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Home My WebLink About67984D - ClarkCAMA / _I' DREDGE & FILL I , 7 98 c5 4 A B C (DD EN ERAL PERMIT I Previous permit # Dpew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources f ` and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Y gJ❑ Rules ttach Applicant Name \ `\ &NON T U; C Project Location: County Address - 44O\t City Phone # Authorized Agent Affected AEC(s): ❑ CW EW ❑ P7 AEA ❑ HHF ❑ IH ❑ PWS: ❑ UBA ❑ N/A CIRW: yes / no PNA yes /(y Street Address/ State Road/ Lot #(s) 11ILI Iry - �Vwt► Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body AbAn man unkn Closest Maj. Wtr. Body '' .A.'.� %1. i�r I� ► 1. �. ! ■ll�T■■■Ifit!IL� vr�Yl■1�11■■■■�■■1■1�■■■■■■I\Ir•■■■ 0 i 1 ��E�■i■QU■OiAnawl a iirn■O■i ii■O MEMMEMEMEMN 1lL,/�, Ni_MI■■■■■■■ ■■■■■ ■■■■ ■■ ■!�lil�!�1►1L�liAt�/ ��■■■■■■■�■■■■■■ NEON ■■■ ■■■;�■�:■u� �■EN■N■■win■■■■■■NNE■■■ EN■i �iliin:n'c1� �:r,�IN'►.■s'ii�ilir��ii/�L��/1 �!Yltr7 EENEEEi'�'►+�■ 1�■�■ IrJYNE,�■jEEN�EE■EI IEI i�l•!!!i■�■E E Lr�� A�gfgE�i■��■■■11■M■■■AMMMIMMMMIN ��,. ■■■■■ E■EE■ESN■i■C�� ■CNN■�■N■■�11�■■EOiE■NCI■■■NI - - NON■■Nr.��EEN�■�■r�r��■■■■■■ENNErNN■NNNNNNN y N�.s��E�■ *.i ■ - , . E®■O■■NO■■ 1 � 1, L. iy:i■1i�1■Ii1�N®■■EEI IE■/I■ 1►`f� il3■■ I■EENNNNNNN N�■■E�aE�•N■ ■■NrUL�»rEENNI�■1■■CNN■■ s ME■■ ■romo■■ !MNES ■■■■ MINIr'Iff N .iIENTAW■■ ii�l■[::r�t�[i1:1 ■■EON■I�iEN■(a■uN■NN ,� I►ram\�. � ►►� .� � I�'�l�_ � 1 � � • � � . MWNA Qent or Applicant Printed Name ignature Pleasg read coo—p-11aiwib,6tatdrient on back of permit Application Fee(s) Check # NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: f n 1kI Permit #: G kL'' Vv D t a e. 1 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 -tamn imnnrrfc1 im— 4' mmAtin4l I tamn imna. 4c) I mmnunfl Dredge ❑ Fill ❑ Both ❑ Other 1 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ . Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both [I Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ CAMA EMERGENCY GENERAL PERMIT INFORMATION Town of Oak Island CAMA Permit Office As authorized by the State of North Carolina per the Coastal Area Management Act of 1974 Applicant Name �� I01YI ~bf Li%A 0 lCIA Address 0-p5 Agei-Wan, puce; City 4-c-6c4NC ,a-$6y;- Phone# � 9 9 - 4SS-1 31 (A Authorized NO 111M�o .10 Cost of project: Notes or special conditions: Owner'sNante(I'Antl W � 1� I I�M�rot Sow UM'l� Signature (owner or a ent) -sr Permit Project Location Information Adj. Water Body CCecti" AEC: ❑ CS ❑ OE ❑ HH ❑ III SITE DRAWING LPO Signature Issuance Date OAK ISLAND DEVELOPMENT SERVICES - 4601 E. OAK ISLAND DR.—910-278-5024 Exp. Date CAMA EMERGENCY GENERAL PERMIT INFORMATION Town of Oak Island Permit # CAMA Permit Office As authorized by the State of North Carolina per the Coastal Area Management Act of 1974 Applicant Name fhoc&Sc,J Address q 1 t7 la x, }%W ?IA-e,,, City i r144. 1 td <- 72,-�- 0 2- Phone # '4 S-� - I Authorized Agent 'T ► RMkle—t Type of Project Description of Activity: Ree i,z�„u.lo�, ti r1 P, Cost of project: Notes or special conditions: Owner's Name (Print) Signature (own r or gent) Project Location Information Street Address o► W ,. [; L� (� r,�rz. y7 e4 4—r,,14-41 J C- Adj. Water Body} i L i)� ,•� AEC: ❑ CS ❑ OE ❑ HH ❑ IH Jac, p, Rou 5e SITE DRAWING LPO Signature Issuance Date 11- OAK ISLAND DEVELOPMENT SERVICES - 4601 E. OAF: ISLAND DR. — 910-278-5024 Exp. Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:Wll�100 bYl f`� Mailing Address: Lt)-05 CIJ t-}-'k AX agG02. Phone Number: Email Address: G i h eG bl �n A MC i 1 t CbYy) I certify that I have authorized Tf , Agen / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: —4c nLe �.�� fr� nS.. �I�CQr� � �� f �e��✓ v p at m property located at-lp �'Q{'�'1 Flt� t7git �s,NC-ybs in IL�� C�, .County. 1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: A, ) t V,11-9 n Signature `f t C f Print or 1ype Name U1,r.. f% e--< Title to 1 7--*9 / A t Date This certification is valid through 1 I CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM I" Name of Property Owner: Address of Property: (albTAQl�d l 1 (Lot or Street #, Street or Road, City & County) Agent's Name #: y Mailing Address: 10"1 Agent's phone #: q\0 99W 38 _cv, + a 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 proposer!, you. nust notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is availableat)t /ALn v.n-coastaimanagement.t7et/web/cm/staff-listingorby calling1-888-4RCOAST. 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, boat ramp, 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) S'r r7ctlztrc j� Print or Type Name Mailibg Address ,-tkCkog4 0 C L'Q(v02 City tate/Zip 99A 4s--&I )i Q��lbr� Telephone Number/ Email Address 10 Date (Riparian Property Own Information) ,Tz- s Sigrtcrturc> Print or Type Name Mailing Address City/State/Zip Telephone Number/Email Address Oate (Revised Aug. 2014) Domesticru ti ru gamma Er certified Mail Fee W0.0V CJ601 rn ru $ $2.70 07 Extra Services & Fees (check box, add tee &"ts) —a ❑ Return Receipt Marticop» $�'}�� O❑ Return Receipt (electronic) $ [" - - " ` ❑ Certified Mall Restricted Delivery $ •" Postmark Here ==-�t n ate C3 ❑ Adult Signature Required $ tSda1J11— /� erA P e ❑ Adult Signature Restricted Delivery $ u Ad�e t Property Owner ' Er $ostage 11 /Q8/2016 Total Postage and t 31I* e S 1. C3 Mailin Address , `T r—7_ —,-9 Z I W 0 1y �. Z. iY�L Y7 .O ra $ Sent To �a{n 52f� IeMeye� �. City, State, Zip Code O ---� No.' -------------- Street and q�pt3Nt1o., oj�r`Pd �Ox IVo. 1\l� FW{ - — 21Pri ,xe --------------------------- City, te, • ` \ Dear Adjacent Property: This letter is to inform you that I, � Ai ml mr, �• �� k have applied for a CAMA Minor Property Owner Permit on my property at Mcl N c— , in Brunswick Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form, If you have any questions or comments about my proposed project, please contact me at 2;4--Lbi i-13 t 4% or by mail at the address listed below. If you wish to Applicant's Telephone t �-t Q 111 ebb c-� y.,: 1 !w4-I . Car" file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit them to: Donna F. Coleman Local Permit Officer for the Town of Oak Island 4601 E. Oak Island Dr. Oak Island, NC 28465 Sincerely, Property Owner Mailing Address rka rti n1L Z.$to� }— City, State, Zip Code