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Home My WebLink About64712D - LoveQ 64 P CAMA / DREDGE & FILL' 3ENERAL PERMIT Previous permit# 44ew -Modification -]Complete Reissue Partial Reissue Date previous permit issued_ 14 rized by the State of North Carolina, Department of Environment and Natural Resources .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC�Z d� Rul t Name L �t 'S'S '' State A'- ZIP . 45_sst� -3bCr— ZO-Vax # ( ) ed Agent "Q CW `<EW *TA ❑ OEA ❑ HHF ElIH ElPWS: ❑FC: yes �o' PNA �s no Project/ Activity 1 j :k) lengtl q 152" (s) l7 Z er(s) igth nber I lkiprap length distance offshore K distance offshore annel is yards � p ;e/ Boatlift illdozing Length l9in not sure yes -n`ool not sure yes no� Jm: n/a yes not yes [lathed: j/es� noj no g permit may be required by: El ES ❑ PTS ElUBA ❑ N/A Crit.Hab. yes Qno5 O✓ ❑ es attached. Project Location: County -p4F- 1`}12c Street Address/ State Road/ Lot #(s) Subdivision LI tJ Y<C-E'F City 1 ` m ZIP Phone # ( ) River Basin Adj. Wtr. Body Closest Maj. Wtr. Body �- 2z / (Scale:' ❑ See note on back regarding River Basin ru 7/17/2015 Stanley or Sharon Stubbs same IB of A 4859 $200.00 GP for 1304 Carol 7/17/20151 1 Richard or Sharon Love Zsame Wells Fargo Bank 1 1434 $200.00 IGP 64712D emo From R, Ic �e_ Lzlolc kvp j4 s0,A /� F03-'ie� o� c� oc;r RECEIVED Bayer C en WILMINGTON, Nr102 Painted Bunting Court I HampsteadAf 28443 %C �� - 25� 804-366-8600 rick. love Q bayercropscience.com mC,D9vjsjon of Coastal Mgt. Habitat impact Computer Sheet I► % �� tv toPermit #: zApplicant:l Date: "? Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat 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/o temp impact amount ' J W Dredge ❑ Fill ❑ Both ❑ Other Z Dredge ❑ Fill [IBoth [IOther ❑ 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 0 Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 'A4 NCDENR North Carolina Department of Environment and Division of Coastal Management it McCrory Braxton C. Davis governor Director Natural Resources AGENT AUTHORIZATION FORM Date: 5, f Property Owner Applying for Permit: rC 'ner's Mailing Address: i Name of Agent's Mailing Emai Phone John E. Skvarla Secretary Agent for this project: ress:. �rtify that l have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaining all CAMA Permits necessary to install or construct the following (activity): my property located at s certification is valid 1 year from (date) 4 I hereby certify that I own property adjacent to L vc 's J rr t� I (N m of Property Owner property located at ! /�� h ,C7 IGl -- Addre s Lot Block, Road, etc.) on %� i t (l-� , in S - , N.C. aterbody) (City own and/or County) The applicant has described to me, as shown below, the development proposed at the above locati, ;✓ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing, C A #A c- - WAIVER SECTION I Understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w, the setback, you must initial the appropriate blank below.) J I do wish to waive the 15' setback requirement.�,� 1 do not wish to waive the 15' setback requirement. (Pro r ion) /;- Sign�� Print or T e i[A�meOct ««�� (Adjacen Pr pe Ow r Information) Signature Print or Type Name l J l I hereby certify that I own property adjacent to J (Name of Property Owner property located at / �� { /�� Jul vi/lz `%�edre,s, Lot, Block, Road, a c.)on , in , N.C. ,fNaterbody) (City own and/or County) The appli nt has described to me, as shown below, the development proposed at the above Iocati( have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) r �1-7) f f WAIVER SECTION I Urderstand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac minimum distance of 15' from my area of riparian access unless waived b me. (If you wish to wz the setbZ64 you must initial the appropriate blank below.)/, 4- wish to waive the 15' setback requirement. �, ,� A rri Dti W ( 013( I POf I do not wish to waive the 15' setback requirement. (Pro erty Owner Inform tion) w Signgre�� I � Print or TVe me /I p (Adjacent Property Owner Information) I�� Print or Type N me QA //15-i eml IOV Mid off ► ax I a- RAC lr �! � !� "� /Ova bo Z-O VA P ; � arm �� '� s psr-- ►,° ii IP LL Avr m .m.4[E �! P Irepared s.ss•!.�°ro-E '"Al by: j aintain LOT s ` and/or ��' � ,�- - ion for raearles _ A4dLF/p9Ccl ANM 07 .r i. - /II'i0 AA4P �L'i1' 11 a® . taco ySTem Arr "T OVASysrer, wlgsT �3P D co I 9 6y. A:.