HomeMy WebLinkAbout71189A_Soctty W. Nicholson, III_20181011V
OCAMA / ❑ DREDGE & FILL N2 71 189 ) g C D
GENERAL PERMIT Previous permit#
O1New --Modification ❑Complete Reissue El Partial 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 I SA NCAC �� I �� M Ruless I 1 1t'
i
`�__`t r ` —� attached.
Applicant Name SC'p, L9.� N .C���`,�r i \1 Project Location: County �� cl�_
Address C). Street Address/ State Road/ Lot #(s)
City �� State �P�ZIP (,o S( `-p I I &-�'q,5S ,
Phone #( ) E-Mail Subdivision r c,, " r 0. `� r 5 G rk j
Authorized Agent e 0 n kcc fi r C.A e City i r,\5 c U ZIP a 3b
Affected ❑ Cw KEG/ aPTA p ES ES PTS Phone # ( ) River Basin IDG 5 j (K-
❑ oEA ❑ HHF ❑ IH ❑ URA ElN/A
AECs: rn Adj. Wtr. Bod u: <' U JO��t�
() El PWS. I Y � (�2t, j/man /unkn)
ORW: yes / no PNA yes
Closest Maj. Wtr. Body-
0
cubic yards
Boat ramp
■■■■■■■■I■■■■■■■■■■■■�7■■■■■1
■■■■■■■■I■■■■■■■■■�►iilE►y�■Eti
Beach Bulldozing
■�■■■■■■■I�li�;i�■11lS5ill�J■�Il■■'3i■■■■1
building permit
Note Local Planning jurisdiction)
Notes/ Special Conditions t
it Printed Name
Sigma u're ** Please read compliance statement on back of permit **
b�6' � Q 33
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
1 1
Permit i is rinted Name
k.
Signature
/0/1 1 / J& L/I 1 I ld
Issuing Date Expiration Date(/
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: 5 c A j GJ• N' c. h o t so ^ iN Permit #: 4 1
Date: ICIA, fit&
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/or
temp impact
amount
dfvk
Dredge ❑ Fill ❑ Both ❑ Other ®
!9 - 80 4 j4
8 3 0stA
Sha�law O1^
Dredge ❑ Fill;R 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 ❑
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner (s) Applying for Permit: Scotty W. Nicholson, III
Mailing address: P.O. Box asa
Glenville. WV., 26TSi
Telephone Number:
I certify that I have authorized Cim Price & Jennifer Price (agent)
to act on my behalf, for the purpose of applying for and obtaining all CAK-1, permits
necessary for the proposed development of Add to existing riprap: reconstruct
at my property located at s1164 Lassiter, Lane
Frisco, NC, 2794A
This certification is valid through 12/_g1/2018 (date)
(Property owner Information)
Sig nature
Prins or Type mane
3Cx4-??I -�-ILI?
Telephone Number
UNITEDST13TES
1�i/ POSTAL SERVICE
October 9, 2018
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7017 0190 0000 8332 1758.
Status:
Status Date / Time:
Location:
Postal Product:
Extra Services:
Weight:
Note: There is no delivery signature on file for this item.
Delivered, Left with Individual
October 1, 2018, 12:28 pm
HIGHLAND, MD 20777
First -Class Mail®
Certified Mai ITM
Return Receipt Electronic
1.0oz
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post Office TM or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004
UNITEDSTATES
CW POSTAL SERVICE
October 9, 2018
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7017 0190 0000 8332 1765.
Status: Delivered, To Agent
Status Date / Time: October 1, 2018, 1:01 pm
Location: VIRGINIA BEACH, VA 23455
Postal Product: First -Class Mail®
Extra Services: Certified Mai ITM
Return Receipt Electronic
Shipment Details
Weight:
Signature of Recipient:
Address of Recipient:
1.0oz
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post Office TM or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004
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PAMLICO SOUND
CAMA PLAN FOR:
SCOTTY W. N ICHOLSON, I I I
51164 LASSITER LANE
sCOT3
FRISCO, NC, 27915 p N BONNET
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51164 Lassiter Ln Tax Ownership Current Tax Value Map Legend _
Frisco, NC 27936 Scotty W Iii Nicholson Land 267,800 Scale: 1:1,066
Parcel: 011674000 x 3Su Building 320,700 Basemap: Aenals(2012)
a..e PW-nawoua?.O•
r--aos., Pin:051610454142 SO -I Misc 17,600 Parcel Lines
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mw. 1 Tax District: Frisco /� Total 606,10-0 —Property Line
DARE COUNTY Subdivision: Wind -haven Shores 01(ertyoke� Wv 2fp35� ❑Selected Parcel
ASSUMES NO LEGAL Lot-Blk-Sect: Lot: 23 & W 1/2 Lt 22 Blk: Sec:
RESPONSIBILITY FOR
,O INFORMA.0. Property Use: Residential
AWED IN TH7S Building Type: Traditional
Year Built: 1970
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PAMLICO SOUND
CAMA PLAN FOR
SCOTTY W. N ICHOLSON, 111
51164 LASSITER LANE
FRISCO, NC, 27915
Date 08/07/18 Scale 1" = 30'
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