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Home My WebLink About69203D - Coleman�,CAMA / DREDGE & FILL ENERAL PERMIT New 'Modification CComplete Reissue ElPartial Reissue �vk As authbrized by the State of North Carolina, Department of Environment and Natural and the Coastal Resources Commission,, in arrntt area of environmental concern pursuant t Applicant Name6111 vavt Address GS �2 ►1d2 hc�Ph�� glvd S-411P IRO City State_ ZIP�r Phone # E-Mail Previous permit # Date previous permit issued Resources 0 (' 2C) I 15A NCAC �" L VV ❑ Rules attached. o C O Project Location: County /V e h t Ja 'ri 0 Over Street Address/ State Road/ Lot #(s) � -I f� Subdivision Authorized Agent City ZIP �1lY I f L' Lb �[ J Z Affected ❑ CW YEW YPTA ❑ ES ❑ PTS Al' Aone # ( U) 25`(v 3� Z River Basin OEA HHF IH UBA N/A �" AEC(s): ElElElElAdj. Wtr. Body Q � (� � r-VIQ.i'! {' � I (nat / a /unknEl PWS: RITt Pinted Name Signature Ple read compliance statement on back of permit 2-C c� (-p31(e s Application Fee(s) Check # lssLd,JDat6 txpirlation Date WIRO Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check Numbe�Check nt Permit Number/Comments Receipt or Refund/Rea/located 5/26/2017 ' F 8 S Marine Contractors Rob Petrie PNC Bank 6312 5200.00 GP 69201 D CS net. 3398D 5/26/2017 F & S Marine Contractors Bill Coleman PNC Bank 6316 $200.00 GP 692043D CS rct. 3395D 5/26/2017 F & S Marine Contractors _ _ _ - David Marten PNC Bank 6286 $200.00 GP 691920 ___ CS tat. 3397D Applicant: WC04'M"') NC Division of Coastal Mgt. Habitat Impact Computer Sheet #- MZ03 Date: �01A� Describe below the AIBI di turbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One Fill ❑ Both ❑ Other ❑ TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) f4Dredge Fill ❑ Both ❑ Other ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 0 Pat I'kCrory Governor ' 29-j 4 NCDENR North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skvarla, III Secretary AGENT AUTHORIZATION FORM Date: Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: J5l6)"-n ..� *h Owner's fling Address: / Agent's Mailing Address: a2 Jf : Box , 28480 Email: 61LtMLY1rt r!o l%u ,�►+1 Email: (910) P56-306 Phone t to LGla - Phone I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary toi install or construct towim ac For my property located at 5W "*ay ild- LJA413k�lulw %OW4. MIL, �P�D This certification is valid 1 year from (date) Property Owner Signature bate 127 Car ina'. Drnre Ext. UYdmirgton NC 28405 Phme 910-796-?M % FAX 910-395.346A 111hrrP1 wwv..r oXastalrnonay RECEIVED MAY 17 2017 RV. f & 5/ff4W** I611"r• /0. Pp, BOx 868 Wrightsville each, N62 28480 (910� co� > m - �r � i) &k�*tln �J1sniLJAJ5 )bV0 mt�C,1 lkalmmUox" 1S pwAL-1y" CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM Name of Property Owner[: �li� COfAlaAhl Address of Property. �f e 1,10iln1 11�,/.�` ��' A)44 BLW-4 (Lot or Street #, S eet or 42d, C,ty R County Agent's Name*:_ C; N , `�dd Mailing Address: R,,,,__.. // �/ ytt Agent's phone #: �f� " Ods�`3Md ar�t,�> 41S gar; , /yet. o lle� 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. X I have n/Job%Col objections tto/,this "proposal. 1C,I,:(ha/v�j•- o �jee'iun tr) Ihi� propwal. f/you ecbodStowhatisbeingpropo/lit:"�u or7ytheDivisT o/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 roprosentatives can also be contacted at (910) 796-7215. No response is considered the some as no objection if you have been notified by CertifieAd/ Nail. WAIVER SECTION l T h I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimurn 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 ! do not wish to waive the 15' setback requirement. (Property Owner Information) �- (NjaSknt P Information signalurt, 6/uri, Szoylol Gt�l� Print or Type Name Mathiv Ad. -tress Print or T ypc Nauru Mailing Addre s �✓,ln,, nnr 1�llL. �Yl� �ll• erg rtL- mwp Cilylstat /Zip q) h' zl/d , 334 City/ afe/Zip l - )JO Telephone Number a6 0-�Vl� -- -- Telephone Number t 1 .I17 - - Owe burr Revised 6118,12012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 1 �1 t .0 trwo/_ _ Address of Property. S7 B 4 n,y4t `✓� 4J44 Z h4Z (,�IfZf� l J-(. 99 yfo p rtY -- (Lot or Street #, St eet or 42d, City & County Agent's Name #: l��l ' `�M►i MailingAddress: �Y�`✓ `�6� Agent's phone #. �1� dig 3r JAIM t�41 < g� 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 Vtheroposing. A description or drawing with dimensions must be provided with this letter. have no objections to t}tis}Groposal. •�__ I havg objections to this proposal. o �jUot1 � Jite l�(',/ 1� t6 ejck�h if you have o ecbons to what is being proposed, yo mus o ify re 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 some as no objection if you have been notified by Certified Mail. WAIVER SECTION Jy//9 I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' frorn 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) Signature Ilil 4VlL4Mm Print or Type Name A IV Malin Address City/staf !T_rp 11 b- ad, 334 Telephone Number �*U� / 1%... avi Owe =e;67Zn7 ation) .S'1 S jlll JRt l'N Pnnt or 1 ype Name Telephone Number Owe Revised 6/1&2012