HomeMy WebLinkAbout66191D - AlfredCFE
/ ❑DREDGE &FILL 6 / ' I ��
l A B C DD
RAL PERMIT Previous permit#
NModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r� • ( �l`v1) L
❑ Rules attached.
Applicant Name 1` Project Location: Countyjl�C�✓�/�IIr' )�1r1 d
Address Street A`dd`ress/ State Road/ Lot #(s)
City4ukn 1—Statee ZIP—&J�LQ t-
Phone # ( ) E-Mail Subdivision
Authorized Agent �� 03 City I, ZIP
Affected ❑ Cw �(Ew \TA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ElHHF ❑ IH ❑ USA ❑ WA Adj. Wtr. Body V, t man unkn
❑ PWS:
ORW: yes ./ no PNA yes no Closest Maj. Wtr. Body
Type of Project/ Activity
■■ ■�■■■�N)t■■�1010i■111Il
■ ■■1i■■■E1111
ENE MEMO
■ iJ■ 111®. ■MIN 'lr �1rdl
� ■■■■■il■■�! r� . immon�J!n
mu■■■ ►�:� l�t!ali■
�l�'f� Vie\��;��■►`�►������
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach
Other
Shoreline Length "T
SAV: not sure yes n
i
Moratorium: n/a yes
Photos: yes
Waiver Attached: ��T
yes no
A building permit may be required by: C
( Note Local Planning Jurisdiction) j
Notes/ Special Conditions f
A M A .� r. b (M S ,� �,r�1 to a wt u
nt or Applicant, Printed Name
Signature* Please read compliance statement on back of permit
ApplicationFee(s) (\ Check#
(Scale: i ;�d )
❑ See note on back regarding River Basin rules.
PermitOfficer's Printed Name
Signat re
� 1 �- -
Issuir4 Da Expira n Date
Payment Proccessing Confirmation
Date Received 1/9/2017
Check From (Name) Joel Klass (Money Order)
Name of Permit Holder Lynwood Alfred
Vendor MoneyGram Money Order
Check Number 206792636105
Check amount $200.00
Multiple Permits No
Major/Minor
Permit Number/Comments GP 66191D
Receipt or Refund/Reallocated TM2861D
A�&A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date Dec. 2, 2016
Name of Property Owner Applying for Permit:
Allred I�A-IrRRq t d ! \ A L, �—RE D
Mailing Address:
1281 Idlewood Dr.
Asheboro, NC 27205
I certify that I have authorized (agent)
Joel Klass
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) replace pier, alum ramp, and floating dock ,
at (my property located at) 5412 W. Dolphin Dr. Oak Island, NC
3 This certification is valid thru (date) �-2
Property Owned '-(gnature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Lynwood Allred
Address of Property: 5412 W. Dolphin Dr. Oak Island, NC Brunswick
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Joel Klass
Agent's phone #: 910-540-0490
Mailing Address: PO Box 279
SU
IC 28462
I hereby certify that I own property adjace ove referenced property. The individual
applying for this permit has described to m win on the attached drawing the development
they are proposing. A description or drawl h 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 at www.nccoastaimanagementnet/contact dcm.htm 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, 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.)
Z(„ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Lynwood Allred
Print or Type Name
1281 Idlewood Dr.
Mailing Address
Asheboro, NC 27205
City/State/Zip
Telephone Number
Date
<JA�jdcent Properyty —
Ou
wnef Information)
SigilaturP yi 7 f�L G of a
Edward G. and Barbara D. Welch
Print or Type Name
131 NE 76th St.
Mailing Address
Oak Island, NC 28465
City/state/Zip
Telephone Number
r
Dare
Revised 611812012
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Lynwood Allred
Address of Property: 5412 W. Dolphin Dr. Oak Island, NC Brunswick
(Lot or Street #, Street or Road. City & County)
Agent's Narne #: Joel Klass
Agent's phone #: 910-540-0490
Mailir A e%. PO Box 279
C 28462
I hereby certify that I own property adjacent toU4&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.
;? �A 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 www.nccoastalmanagementnet/contact dcm.htm 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, 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 wan4e the setback, you must initial the appropriate blank below.)
irc�.r'•, .,
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Lynwood Allred
Print or Type Name
1281 Idlewood Dr.
Mailing Address
Asheboro, NC 27205
CitylState/Zip
Telephone Number
Z;;Zrope ner rmation)
c
Si �atur
Marauerite Merritt Grimm
Print or Type Name
6232 Wakefalls Dr.
Mailing Address
Wake Forest, NC 2787
CitylState/Zip
?/?_ 3 -6)-3
Telephone Number
Date - --
IXn1c
Revised 611812012
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