amount) pa_ ternp impacts) amount) Dredge [I Fill E] Both n Other 1a) Dredge 0 El Fill [I Both Ej Other El Dredge Ej Fill [] Both El Other El Dredge D Fill El Both El Other E] Dredge El Fill El Both [I Other E] Dredge EFill EBoth EOther EE Dredge n Fill EBoth EOther l Dredge 0 Fill Lj Both [I Other [I Dredge �] I'M 0 Both 0 Other Dredge Ll Fill El Both El Other 0 Dredge [:] Fill E] Both 0 Other E] Dredge El Fit) (j Both El Other El Dredge El Fill El Both El Other El Dredge El Fill El Both El Other D Dredge redge El Fill El Both [I Other [I 0 &("r AUT OP.IZATIO—N—yQ ��AT�IKS H JUM F QR ILL; RM rr Name of Property Owner Applying for Permit: _E,red E. Telephone Number: i certify that I have authorized (agent/contractor) to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the proposed development of NC nWRoperty located This certification is valid through __OctQber 3b_gq., A_____(date) (Pro on) S mature Print or 71jpe Name Mle, co. owner or trustee far property Date 9 C, Telephone Number Email Address DIVISM OF COASTAL MANAGEMENT ADJACENT MEMIM PROPERTY OWNER OT PIC ION FORM CERTIFIED r RETURN RECEIPT "ND ' RED hereby Vie... that own property adjacentY J Property(Name of propertylocate-dat (ProjectAddress,Block, Y on CAMAL DPF PAMUCO " (Wat^'..'Y Y 1:..o}wn and/or County) Agents Name #- r we r • ♦ M Y G- Mn IS- " .. ! e#- AV,6AJJ A.10+ Y no objections tA the# 1 Y 1. MWJM.. ,. W ` �f. r if P4 • M.O D ? r tf jfo V19 obJ�ctio � VV%lll tS �11 tllQ rid, y tt ustnoft the MWon Of C00801 MMOYMOnt (CIG�1$}l vYt�ftir�g F tn�R�la$/s�at�r celpt+�fthistwttaeCoffespondencashouldbemattedto1367US 97 otxtt►, fir, aVC, 279t19. tati r aresentetty� can also be contacted at (Z 91H. NO o consl�P same r o ob tip au have been not9"ted (Property Owner Info flan) signature -------------------------- tION 1 Telephone Y Rr. I # 0 0 � �841i In MIN 112:1 q U klUkl I =10V a I I Wa,"UR01-9 I Us,-,4:t#JJq:M In 011111mriTTA: F11 k, Ian I hereby certify that I own property adjacent to FRZD ei FSRUMW.C. -IS (Name of Property Owner) property located at CT - (Project Site: Address, Lot, Block, Road, etc.) on 'CAAIAL OR F PIAMUCD SWAJD , in r1r, LXV N.C. (Waterbody) Agent's Name #' C`Aky PRUCE >he has described to me as shown be I have no objections to the proposal. (see BACK) (City/Town and/or County) Mailing Address: PI-11 so'k -Ii-9J AVOIJi A16 Z7 3 proposing at that k If you have objections to what Is being proposed, you roust notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 2W901. No S anse is considered the same as no qyIetion If you have been natured by Cetfirled Mall. Signature rd'"p-MMaroff-A print or Typo Name PO Rok /26 Mailing Address FfzJSCDI/JCI,z993b citylstateRip AAG- 0-36Z Telephone Number/Email Address Sate *Valid for one calendar year after signature* (Adjacent Property, OW e formation) Signature t A-, A L Pfint or Type Name I SJ CA IV41 L '(41"PaX. hox, w1m) 6 X 19 7. F,11.t bar-$< -JAI& AM; oCAWT C A M A PZ AN FOR,, F&I:D 6 15ROM&6 5D ZSd SIACKBC41?DS e 7, ,CRIS eb) A/Cs 7: 715 'S 6 0 'l!/J�I�SPG'�0 s'%�l ✓ 'A/ � - -- APOr 4UV PAMLICO SOUND "AMA P41JAI FIX, c1 p M] $HI1G RISCO, NC a.