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Home My WebLink About60746D - PerryCAMA / DREDGE & FILL J No. 607 V Previous permit # ��N ERAL PERMIT New ❑Modification El Complete Reissue _'Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources �astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ules attached. Name %�g F,� lrrc/ Project Location: County &?, Street Address/ State Road/ Lot #(s) / S V1161 &KY If Statue ZIP () / ,r+" Fax # () Subdivision :d Agent _ ((-Jiti! L!�L''tti*t/fO jVj City —ZIP CW yW 'PTA ❑ ES ❑ PTS Phone # O River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Ad' Wtr Body /J4<11 /kJ e1yJoht Anat X ❑ PWS: ❑ FC: yes /60) PNA yes /6 Pro'ect/ Activity :k) len i(s) - -- - - ier(s) ngth _._E.-... tuber d/ Riprap length distance offshore uc distance offshore - i cannel bic yards" np ise/ Boatlift lulldozing 1 I�I Crit.Hab. yes / no Closest Maj. Wtr. Body (l/'Ier+Yi%%i r� 1/G f hau "Yf 4 i ie Length not sure yes gs: not sure yes I —r— rium: n/a yes / io yes (� j/+JS Attached: yes 911 � I ling permit may be required by: (kale: / de z: f�Xi i7 � ❑ See note on back regarding River Basin Division of Coastal Mgt. Habitat Impact Computer Sheet dicant: 'Va sir �.�:-r y Permit #: y� e. scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. kat 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/or temp impact amount) - / �W Dredge ❑ Fill ❑ Both ❑ Other (f%D 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ PKWA NC;D04R North Carolina Department of Environment and NAM POMMMM Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director AGENT AUTHORIZATION FORM Date: ,C/,5- h4— Name of Property r Applying for Permit: Owner's Mailing Address: Phone Number % T �� l� Dee Freeman Secretary Name of Authorised Agu*.forVis project: G-nAt , 6 Oct LAr Tnt's AbA&q i1ddw : of B 3 I certify that I have authoriied the agent listed above to act on my behalf for flee pupose of applying for and obtaining all CAMA Permits necessary to install or construct the fororrirg (acbvkY c-] (my property located) at This certification is valid thru (date) Property Own r Signature Date RECEIVED DCM WILMINGTON, NC nrT 1 7 U19 CERTIFIED MAIL - RETLWN RECEIPT RI OI}' D DIVISION OF COASTAL MANAG UKENT ADJACEIN'T RIPARIAN PROPERTY OWNER STAT04ENT Name of Property Owner: STAT 1 ON W V k(- TS U 1 t l.�; B7--ACf}, ?>kCM 1`�A1T(-lE COPP� Address of Property:gc2 wczte_r Sk, Luri9k�SJ;,tQ $eocl�,,UC/NQw j-a,'ove.r (Lot or Street #, Street or Read, City & Cow) Applicant's phone #: 01 Mailing Add, 3 U, ' C ,SAL VSv:ll �eaL��,;�:'C 25q I hereby certify that I own property adjacent to the above referenced propcxty_ The iindiwWk al applying for this permit has described to me as shown on the attached drawing the development tkeg we I r pg� A description 9f drawing, with dimensions must be provided with this letter. _ I have no objections to this proposal. I dw objections td this proposal. If you have objections to what is being proposed, you most notify the Division of ConsW Management (DCM) in writing within 10 days of receipt of this notice. Correspondence sbo W be m a&d ta,127 Cardinal Drive Ext. Wilmington, NC 28405-3845. DCM representatives can also be coaAactd at (910) 7W7215. No response is considered the same as no obiecdon if you have been notified by Certfted Nis& WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or Kft must be sd buka minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wain+e the sedock, yya rarest initial the appropriate blank below.) I do wish to waive the 15' set back requirement. I do not wish to waive the IS' set back requirement. (Property Owner Information) ;;W— 7 /Src l�7 Signature rl. L'aPr'aLA Print or Type Name ( / 2 �Ja, �cr ST . Mailing Address City ^fS&te / Zip (Riparian Owwr Information) Signature Fc��SFfZ l��tz'I' Print or Type N =W Mailing Add n WIX 2trf,64? City / Swe i Zip CERTIFIED MAIL — RETURN RUMP' RWi;FS: 17ED DIVISION OF COASTAL iMANAGE,1 NT ADJACENT RIPARIAN PROPERTY OVA ,NFR SI :.AyE IEI N]r Name of Property Owner: U pia? IC,� ZtC�E4T�l'IL L ` a t} t3' t:t`. %011 Hi"- i Address of Property: 1 (Z u, , � 1 ` E C 5 l\(� �.L," .'UL:Y_/t LA, C, 4-'0U Z. 1' {Lot or Street ?#, Street c :� it 3, Cits �. C-m ) Applicant's phone i!: G )• r/ - ` { ( ( Mailing Addre sc: f jr �c• I hereby certify that I own property adjacent to the above referenced pr Lvel- y. The idividuld .applying for this permit has described to me as shown on the attached drawing the developmen t dwy am pricipa-iog- A AL- iytioa of ka4Klog with dimensions must be provided witb this letter. I have no objections to this proposal. -_ I kare-objections to this proposal. If you have objections to what is being proposed, you must notify t he DiVision OtCoasUl -Management (i)CNI) in writing within 10 days of receipt of this notice. Correspondence sboulci be mailed to.127 Cardinal Drive Ext. Wilmington, NC 28405-3845. DCtM representatives can also he co at&d&d WE (SIG)'No response is considered the same as no ob'eciion if you have been notified bry Cicrtaiiled Mm& WAIVER SECTION' f understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift m1ist fv nK i; a minimum distance of 15' from my area of riparian access unless waived by me. (If you tiff isl ro waive. ttte settwxA, you must initial the appropriate blank below.) I do wish to waive the 15' set back requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Riparian Propedy Ow-Awr Information) Signature Signat err print or Type blame Mailing Address ;<. 'i s1c�c�;C cityiState Zip ___. Print or Type N maa city/ V.at r zip-- ---- — --- CERTIFIED MAIL - RETLR-N RECEIPT REOLFE.STI D DIVISION OF COASTAL MAINAGEME;N-' ADJACENT RIPARIAN PROPERTY ot-ER sT'ATEJ NxT Name of Property Owner: U�U S74T I P ` W ►Zk(,RTY,1' 1 t_ L� to , $.MCA". ,y.�TT(1�1�1 LOr Address of Property:g1Z U;a�e_ tlc r;91ti�sJ;`t� $eo.c ('4,;UC41UQw Hu sue; 'Lo�.t� 1 (Lot or Street ff, Street or Read,, Chy & Cry ) Applicant's phone #: t 7 - �F mailing Address~ � �, cy, I -I, guy t-ciuiy alai i own property adjacent to the above referenced ply. T31e i &vicltsal applying for this perm has described to me as shown on the attached drawing the development dety am propcsiog, A rlescriotioa of dra�arios with dimensions must be provided with this letter. r I have no objections to this proposal. _ I kart Objetytk-as tta this proposal If you have objections to what is being proposed, you must notify the D"isioa efCeaslial Management (DCM) in writing within 10 days of receipt of this notice. Correspondence sbeW be marled tea I2-7 Cardinal Drive Exi Wilmington, NC 28405-3845. DCM representatives can also he c4atscled at 010)7%- 215, No response is considered the same as no objection if you have been noticed by C'eriibed A�a� WAIVER SECTION f understand that a pier, dock, mooring pilings, breakwater, boathous--, or lift must l�c $et ck a minimum distance o 15' from my area of riparian access unless waived by me. (If you wish to vndw the seduck You must initial the appropriate blank below.) I do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Information) (Riparian Pr3pCrty Owner Information) �7_— '_- l3_ /rc t-7 Signature Signature-- - r, . Co r? I>> L a., Print or Type Name IZ Mailing Address City (State / Zip ri Print or Type Kam City / State i Zip �[iYYt �f,o f' a►, t y iaAA .Q r Si 1� J RECEIVED DCM WILMINGTON, NC 0 C T 17 2012