HomeMy WebLinkAbout68015D - BachmanCAMA / 'DREDGE & FILL
GENERAL PERMIT
'New Modification Complete Reissue
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❑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
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Project Location: County � aosyl�Jl�/r
Address//
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Street Address/ State Road/ Lot #(s)
City f / i�
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ZZ 7 At
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Phone # ��
( )
' E-Mail
Subdivision -----
AuthorizedAgent
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zipAlp
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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
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ME
9
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MINIM
AMIN
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Agent or Applicant Printed Name `_
Signature * Please read compliance statement on back of permit
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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
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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
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(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
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MARINE DREDGING
Coastal Earthworks. Inc.
1955 Middle Sound Loop Road • Wilmington, NC 28405 • Phone: (910) 686-7555 • Fox (910) 686-1170
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Basic Map
?' ex. 123 Market St
Basic Map
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http://rftgov.maps.arcgis.com/apps/webappviewerindex.html?id=cc3a4l6B7ab44la99503a93ff8921 beb
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Help
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BAN 23 2017
sY
REC—EIVED
DCM WILMINGTON, NC
JAN 2 3 2017