The URL can be used to link to this page

Home My WebLink AboutWiggins, David®� �CAMA / ❑_DREDGE & FILL ; NO. 75236 / A B( C p TNT NERAL PERMIT °' Previous permit#i flModification ❑Complete Reissue o❑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 15A NCAC !/ L] Rules attached./ Applicant Name ( ( Project Location: County i / ( 4 ( (-1 I Address ) _> Street Address/ State Road/ Lot #(s) City 1 1 1 I / I �':1. , State / ZIP Phone # (,�! ) f (;;=Mail Authorized Agent I ((l Affected pCW ❑EW F1 PTA El ES ❑Pis A Affecte OEA ❑ HHF ❑ IH ❑ UBA El N/A ❑ PWS: ,_.. ORW: yes / no PNA yes / no Type of Project/ Activity Pier Fixe Float Fing Groff Bulk Basin Boat Boat Beac Oth Shor SAM Mae Phot Waiv Subdivision r Ciry�)i :t r r I i(( ZIP > / Phone # �� / r" River Basin Adj. Wtr. Body 1_ na[ /man /unkn) Closest Mal. Wtn Body ■■OM■■■ MEMO■■■■■■■■■�■O■■■■�■■HIMMEMI ■■�■M■■MIN ■■■■CC■■■■■■MORE■E■■■ ■ ■■ROEIVOR ■■■O ■■■E■O■MMM■OC■■■■■■■■■■■Eiir�Me9■�■C■O■E■E ■■■O MEEMEMEMMEEF FEMME■ EMMMEOMM■r•OMO EOE■■■E■ ■ ■■■EEMrr�■■EEM■■■■■r1■i.RM■E EMS IN Emom ENE IN ME IN IN ■■M■■■■■■ ■ MEER0 MMEMI■OEEIJ■EE BIN ■■DEMO ■■■■■■®EEO i■■■■MEM■■■■ECM■■■■M■EE■EE ■■■■■■■■■■■ ■■■aEr�E■N�Rn■ ■■Err■■EEEEM■ ■■■M■■E■■ ■■■E■M■R■EMRroMEEEEEM■■MM■■E■■■ ■■■■■■■■■�■N MMME■EMM■■RERIE E■iwM■OOMO■■ MEMENEENE IN EM■■EM■ER■ME■■■■■u■u■■E E■•M■•E■•■■•®■E EE■M CEi® CCOMCiCR0 rIFN CC■:::::FAM CCB�ORI; : ECE■MR■■■■Mi ■■E ■ ■■■■■■■■M■R■■■ M■■M■■ ■■■■■■M ■■■■■■■■■■■■EEMr,RR■E M■■ EM■KEEN ME , NC®C■■■�CMMMENUM■E Inn. Length CCCCUiiC■iC■CiC iCC■CCCCCCm i■CCCCC■■■ not sure yes EONESE VC�Cr'�. MEM CiMMM1IM MMM1 �®CE IN OMEN CM A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions • r r c .�i1.,.S Agent or Applicant Printed Signature Please read compliance statement on back of permit*° ❑ See note on back regarding River Basin rules. l i t�f�✓F� _ .'(Z inted Name ./ ( AI. Expiration Da Application Fee(s) Check # 205 Nottingham Lane Eric Ellis Marine Construction DOCKS • SEAWALLS *BOAT LIFTS DECKS & REPAIRS Phone & Fax: 252.726.6775 Cell: 252.342.6775 C Morehead City, NC 28557 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: .YAK �' S S i ✓ c Mailing Address: Phone Number: Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: E at my property located at in �a r-beer-r County. 1 furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information -related to this permit application. Property Owner Information: Signatu e Print or Type Name �1W�Fl" Title m Date RECEIVE® AUG 14 N19 This certification is valid through /�_/ �d CITY OCM-MHi� I Date of Request: Property Owner Name: Address of Property: Telephone Number: Type of Work: Hurricane Florence and TS Michael Replacem.ent/Repair Request Form � ,-JS NOTE: The Emergency CAMA General Permit 2500 is for repairs and replacement of water - dependent structures damaged because of Hurricane Florence and/or TS Michael. The replacement, reconstruction and maintenance excavation activities shall conform to current standards and rules. All work under the Emergency CAMA GP 2500 must be made in the same footprint of the previous structure with no additions, expansions, or enlargements. If any portion of a structure being replaced is within the 15' setback of the riparian line or access area, signatures of the adjacent riparian property owner(s) must be obtained acknowledging the notification and waiver of the setback on the forms provided by DCM. • Any maintenance excavation or dredging requires signatures of the adjacent riparian property owner(s) on the notification forms provided by DCM. Signature: RECEIVED AUG 14 2019 DCM-MHD CITY z �s ay a $� J / o a a„ r E N 3& ,D GO O a 5 � a ++ �' N O N $ pt y a,d O Pi N �E A x F PC v N A g w jig .d 'b tFd •.. U VJ I�q d '� � � E po ,y a. A 00 W w AA �vJ N W i�i U jzj O N N 7 �O 8z. w a x o o x cNv t� '4 o a$ n M q U y i p 5 a F t p 6m, N o �acq `� « a W d F d' a � � � � c. � A q .�y � � .. •C •C ti E o O �, w F k� 3 �qy b ,� +'�+ O � " � •O t�:. [=� b U '�' c•"v ��.", A r7 a Phi 205 Nottingham Lane Eric Ellis Marine Construction DOCKS • SEAWALLS •BOAT LIFTS DECKS & REPAIRS Phone & Fax: 252.726.6775 Cell: 252.342.6775 6-) Morehead City, NC 28557