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Home My WebLink About68680A_William & Donna Delfera_20180318CAMA / ft DREDGE & FILL 8680CVA5 B C D GENERAL PERMIT Previous permit# [,'ANew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued / As authorized by the State of North Carolina, Department of Environment and Natural Resources : !/ and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �- (, t. Rules attached. Applicant Name Project Location: County art C 2' Address City k; j'-14"_'U k State N _ ZIP 2) iy7 Phone # (�) 1 N� $ 22 ] E-Mail Affected ❑CW [06W 1y�TA ❑ES ❑PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no Type of Project/ A/ctivi Pier // Fixe Floa Ffng Groff Bulk Basil Boat Boat Beao Oth Shor SAV: Moe. Phot WaM Street Address/ State Road/ Lot #(s) /r/fS ;nnwDy c_nl Subdivision /� r v r- S /4 K G/ < . d • rt City K ZIP Phone # ( ) River Basin rlr r V n. r Adj. Wtr. Body C. - _ n _. G (nat an /unkn) Closest Mal. Wtr. Body t% /G< , _r /a S� N 'A.1 ty ihel I.} nr QXcg✓�i e �ov�C 2/'x -2 (4, ce > <. -k- S / , I , "yam - (Scale: N 7 S ) ... .--� MENEM .......... :: w MWEEM ME on ..;::��t �::::::: ��EMEENE::::8 ■■■■■■■,� E=:::::iCCS j ::::E l Io ::::::::t::: ::■I :INN 1■n :::::::;ME.:■■■■�:1: ■:: :.. ■■■.'■:o �� 5��::::'.:::�::::::::: E■■EE■■■ ■ ■■■M■NIV■ ��■�tiia■■■■■■Gnm 1 ► In F4MfAM■■■ C�■I ■::■ ■■M�Llii■�fli;i�■■■■■■!;� ii lilir■.■■■ I S SOMEONE C :■■■■■■.�■�■■ ■■■■■oI : ■■ �■■■mil■■■ MOR (i .....■■: ONISMism OEM ENE Eiu'MIN : : NEIl_.16 ::::cam I: Oy...MO M ::::i :. ■■m■ ESE■■E■■0:-- -L� _ IN■■■ E. ..�■■■ ■■■.�:■....�..■INN ■■■■..::n.:a•�,■■. n/a yes no:■■•• •1-1.16NNEEMEm0 E:s yes no MEN■EMI■�■E■®■■■E� -1 _:::EEC:: Co"�i�r�ESE■■ ME A building permit may be required by: K 4 4' /,f-i, 1/.• ( Note Local Planning Jurisdiction) Notes/ Special Conditions <, r✓ o, 1 i'a E R Agent or Applicant Printed Name Signature *Please read compliance statement onback o(permit •' Application Fee(s) Check # ❑ See note on back regarding River Basin rules. R t�Ua i'.. •, '. ry r- Pe�ffcer's Printed Name Signed{ re / Issuing Date Expiration Date NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: William & Donna DelFera Date: 03/08/18 Permit#:68680A 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 Shallow bottom Dredge ® Fill ❑ Both ❑ Other ❑ 1260 1260 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 ❑ 252-808.2808 :: 1-888-4111COAST :: www.nccoastalmanagement,net revised: 02/03/10 hereby certify that I own property adjacent to U C�W " L �� 's property located ate Vf 6v b L) J'Jv (Name of Property Owner) on ��] t1 (Address, Lot lock, Road etc.) �72 r l � cJUc- v0 in `' r-r W l t+-" Y N.C. (Waterbody) (City/Town 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 fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (PropertyOwnerInformation) Si at re Print of jype dame y / / / ow�t-• M ili g Addres City State/Zip &ifs --; q -7 - 12 d7 Telepho Nu ber/email address /7- Date (Adjacent Property Owner In ormation) ",i � � Six a •� CQ4j (Revised Aug. 2014) *Valid for one calendar year after signature* CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: GPI 110/ t'' / 01vxJ4 �'/i //�J Pil /, Address of Property: z// jy6 'Jn,UJ/ L, 6U, 1 /Ty , rl "' , 12 % (Lot or Street #, S(reet or Road, City & County) Agent's Name #: Mailing Address: Agent's phone #: %?C i `tea c A� fl i1 EA TD 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. 1 have objections to this proposal. If you have objections to what is beingproposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http✓/www.nccoastalmanagement.neUweb/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) /v�yOm Sigr%rture Co // //(/l LL.64 ar �gd� v7 � Print or Type N me M Cr y �aw�� V o 0 Mailing Address A�� 1114W �, �� -2-790 o City/State/Zip U1 Cola „ -2 L/`7- 7 Telephone Number/Email Address r //7z�iS nrrr ❑ Retum Re pt (elech ) ❑Cee W MWI ganridad NIM, ❑A It Signature RequlW $0.50 .45 14 Postmark Here 01 /22/2018 (Revised Aug. 2014) L/� CERTIFIED MAIL • RETURN RECEIPT REQUESTED Address of Property: Agent's Name #: Agent's phone #: DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM Name of Property Owner: i 1 I (+ i"1'1 U, Don I"1 o,- (0— �n (Lot or Street #, Street or Rogd, City & County) Mailing Address: 7W-L Z> 6 e--' Al 7d 5 ' I hereby certify that I own property adfacent 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 what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http://www.nccoastaimanagement.neUweb/cm/staff-listing orby calling 1-888.4RCOAST. No resoonse is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature \ or lUe ;ZZy�F`I City/Stafe/Zip 4tp ~ l lf7- 7 cl i/Allltai Telephone Number/Email Address Date (Riparian Property Owner Information) LZdL ` Siignature 4 I x WNk (% 1 Print or Type Name I Mailing Address City/State/Zip 0 Y+11;d Telephone Number/Email Address Date (Revised Aug. 2014) r � - ' ` M1ry f � aaaa�n of � v I r � s 4