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HomeMy WebLinkAbout75892D - Gore'CAMA / ❑ DREDGE & FILL ;ENERAL PERMIT �4ew ❑Modification ❑Complete Reissue El Partial Reissue +.IT q No. 75892 A B Previous permit # Date previous permit issued_ ized by the State of North Carolina, Department of Environmental Quality L bastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (I I . 12 w ❑ Rules attached. : Name N A C%V (x S (' _ Project Location: County 1 1 Pei Street Address/ State Road/ Lot #+(s) 2 State�L ZIP TR(4 �s/S S R` '.A , h ST _ (rl /O) -SyU 2(A Y E-Mail aclAgent Cj✓«, ❑ CW PrEW ?ZPTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UIBA ❑ N/A ❑ PWS: yes / PNA yes Subdivision Cityo I �c a c ZIP Z I Phone # River Basin L , , t Adj. Wtr. Body e A ^ 4 ( (nat Closest Maj. Wtr. Body Ac w tV Project/ Activity r V CIc l t. , \ a + -Z (Scale: AJ c -41 Innoth fn V � q ■Ili■�!1■■■■■■■■■��Il'.i�141i■■■�■■■■■■■■■■■ ■I\J�ii■■■■■■■■■�F1�7■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■v�'��OI■■■■■■■■�■■■■ ■■■■■■■■■■i■fii■ri■i�■��■�■r■7■■■■■■■■■■ ■■■■■■■■■■■■11lii l■■■■■�■■■�■■■■■■■�■■■■ nber Riprap length— ■■■■■■■■■■■■11■LyG t!■drug■�i■r■■■■E■■■� distance offshore ■■■■■■■■■■■■�,■��■�ti 1'■m■w■■■w■■�■■■■■■■ x distance offshore ■■■■■■■■■■■■f l■■El�I■■■� i■■■r■■■■■■■■■■ znnel iic yards -----• ■■■■■■■a■■■■'1■■■■■I■EI■■■■■■■■■■■■■■■■ OEM MEMO INNIMMEMENE■■■M■■ ' !&E�"IIIOINE ■ ■■■■E■■■if■■■■■■■Its■rcer■�s■■M■■■I■■ir�c�l, E Length not sure a■ ■■■■■■■■■■■i ■■■MM■r�■I■■�a�■■■■■EMI ■crl■■1 i ���ii -.l�llE■■■�■■■i■■■i'i'i■■11■i■■■■■lir■■1 yes ■■�n�Oc■re■n■■MI ■■■■■■■■■■■■■■■■■■■■I ■MEMO' yes *- !��■■■■�1■■■I■■■■■■■■■■■■■■■■■■■■IHE■■1 ■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■MIS■■■1 ng permit may be equired by: Local Planning Jurisdiction), r i ❑ See note on back regarding River Basin r 1 . . ,AMA / ,--j DREDGE & FILL N0. 75842 A B EN ERAL PERMIT Previous permit # kew Modification ❑Complete Reissue OPartial Reissue Date previous permit issued ed by the State of North Carolina. Department of Environmental Quality a astal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC �� ' attached. Vame C�,v�S Gp'. --- Project Location: County /f ► Street Address/ State Road/ Lot f (s) ZS �a �u State�ll C_ ZIP — —r-- q /D)-1 N U (rtE-Mail Subdivision dAgent G,•�_Hord City Ei Cvb ?p PTA C ES PTS Phone # ( ) River Basin lv'� OEA HHF i=1H C UBA ❑ N/A Adj. Wtr. Body nat P%VS- Wtr. Body w ye{ Closest Maj. t'NA Project/ Activity `•• ` 0 (Scale: N ck)lengd, Vo_ tY ? - Ptatiortn(s) it za y'YSf , Wert) � - ''f� i � I nnber ' rd/ Riprap bngt!' g datance offshore ax disome of{shore ' — . jbic yards Imp �� _ i✓ Bulldozing - I--� -- — - — _ - - - a S _ - - - -- -- -• - - - ,l i � I I pup � I I I � I fine Length 5 LO i3q) .ncot ti J sure yesZ}S _.S Ott;`-�L_ •— - I i } - -1 torium: nla yes _' yes er Aaached: no See note on back regarding Rrver Basi. iWina penult rnaY required by: t ► a, - ►- A n.. i L, � l l K nm AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: C�IeS P&r-4,--2 Mailing Address: �� 2 Phone Number: Email Address: I certify that I have authorized /'%le!�' S.07 41t, «i 1�4 Idt`'(11 , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: /25— -k �� �-),- 0- at my property located at /ems in Aalo County. 1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature Print or Type Name R"Onw-j Title ,i n� OfIndivicual Applying For Peanir: Cif/�lii lCs , ✓� dress of ��- or :9 car Rai f - AC (City and County) • Lw LSl.iKL f: is ft k+. ' ii _ Ik FF i, t �tt!!It t-:ti t=..—rsf s :•1 :j iE:' :ti •— t t:t k i•�`f"ii7: k. k:l t, E7r; • •:{ � ill tt:if,:�f �.`S:t' ,. !� i ! t•i .mart.{ f,it:t ttt� t' t t kti� UWA IM days sfreeefgt �# a�avmw- NO r e is - thesame as no obj m bae bemSECUONI w breaUxubm et a"Aa sbeat er bastes I in warm of Amm - anjss moved b ► �ie�et�ees 74mot bd" t1he Orpaurrmun bbmk be%w) ..�� - I coo Irish ors wave# l 5` sefbac3c ��! i.t' •{ Si yi:i�� [f. .-it- .au: ... astr - CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/1�,1 IAIVER FORM Name of Property Owner v a� _ Address of Property: 43 /� c / C z-Z, (Lot or Street #, eet or Road, City & County) Agent's Name #: 41t° p 411& Mailing Address: I 50 2 �tjr Agent's phone #: 61W .S"q t) / (� I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter. -�I have no objections to this proposal. I have objections to this proposal. if you have objections to whatis being proposed, you must notify the Division of Coastal Management (DCM) in writing ►+1thin 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext, Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is ^onsidsred the same as no objection if you have been nodf/ed by Certified Maid WAIVER SECTION I understand that a pier, dock, mooring pilings, must back a minimum distance of 15' from my area of riparian access unless Iwa �edroin by me. (if be ouet wish to waive the setback, you must initial the appropriate blank below.) y _ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Pr?perty/Ow,apr 1 nformation) 1ignature V1 I _ 'nnt or Type Nam Bailin Address ��7 A .% il A (Adjacent Property Owner Information) Signature Print or Type Name Mailing Address Ss of A& cry A �- ems, e or {' mid 3 !it" ; t.! t � Cw C.il.4•:.0 is t't•+= ii � IiEt}t. t ;rt}{tt [-:ti l—i-:•F'F { :.t `.i it.• :t. _ t t! t' i't"i�ti ( • i}r;k" [[ ' Yt t „ i {�if ' s!t tt:ct.:-t��s:t• •:[.a•t t t - !• t Et if l t t t•2 i:riai.t tti !i tfiti !' i t tti :, wbat is bad; Pnqwseds Olmse wrbe tke boa WC 28405 or can e�raeyrteseamhis �s #g as aao obi bre bftta uggftd by CmMfied M.-L �ie�ai� ��! ft�e�area �#�u access - s waaved � Ado. duo. 1Y setback