HomeMy WebLinkAbout73522D - McManimenLf- /_ r•wLL., QJT r is cJ
CV CAMA / 1 DREDGE & FILL
6 1 GENERAL PERMIT
i;(New -Modification El Complete Reissue ❑Partial Reissue
No. 73522 A B C
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name.5TrVIEiJ 9 PAkLA AC 4"i1Mnl
Address gt& I CAKEt_4o-r _DIVE
City NARR%SBuip% State
,01C ZIP Z9014
Project Location: County 197-unlgW 1 C-K
Street Address/ State Road/ Lot #(s) 1 a'
AQLQ'f1� c���r
RE
Phone # (11,D+ Sb 4 - G 77 7 E-Mail S Mc r+w n: M c rn to a: rcona Subdivision
CJM
Authorized Agent B'RIA,/ MLW-o0CK� City OotWf_,./ SCAck► ZIP 219+6 Z.
Affected ❑ CW XEW KPTA ElES ElPTS Ac-r-^I7 Phone # ( C1) & G 4 — 0%,Z(o River Basin LuKts r_ R
❑ OEA ElHHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body CANAL (nat m�nkn)
❑ PWS:
ORW: yes no) PNA yes no
Closest Maj. Wtr. Body i�� W W
(9�ock) length 17 (Scale:
■■■■■■■■■■ ■■■■■■■■■■■■�■■■■■■■■■R
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boathouse/ Boatlift
Beach Bulldozing
0t-i = 5&0 4'} 2
Shoreline Length + 100
SAV: not sure yes no
Moratorium: 0 yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
HOL12K,nj SEA C A ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions o 7 N . '-Z 1)l7 X , L-L C7 FRF—M Ly CA L, , STA Tr 24
A^/y Fr-t7r—zAL REGLALATi'APPL-Y.
�l�/141✓ �Gc��yG�
Agent or Applicant Printed Name
Signature •• Please read compliance statement on back of permit
Application Fee(s) Check #
w6t'lt
Permit Officer's Printed Names
Signature
4 /111;?-ai9 g A � Azol 9
Issuingpate Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 6�e-n Mani me-
Malling Address: 11Rt (` -, o—L rah DC .
's rr1\j r , 28'h'7G
Phone Number: ���}� S"--- (a—f --I
Email Address: P, Cam
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ho.",J "I S4-- Csr-s �.ce-hdy�
at my property located at
in. �r'ut�Sw ��cie County.
1 furtherttmoie certify that ! 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 9 nee Info atiom
Signature
Print or Type Name
Title
/ .. i
Date
This certification is valid through '�Z2 1 t 1 Z4L:12--C>
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner; _ - / . C
Address of Property: 1 a?o C roar (o;� 5- .j,I ,A a r) a Tgr U r 6W cir -.
(Lot or Street #, Street or Road, City & County)
Agent's Name Vre-,_Tn Mailing Address: ae>b?,1 dA-n_!
Agent's phone #: �2ct,n of u r\f �fsFla�,
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.
V I have no objections to this proposal, I have objections to this proposal,
if yo4 have objectlohs to what is beingproposed, you must notify (he Division of Coastal Management (DCM) In
svdting vrlthln 16 days of repelpt of this nollce, Correspondence should be mailed to 127 Cardinal Drive Ext.,
INUM/ngton, NC, 28406.3845. ACM representatives can also be contacted at (910) 796.7215. No response Is
considered the same as no objection If you have beer) notified by certffled Mall.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
hack 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.
1� I do not wish to waive the 15' setback requirement.
(Prop ` Ow n ation)
c f'
Si,�liaiure
Pfint or, Type Name
Ms 109 Address
Qity/SfafelZip'
Telephone NUmbar
Date
(Adjac t Property Owner Information)
Signature
Print or Typo N trle
1-:3-7 C4�1& tom. s-{---.
Maillni Address
;zTq G2_
City/Stafe2lp'
Telephone Number
(I lt�
Aa1e
Revised 611WO12
■ 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.
Article Addressed to:
T?�obb\�j D. Pr-6v4n
13-7 C hacr{ o-t+e-
A. Signat re
X , ��� // S ��� ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
__.
I ✓ L`
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
I-61c4u,Pxacl� )r\ G 2-94<2—
II
I IIIIII
III
III
I II
IIIII
I I
UP
I
III III
I I
I III
i Type
3. Adult
❑ Adult Signature
El Priority Mail Express®
9590 9402 4454 8248 7477 42
❑ Adult Signature Restricted Delivery
Certified Mail®
❑ Registered MailTM
❑Registered Mail Restricted
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
2. Article Number (Transfer from servira laha/)
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Merchandise
❑ Signature ConfirmationTM
18 0680 0 0 7028 9556
° Insured Mail
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
(over $500)
Restricted Delivery
PS Form 3811, July 2015 PSN 11`530-02-000-9053
Domestic Return Receipt s
CERTIFIED MAIL + RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONIWAIVER FORM
Name of Property Owner: MC- W Ll Ln rno 0
Address of Property: I a(e (%tr,r;�r-{ o-{-�-e S-f- P-t l �_,-, AP cLC� gn 1 r�SW [CA---
(Lot or Street #, Street or Road, City & County)
Agent's Name _ VCC T�1c� Mailing Address:
Agent's phone #: 61 to .to('0 - b ! 2z" �U.DOI� G gLL [o`er
i hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing.,the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
W/I Have no objections to this proposal. I have objections to this proposal.
/f yott(7ave objections to whatis being proposed, you mustnotify the Division of Coastal Man,agement(DCMJ in
writing vIfihlr110 days of receipt of this notice. Correspondence should be malted to 07 Cardinal Drive Ext.,
Wilmington, NC, 28405.3845. ACM representailvas can also he contacted at (9to) 796-7215. No response is
considered the same as no oblection If you have been notifled by Ceri fled Mall.
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me, (if you
Wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
(Props 0f, r 1 096m, at(on) (Adjacent ro rty Owne-I06-rMation)
f�olw"o Slgnoture
`.�4-e r, tit C-rY1an M
Print or Type Name'
M.
Maiiins.4cldtess
b tip p� l�! Ci 2Sb�5
QitylState2ip
-(7D4) - (,- Z 7 -7
Telephone Number
Date
Nia.,ry- W .
Print Qr Type Name
1 Wit -%I -
Mailing Address
ttoiG(e-i1 9>eacke`Z8'L(fo2-
Cityl$tatellip
91.9 — 4-ZZ-.3oo
Telephone Number
Date
�;h uq
Revised 611W012
■ 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:
It-e-VLLe- RA.
fZGi tc 5h KG ' -- ('Ocgj
1111111111111111111111111111111111111111111111
9590 9402 4454 8248 7477 59
2. Articie Number (Transfer from sandr Llager
018 0680 0000 7028 9541
PS Form 3811, July 2015 PSN 7530-02-000-9=
A. Si nature QQ
)C
SUf ❑
Received by tinted N e) D e of I
�Lav►r�� ��aN
D. Is delivery address different from item ? ❑ Ye;
If YES, enter delivery address below. ❑ No
3. Service Type
11 Adult Signature
❑ Priority Mail Express®
❑ Adult Signature Restricted Delivery
El Certified MallO
❑ RegisteredExp
Mail -
❑ Registered Mail Restricted
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
Delivery
❑ Retum Receipt for
❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
Merchandise
❑ Signature ConfirnationTM
El Mail Restricted D .;ry
(over$5001
❑Signature Confirmation
Restricted Deliver,
Domestic Return Receipt
--j
De osited Check From (Name
NameofPermitHolderVendor
Check Number
Check
1
Permit NumberlComments
Recel l or RB7UM/Reallocated
:olumnl
olumn2 Co/umn3
ColumM
Co/umn5
Column6
Column7
Column8
Cc4 mn9
d1162019 VCC Inc Steven and Paula MCM.-- T 248 $ 20000 CP#73522D