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Home My WebLink About69349D - Carolinat S,CAMA / DREDGE & FILL A B C D GENERAL PERMIT Previous permit# tNew _ Modification ❑ Complete Reissue ❑ Partial Reissue yDate previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Ifesoices , and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCACf J tl%L RI Applicant Name 11 WO Of f (GW'1400 64A _ Address ; I Z I N. �j �(!L �a r le 0_1 Vd - City r(Ar�1LjVl� j(�(Wj StateNL ZIP Phone # (�) �� Z� ✓ E-Mail Authorized Agent M L o e <1V Affected ElCW ❑ EW ❑ PTA �ES XPTS AEC(s): ElOEA ❑ HHF ElIH [IUBA El N/A ElPWS: ORW: yes /PNA yes / no ❑ u es attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City %anoli v zip 2 (3 y2`a Phone # ( ) River Basin Czwr V1,av Adj. Wtr. Body %>, �1/ Oman /unkn) Closest Maj. Wtr. Body hAvJL ()/ ly r ■■■■■E■■■■■ MEN ■■■■■■■■■■■■■■■■■■■ 1■ REM mmmmmmmmmmmm ■■■ ■■■■■■ MMMM1l1 MEMNON ALUM 3MOMEWMENTrIminvill :.■aill ON NINE 1011111MINI.M.M.1,001 SH&M�Nm M. ■r:■i■■�■ �■■■■■■■■w�■■■■■■■■■�W■�■■■■■■■ M. ►� ►�c�,��;� ■■■NOn:W■■■®■■■■■■■■emu■■■■■ Wj"'U■ SOMEM+►LM film ■■■■■■■ Gi��i: �� ■■■■!!!1�R',�11�,'�i■■!1!/!!!1!�fll/71a'!:!S■ • - ■■■■■■■ ■W■I■!\■■■■i/Il'ji��.1jM!■■■L�'�L''111ii`�iii!■ � �'li�/i'fll�■'� 1 ■!►��W�111L �■i!l��iii]i�■■■■■■�!� ■■i■■■ Yj EMMA' i" i I • .- L, ,� f�ggnt or pl' t Printed N e Signature* PI ad compliance statement o back of permit Application Fee(s) Check # Permit er's Pri ed ame 2�+- Sig ature Issuing ate Expiration Date Date Received Date Deposited Check From (Name) Name of Pemrit Holder I Vendor Check Number I Check amount I Permit Number/Comments I Receipt or RefundmReallocated 7/25/2017 Southeastern Coastal Construction Co. Bruce Chappell South State Bank 10406 $250.00 major fee, 21 Bahama Dr. WB NHCo no split CS rct. 4595D 7/25/2017 Southeastern Coastal Construction Co. Brad Sizemore South State Bank 10405 $250.00' major fee, 833 Inlet View Dr. Wilm NHC no sE CS rct. 4596D 7/26/2017 Hazel Carol Larson Peter Larson BB&T 13389 $100.00!, renewal fee, MP 58-09 SS rct. 4048D 7/27/2017 Grice Construction P.H. McKinney BB&T 11387 $200.00 GP 69336 SF rct. 4674D 7/27/2617 Tommy or Billie Puckett same BB&T 1011 $200.00'i GP 69344D SF rct. 4603D 7/27/2017 Grice Construction Jonathan Earl Bowling BB&T 11369 $200.00, GP 69339D SF rct. 4605D 7/27/2017 Grice Construction Julia Harris BB&T 11386 $200.00 GP 69335D SF rct. 4673D 7/27/2017 Town of Carolina Beach same BB&T 70055 $200.00', GP 69349D CS rct. 4595D 7/27/2017 Sisters Investments LLC same Yadkin Bank 1127 $400.00 GP 69210D JD rct. 4705D 7/27/2017 Lighthouse Marine Construction James Mulligan Coastal Bank & Trust 1581 $200.00 GP 69302D JD rct. 4729D 7/27/2017 Lighthouse Marine Construction Charli Davis Coastal Bank & Trust 1582 $200.00 GP 69300D JD rct. 4728D 7/27/2017 Carolina Bluewater Construction same BB&T 17980 $200.00 GP 69345D SF rct. 4604D 7/27/2017 Southeastern Coastal Construction Co. Becky Hucks South State 10397 $200.00 GP 69291 D 'SF rct. 4602D 7/27/2017 Lighthouse Marine Construction Betty Westbrook Coastal Bank & Trust 1580 $600.00 GP 69301D JD rct. 4727D 7/28/2017 Frank Williams Building Co Frank Williams First Bank 3685 $100.00 minor fee, Lot 2 Washington Acres Rd. Hamp. JD rct. 4706D 7/31/2017 Cary or Brandi Kerns Vivian & Karen Osborne ElecTel Coop. Federal ( 1305, $548.00 NOV 17-12D BrCo TM rct. 2644D ,♦ +,, NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: " V 1/l/�' ` Date:ZI't 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 temp impacts) impact amount) temp impacts amount) Dredge ❑ Fill ❑ Both ❑ Other D Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ■ 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: -D4.0fVX jV6a4ets ( 2-5 4(C614 no,'1 )' }* rV4P,'5f&1W , ffc 2-Fgg3 11111111111111111111111111111111111111111111111 9590 9403 0295 5155 7002 59 2. Article Number (Transfer from service label) 701 3 10'?0 006 1 35g1 5IlLfe. PS Form 3811, April 2015 PSN 7530-02-000-9053 ■ Complete items 1, 2, and 3. IN 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: T --ry W 6,4,4� AfC Zi` � III'lll'I I'II IIIII IIII'I III II III IIIIII II III III 9590 9403 0295 5155 7002 66 2. Article Number (Transfer from service label); , -7d 13 /0 q6 Doa i 3;N7,'�r31 PS Form 3811, April 2015 PSN 7530-02-000-9053 A. Nnature X B. Received by (Printed Name) C. D. Is delivery address different from item/1 4 U '&I If YES, enter delivery address below: ❑ No 3. Pervice Type ❑ Priority Mail Express@ LL-A,.,ult Signature ❑ Registered Mail- 0 Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery 0 Return Receipt for O Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation- ❑ Insured Mail ❑ Signature Confirmation ❑ Insured Mail Restricted Delivery Restricted Delivery (over $500) Domestic Return Receipt A. Signature r ❑ Agent X� e B. Received by (Printed Name) C. Date of Delivery LA1i I a, (A it), 7%.� -/ 7 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: �] No ervice Type ❑ Priority Mail Express@ Adult Signature ❑ Registered Mail- 0 Adult Signature Restricted Delivery ❑ Registered Mail Restricted O Certified Mail(g) Delivery ❑ Certified Mail Restricted Delivery O Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmationw ❑ Insu" Mail; ❑ Signature Confirmation ❑ Insured Maif Restricted Delivery Restricted Delivery (over $500) Domestic Return Receipt CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 1 ()\Nr i \ Ck WT-o\\ 1'\a kao(-\ Address of Property: 2)\�? oyw CAywt (Lot or Street #,`'Street or Road, City & County) Agent's Name #: ;I ft �)o UYWI-T) Mailing Address: Agent's phone #: NfJ 4 t b0,11 rG`\ 1-0 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. L 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. 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, 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.) WNI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner I formation) n 04to Signatures t�lG(al1l,e7�e�r�o TO CkWf011U`'A Print Name ' Ou"Uh 1W Nil WU'PCa� k-1D�iVG� Mailing Address City/State/Zip Telephone Number WzciillI Date --� ent Propel Owner formation) Irl I lit uLL4 C YYI S Print or Type Name L ZS 41'&ko►21 Mailing Address ffQ Me-S C Z9y V3 City/State/Zip q(bz3Za6t7�4 Telephone Number Date -7--3--1? Revised 611812012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ' m n � � J` 1'.'1ii, `'V'x0 0r\ 's (Name of Property Owner) property located at 15 C7 r �(, A (A 'dress, L, , Block, Road, etc.) on Mt)ym U'fwc LSz in tl��Y`�� la V'^� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. L` 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) ')tc 0� M-0,A6 vay), WAIVER SECTION I understand that a pier, dock, mooring 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owne Information) Signature Print Tro Print Name Yx- VcAf LIP) IV ailing Address City/State/Zip CmQ,qc�)u z-Q-t% Telephone 0, 20 umber [—+- Date ' r Information) narlicl ka� No Print or Type Name % zS 1-;C 2b !2J 4L Maillng AddresHMWXs N C�'C,/1 CitylStatelZip Rlo b� Telephone Number -7--4—(7 Date (Revised 611812012)