HomeMy WebLinkAbout71726D_CRISP, Joseph CAMA / DREDGE & FILL No 71726 A B C 0W GENERAL PERMIT Previous permit#
!_ 'New Modification ❑Complete Reissue 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 5A NCAC 193M.1100
❑Rules attached.
Applicant Name / 0
iSF Q j Project Location: County /AW &neU'er
Address #8 49h'll y ICa �'// Street Address/State Road/Lot#(s)
City rWt I14/( t State ZIP Ag40? 184q' Kennedy goad
Phone# ( 10 ) d? 4? E-Mail Subdivision' """"""
Authorized Agent AIM City WMIK/ ZIP a8409
Affected ❑CW ❑EW ❑PTA WES XI PTS Phone# ( ) River Basin Vrhf tC Oa C
❑OEA ❑HHF ❑IH ❑UBA ❑N/AAEC(s): Adj.Wtr. Body if!tit/WV (natC3i /unkn)
❑ PWS: /Ylaso- )boa, �o✓'
es
ORW: yes / no PNA / no Closest Maj.Wtr. Body
Type of Project/Activity glOPOSete* CD&I.c*id rip rap /t vein f/!7 a rid a l t r(Aril k/k/ rd
dimwit'd by I/01 (a 't l�1�a (Scale: f i 00 )
Pier(dock)length
I i
Fixed Platform(s)
Floating Platform(s) _ V 4 OS C �./,���
—
Groin lengthilS '
Finger pier(s) �' �'" g !itr1
j- 5or •
number I j 1. .)
Bulkhe iprap ngth 50 i 5 #
I
' .e,a
avg distance offshore 5 I • 4 O o'er
max distance offshore 4.5' OrC0 �•
Basin,channel
cubic yards ..
Boat ramp .►...—. __ _ , I I I i -
Boathouse/Boatlift -
' j
(41T Beach Bulldozing --"'"'""' I ;: �,w •.' - .
Other 3 5 SF j ;:; �� : _
^ � t\ky..
Shoreline Length 3Qt't * . q•Y i . ( b
SAV: not sure yes I +� I
/� 1
Moratorium: n/a yes V I .y I
+ — I P 1
Photos: yes /' n ! ` 1 Cop,�tat/ • O n•/ Dt
Waiver Attached: yes C ? //r`ope4 I ( {V(e+6 AA �L-,
A building permit may be required by: �Ilb/QVY/ C t See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) '0!,� /� �j /� /��
Notes/Special Con& io % //NI�6 4MM $071 //O t S bl if.5 dor rite,-/a c
SfAle 2 -le , / reyi /,If4)1$ Q' p/ . I
3os h l cp gdlirk 41110
Agent rApplicantPri ed a Permit Officer's Printed Name
6"141 ed
Signatur **P'ease read compliance statement on back of permit.c Signature
400 dal At0/201/1 , / g IR,VR61
ApplicationFee(s) Check# Issuing Expiration ate
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: -3 v S(2-4
; S
Address of Property: va c( ��� k, vn .L y t c%iv' �t�, ,ZtL 1 r• /Aulfc're
(Lot or Street#;Street or Road, City&County)
Agent's Name#: A Mailing Address:
Agent's phone#: lv t-r
I hereby certify that I own property adjacent to the above referenced property. The individual
applying fo this permit has described to me as shown on the attached drawing the development
they are oposing. 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. 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
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Property Owner Information) (Adjacent Property Owner Information)
�/
� Lr is p ( ./ cl
Sign lure Signature
l�
Print dr Typb Name i nt or Type Narne
/S'V l kei t �� e� �a v�l �4e h /te i/z/`� �•
Mailing Address J Mailing Address
1 2 t I//
GU I 'Mri''��on� !jai. 01 L 4i„ii/z
l `4/ c, 7i City/State/Zip) City/State/Zip
9/0 : 7— .3`-t '1 .� T/r) �yqq
Telephone Number Telephone Number
120a
Date D to
Revised 6/18/2012 •
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: - I✓P g.15 f
1 tI �
Address of Property: i g � ka atJzc Zg AlOil
rn
ff! N'C1 fiAID✓Clt.
(Lot or Street#, Street or Road, City&County)
Agent's Name#: t", '
,,r Mailing Address:
Agent's phone#: I v' I�
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 pro sing. 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 h e 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. 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
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Property Owner I formation) (Adjacent Property Owner Information)
T
Signat`u e� ASignatu ufz,i'q) re
Print or Type Name Print or Type N� /�
rne
1 g` c �e,,,,).- y R� 17 a I-cen ecly Rd,
Mailing Address Mailing Address
OliviToto No/ •
i,,. g. 0,
City/State/Zip City/State/Zip I,
1O -30- 3L0 / gib - �0(7 - gbl7
Telephone Number Telephone Number
Izch f 201 c MC1A. . r, 7 1 D b t l
Date 1
Date
Revised 6/18/2012
MYRTLE GROVE
5675 CAROLINA BEACH RD
WILMINGTON
NC
28412-3629
3686420401
03/18/2019 (800)275-8777 9:38 AM
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Check
Date Received Date Deposited' Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Column2 Column3 Column4 Column5 Column6 Column? Column8 Column9
4/23/2019 'Jospeh and Teresa Crisp Joseph Crisp _Bank of America 4721 $ 400.00 GP 471726D PA rot.7962