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
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779HPt,9i1M/r-d7■■■■■1
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max
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cubic yards
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0I�Iilliillii���J
,AV: not sure yes
loratorium: (9 yes no
Vaiver Attached: .n, , .
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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
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5E 9
00.00
GP #73517D