HomeMy WebLinkAbout72287D - LashleeCAMA / I DREDGE & FILL N2 72287 A B C (�
GENERAL PERMIT Previous permit#
—JNew Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ' 1
and the Coastal Resources Commission in an area of environ ental concern pursuant to 15A NCAC
tt�-- ❑ Rules attach__ed,,
Applicant Name VfL- w Project Location: County VVYk &n v
Address a i �V (C ' �t � �t Z
CityJV ( Lk (1_V State N 1 V zIP
Phone # ( ) E-Mail
Authorized Agent 1. %j LLv
Affected �W � Ewe A El ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH P USA ❑ N/A
❑ PWS:
ORW: yes eno> PNA �`yes) no
Type 04 Projipct/ Activity
Pier
Fixer
Flom
Fingr
Groi
Bulk
Basir
Boat
Boat
Beac
oth4
Shor
SAV
Mor
Phot
Wain
Street Address/ State Road/ Lot #(s)
;;2 5 LA Y !IA[Am i ►n b y
Sub�diXision VVNJ S ,
Cityzip (���
Phone # ( ) River Basin
Adj. Wtr. Bodv v nat m nkn
Closest Maj. Wtr. Body VV
(Scale:' )
iilr■■■■■■■■■1/1�t1Il►r
�/■■■■■■■■■■■■■■■■■■■
Lo
■C■E■■■■■E■N■■111�■ai■■■■■■■■■■■■■■■■■N■■■
pier(s)
MEN
CO
i length
CCCCCCCCCCCC®'�CCCCCCCCCCCMEN
iO
number
MEN
NN�&
NNOMCIO'E'Fwillirt;.:�.=�.19
�■iwommomYo-mal■
■■■■■■■■■■■■■I■■
■1■■■t\��lil■C■■■■■■■■■■■■■■
avg distance offshore
MMMMM■■MM■EMI■■max
.
■��■■I■1■■C■■■■■■■■■■■■■■
distance offsho
■■■M■■■■Oq■1
■■
iut■
■I
I ■G■■■■■■■■■■■■■■■
'I�
0il
'CCC
CC�CCCCCCCCCC'
n
C�■
�EMCCCINN
cubic yardsi■mm
:CCCCCCml1
l
MENEM
11
CI
Io�loCCCCCosCCCCC:
■EN
■■■■■E
liimL3�lm
O
i�■1■
"
■■
■■■■EMME
CC.:i
C■■■.CC..CY....�
■
■■.1
■��■.C.1.•����..
Bulldozing
■■■■■■■■■■■■■■■■■■■
■
■■w1■■■■■■w�����L��■-
■■■■■..�....■■■■���
Alil��lll�lll�iil�lll�llil���N�I�I��
■■■■■
■■cwE�.■ice■■ww■�i
�'.
■■■�■■
■■■■■■■■■■■
■■EC
■■■■■■■r11■��11■rAfi
iw
■w■wow■■■
■■MM■■0■■,
not sure �Il■■■
■■■■■■■■■■7■■1�.111�
■■R�il■■■■■
■■■■■■■■■■■
yes
.
CCCCCCCCCCC::
OMEN
OMEN
■■■
o
zr Attached: yes ? no
IE■M,i.....____w■■■■■N�EN■■■■��,
■■■■
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
1 n'�Z VT'- *14oViA A I
(Agent or Applicant Printed j4am
❑ See note on back regarding River Basin rules.
Signature "Please read comaliancestatement onback of r it**
Application Fee(s) Check #Fee(s) Check #
Signat e - V ! �- \
�LIf'
Issuing ate Expiration
■ 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,
A Signature
X
�y
❑ Addressee
B. _$aceived ranted N
�• II
C. Date of D�li� ry
or on the front if space permits.
!
1. Article Addressed to:
D. Is delivery address different from item 1? ❑ Yes
3 -4�j Ck C (Y-1s-nNr- 5')
If YES, enter delivery address below: Q.No
RECEIVED
BAN 2 9 2019
C cot
I IIIIIII
III
IIIIIIII
11111111111
IIII
111111111
}, gtutMINGTO
❑ Registered 'Mail"
9590 9402 4208 8121 9590 50
❑ Adult Signature Restricted Delivery
❑ Certified Mail®
❑ Registered Mail Restricted
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Merchandise
0 Signature ConfirmationTM
o amio Ki — h— rrnncfar from --i— lahalt
❑ Signature Confirmation
7 018 1130 0000 9909
3261 ail Restricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
a
ru
m
tr
0
Qr
IT'
0
C3
C3
m
ri
r-i
CO
r-q
C3
r-
`a ..
rnestiic Mail Only
ru
m For
SOUM'OFT r TC 2 it '' 1 k I U R
Er tr
p Certified Mail Fees
Er $6,45 Ii4,Qjll
E' $ ` 9 Y
Extra Services & Fees (check box, add tee ) ( p I PI ''are)
O [I Return Receipt (hardtop» $
Q ❑ ReturnReceipt (electrenic) $ $ ID ..1.1t 1 Postmark
C3 ❑ Certified Mail Restricted Delivery $ i tom_ Here
E3 []Adult Signature Required $ _
[]Adult Signature Restricted Delivery $
C3 Postage
rr'I $ $II,50
� Total Postage and Fees 11 /05/2013
$ $6.70
c:D Sent To
LL
o •
Streeet tanendi1A)pt. No., or I'(j Box No. j
City $fate, Z 4 �� .i�lPCL ---slat—=- ----5---'
SvVTtt-eUVN- , ("J L Z9�y b 1
■ 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:
LASTo
S ou riA 9 cf� —k
❑ Agent
X
❑ Addressee
B. Received by (Printed Name)
C. Date of Delivery
D. Is delivery address different from item 1?
❑ Yes
If YES, enter d EU
❑ No
RE F
A 9 2019
I I I III II I I II I III IIII I I II I I3. t Signature Um
El Adult vV f L.IVI I IYu� A±iolt� Mell E pressC�
9590 9402 4208 8121 9590 67 ❑ Adult Signa i"tONQ` t ail Restricted
❑ Certified M Delivery
❑ Certified Mall Restricted Delivery El Return Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (I-ransfer •
from service label) ❑Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM
I Mail ❑ Signature Confirmation
7 018 1130 0000 9909 3 2 7 8 Mail Restricted Delivery Restricted Delivery
_ W 500)
Ps Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
AGENT AUTHORLZATION FOR LAMA PERMIT APPLICATION
I\,ame of Nropert'f Owner Requesting Permit M:hael Ashlee
f-Aa1Iino Address: 2574 Wariners
Southport. W:2346'
Phone Number: 202-363-S502
Email Address: I3snleesnpariLC5hotmaiL::)n
I certify that I have authorized David Lean of Lean Marine, LLC
Apritf C:)-ii-a:tx
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Erectnety prhistedocking facility
at my property located at 2574 Mariners Way
in Brunswick County.
I furthermore certify that I 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 es+aluaung information rented to this
pernat app,tication.
Property Owner Information:
F16i7f of yp& iti JrTlr_:
C3 �
I his. certlhc_lron Is valid lhr.u:1h '
O�fo, T-4
2574 Marin 'rs Way s
1 4;7ff
a 4f,
Google Earth
11
IL
4
F-
i
■ 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 maiiplece,
or on the front If space permits.
1. Article Addressed to:
�3Z-0 STt-tiPR�C SvPI�L�i ,S 3oi�
ScbtriAP A-2 —k Ato �
A. Signature
X 0 Agent I
❑ Addressee
B. Received by (Porn ed Name) C. Date of Delivery
D. Is delivery address different from item 17 U Yes
If YES, enter delivery address below: ❑ No
i
i
II
I
IIIII
IIII
111((III
I I I
III
II III
I IIII
I I3.
Service Type
0 PdMal E)P-90
❑ Adult Signature
❑ Registered WSW
9590 9402 4208 8121 9590 67
0 Oerwled MWID Resvl�ted °amrery
❑ erect Mall Resaicted i
❑ CerlMed Malt Resuloted Delivery
❑ R for j
❑ Correct on Do"
2. Article Number (transfer from serNce lWvD
❑ CoAect on Delivery Restricted Delivery
I Mall
❑ Signature ConfkmatlonTM
❑ n
7018 1130 0000 9909
3278 r M�1 Restricted Derwery
�nett� �
j
Y-r-e..500�
PS Form 3811, July 2o15 PSN 7530-02-000-9053
■ 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:
3t; 4iock CGj-i' a
� tisC,O(Z ,,vA 2g0(,#o
Domestic Return Receipt
A. Signature
j Agent
X 1r ❑ Addressee
! j pit
aselved Liy Nnted N C. Date of DVv
��"j )f7
D. Is delivery address different from 1? CO Yes i
If YES, enter delivery address below: 0 No
9pLAC I
(IIIIIIII 111 IIIIIIII I I11111111111 IIIIIIII o ry� ❑ �t
9590 9402 4208 8121 9590 50 ❑ °tit signature Restricted DdWM ❑ Restricted I
❑ certified Mall® ery
❑ certified Mall Restricted oeAvery M Return Row" for
❑ collect on Delivery Merchandise
o AMA- kh — k— fr,..Qfw from .�mk- lahofl ❑ Collect on Delivery Restricted Delivery Q Signature ConfamatlonTM
D Signature ConfWmation
7 018 1130 0000 9909 3261 Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530.02-000-9053 Domestic Return Receipt
Date Received
Date anad Check From Name)
Name o/Permit Holder
F
Check Number
Check
amount
Permit NumbwlCommenfs
Rece/ f or Rerund/Reallocafed
7dColumM Column2 Co1umn3 _
ColumM
Columns
Columne
Column7
Column8
Column9
1/30/2019 Loaan Marine Michael and Kathleen Ashlee Comino Federal CU 6442 200.00 GP #72287D TM rct. 7330D