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Home My WebLink About69137D - CoyleI CAMA / u DREDGE & FILL .�A WENERAL PERMIT New Modification LIComplete Reissue ❑Partial Reissue A B C (D Previous permit # 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 I SA NCAC �J ❑ Rules attached. Applicant Name 1Y) i kC W,4' 4 Address City "' I k. ct n� State �(� ZIP Phone # ( ) E-Mail Authorized Agent and rk Affected ❑ CW YEW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA Ji HHF ❑ IH ❑ UBA ❑ N/A ❑ 1 ORW: yes / �Co) PNA yes no Type of Project/ Activity Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin 0 2 Adj. Wtr. Body M,,),i ,,J Voy lk nat /mom /unkn) Closest Maj. Wtr. Body(, 1 A� (Scale: Pier (dock) length �- Fixec Float Finge Groh Bulkl Basin Boat Boatl Beacl Othe Shor< SAV: Mora Phot( Waiv MrEnot ■■■■■■■■�■■■r/■!�■■■■■■■■■■■■■■ w pier(s) I Bulldozing -line Lenzth sure yes ■ I■■■��■%■■■�I3l�RS�iE'R4�71J.i■■�l�S■■■■■■■ �rAttachecl: —Aft ■�II�■_11�7■■■■C�■■rill■i ��,��■�■■!�Cair�■■■0 ■■■■■ MEMO Lip t ^ _ A building permit may be required by: I p L�'1 s (� 1 S(ct v►!^ ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) I Notes/ Special Conditions I f , 0. f i r STD h O cq f ( V , k- (, ygcj Agent 77" Print Nam _ i �(/'✓ti Signature ** Please read compliance statement on back of permit $ -zoo -" ax)930 Application Fee(s) Check # E<-0 L) kS n Perm' fficer's Print Name Signature OS to �� 1bs117- Issuing a etD Expiration Date Date Received Date Deposited(Name) Check From Name of Permit Holder Vendor Check Number Check amount Permit Number/ Comments Receipt # 5/15/2017 Mark Albert Mike Coyle BB&T 5009305955 $200.00 GP 69137D BS rct. 3772D NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: M ; I e- Coy(' Date: U 5 1051, :� 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 ow Dredge ❑ Fill ❑ Both ❑ Other ] 2 2 S 2 2 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Received Fax: V4/Ltl/1 / 11:15 rax 5tatlon: HF' LAbtKJtI t-AR P.c APR/28/2017/FRI 12:31 PM SAFETY ZONE -SALES FAX No.800 783 2987 P.002 04/20/17 11:00 HP USERJET FAX p.02 A 1 D North Carolina Department of Environment and Natural Rosourcas Division of Cosstal Management Pat Wrory Braxton C. Davis ,John 2, SkvMa, III Governor nlwtof Secretary AG 1AUTHORIZATION FO Data: is� Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Address: Phone Number Agent's Mailin Address, V () Phone Number CJla ), ._,201, I w ify that l have apthorized the agent listed above to fact on my behalf, for tho purpose of applying for and Obtaining all MAMA Permits necessary to install or construct the following (activity): For my property located at cam+ '. —51- This oolification is valid thru (date) _ "J o' Property Owner Slgn Lure pate 127 cordinof Drive Ex[., Wllminpi), NC 2640t Phow' 910,796.72151 FAX: 91 D-.' 0R Z964 10orr*t: www.AccoastalmanaWment.nel nc hCard ins t ,oyff M Equ4 OPPAi* 1 /URs d" ACWn EmOnyar DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVERTORM Name of Individual Applying For Permit: 1)2Q& C COF)V Address of Property: �( ��"" �h0 Or (Lot or Street #, Street or Road) . (City and County) I hereby certify that Iowa 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, should be provided with this letter. I have no objections to this proposal. J P P If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection V you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must t� set bck 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. 17 I do not wish to waive the IS' setback requirement. Sign Name Date Print Name q!o - z 6 �� - / 0 S�Y�, Telephone Number with Area Code S:\camalshellslriparianproperty.frm NCD1ENR Q Off QMSION OF COASTAL MANA ENENT AD,TACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAWAIVERFORtir Name of Individual Applying For Permit: _�-cu-k Address of Property•_l ij- ��Q 0C: (Lot or Street #, Street or Road) k a (City and County) 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, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection it you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck 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. Sign ame u, Print Name 7 C Telephone Number with Area Code S:\cama\shells\riparianproperty.frm NCDENR W CA MOM~ MW our lMti JIUMAC4 Brunswick County GIS Data Viewer ay 2, 2017 ■ Addresses — US Hwy Minor Parcel oads — NC Hwy Parcels County Boundary Interstate — State Road Condo ■ Red: Band-1 Green: Band-2 MBlue: Band-3 1:1,392 0 0.01 0.02 0.04 mi 0 0.0175 0.035 0.07 km Brunswick County rx u wr\ /8.1 N¢Cb UG7'