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HomeMy WebLinkAboutGP 73847 Frena, Anita_ 13rCAMA / LI DREDGE & FILL NO. 73847 A 8 C D GENERAL PERMIT Previous permit# CAew OModifcation []Complete Reissue DPartial Reissue Date previous permit Issued 'As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 i (L} ;L:) ,� t� ' [ � ales coached. N k ,Applicant Name _ J irer�,,. Addressyl1� _ i,�. City -State A)- ZIP Phone-# (c�_.Ci'�, '�,ri - l(b-SIE-Mail: Authorized Agent,I%,}-��JJ�_ Affected new ❑EW Iu1PTA L]ES ❑PTS AEC(s): ❑OEA ❑ HHF ❑ IH ❑ UBA J WA O PwS: ORW:. - yes /I no) PNA ( yes Project Location: County, Street Address/ State Road/ Lot.#(s) I i `)_ '•�' )r. I _ ; ; _, j _ Subdivision City ', ZIP' Phone# ( ). _ River Basin AdI. Wtr. Body. � -) " (nat man Junkn Closest Maj. Wtr. Body C L. i Type of Project/Activity �1_nc--r.�Ir�'j;c:�.. ..�- ��. � �-:c�7-�hr ?olp r J _ Yf (Scale: Pier (dock) length _ Fixed Platform(s) Floadng Pladorm(s) -}-y-I Finger pier(s) -( _ 1 - L _ r L" Groin length `+ -_, -- I �' { I C T b—a— number Bulkhead/ Npraplength avgdistance offshore_ w max distance offshore - Basin, channel ((,iZ!}Ncf \\. i i. cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing_ Other r tfr.� .+ n•L� rl � Shoreline Length SAV rfar sure'} yes no Moratorium: '-nla} yeses no j`�, jrl� Photos: .:..� yes no j1 _ L_ Waiver Attached: -17 �� i rt _ i I i no A building permit maybe required by: ' a G,,Nt n '<r„r" E'C i.:......�' See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) ' Notes/ Special Conditions Mn !'fir i -} -4 I i.r. / `> f a- : n -jo .td�E' —r r-­�, r. . .tr.. Agene or Applicant Panted Name== Sig;tarelease read compliance statement on back of permit"`* ......_....--------- ------ Application Feels) Check # PermitOfficv Printed Name — - Signature Issuing Date Expiration Date - yQ [t)CAMA / U DREDGE &'FIILLL No. 73847 A B C D GENERAL PERMIT Previous permit # Phew DModification I: ]Complete Reissue iOlPartial Reissue Date previous permit issued `As authorized by the:State: of North Carolina, Department of Environmental Quality -:? and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7�..- 4 I Pe aHaAM y ::Applicant Address;" City_ _ i :J, State - Zlp 7 Phone # ( -j, 1 i-5--�'J(&S-7-E-Mail ....._ Authorized Agent Affected Lq eW C7EW f TA - C_i ES rPTS IOEA I I.HHF UIH OUBA N(A AEC(s): ORW: yes 1(no") PNA. -TYPeofProject/ Activity _ Pier (dock) length -- Fixed Platform(s) Floating Platforms) Finger Groin length number Bulkhead/ Rprap length avg distance offshore max distance offshore Basin channel cubicyards "- ,Boat ramp_ ................ Boathouse/ Boatllft— m Project Location: County Street Address/ State Road/ Lot #(s) t 'Subdivision ....... ....:- City ",-A ZIP Phone # (_ } River Basin j cl L { _, Adj. Wtr,,Body� i^nxa man unkn Closest Maj., Wtr. Body " - (Scale: i. :� (V ) Shoreline Length.., SAV nat surel yes no y�6 i �- r 3 ( t �.:.. ( i' 4 i Moratorium: a yes no tY' .�1 , hff Photos: es no yy y Y a Waiver Attached: �f 01 _L.x= A building permit may be required by: : ; 11 t r ` ,( 1 See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes( Special Conditions t AA'� V t'%e; : -j .?A E , A, f L n -I d�f' r x— — Agent or Applica`nrPrmted Sim=tie r compliance statement_.on back of permit e* Application Fee(s) Check # PermitOfficert Printed Name TX Sig ire Issuing Date Expiration Date 41 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date / —zd ' e,61 S Name of Property Owner Applying for Permit: AA)rr4 r(,'rtcjA Mailing Address: 1/1 S007/4 1)aL 4,)Ct'0 iRyr G I certify that I have authorized (agent) Srzld� to act on my behalf, for the purpose of applying for and obtaining all CAM" Permits necessary to install or construct (activity) Tu),C�n 1 c. A a 9 %'rry p L/ at (my property located at) 66711 L &,Lh:1A 112 r This certification is valid thru (date) 16-1-112 r.. 7121 Property Owner Signature Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL -RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to r%tl /4�4E�ir s (Name of Property Owner) property located at cgb68 71'2,77(- (Address, Lot, Block, Road, etc.) on CJilnt7Jck Qc)rty'� in A7T7-y Nytu✓iV N.C. (Waterbody) (City/Town and/or County) Agent's Name#: Al-4-01k . , acz ;rc MailingAddress.;bor^3 �i9a?zTie h Calm Agent's phone #: 2 S' 3 - -2d2 - 2 6 7,F X rJAZI r�A✓7rt a �, C. ? 79 5 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill In description below or attach a site drawing) .jYh l C, AZ AC Fr1 n. If you have objections to whet Is being proposed, you MAstnotilythe DpOslon of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices Is available at www.nccwstalmangementneticontact-dcm.htm or by calling 0-8684RCOAST. No response is considered the some as no objection If you have been notified by Certified Mail. (Property Owner In�fo'r�matlon) Signature tLYii �lJ �i aJiilL r�n iUR Print or Type Name /if S• >7 640 %h'eaa Mading Address. fir' Nnip,1k City/St e2 a5A- -1155 -7 Telephone Number Date (Riparia roperty O r Information) Signature Prim or Type Name 11J %tlrt /rot. tPk— Marling Address ,c/zta ip lilt )k 10. C, 779 yF City/Stet 797 Sig - Dlib i,Q Telephone Number -r 91 .. Ia Date DIVISION OF COASTAL MANAGEMENT D CENT RIPARIAN PROPERTY OWNER NOTIFICIITintL FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED hereby certify that I own property adjacept to 4& =%/4 property located nJ� (Name of Property Owner) (Address, Lot, Slock, Road, etc.) on '_T.ct7C CC.i_',7 Jn--- !l ._. !�'t,.c_•/� T'i N.C. (Waterbody) (city/Town and/or County) Agent's Name #: /- >r .i zi i , L, - Mailing Address:_7u ci, ��:'l i�r Tt�. � C•c�; Agent's phone #: _2 -r He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. -------------- DESCRIPTION AND/OR' DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) %j I Lnn n T&L Al --- _.aN,vpuaao,youMAWAPOtifytheDldislonofCoaste/Management (DCM) !n writing within f 0 days of racelpt of this notice. Contact Informadon for DCM offices Is available is wwwnecoastalmangementnet/contact dcm.him or by calling i-888-4RCOASL No resAonse !s considered the same as no objection !f you have been notified by Cerhrred MeB. (Pr arty Owner I formation) Signature Print or Type Namo Madrng Address CrtylSta Zip fog? Telephone Number _:1 lal/Iq Oate (Riparian Prop�e-¢_rl er Information) Signature 1 Y�iti7ttc� ©/lrrc/�S . Print or Type Name u /S/u I-DSJrc Madrng Address tJd�J/�2r4G/C t�/l 2� l J? • Cdy/State/Zlp -7 <D-7S �2 s ar i Telephone Number Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY nwy�o NOTIFICATION FgRM CERTIFIED MAIL - RETURN RECEIPT REQUESTED hereby certify that I own property adjacent to property located at (Name of Property Owner) Y _ (Address, Lot, Block, Road, etc.) an C ':"_,,iU r� Co;irk in e:r7-T1 /7/�u e N.C. (Wma #: dy) (City/Town and/or County) Agent's Name #: /=+ ir�.lre,cc - , L_ Mailing Address: _7cci r%rrizTx_c.`�� Agent's Phone* A 170Z He/She has described tome as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must 1711 in description below or attach a site drawing) (I)CM) In wriUnY9umug within 10 days of Fete/pt of th s no ce.notfry1heDContact lrl available at www.nccoaSM11nangementnet/contact dcm.htm or by Ll-OS nse is considered the .......... _.,__.,_ (Pr perty Owner InflOrmation) rgnature i /"ti.rt d:Y1 Print or Type Name MaAmg Address Crty/Sta e2�p �5a-��s-iv87 Telephone Number �I�(I�y Date r n for DCM oi>ices is 1-888-4RCOAST. No (Riparian Property Owner Information) 2 is No f Signature � Pnnt or Type Name Marling Address /�7lJLOri�7h,l 011 �' ? CrlyiStateZp joq) 33 ephont7� a Number---.----- -7I z21 >.g Date i