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HomeMy WebLinkAbout73517D - WigginsT X CAMA / DREDGE & FILL 6 GENERAL PERMIT New ❑Modification ❑Complete Reissue ❑Partial Reissue No. 73517 A B C 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 07.H. 1 2 00 Applicant Name ES -� ITY�1 Z► I G6i4s Address 15550 /HoMPsog RO City M ►NT 0111-L _ StateA/C ZIP 2822 7 Phone # (7 0) 577. 554 5 E-Mail n/1A Authorized Agent F-► C K WEST Affected ❑ Cw X EW X PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes 10 PNA yes 43 ❑ Rules attached. Project Location: County 9g%XdS w 1 GK Street Address/ Staatte�Road/ Lot #(s) 1 4 S WEST -TVA 1 RD STR£ET Subdivision N /A City OCEAN =5Lm SCACIA ZIP :2.8 4-& 9 AerA& Phone # ("LOB}):5&3 - Wp(o8 River Basin LtAMse4z. O Adj. Wtr. Body i5ASTr_RN C.M AIAIML. (nat man /unkn) Closest Maj. Wtr. Body %4 W Type of Project/ Activity =N S TA LL L NE t,J T�W AT i n/ G _DO c K- Tv r_xIST►Atc, 17ocK1Nc, 'FACILITI/_ (Scale:')"= 7_01 ) Pier (dock)lenoth 'ixed Platform(s) ■M7.3110111"'31OiW er"111 !■■W.M'7 779HPt,9i1M/r-d7■■■■■1 1 max ■`I%\�r■r�flifili�Ilr■■■■■■■■■rr■ilbli`I`ir■■■i 1 ■■■■■■■■\■■■■■■■■■■■■■■■■■■■■■■■■■■■■I■ ■■■■■■■■■■■■■■���■w��w■�■■■■■■■■■■■■■►1■ ■■■■■■■■■■■► ■■■VYlii�i�lii:i�iii�iii■■■■■■■■■■■■<J■ ■■■■■■■■■■�!■■ Iri��:�! ■■■■L■■■■■■■■■■■fY■ ■■■■■■■■■■ ■■ I■!!7�� ►7■■■■ll■■■■■■■■■■■■■■ ■■■■■■■■■■■■■.�: ��:��w�■■■■■■■■■■■■■■■■■■ cubic yards ���■■■■�■■■ ■■■■1111■ftl�?�7■I■■■■■■■■■■■■■■■ ■i■■ NEENIONEINON M ON NERSEU0■■■■P■■■■■■■■ ■■■■■■■■■■ I ■■■■■■■■■■■■■■■ 0I�Iilliillii���J ,AV: not sure yes loratorium: (9 yes no Vaiver Attached: .n, , . ■■■■■■■■■■■■ ■■■�'R11�l�1*�■■ 1 ■■■■■■f■■■■■■■■■ W.111011111MIER"0011 MENEll■■5���RMPTTm►7■■■■ ■�■■■v■■■■ ■■I�wwew■r'■■■■I ■■■■■�1■■■i■■■■ ■■■■cilli■■■ ■■■■■■■�■■i1■■■■� ■■ B a� A building permit may be required by: OCXAAI �StC IE7A--AC*AH ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions Q 7)A , 2 O0 91 AI.L pTHER LOCAL , STATE . A of p FevsRAL REnLp,i— -rit m5, APPLa(_ Agent or Applicant Printed Name X, Signature ** Please read compliance statement on back of permit ** ZOO -74 543y Application Fee(s) Check # �� LIr 1PL M C' GL. Iltl. Permit Officer's Printed Na e C Signature 3 zs 19 '725/11 Issuing Date Expiration Date 1 XCANIA / CI DREDGE • FILL No. 73 517 A B C Q GENERAL PERMIT Previous permit # gNew �JModification nComplete Reissue CPartial 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 comern pursuant to I SA NCAC n 7 H ❑ Rules attached. Applicant NameNf r-S I T4 t WI G G 1 ml S Project Location: County -2>R�&L4s w i etc _ Address /.5550 INo1.1PsuN RV _ Street Address/ State Road/ Lot #r(s)_�q City.._) 1NT N 1(.L State JC- ZIP 2bf2.z 7 WEST CH 1MID __-STR9-GT Phone # (7 p4) 577 - 5545 E-Mail NSA Subdivision AIA_. - Authorized Agent ..---g� cry Wr-6T City Ocrm �sLr- &-AaA Z►P_�.14-& 9. Affected ❑ cw XEw )6 PTA ❑ n ❑ PTS /(CafN r Phone # (r 0�) 3G 3 - p Wo 8 River Basin - L.4ArtsaL AEC(s): ❑ OEA U HHF J IH ❑ UM ❑ WA Adj. Wtr. Body :F5N_CjAN- Ix man unkn) ❑PvS: ORW: yes 0 PNA yes Cbsest Maj. Wtr Body W -- Type of Project/ Acthr q 4 5 TA � L- /Y �W 1'WAtrr V G DO CX- Tt� �X1ZSTI is �OGKtNC, FAgi-ITy (Scale:.1"�' ZQ1 ) vier (dock) length w' Fixed Plsdorm(s) f W's) 5T�R� C p.NMEL- Grol BuNdrea prap length _ P 1 I? R I LAID N avg a offshore MAX eoffshore.-----FI-o�1TEK i Basin. dune/ cubic yrds_- Boat ramp Boathouse/ Boadfft Beach Bulldozing odor (� N tr frs �u socra _ .. __— .s. w � Shoreline Length 1.4-0' . _ .---- not sure iiC�G1- �S SAV: no i - � O i 1,� � CWAi vtF D� Moratorium: 19 yes no All D �� Photos:yeso (48� w, 3Rp I S R�i-T 144. Wakw Attached: O®�v� no i A building permit rr y be required by: gOCCA,&I ys LG �gcFl See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Condition DIN 119-00 $r /111. or tiER L-0-Al.s STA-rr. AAA FCDERAt_ RE-aL._ i.A-rjn,4x APPt y r tPrie 39N - - - lr Permitooiom sftnted Sie1 lease read c piiance statement back of permit ~ Signature Application Fee(s) Check # Issuing Date Expiration Date Name of Property Owner Requesting Permit: �l i 9 ? ^f S Mailing Address: �5 �D h 022e csO,J ,tZc7F-2 '7_ A7,/ Phone Number: 70 q Email Address: 1 \ I certify that I have audiorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining aN CAMA permits necessary for the following proposed development: cox 61) 0013-4 i "' l at my property located at /'IW8' LJ -" iIII I In ru 5 County. I furtherrrrore 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: Print or T TWO I v1 Date This certification is valid through -1 RECtivtl7 MAR 2 5 2019 DCM WiLMINGTON, NC a ry rs at r� 7 TVO CERTIFIED MAIL, • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: 114 I-F` (Lot or Street #, Street or Road, City 8 County) )I �o? Agent's Name #: / )' �-K �` J Mailing / Agent's phone #: 7 ��� 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. I have no objections to this proposal. QN FI 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 at http -//www nccoastalmanagement. net/webicm/staff-listing or by calling 1-8884RCOAST. No response is considered the same as no objection if you have been notlfled by CertiRed 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 m area of riparian access unless waived by me. (If you wish to waive the setback, yoLtthe appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr or Information) Signature L�--a(�- Print or Type Name /-n�.eS-b -tom 0&'Pso-) Wd Mailing Address ,vc g� 2 City/state/Zip Telephone Number / Email Address (Riparian Property Owner Information) Signature Print or T Name - q 0 �- Mailin Address Kx;z cityZaaWZip / 40V- Telephone Number/Email Address '3-J-)9 Date Date (Revised Aug. 2014) CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM A)/�g i I S Name of Property Owner: i Address of Property: 6' 4,�--s (Lot or Street #, Street or Road, City & County) I Name #: I C � � Mailing Address: O� �` `S4/ Agent's Agent's phone #: 7 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. must be provided with this iettQr. 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 at http /hvww nccoastalmanagement net/web/cm/staff-listiin 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 areafi of riparian ate blank below.) waived by me. (if you wish to waive the setback, you PP P �J 4444J� 1J4"' I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Property Owner Information) Signature Print or Type Name Mailing Address City/3tatelZip Telephone Number/ Email Address Date 7,c-'�9 (Riparian Property Owner Information) Signature ISo L.1a A a� D1,..'1� Print or Type Name moo, &y- G-5609 Mailing Address City/State/Zip 9/0- 4/09-/i.2�c� Telephone Number / Email Address XtAQCN & .20 /g Date (Revised Aug. 2014) 41- ,�'ol_ b -Y- mot° N gl 1 -gb,s,F- LG�-�,aL Grrs c-3r $rI Received Date Deposited Check From Name of P—it Holder Vendor Check Number Check amount Permit Number/Comments Revel t or Re/und/Reall—ted :D;.le olumnl Columnl Colum0 Llame Column{ Columns Column6 Column? Column8 Column9 MW D ks Marine oretructlo - Wi BBBT 5E 9 00.00 GP #73517D