HomeMy WebLinkAbout71241A_Carova Bound, Inc._20181103tCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
LY�New ❑Modification ❑Complete Reissue ❑Partial Reissue
No71241 `
CA' B C D
Previous permit #
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 - 11, a-poc)
JV Rules attached.
Applicant Name
CC4 ry V c.. a r cf ? ., c
Address SOU
Ste, Avt
30K
City V „y e„o f%cc
t L. State VA
ZIP a -%., s
Phone # ( )
E-Mail
Authorized Agent
56 , r F►a r e-!1 c . .
Affected ❑ CW
W EW Q(PTA ❑ ES
❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA
❑ N/A
❑ PWS:
ORW: yes /r116:,
PNA yes / L-,`
Project Location: County Cv.r •i1 L iC
Street Address/ State Road/ Lot #(s) I $ r k ,t � J
S 1 a I1.s el
Subdivision
City k+-. T \ I. Y.ct ZIP ';k-4A X12
Phone # ( ) River Basin +� k
Adj. Wtr. Body e,,.;1 i T', 1ccl [ . I at. man /unkn)
Closest Maj. Wtr. Body C k L 1( 15U ('
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Agent or Appli t Printed Nagle
.1�,.
Signature * Please read compliance statement on back of permit
Application Fee(s) Check #
u r� nG
PermitOffice ' n e
ture
1115- ►o l9 /ail g
Issuing Date Expiration Date
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:(rv�� �vvnc S�
Date:
Permit #: 3-) fit{ w
Describe belo',�t 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)
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.n_et revised:02/03/10
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date / 9
Name of Property Owner Applying for Permit:
LAB ct -T
Mailing Address:
'gob
VA `13y5G
1 certify that I have authorized (agent) 5 hAto ti A /t/ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or
construct (activity) b,,-r // P� . , at (my property
located at) / $ ��wA ��ti �2 �) _ KT r� z�ry s o
This certification is valid thru (date) &L 3 0�
Property Owner 94nature Date
CAMA Minor Application
Page 10 of 10
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
PC. a'0x Y,)--�.
❑ Agent
X /Addressee
B. Rec d Sid n Name) C.(15ataofDelivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
`
3. Service Type
❑ Priority Mail Expresso
Adult
0
11111111110
1111111111
IIIIIII
I
III
I 1111111nature
11111111111
❑
SSiiggn urre Restricted Delivery
❑ RD�Vstered Mail Restricted
9590 9402 1766 6074 2335 60
❑ rtified Mail Restricted Delivery
❑ Return Receipt for
Merchandise
❑ Collect on Delivery
❑ CoUect on nelivery Restricted Delivery
❑ Signature Confirmation-
2. Article Number (Transfer from sPrvteP faholl
7016 0 7 5 0 0000 9153
6400 iestricted Delivery
0 Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
Letter to Adjacent Property Owners
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND -DELIVERED
Date
llo-v Aid ej,A DPAWA s
Adjacent Riparian Property Owner
22o a ox y", -:r d
M
yilin Address
onFa /X , VA- I/
City, State, Zip Code
Dear Adjacent Property Owner:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit
on my property at y m l e—y & L / z n / ► S TJ ),1 A�d, A 6 in
Currituck County. A copy of the application and project drawing is enclosed for your review.
• If you do not have objections to the proposed activity, please mark the appropriate statement below and
return to the appropriate office as soon as possible. If no comments are received within 10 days of receipt
of this notice, it will be considered that you have no comments or objections regarding this project.
• If you have objections or comments, please mark the appropriate statement below and send your
correspondence to the appropriate office.
• If you have any questions about the project, please do not hesitate to contact the local permit officer at the
appropriate office.
Mainland Office
153 Courthouse Road, Suite G107
Currituck, NC 27929
252-232-6026
Debbie.LaShomb(cDcurrituckcountync.gov
Sincerely,
YA
PropdWty Owner's Name
Corolla Office
1 123 Ocean Trail
PO Box 73
Corolla, NC 27927
252-232-6033
Margaux.Kerr(cDcurrituckcountync.gov
�S7` %3 2�1�
Telephone Number
I have no objection to the project described in this correspondence.
❑ I have objection(s) to the project described in this correspondence.
Adjacent Riparian Property Owners Signature
Print or Type Name
Address
City
Date
Telephone Number
State
91
CAMA Minor Application
Page 8 of 10
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
l l -7o ' t c
Z?'j -I?ate
II I'lll�l 1111111111111111 HE I Ili) II III III I I
9590 9402 1766 6074 2340 17
2. Article Number frrensfier from service label)
7016 0750 0000 9153
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 17 CI Yes
If YES, enter delivery address below: _•Z}-{dtl'
1�tv W .
T n �, 2418
3. Service V'ype ❑ Priority Mail Express®
❑ Adult Signature ❑ istered Mail,"'
❑ Adult Signature Restricted D IN ✓ �istefed t "' tri. erd
fled male
eUvegt'. `�-`
❑ Certified Maid Restricted DeI144.• s �rR pc ror
❑ Collect on Delivery endise
❑ Collect on Delivery Re �Mc dDelivery ❑ Signature ConfinnationTm
❑ Signature Confirmation
6 417 Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
Letter to Adjacent Property Owners
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND -DELIVERED
�7"/6_
c W rn Y) s5 0/V Received
Adjacent Riparian Property Owner
j�ol p t 6le, A-,,7,e A �,� �'S h GCS 25 H1
Mailing Address
C Q�? X� y— J ,7C G ®CM -EC
City, State, Zip Code
Dear Adjacent Property Owner:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit
to A C,t. � D /4 % e� /� 7—
on my property at / Y I4A- Jr -IT n5 rI'5//�A.Aj IVC in
Currituck County. A copy of the application and project drawing is enclosed for your review.
• If you do not have objections to the proposed activity, please mark the appropriate statement below and
return to the appropriate office as soon as possible. If no comments are received within 10 days of receipt
of this notice, it will be considered that you have no comments or objections regarding this project.
• If you have objections or comments, please mark the appropriate statement below and send your
correspondence to the appropriate office.
• If you have any questions about the project, please do not hesitate to contact the local permit officer at the
appropriate office.
Mainland Office
153 Courthouse Road, Suite G107
Currituck, NC 27929
252-232-6026
Debbie. LaShombC&currituckcountync.gov
Sincerely,
roperty Owner's Name
Corolla Office
1 123 Ocean Trail
PO Box 73
Corolla, NC 27927
252-232-6033
Margaux. Kerr a�currituckcountync.gov
I have no objection to the project described in this correspondence.
I gave objection(s) to the project described in this correspondence.
Properly Ov ner= Signature
Print or Type Nome
Telephone Number
Dote '
`t n - -i lzn - ki 3-y l
Telephone Number
' zIi � k�. in- 6AJ i,— �7�I �
Address City State Zip
YQ� Jc, iS 10wnc�n Y"a
CAMA Misr Application
Page 9 of 10
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