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HomeMy WebLinkAbout68015D - BachmanCAMA / 'DREDGE & FILL GENERAL PERMIT 'New Modification Complete Reissue 14t fa-7)� ❑Partial Reissue A B C Previous permit # �O Date previous permit issued 3 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 L/ ules attached. Applicant NameA-am <C *"Z7 n Project Location: County � aosyl�Jl�/r Address// lM Street Address/ State Road/ Lot #(s) City f / i� � State A/Z zip kYl / ZZ 7 At ` • r Phone # �� ( ) ' E-Mail Subdivision ----- AuthorizedAgent o�A-1 i y- Ciry / zipAlp ❑ CW / A O S ❑ PTS Phone # 7 0&&-'River Basin Affected AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ti,tr /iy% nat unkn O PWS: ORW: es no PNA yes / Closest Ma .Body i' Wtr. Type of Project/ Activity Or- MENEM 2 101,1191010 MR a ME 9 JEWINVEIIEVE M am MINIM AMIN 'flMAFJW7AV1M WZAVAA�UWQ :®1■-:ME 011111111114A it 1IMMEMEMEEMEMEN ,. cis■CC■■►���.�■�+■�■■i�■■■■■■■■■■■r��r��■ \�C■C:'l�iCil►s►�i1C::�Ii:i�:: ■:■"L:'C: R1�■■■RLt�■11,►1!■!0■■■■f�1 ��f��■■■■■�■:��■ ■■■■ CM1/■■■ IMM■MERMO►NFASO ,r70FE.cRW ■■■■ OEM 11FMFA Agent or Applicant Printed Name `_ Signature * Please read compliance statement on back of permit � ft y3 Application Fee(s) Check # Permit Officer's Printed Name i 1 Signature/ Issuing Date Expiration Date NC Division of Coastal Mqt- Habitat impact computer Sheet ,�j hl Permit Applicant:/7 5 �IG 4 ,"A1,11 Date: Describe. below the HABITAT disturbances for the application. All values should match the name, and units of measurement foundin your Habitat code sheet. ..F Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any. anticipated restoration or temp im acts) FIN, (Anti dis EX( re an im F Dredge ill ❑ Both ❑ Other ❑ Dredge[( Fill e-lBoth ❑ Other ❑Qv G Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill M Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill [1 Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Dredge ❑ Dredge ❑ Dredge ❑ Dredge ❑ Fill ❑ Fill ❑ Fill ❑ Fill ❑ �Mll�Both Both ❑ Both ❑ Both ❑ Both ❑ Other ❑ Other ❑ Other ❑ Other ❑ Other ❑ ,I. Sq. Ft. TOT AI_ reei for. r11V^&- J. -I (Antici aW Ipated final (Applied urbance. udas any Disturbance total includes disturbance. Excludes any toration any anticipated restoration and/or _ krtemp restoration or temp impact �s Payment Proccessing Confirmation Date Received 1 1/26/2017 Check From (Name) Coastal Earth Works Inc Name of Permit Holder Agnes Bachman Vendor First Bank Check Number 4358 Check amount $400.00 Multiple Permits No Major/Minor Permit Number/Comments GP 68015D Receipt or Refund/Reallocated SF2636D A140*1AIr NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director Authorized Agent Consent Agreement tNi!liam G. Ross Jr., Secretary ,7- ( is hereby authorized to act on my behalf (pKN d !Mama of A enO in order to obtain any CAM, permits} required for the property fisted below. The authorization is limited to the specific acttivities described in the attached sketch. LOCATION OF PROJECT: PROPERTY OWNER MAIUNG ADDRESS: ., . A51'k � �i /. :.. it • /. AUTHORIZED AGENT MAIUNG ADDRESS: Signature of Property Owner. Signature of Authorized Agem 11V - PHONE NO. Hom't Ce(I PHONENO. C_ 96 75'5S -538 `790a )N NG DOW. / -y 2-0/ 7 OCOII W pk % TV 127 Car;&W Drive Ext., 111 b*Vtm, North Carolina 28405-3845 Phone: 910-796-72151 FAX 910-395-M I Intenet www.nccoastaimanagementnet An EwW otpft* 1 A&nwWe Action Employer— 5D% Recyded 110% Post Consumer Paper M&WAAA161 an k'WLAVA6 5 0 LWF.V E MWFAILVA UA M'.-W Name Of Individual Applying For Permit: YQr\ M V WC, tom CA01 N� Address Of Property; z 41 S m; J Le a- d4cy 12 P2 d �, j 4 l 1 A i C Z 9 41 (Lot or SU'det #, Street or Road, City & County) I hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit has described to -rfie as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter.- 0 re � 5 "S �/ I have no objections to this proposal. inn :!•P MM1111ro. • •:.� u • u �,••r ►• ••i •� ,• :• �' a i• •• y ••► I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 muse initial the appropriate blank below.) I do wish to waive the 15' setback requirement. REC NSO t)CMVVILMINGTON 116 I do not wish to waive the 15' setback requirement. S M1 AN 2 yio - & Z < 76 C/ -� C/� Telephone Number With Area Code NCDENR NORTH cAROUNA DEPARTMENT OF ENARONMENr AND NRURAL RESOURCES ■ 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. Article Addressed to: aco 'j �- kqw'N C%,Ve A. Signat X e ❑L A ddressee B. Received by (Printed Name) C. Date of Delivery D. Is delive add_d��gg from item 1? ❑ Yes If YES, entet �kv bF&: ❑ No CCM WILMIN , IVEs JAN 2 3 2017 I I I IIIII IIII III I IIIII I II III II II I I II I II II I III13, Service ❑ A11 Priority Mail Express@ dult Signature eRestricted Delivery ❑ Mi tared Mail Restricted 9590 9402 2341 6225 6414 20 ❑ CertifiedMaile Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑ Signature ConfirmationT ail ❑ Signature Confirmation 7 016 2070 11000 1743 1227 '-- lit Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt XCA AA / DREDGE A FILL 1V : 4 G U 13— GENE RAL PERMIT Previous permit # _ New Modification 'Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources - / l , i��O Commission in an area of environmental concern pursuant to 15A NCAC �l and the Coastal Resources b �^J�_ Rules attached. Project Location: County 111?47-' Applicant Name _ — Address mt+ K � /�' Street Address/ State Road/ Lot #(s)) - City_-k State / ZIP ._ -- c Phone # ( ) j Fax # ( ) �_— Subdivision Authorized Agent---- City /'V/I"'e�r� �i� ZIP ✓ --�'1'J_�1�1 Cyy yr q -jPTS lt Phone # ( } 't'h/ River Basin C Affected OEA -i HHF '- IH -I URA `.-; WA AEC(s): FC: /� Adj. Wtr. Body C -C� (unkn) / PWS: - - Closest Maj. Wtr. Body ORW: /no PKA yes / ® Grit. Hab. yes / no Type of Project/ Activity Pier (dock) lengthjv- Platform(s)_- -- - _- .. 1 Finger pier(s) Groin length number S� Bulkhead/ Riprap length - C avg distance offshore ) )` max distance offshore Basin, hannel cubic yards $ , Boat ramp Boathouse/ Boatlift Beach Bulldozing Other -- --- _ Shoreline Length SAM not sure yes n f Sandbags: not sure yet if Moratorium: n!a yes to Photos: yes i! Waiver Attached: yes 41 A building permit may be required by: —� Notes/ Spesiai Corliditions RL. le iU / (Scale: A/j.f ) as s�rnvr>' oe 3' See note on back regarding River Basin rules. -- - -- — /�q t or Iicxnt f ranted Name Permit Office/r's�Si at'ure Signature "" Please read compliance statement on back of permit" {swing Date xmw Application Fees) - - - — Check # Lad Planning Jurisdiction f0 E pira on Date Rover File Name N Coastal Earthworks, Inc. 1955 Middle Sound Loop Road • Wilmington, NC 28405 • Phone: (910) 686-7555 • Fax: (910) 686-1170 R ��A 3 Z d o o' Ice- l -S CMARINE bREDGINGA ry �N 4 i PERMITTING Z d z x N U -6 _ d o 2 !` C.)Z 11! -�A RECEIDCM WILMIN�N d 014 SITEWORK 4- 61 ;CA MARINE DREDGING Coastal Earthworks. Inc. 1955 Middle Sound Loop Road • Wilmington, NC 28405 • Phone: (910) 686-7555 • Fox (910) 686-1170 mac---- •l�, C�,"e --� g J - u M 8 `-G 6 d ` d y � � C V1 1 a � 'a' N N PERMITTING 3 i RECEIVED N N� DCM WILMING SITEWORK 12/2i=6 Basic Map ?' ex. 123 Market St Basic Map 0 A I u u All Rights Reserved http://rftgov.maps.arcgis.com/apps/webappviewerindex.html?id=cc3a4l6B7ab44la99503a93ff8921 beb m Help .. _ N HC BAN 23 2017 sY REC—EIVED DCM WILMINGTON, NC JAN 2 3 2017