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Home My WebLink About69467D - Combs~ VCAIVcA / DREDGE & FILL i�'�iI � A B C D .EI�IERAL PERMIT I Previous permit # O )New _Modification Complete Reissue l 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��FI' El Rules attached. Applicant Name ill '� van &rn (/ DMv S Project Location: County vtn� Sw,Z K Address ,� VA t Street Address/ State Road/ Lot #(s)) City<a State !a-P c�j�� 7 i �(j i y I Phone # (� �) "' DZ E-Mail Subdivision -- Authorized Agent �G�V1 { l� -� C , ba c�,�1 a City S h cA 0 o t � _ ZIP Affected . KCW >JW , PTA ❑ES ❑ PTS art Phone # ( b� )VJ15% ° River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body Sh q f b Y C vt�r ( at /m, an /unkn) ❑ PWS: ORW: yes / o PNA yes / o Closest Maj. Wtr. Body W Type of Project/ Activity C o v) w(V tt-- a�-A P d to C"1 OGIt � �U (Scale:' it 3b 1 ) Pie (dock) length 7� " N< A U Fixed Platform(s)` 1 Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap lengt� - avg distance offshore max distance o/fshore Basin, channel / .... cubic Boat ramp Boathouse/ Beach Bulldozing me -A WMW Other NOMINE111119110111PIU1 IEEE ■■■■■■■i■■■■■■■■■■■■■'!■■■■■�i�l■■ ■■■I1J■ ■■■■■■■■■■■■�i■■■■■■■ ■■■■■■ICI■■�1�■li■ ■!'�l■■■■■■1�■■■■r■■■■■■■■.�■■�I�1i1U2UR1I■■■ S h o r e 01ii r JIL e n, jh_�__' I'S 6■��■■■■ram■■■�a�■■■■�■■■■■■■��■:�!■1 �■Inr� �■■■■■fl■■�/,T�I�::�a�i■■�►.NIA■i■■■1�Itii1�■1�■�:i� i�Ml/I■■■■■ !�' ■Ii�R!Zn■■■11�1■�N■! ■Cii Gp T" iL' '' i�11■■7■l'► i _ ■ i1iIC■ii■Ili■��■i �■�11� _9011"Jimam ME YJ now J�qe M Will KIM T. I i;'W"'r%qPM MR", 1142!11 Notes/ Special Conditions }all -e w 1 N�I tS(x (,(/ '(,t i tit a LA SW(Atl )V01 rlA(A/00f i% v1 L. 4+1y-e Ile 4, S Agent or Applicant Printed Name Signature "Please read ompliance statement on &ckofpermit" Application Fee(s) Check # D • a > i 'j . Permit Officer' PrName Signature Z 22 Dl ^7 Issuing Date E piration Date �a' 41Ct,:orV North Carolina Departmer! --' E-vlro^ment- and Naturaj Resources N C Divistor of Coasta. Management John E. Skvar►a. I Seaetary AGENT AUTHORIZATION FORM Date / , ) Name of Property Owner Applying for Permit Narne of Authorized Agent for this project- , , ],)Yn Ce -A Cow J),5 Owner's Mailing Address oho nn','' EmaCOn�h_5uJ60 a,�� rTl CC ph, no ) J- Wow (0 9/D _�3q8 - q0.24 Agent's Mailing Address. ---IINJ=--� y - -- -- Emad _Anc_ks �ri G rYu •� • (b '1 Pt^cne _e,'v that I have authorized the agent !;sled aoove to act on -r,y behalf for the purpose of applying for and obtaining al; CAMA Permits necessary to install or construct the following (activity) 7iF_2 t b0a + ELDATJr_v4 L7,aK T ha cerovftcatton is valid 1 year from (date', J"A ,r Property Owner Signature Date _ a'3r3 Dove E,t Wor ngtar "or :3d!y CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. _(rV I'L 11c? ��e/i°`��-� [ Dti►!®S" Address of Property. , (Lot or Street 1i SU4 or moat, Lxy a County) Agent's Name #. � � g 1iLS Maihng Address / 5& % it k , / 4 Agent's phone #: I hereby certify that I own property adjacent to the above referenced property. The individua) 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 toer ��" � (,� �� have no objections to this proposal. I have objections to this proposal. �, dz - -- tl you have objections to b~ is being proposed, you must notify the Drymion or Coastal 4tansgernw# (DCid) in wrtdng wfMin 10 days of receipt of this notice. Correspondence should be marled to 127 Canal Drive Eli., tN9mington, NC, 28405-3845. DCY representadves can also be contscied at (910) 736-721 S. No response is conskWyd the same as no objecttoa it you have been notified by CerWied AW WAIVER SECTION I understand that a pier. dock, moonng 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) M�` / n�. I do wish to waive the 15' setback requirement. I do not wish to waive the 15 setback requirement. (Property Own 1o)rrrati ) o L, " 34grialure Pnnl or Type Name Ma#YV Address r t Telephone Number r)af, (Adjacent PropertyrOwner Information) X4 lure • '' A TefeM?X)ne Number Hate / CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORMA Name of Property Owner:I,{Ii��j4.� Address of Property. (Lot of Street S. Srre�w or moat, uny 6 County) Agent's Name #:1 !� fss Mailing Address Agent's phone ri I hereby cerisfy that I own property adjacent to the above referenced property. The mdividuai aporN for this permit has described to me as shown on the attached dr9vxXLthe developnw-m they are proposing. A descrin or drawir>a with dirttensiores must be provided with this kaiter 1+;(„�� I have no objections to this proposal. _ I have objections to this proposal. t�[ If you have objecbons to wfaat is bOing proposed, you must rwWy the Division of Co ssW 11aragwneW iLK44) u; wrtting wfUtin 10 days of receipt of this notice. Correspondence should be marled to 127 Cardb>af Ddva ; ffl1Mk Stan, NC, 2840.5- W. DCttl repraswwdv" can also be Contacted at (910) 796-7215. No rasponsr is considwvd Me same as no objection d you have bow nodf ed by Cer Wed Avg. WAIVER SECTION I understand that a pier. dock, moonng pilings, breakwater, boa e, Lift, or groin must be se, back a minimum distance of 15' from my area of riparian access unkm 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. ! do not wish to waive the 15' setback requirement. (Propotty Own �afr+rati } Signature Primp or Type Name G MaAng Address �v Telephone Number { t Property Owner Information} Sigrart Pnnt or Type Name hda&V Address i,/YL ,��.�--r-T,i Telephone Number ��- 04i i Q E-r itob NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: �J,A�k'kv\,A 3o & �(wT-e f �� ("o /bS (a '1VT-1) Date: 2 Describe be ow th 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 temp impacts) impact amount) temp impacts amount) CV) Dredge ❑ Fill ❑ Both ❑ Other 0 v Z 0 2 � Dredge ❑ Fill ❑ Both ❑ Other I� V Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other ❑ ■ Complete items 1, 2, and 3. ■ Print your name and address oR ,ne 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: 36-9 G' o; � t reL" (eo, 01 A. Signature X //,r / (7 Agent �/(/ t Addressee B. Receiv by (Pri to Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 7 II I IIIIII IIII III I II III I I I IIIII 3. Service Type ❑ Adult Signature O Priority Mail Express® i III III I I I I I III 9590 9402 2021 6123 2955 33 ❑ Adult Signature Restricted DeliveryRegistered ❑ Certified Mail® ❑ Certified MailT^ Registered Mail Restricted Delivery P Article Number (Transfer from service label) Mail Restricted Delivery ❑ Collect on Delivery O Collect ❑ Return Receipt for Merchandise on Delivery Restricted Delivery 7 016 0 910 2 1223 —J 'Aail ❑ Signature ConfirmationTM ❑ Signature Confirmation 1, 4 2 9 fail Restricted Delivery 01 Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt mvt�< _...,..a._ ✓. ■ 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: 14 o y 3& 7 7 5), &_ I ljoe ' 't rJ . S��►� gate S' >b A. Signature X �� Agent v- t C, i (— . (1102 , dressee �1Received by (Printed Name T 1( ) C. D to f Delivery D. Is delivery address different from item 1? ❑ es If YES, enter delivery address below: ❑ No II I IIIIII IIII III I II I III I I I IIIII I III II II I III III El El ❑ Certf eSd WHO Restricted Delivery 9590 9402 2021 6123 2955 40 Certified Mail Restricted Delivery ❑ Collect on Delivery 1rtirlc, Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 7 16 Insured Mail 910 0002 1223 1405 Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-90 ❑ Priority Mail Express(D ❑ Registered MaiITM ❑ Registered Mail Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature Confirmation— ❑ Signature Confirmation Restricted Delivery Domestic Return Receipt :--:—JDp—itd 7:0. Date Check From Name Name of PemYf Holder Vwkfar Check Number Check amount Pem9f Numbe Xomments Receipt w Refun&Reallocafed 12/29/2017 12/29/2017 Coastal Marine Piers Bulkheads LLC Backwater Marine Construction Ladd Nelson Wells Faro Bank 21837 $200.00 GP 69482D GP 69467D CS rct. 5462D SF rrct. 5353D William Jay & Den9ce Combs BUT 3150 $200.00