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HomeMy WebLinkAbout67989D - Antone�CAMA / 1 DREDGE & FILL I/b/4#/ / "�7989, A B C GENERAL PERMIT Previous permit# VNew Modification ❑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 I SA NCAC 07 11, 11 OD �j ] ❑ Rules attached. Applicant Name 6o Ain O L / ' //�� h4-e Project Location: County G wvN j�-" Address �)6 Y'� �`f ty`C Street Address/ State Road/ Lot #(s) City L vVA h State (VC ZIP Z 5 Li I Ab h Y%i S . Phone # ( (i )71HQ-CJ60— E-Mail 6 �L^e @n6 fr (6M Subdivision Authorized Agent A VV\ /V\W� !k 6An IAAQ-W Affected ❑ CW EW El PTA )( ES )(PTS AEC(s): ❑ OEA _ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / i Type of Project/ Activity t S V fA Pier (dock) lenorh / Fixed Platforr Floating Platfc Finger pier(s) Groin length number Bulkhelid/ Rip avg dista max dist Basin, channe cubic yai Boat ramp _ Boathouse/ B< Beach Bulldoz Other A Shoreline Len; SAV: ni Moratorium: Photos: Waiver Attach City QCQi.V\ l$k ZIP Phone # (110 ) Li'70- 060 (O River Basin Adj. Wtr. Body join (nat /man /unkn) Closest Maj. Wtr. Body Ai w w A building permit may be required by: 'T tw-A C, (Ql{1A �` 1`10L t!t ( Note Local Planning Jurisdiction) % ji (;1 Notes/ Special onditions ��� �, Q V ft Agent or Appf nt Printed Nanfe Sign4k—��e read compliance statement on back of permit � 00 Z'L��► Application Fee(s) Check # �vW lli-eC', SkVA-Z (Scale: I -:: Z 0 1 ) ❑ See note on back rega'rding River Basin rules. o <, r _ I/;(a(, C(Vi 1 \I 1-� k6 5a ✓i 'Fri, 1 Yt t Permit Officer's trinted Signature o` 5 Issuing date Expiliation D to NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: a �\t AY3-& Permit #: G- M,31--1N Date: O l �bS�Z o 1 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft FINAL Sq. Ft. TOTAL Feet I FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or 1 restoration or and/or temp restoration or temp impact -+amn imnor+c\ I imn 4 mmnnn+) I +amn imnor+cl .....­+\ NDredge ❑ Fill Both ❑ Other ❑ 060 00 0 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other ❑ Dredge ❑ Fill 0 Both 0 Other 0 Payment Proccessing Confirmation Date Received 1/4/2017 Check From (Name) MONTCO Name of Permit Holder Bob & Rie Antone Vendor Woodforest National Bank Check Number 2233 Check amount $400.00 Multiple Permits No Major/Minor Permit Number/Comments GP67989D Receipt or Refund/Reallocated SF3485D AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Bob and Rie Antone, Mailing Address: Phone Number: %le 7W 4, /c0 G Email Address: I certify that I have authorized 506 Brookgreen Drive, Lumberton, N.C. 28358 baritone@nc.rr.com Jim Montgomery / MONTCO Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Install a Redi-Rock retaining wall along the canal shoreline 84 Monroe Street, Ocean Isle Beach, NC 28468 at my property located at 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: ,; . ; a (--��— Signature Bob & Rie Antone Print or Type Name Property Owner Title 1 I Date This certification is valid through I 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Charles & Linda Cornelius, property located at 82 Monroe Street (Name of Property Owner) I (Address, Lot, Block, Road, etc.) on Canal Shoreline in Ocean Isle Beach, Brunswick County, N.C. (Waterbody) (Cityrrown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. C _ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must till 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.) _._r c - I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement (PropertyOwner Information Signature Bob and Ric Antone, Print or Type Name 506 Brookgreen Drive, Mailing Address 1..-alhertnn. tN,r.....2.8.3S8 City/State/Zip bantone(q�nc.rr.com Telephone Number / email address 3-}-_�/� Date 'Valid for one calendar year after signature* (Adjacent Property�Owner Information) -, A,, a (_.t:Ti?t.t.0 �tt,tz-i Signature * Charles & Linda Comelius, Print or Type Name 170 Dutch Farm Road, Mailing Address Rockwell. NC 29139 c;t�srat � rp B� -U 35a Telephone Number / email address y - -Y Date' �— (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at 86 Monroe Street on Canal Shoreline (Waterbody) Lang & Cherry Cheek, (Name of Property Owner) I (Address, Lot, Block, Road, etc.) in Ocean Isle Beach, Brunswick County, , N.C. (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above �(; location. GS14 C ( 6 C I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) 1 i Ltll XA Ih.h S Ric Awtu , i i I i 1 i ' t 1 ; - - - - _ !EXE'FY xX,xXxxY ._..,.-•-•---•---•-- 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 15from 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 Bob and Rie Antone, Print or Type Name 506 Brookgreen Drive, Mailing Address L ira hertnti, N r ? R l 5 R Gity/statemp bantone(a-,nc.mcom Telephone Number/email address -3--3--_.�Lclb rAm (Ad), ent �Pperty / Owner Information) Si ature* Larry & Cherry Cheek Print or Type Name P. Q. Box 6838, Mailing Addro6cean Isle Beach, NC 28469 city/stete/-70 •� , 12.r f t Telephone Number/ email address tt :3 _ /3 Dale* (Revised Aug. 2014) 'Valid for one calendar year after signature` ■ 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 mailpiece, __ __ u-„ s.--i if -rct npnTittS. Is delivery aacseea-- , -......._ if YES, enter delivery address below, hof N Type _ ❑ Prbrity Mail Expresso �� �� nature Restricted DO W" a Regstated MeilrM O qeg stared Mall Restricted ■����'��I I� 1 I I 1 �� I �� I�I ��I���I 9403 0474 5173 3048 23 FMILLAtSigAMuft MsW� Mail Restrcted Delivery n Delivery Mr�rha�sopt to9590 -n Delivery Restricted Delivery p S"ture conrmrtation- ❑ S ature confirrrietion 2. Article Numbm TnmsW hom service lahetl Mecard Mad g Remitted Delivery 7 015 0640 0000 5 5 3 3 6645 oxild Mad Restricted DeliverY ,ver $ pomeshc Return Receipt PS Form 3811, April 2015 PSN 7530-02-000-9053 ■ 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 mailpiece, or on the front if space permits_ 1. ArUde Addressed to: 9590 9403 0474 5173 3048 30 3. Service Type I'`n"", — "'""--- 0 Adult Sqnature O Registered Mail ❑ Adult Signature Restricted Dowry ❑ wery Be Wered Mail Restrictec fd Ce t rred Mae 0 Return Receipt Icr p Certified Maki Restricted DeiWe+y Merchandtae a "act on Delivery CI C Alact on Delivery Restricted DWWY CC31 �Ir rnation o e,fs N,rtnMr rtrsr�rm uu., F.-- gnawed Mali Restricted DeWen' 7015 0640 0000 5533 663A wed Ma edDew` Domestic Return RscxlQt ; PS Form 3811. April 2015 PSN 7530-02-M-9053 '