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Home My WebLink About67996D - Boykin1`�CAMA / ❑ DREDGE & FILL GENERAL PERMIT %Nevv 'Modification ❑Complete lkeissue El Partial Reissue A Previous permit # Date previous permit issued B C As authorized by the State of North Carolina, Department of Environment and Natural Resources �] 1 oo and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC� r ` - `, Applicant Name Z VkYr RCN ❑ Rules attached. Project Location: County Nh 5 l v( K Address "1 l� ^, 1 { �' "�' Ly�t�yll, y1 y-6 It t1 Street Address/ State Road/ Lots) City 6JO (�V State'- zip Z S6 1 J C' l CA VN O C Phone # (10) � ) E-Mail Subdivision Authorized Agent f� R� 1 y S zip CitynrT ❑ CW 02W OTA ❑ ES ❑ PTS Phone # (�� ) N ` �j l� I 0 River Basin Lyw� {� G✓ Affected ElElElOEA HHF IH ❑ USA ❑ N/A AEC(s): Adj. Wtr. Body � C� Y+ i (nit /r�an/unkn) ❑ PWS: ORW: yes / PNA yes / Closest Maj. Wtr. Body j/1/ IAl Type of Project/ Activity (- �i T ,(,� )r t1'J G VA . � A Pier (dock)_Ienoth Fixec Float Finge Groh Bulkl Basin Boat Boatl Beacl Othe Shor4 SAV: Mora Phot( Waiv (Scale: �f ing Platform(s) ■■■■■■■■■■■■■■■■■!■■■■N■■■■■■■■■■!R!�■■, i length number ■■■■■em ■■■■t'�i►J[IV11'�1�►/■111fii■■■■■■!!■■■■■■■■■ ::a I rap le ngth MEMOS ::a�AiO::E:EME:::::::::■■1M1:::' P ■■■■■■■■!■■!■!■■■■■■■■!■w■■�ww►•��i�i{!��Inwl - ■■■■■■■■■■■■■■■■!!■■■■■■■II■iiiii�IL'Y�iiii■1■It■�ii ■®■■■■■■■■■■■■■■�■■■■■■■I■!■■tl�►�J■■■■■■ ME cubic yards amp ■■■■■■■■■■■■�■■i■��+�■r�.--w nw�www�iwwrwr�■■■■ ■■■■■■■■■■■■■!■��■1 ■■■■�1�lii%1%IlflrlVrii��l■!■!■',I!■■ Bulldozii - ■■■■■■■■■■■■■■C71■Iwl■■■I■■■■■w ■■■■lid■■■■ ■■■■■!■■�■■■■. w��w��w■■�■■■!■■■■■■■■■■■■■ ■�■■i�■!Sl�Illiriil��}■1llil� ■!l�J17!■■w■■■■■■■■■■■■ dine Length ■■■■■r■:LYE:!1�111■�i■■Ilr!'w■■1■■■■/.�L'in!■■■■■■■■■■ �■■■■ ■■■■■■■■ ■rii�■�/1■I■r■■Ills■■�■r■■■■■� PIS: yes OWNWEE ■■■G['1R■�iIs'L■:■ilrl■ ■!■■■ !!r Attached: yes A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions -TAU,uo 4 � L'Vl�C4 b(li h 200 AL'I1 alb M /Ajeennt_^t Applicant Printed " nC- J, '"Signature* Please read compnce statement on back of permit '?,00.00 t S Application Fee(s) Check # ❑ See note on back regarding River Basin rules. -I --( II � t (J , '(f 0 i i —7 "5 1,0 (A �C V'O A 5'aN nl Permit Officer's nt Narpe, Signature / A ti bol Issuing D e Ex iratio ate NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: kkp0. - 1 0y KV\ Permit #: Date: 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 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 restoration or and/or temp . restoration or temp impact famn imnaefe\ imnn4 amnunfl I famn imnactcl I mmnnnA Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other 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 [I Both C] Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Date Date Check From Name of Permit Vendor Check Check Permit Receipt or Received Deposited (Name) Holder Number amount Number/ Refund/Reallocated Comments Carolina Lifts CresCom 2/15/2017 Inc Richard Boykin Bank GP 1138 $200.00 67996D SF rct. 3491 D pa; McCrory �CvernOr r i North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E Skvarla, IU Secretary AGENT AUTHORIZATION FORM Date /,7_7 Name ` Property Own rApplying for Permit. Name of Authorized Agent for this project n r Owner's Mailing Address: _ i�D,�b•I�C l�Q � O Email Phone Lflh--� 7 <"7.2—L3 Agent's Mailing Address Email -AQe-ks Phone " t Q I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for. and obtaining all CAMA Permits necessary to install or construct the following (activity) I I .JL For my property located at —__ / ")_G!'-? C _;—,?--4 l !zV2 ; Tr��s certification is valid 1 year from (date' Property Owner Signature Date Q7 Cxdnai Dnre E1a., Wilrangim NC 28405 Pt"te 910 196 72U5 i FAX 910-195-11%4 Neiret ww* nes c:ERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Name of Property Owner: Address of Property: /56 5 Cati l �r �or jv� �aCo�unty) (Lot or StreetqStreet Road, City Applicant's phone #:,4,,,w¢ - Mailing Address: D 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.A description of drawin -with dime_�siotL mile* b^ provided with chic I�rrPr PI�a�`r (� 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 We Division of Coastal Management (DC11) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, or lift 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.) I do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Information) (Riparian P perty Owner Information) Sipdture - Signat kQ Print or Type Name Print or Type Name W t3 iN 1 9a : r _ ��' 1 oar ILI Mailing Address Mailing Address �le>rtt 1,w Vic.. - o6Lo� ci / state zi / — h' P City /State 1 Zip Telephone Number Telephone Number - a� 1 - I `�� !X� Date �- - - Date �-04 - 127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845 Phone: 910-796-72151 FAX 910-395-3964 t Internet: www.riccoastalmanagementnel An Equal 00000Mxrlr 1 Arrrmak" Action Engbyw - 50% Recycled 110% Post Cn osumer Paper (A - RETUR TED DIVISION OF COASTAL, MANAGEMEW ADJACENT RIPARIAN PROPERTY' OWNER S'FA,rEMEN-r 14 1 Name of Property Owner. P�p4:� Ft Address of Property (Lot or Stress !, Street or Road, City & County) Applicant's phone t 4&4-7_2o7z-&3S Mailing Address: D Zezll, 7 1 hereby certify that I owrl pnoperty adjacent to the ahove referenced property The individual applying for this permit hat. described In me as shown on the attached drawing the deveiopment they arc proposing. A description of drawing. wltll dtmtnsigtu , t Arovided with tth,,5 1.-ttcr - I have no objections to this proposal !have objections to this proposal If you have objections to what is being proposed, you must notify the I)ivisiou of Coastal Management (I)CM)in writing within 1Q d:rys of receipt of this notice. Corrctpondence should lie mailed to 127 Cardinal Drive Ext. Wilmington, NC 28405-3845. DCM rcprc entativcs can also be contacted :it (910) 790-7215. No response is cousidered the same as no objection if you Ila" been notified by Certified Mail. WAIVEIZ SFM,ION I understand that a pier, dock, mcxinnK p,hng,s, hreakwater, boathouse, or lift must be set back a minimum distance of 15' from,ny area of riparian access unless wn;ved by Inc (tr YOU WIN): to waive the setback. you must initial the appropriate blank below i 1 do wish to waive the 15' set back rt:duirement ` 5�a 4L- xv,4z i-LA I do not wish to 6valvc tite 15' set back requirement V (Property Owner Information) � (Ripar an Property Owner Information) SiPeSi----- gtuput � , =�'��—�—' oapp. , 7 is r� Csu Print or Type Name Print or Type Naifte- - -- - - - Wi Manit ag A Mail Address J LAD City /State Ztp City / State / Zip Telephone Number 7 �� y�3 Telephone Nwmber ^7 0 Date -- -_-- Date 127 Card" Onw U , Wdm,ngton, North Carolina 28405-3845 Phone: 910-7W72151 FAX 910-395-3964 I Internet w,vw nccoastalmanagement neI AA EOW ilppo,R„ titY i Alfim060 Ate. 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