The URL can be used to link to this page

Home My WebLink About72814D - DailC1 CAMA / L I DREDGE & FILL RNERAL PERMITOM^' ew ❑Modification ❑Complete Reissue ❑Pa As authorized by the State of North Carolina, Department of Environm and the Coastal Resources Commission in an area of environmental concerr Applicant Name4-F-NA t c, Address � 1 City UA—]E State0c, ZIP Phone #J— 0303 E-Mail Authorized Agent Affected ❑ Cwi )tEW PTA )(ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes no 1 PNA yes no rtial Reissue ental Quality pursuant to I SA No. 72814 A B C DD Previous permit # Date previous permit issued NCAC ul ❑ Rules attached. Project Location: County��1 Street Address/ State Road/ Lot #(s) Subdivision City - U ZIP Zg Phone # ( ) ��River BasinPV Adj. Wtr. Body nat` 6 m an unkn Closest Maj. Wtr. Body T Al L 5006 ■■■■■■■■■■■■■■■■■■■■■■R�!a{■■■■■■■■■■■'1�1!■■ ■■■■■■■■■■■■■■■■■■■■■■!■i■■��■rnii■■■■■■■■■ MEW ■L: A�■■!�■■•�!��■: ME ��i�Y%I��1��■�� _ �� - iiiiiiiiiiiiiiiiiiiyuii ■■■■iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii - ��iii�iiiiiii■iiiiiiiiiiiiiiiiii�iiiiaii Gi��■C :►il:liiiiiiil■�niii:■■ M�� ►■�.��wi�iii�ii MEN i e t or Applicint Printed Name Signature ** Please read compliance statement on back of p/e_rmit ** 00 Application Fee(s) e--' Issuing Date Expiration Date Locality Permit Number Ocean Hazard Estuarine Shoreline ORW Shoreline Public Crust Shoreline Other (For official use on1j) GENERAL INFORMATION LAND OWNER - MAILING ADDRESS Name Ti-1 VN %J l )� Addmsv�s 13 iK�]0 Q City Tty,Qllnsl�t\�Q State` _ Zir283 hone '�1 �♦�- 0�90—D3Q3 Email A, ► %. r' lC vY\C . 1/Na'v inn ail e-o rv., AUTHORIZED AGENT Name Address City State Zip Phone LOCATION OF PROJECT. (Address, street name and/or directions to site; name of the adjacent waterbody.) (pA 1 N i xo n Agel � PSR; I Bea&i I DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) t� SIZE OF LOTIPARCEL: square feet ,3 l acres PROPOSED USE: Residential $ (Single-family ❑ Multi -family ❑ ) Commercial/Industrial ❑ Other ❑ COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit QQSeer if you are not sure which AEC applies to your property): (1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but excluding non -load -bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES: square feet (includes the area of the foundation of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stornwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)? YES_ NO If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet. V Z O o W cli OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other 20n the C IA �— 0 minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sa waste Z treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and F. nsvrca or, rA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Hig Corme�ion, and J others. Check with your Local Permit Officer for more information. Q STATEMENT OF OWNERSHIP: I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a n person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) -Zan owner or record title, Title is vested in nama of -N h r J (, , DCL I I - see Deed Book .4 V an- page in the County Registry of Deeds _an owner by virtue of inheritance. Applicant is an heir to the estate of in la- ; probate was in _ County. if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) ( ddress) �. (►) '10 f0pnPil I Beo Ate 1AeqC (3) (4) ACKNOWLEDGEMENTS: I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. 1 acknowledge that the Local Permit Officer has explained to me the particu- lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza- tion and floodproofing techniques. 1 furthermore certify that I 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. %Q This the day of�_, 20 T1 �v Lando er or person authorized to act as his/her agent for purpose of filing a CAMA permit application This application includes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the Ocean Hazard AEC Notice where necessary; a checkfor $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details ofthe application as described by these sources are incorporated without reference in any pemtit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to He fl r y TL � s (Nafne of Prop" Owner) property located at CD N l m ( C (Address, Lot, glock,'Road , etc. on V-\ nng` , in a12�,CCCh N.C. (Waterbody) ( ty/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location 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) seawQll s{4Wall % 00� N. Avc_ I understand that a pier, dock, mooring pilings, boat ramp, breakwafer, 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) Sign ure Print or Typ me 1 1z ► gt-rl oy- Scl1�a u Mailing Address 1 L� .0 n a n � � -( , City/State/Zip 9' b Q q o - 303 Telephone Number / email address (-.)—.,)o,9 Date *Valid for one calendar year after signature* (Adja f1tP pep Owner Inf ma n) o �L.11Pw � �Q LQ 54 S 0W h Print orpe Nam s Tei-I�C� Mailing � ddr sG f (,J' �w�'N!K �..� a Obi I I Cit,yy/State ip `1 1 0- G (7-9C5 Telephone Number / email address i-z-aol9 Date* (Revised Aug. 2014) RECEIVED JAN 10 2019 DCM WILMINGTON, NC ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 14 tor i PAS ( s Na a of Property Owner) property located at L2 02 ( l\k oh Xe -� (Address, Lot, Block, Road, etc. / on 1 nok� C kahnein 13-each N.C. (Waterbody) (Ci own and/or County) The applicant has described to me, as shown below, the development proposed at the above location. ✓ 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) YieW SeGwce I I' C0 a I bid Nl'xorl �Uc I 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. (Property Ownerinformation) ature er Print or Tvbe Nome Mai ing Address , lie N C C9 83 �� h rt.s V i p ity/State/Zip 61IC _a g� _ 0 30-3 Telephone Nu ber email address —aolq Date 'Valid for one calendar year after signature' Prop,frty, Owner Information) Print or fi11y/0LdLU1t-yP SLI 71P Telephon N tuber/email address l.gz/q Date* (Revised Aug. 2014) RECEIVED JAN 10 2019 DCM WILMINGTON, NC ---------------------------------- BANKS CHANNEL----------------------------- r. U existing .`LE seawall I 702 N. Anderson Edwin Bowden 621 Nixon Ave Henry Dail NO 619 Nixon Ave Doug Austin U normal high tide 618 Nixon Ave undeveloped lot c Wyatt Topsail CC a co r >: G ern _------- -------------------------------------------------------- 1J" LLI L --_--_----------.-----.--------------------------- Proposed seawall Contractor: ^ Darrell Erny (�,,, j) septic system Lighthouse Marine Construction C w > o w w Q z 0 c� z >J_ U Date Recetwd Date Deposited Check From Name Name of Permit Holder Vendor Check Number Check amount Permif Numb-?C. enfs Receipt or Refund/Reallocated Cotumn7 Column2 Column3 Column! Columns Columns Coka 7 Cok mn9 Cotumn9 2i1/2019 HerryG Dal(Check 1 of2) Henry G Dail _ _ Hen ail ahem Bak Southem Bwk 3387 300.00 GP 9M1/0 _. _ JD ra 7753 _