HomeMy WebLinkAbout76244D - Montesano&AMA / DREDGE & FILL
ENERAL PERMIT Previous permit# A B C /
New Modification Complete Reissue 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 _ Q 12 0 ® _
Rules attached.
Applicant Name �, V T tZa$cti Men c$0.✓1a _ Project Location: County 1�r.,�S_.—
Address (� 5�(t �+��4 F+�i�_��h_ _ Street Address/ State Road/ Lot #(s)
City C� ✓ t7TG State NJ C ZIP 2 $ �- - - — l—
Phone # (701) Wl ! 0 31— E-Mail Subdivision
Authorized Agent City 1 1vtL-,x Gcz,-ck ZIP 2 h 62_
Affected --i CW � EW PTA ES PTS Phone # (. _ -__ ) _ River Basin -
_OEA HHF IH UBA N/A
AEC(s): Adj. Wtr. Body__ (nat_gLW nl<n)
_ PWS:
ORW: yes / P PNA yes 1,V , Closest Maj. Wtr. Body
Type of Project/Activity (,ASkt It t) Gd`"ji 1-:L A--t- S;Ae _ al- cl,ock tn4.-
't�lC, tk," (Scale: )
Pier (dock) length___ _ _ _
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) _ L
Groin length ---- �� C ^� Q"i C0'/\0—k �--�
number
Bulkhead/ Riprap length
avg distance offshore DVTki
max distance offshor C
Basin, channel
cubic yards �a 4
Boat ramp Ftk t
Boathous Boadift
�--s" to v A,k l't
Beach Bulldozing
Other .78
Shoreline Length(i-
P-
SAv: not sure yes
Moratorium: ri/a yes Q 1
Photos: yes L -� A `V L1
Waiver Attached: es no
A building permit may be required by: �jOt•- .` o o` �, .� r,¢GcG� See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditionsg`���
Agent o icant Printed Name
Signature "" Please read compliance statemert n back of permit"
20 o °o ZT
e....r.�... ., c....,.� r-1_3. ra
_ r-se"4111 — "-'� -
- -
Permit0 s Printed Name
Signature
rcc 6— F niratiott Date
CAMA / -J DREDGE & FILL No. 76244 A B C Q
GENERAL PERMIT Previous permit#
IANew uModification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality '� Jf
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ��n • ' ZOO
❑ Rules attached.
Applicant Name
Address h, 5 2
City C.1,1' 4+4C State_ NJC ZIP 2 B z}g
Phone # (]oj) L)9 ( U -4( E-Mail
Authorized Agent
Affected ❑ CW N EW Q PTA ❑ ES ❑ PTS
AEC(s): EJ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / K � PNA yes
Project Location: County 1, f„n S,, , L1L
Street Address/ State Road/ Lot #(s) Q '�
- 1 1/.
Subdivision
City F I,1 J_c r C k zip 2 h L,2
Phone # ( ) River Basin ID, ✓
Adj. Wtr. Bod(natdnJ=)/unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity (,i ; f , l I /1 c w Lei c,+ If J- T n m h d . { S , ,\ O + cA Oc. k � nrTS
Pier
Fixe
Float
Fing
Groi
Bulk
Basin
Boat
Boat
Beac
Oth
Shor
SAV:
Moff
Phot
n■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■�
ng Platform(s)
11■■■■■■■■■■■■i■■■■■■■■■■■■■■■■■■■■■■\■■■
r pier(s)
1
■■�■■■■■■■■■■■!!■■■
■■■■■■■■■■■■■■■■■■■
, length
number �1
10
■■■■■■■■■■■!�■r���■r�a�■■■..��■■■■■■■■■■■■
■■■■■■■rill■`7■irr■i■■■■■■■■■■■■■■■■■■■■■
1
■■■■■■■■■■■r�■1�►�i■■■■■■■■•■■■■■■■■■■■■■■
11
■■■■■■■■■■■L■UMMIMME■■r'OA
Fib
■■■■■■■■ii■■■
1
■■■■■■■■■■■!A
■■■■■■■
■.1�
■■■■■■■■■■■■■■■
cubic yards
Gam.■■■■����■��■1��■■■�.�.�.
■■■■■■■■■■■■■■■
ramp
■.■■■■■■■�■■■■■H■■■�r■■■■■■■■■■■■■■■■■■
11R
�
■liar■■
■■■
■■■■■■■■■l�
■�\■
\i■�■■■�
■lil�■
■■■■■■■■■■■�■■■■■■■■■■
I :Bulld:ozing—'
not sure i
H�■�lf��
■■■■■■��11�
+1■■■�■■■
■■i�
■■■■c■■■MEN
yes
■■■■■■■■■■■■i■■■■■■■■■■■■■■■■11■■■!�■■■■■
yes
Waiv !V! —�
A building permit mayZrequired by: I <>u'f o� d,c .� \� C1(� ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions r z E "A l , (1 �" . \ � � �•�� � o L 1 n, � � �� � � \ , �
_' re�� /-)-774r6LQ-_P
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
„ U
Applicati n Fee(s) Check #
Permk�s Printed Name
l \ , L_ ::Z— L_
Signature
li(662D C-)
Issuingbal E pira on Date
),Qry ZY��, �
LM
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a �
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L Js
l (Name of Property Owner
oraperty located atAO
�-� 1 6�
on ��� CZ (Address, Lot, Block, Road, etc.)
in —u o U tM C5 =0 11 (' V AIS WIC N.G.
(Waterbody) (City/Town dfoa r 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)
WAIVER SECTION
understand `hat a pier, dock, mooring pilings, 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
:he 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.
(Pr n
Owner Information) (Adjacent Prope Owner Information)
lure Si nature
0r�r� or Type Name Print or Type hkame ,1
�b53aL fVjitsoC�F,9, -r''� IC� [uNA �URlue_ti4C`6r)\. Lfilm�gr4ddr o ��•J eA
Cdwstatelz' cityiStatelzllp
?dC1 eoQ t�'I ?3-At qaS -0oo9 9iagq- oc�Ljol
Telephone Number Telephone ,'Vumber
Date -safe
(Rewsed 6118/2012)
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallpiece,
or on the front if space permits.
1. Article Addressed to:
Q4/-�-fit cs�cv'/f t��'lJ
�� u1lo VG
A. Sig re
Agent
X ❑ Addressee
BY. Received by (Printed Name)%valeof Dell-�Iy
D. Is dellvery address different from itan 1?0 Yes
If YES, enter delivery address below. ❑ No
7c/, 23
3. Service Type O Priority Mai 6cpressZ
111111111111111111111111111UI
I111111111111111
. Adult Signature
❑ Adult Signature Restricted Delivery
Ei Registered Mail
❑RRegistered Mail estrictec
9590 9402 5224 9122 8250 28
❑ Certified Mail®
❑ Certified Mai Restricted Delivery
Delivery
❑ Return Receipt for
Merchandise
— -
❑ Collect on Delivery
n Delivery Restricted Delivery
Signature Con&matlonTM
_. �.... ... -- —.-.❑
�„-
7 019 2970 0001 2871 5863 Aail ail Restricted Delivery
Signature Confrrnatio m
Restricted Delivery
(overy500)
PS Form 3811, July 2015 PSN 7530-024)00-9053
Domestic Return Receipt
Dab RacNv d
Deb
Check From Name
Name o7 P.n ft Holder
Vend-
Check Number
Check
ount
Permit Number/Comment
Receipt w RO—Weellocated
C*k—i
Cohmuk2
Cohm n3
ColumM
Columm6
CokumM
Cqk m 7
CoNmrM
Cok~9
3/13/2020
Luigi Montesano ---same
Wells Fargo _
2287
$ 200.00
GP #76244D
BB rct 11470
3/13/2020
Southern NC Marine LLC
Jonathan Burkley
First Bank
1272
$ 200.00
GP #74809D
PA rot 9739