HomeMy WebLinkAbout74231D - SmithjCAMA / I DREDGE &.FILL, NO. 74231 A B C
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue El 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 SA NCAC 07 14 . 1200
❑ Rules attached.
Applicant Name
Address & J CR A VEW cST
City 42C rQ,V [,S 1� , tate 1 CI ZIP ;;! Kf& `l
Phone # ( E-Mail
i
Authorized Agent c,DE L. X(-Ass
Affected ❑ CW )6W i f' PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /(no PNA yes / 19
Project Location: County 8 tz K 5"e.l Ic K
Street Address/ State Road/ Lot #(s)
2
G RA V E /V STRE r
Subdivision
City ZIP 2 g*49
Aoc d-r Phone # (110) _r40 - o410 River Basin LtA M e o-n
Adj. Wtr. Body A I W O (o n /unkn)
Closest Maj. Wtr. Body A I W
Type of Project/ Activity prm U V r 73 nATI.1 C T _1,AZS::=,444, R A M P 141 TN
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A building permit maybe required by: QGf_A Al 71-s t-r_ &�AcA
( Note Local Planning jurisdiction)
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions D 7 j } 12 o o A tip A L.L O'TI.t art L c> cAL_ S i /1T�_ -,
Agent o Applicant Printed Name
&f ture*Please read compliance statement on back of permit **
20U -# 25(sGI25'13_71-
Application Fee(s) --enar"
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rl`TA.- iR C_GLA%P_ Er -
Permit Offic�ted Name
Signature
6/g 8 /q
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Brian D. Smith
Mailing Address: 68 Craven St.
Phone Number:
Email Address:
I certify that 1 have authorized Joel Klass
Ocean Isle Beach, NC 28469
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: removal of boat lift & insall floating dock & ramp
at my property located at 1 Craven St ,
in Brunswick
County.
I 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.
Property Owner Information:
Signature
16riaiv SMj tl
Print or Type Name
Title
Date
This certification is valid through
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:
Address of Property:
Brian D. Smith
1 Craven St. Ocean Isle Beach Brunswick
Agent's Name #: Joel Klass
Agent's phone #:
(Lot or Street #, Street or Road, City & County)
(910)540-0490
Mailing Address: PO Box 279
Supply, NC 28462
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. 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 athttp://www.nccoastaimanagemenLnetlweb/cm/staff-listin_g 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)
Signature
Brian D. Smith
Print or Type Name
68 Craven St.
Mailing Address
Ocean Isle Beach, NC 28469
City/State/Zip
Telephone Number/Email Address
Date
(Riparian Property Owner Information)
Signature
David L. n. Bodenhamer
Print or Type Name
610 Widgeon Ln.
Mailing Address
Atlanta, GA 30327-4757
City/State/Zip
Telephone Number/Email Address
Date
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Brian D. Smith
's
property located at 1 Craven St (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on ICWW , in Ocean Isle/Brunswick
N.C.
(Waterbody)
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lo.
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.
do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Brian D. Smith
Print or Type Name
68 Craven St.
Mailing Address
Ocean Isle Beach, NC 28469
City/State2ip
Telephone Number/email address
Date
Information)
Garth E. McGillewie
Print or Type Name
puilTct. D 1 Mt�>>u l 44
Mailing Address
32 WJ4XHAvJ L
C$t�te/Zi� _ 0 -
Telephone um r/email address
address
z-f 19
Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)
Ca 113
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Date Received
Date De osited Check From Name
Name of PemNt Holder
Vendor
Check Number
CM1eck
unt
Permit NumbenComments
Receipt or Relond/Realbcared
Columnl
Column2 Column3
_
Coli-4
Column5
Column8
I Column?
Column8
Column9
5/02019Joel Klass Mone Order Bnad S-th USPS 1259371 20000 GP#74731D
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