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HomeMy WebLinkAbout69103D - Casey�wiJi,,.x..:- awrsyy��,wK,�•��r��yr �.,-.,-.. .., :,sy,= .. 51,CAMA %DREDGE & FILL GENERAL PERMIT Previous permit # A B C( D New _ Modification Complete Reissue CPartial Reissue Date previous permit issued As aut orized 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 V I ` ules aL=c1Wd. Applicant Name h Project Location: County Address V in Streets Address/ State Road/ Lot #(s) City my� State�L ZIP p11) l�� 5 � 1 Phone #10—)1C_-1no -,57�%g t-Mail Subdivision G l I Authorized Agent City ZIP Affected ElCw PTA )4S PTS Phone # ( River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body at man unkn ❑ PW rt Closest Maj. Wtr. Body ORW: yes t" no PNA yes / no Type of Project/ Activity ' ^i Pier Fixe, Floa Fingi Groi Bulk Basir Boat Boat Beac t I Shor SAV Mon Phot WaiN (Scale: ! ) —Elm Platform,(s ing Platform(s) „: length.. N■■■■■■■■■■■■■■■■■■■■■■■■■� \wr■■MEMO ■■mom ■■■■ SEE ■■■■■■■ME■■■■■■■■■E1Lrtli■■■■■ l' %Was ■■■ME MEMO■■■■■■■■ ■■■■E■■■■■■■■■■■■■■ ramp w■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ -iBulldozing mom �i�i�[,;iaiii+i:il�i�,.��•�iS��LJ%■■■■■■■■■■ N■■ill■■410E /line � �r■/�■i%S■A ■!_�11�1�1i�■■■ Length ■■■■■■■■ir.■■i■■■�iir■■�i■■■■:�■■��■■■■■■■ ■■■w■!�■■ i��c��.�c- �;r.-v �■�■■■:era■■■■■■■■■■■■ yes 10iii COME 11"EMMERME i■■■ . ►� ul" EME■■■%■■ r Attached: Yes A building permit may be required by: j ( Note Local Planning jurisdiction) Notes/ Special Conditions �ent or Applicant rinted Name ai l e ** Please r fiance statement on back of _1 ❑ See note on back re g rding River Basin rules. n IA-� IV i •,o I-H I -4 z� 0 Application Fee(s) Check # Issuing IJ Date ,,F o-9 /I "PJ5- day CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. GG45fiy 1(�- 4- 11N0A )3 (=ASGy Address of Property: S"re EEC (Lot or Street #, Street or Road, City & County) Applicant phone #: 9 19 - 9 aa- `i `l8l Mailing Address: ^%o.1 PATE7ow)/ ke>A1b Ga�-ns 13�1�o tUG A-75-2 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 or drawing, with dimensions, must be provided with this letter. 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 the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. 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.) T I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property On Information) Signature L�n/1>q S . CA-SEY 7Z►�y n��u� i3 - t�sey T� Print or Type Name Mailing Address (ft>1.aSt3 D/LD NL A-7573 a Citylstate/zip q l g- 9 Telephone Number 1-ate- 201-) (Riparian Property Owner Information) Signature y Print or Type Name '3 1,5 X� 4 om 04vz- Mailing Add►ass 61-AX7,0N,7SZe CitylStatel7io Telephone Number Date Date gig- 2C17 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Rrty�c;vd R , C�SEX /Z f- ZiA dA R , < iAStGY TfL Address of Property: %y ) LI � �r2g r "r 5�,2>c C,Ty / / -- (Lot or Street #. Street or Road, City & County) Applicant phone #: (" i J - -? `►- & 5-3� Mailing Address: 166 PA"tIE Tow N -Ro.4 D roCA1�4oR� IJ& a75,70 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 or drawing, with dimensions, must be provided with this letter. 1' 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 the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.neticontact-dcm.htm or by calling 1-888-4RCOAST. 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.) a I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prop Qwn�er Information) Signature )24yN,oN� i3 , CA � P,)y _J�Z Print or Type Name Mailing Address City/State2ip Telephone Number D`1- 2�R- �[v �'7 Date (Riparian Property Owner Information) a Signature on0Q- J , 11-7; P_h yt Print or Type Name L 707�' t/fA Mailing Address City/State2io Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �Ay,,,o,,, p E, + Lip. o q 0, CAS F ma's (Name of Property Owner) property located at 1 D � �I "1 -LbS'T�-� ET (Address, Lot, Block, Road, etc.) on CAHO� , in S'- iZF C,1r/ NC , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatjork r I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill 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.) �- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Qwrier Information) (Adjacent Property Owner Information) Signature L/n/d ,$ 13, Sign e S RaymbNn 13, c4siax - is D YA V1 d I /�I �� j1 Print or Type Name /2,.4 d Name Prim or r-- / C l ► ' ` 5 �y e e Mailing Address Mailin Address (jDOSRoR-o NL City/State/Zip City/State/Zip �t17- UO -q'f9l Telephone Number/email address Telepho a Number/email address 07- �81- 3-00 o �- Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (v4yw .,� L �N�g Cas c� s (Name of Property Owner) property located at 7J �� �{ � 7=" S"-rrZe �r (Address, Lot, Block, Road, etc.) on L in cxrz , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) J----.� 1- �► P Signature z--,W DR Ig , A5 j? y '> u , (fAm;t Print or Type Name Mailing Address NVL �� s3a City/State/Zip 115- `l �o-9y�1 Telephone Number/email address 0?- 38 -;Lbi7 (Adjacent Property Owner Information) Sig �ptur n A0E7TL /O wG2S Print or Typ /JName � r -6_u&& D /t_ bAl oo/L Mai4�l'ng Address (i 4 �LT- 4.1 City /'S eat t /Zip Vllq - 300 Telephone Number/email address 7 a 9. ;42 / 7 Date* (Revised Aug. 2014) *Valid for one calendar year after signature* N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 0 1 - IS? - a-f 17 Name of Property Owner Applying for Permit: i3 . (:�4SEVje Lila-OA a- CAsF,-Y- Mailing Address: (� IOG N-m7ot-M GyL63 13 o►Za N (- X753 b I certify that I have authorized (agent) -J;u #TO*,,) y opf to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) S&A W,4L L , at (my property located at) ­ 70 7 4 7+4 VT12r.cT .S ukp Crry N c This certification is valid thru (date) 16- a �- 9617 N Property Owner Signature " Date NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: t Ll Date - Describe / Describe below the A81TAT 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) CN\j -� '5 --? S)� 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 ❑ Date Received I Date Deposited Check From Name Name or Permit Holder Vendor Check Number I Check smount I Permit Number/Comments Receipt or RetundrReallocated 8/10/2017 H5 Construction Paul Larkin BB&T 2046 $200.00 GP 69325D BS rct., 4643D 8/10/2017 McPherson Marine Services James Banks First Citizens Bank 1047 $200.00 GP 69367D BS rct. 4644D 8/10/2017 Overbeck Marine Construction Inc Chris Strickland SunTrust 4884 $200.00 GP 69380D CS rct. 4754D 8/10/2017 Island Contracting Inc G.C. Huddle BB&T 28051 $200.00 GP 69384D TM rct. 4648D 8/10/2017 Coastal Dredging LLC Raymond and Linda Casey BB&T 5682 $400.00 GP 69103D TM rct. 3581 D 8/10/2017 Graycliff Enterprises Inc Middle Island POA/Charles Hardee Bank of North Carolina 87076 $400.00 GP 69382D TM rct. 2646D 8/10/2017 Coastal Marine Piers Bulkheads LLC Preston E. Davenport Jr. Wells Faro Bank 21591 $200.00 GP 69386D CS rct. 4756D