HomeMy WebLinkAbout55879D - Stockr 7 , --
❑CAME\ / DREDGE & FILL 55(�79�
GENERAL PERMIT Previous permit# 8 e77
lew - Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the CoastalaResources Commission in an area of environmental concern pursuant to 15A NCAC ,
, f i "Rules attached.
Applicant Name' Project Location: County (Adbw
Addrace 1 DYbox Street Address/ State Road/ Lot #(s)
City State ZIP Lbf (�
Phone # () Fax # ( ) Subdivision Uaaw 1G
Authorized Agent S<bl A Li,ks a City__ GAAM ZIP �i Q•
Affected ❑ Cw � EW ] PTA ❑ ES ElPTS Phone # (' d River Basinvp (�
AEC(s): ❑ OEA El ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body Hat man unkn
El PWS: ❑FC: ��w, r
ORW: yes no PNA yes )/ no Crit.Hab. yes / no Closest Maj. Wtr. Body �JwJ
Type of Project/ Activity
Pier (dock) length
Platform(s)`-
Finger pier(s)�
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift x14
—
Beach Bulldozing
Other
�_
f
/1
` 1L
i- __
_
_.
-
i
1
Jli�
i
Shoreline Length I I V
SAV: not sure yes
Sandbags: Hots yes
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes o
A building permit may be required by: kaw�t-
Notes/ Special Conditions
n� or Ap is ted Name 1 1
ture lease read compliance statement on back of permit
Applicati Fee(s) Check#
(Scale: I )
IZ--?c
❑ See note on back regarding River Basin rules.
and JAI w reov (onn'&i. ato L_.
wng Date Expi on Date
A - S�� Q -ICYA
Local Planning lurisdiction Rover File Name
DIVISION OF COASTAL iviANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTTFICATiOIv/WAIVER FORM
Thi? purpose of this form is to provide proper notice to you as an adjacent riparian property owner io the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Divisit}n'of
Coastal Management conflirmation that a written statement has been obtained signed by the adjacent riparian property o
indicating that they have no objection to the proposed wort: or that the adjacent riparian property owners have been
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners b "a�
contractor or other individuals acting as an authorized agent on behalf of the applicant. p p Y
This form was sent to you by the following individual or company designated by the applicant as art
authorized agen .
C4
Agent's Signature
;dame of Individual Applying For Permit: c�D� fT3c�
Address of Property:
(Lot or Street =, Street or Road)
C'-y4-;,- Gin �
(City and Count`)
7 JX
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hereby certify that I own property adjacent to the above -referenced property. The individual applying for this permit
#as described to me as shown on the attached drawing the development thev are proposing..4 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
t � Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 within 10 days of receipt of this notice.
N0 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, breakwater, boat house or boat lift must be set back a
Minimum distance of 15' frorn my area of riparian access - unless waived by tne. (If you wish to waive the
setkack. you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
r
I do not wish to waive ttre 15' serback requirement.
atrie D to NCDEhJD
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r J `7 GNviRONMEN7 4wC NA-.JF/.L eiLSO[IRC3
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Number with Area Code
IN n2Si,
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DIDl--V--I ION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the jio
individusiQrt
individuals listed below. The CAMA General Permit application procedures require that applicants proval or
ide the
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian the Dipropcvi off.
indicating that they have no objection to the proposed work or that the adjacent riparian property owners have been
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners bye
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the following individual or company designated by the applint a''
authorized agent:
y
Authorized
/67
Date
Name of Individual Applying For Permit: (� 7b C�
Address of Property: 10,
(Lot or Street `, Street or Road)
(City and County)
1 hereby certify that I own property adjacent to the above -referenced property. The individual applying for thisperrtt#
has described to me as shown on the attached drawing the development they are proposing..A description or drawing;.
with dimensions, should b provided with this letter.
x�
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 910-796-7215 within 10 days of receipt of this notice.
No response is considered the same as no objection if you have been notified by Certified ylaiI.
WAIVER SECTION
€ understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back a
.Minimum distance of 1S' from my area of riparian access - unless waived by rue. (If you wish to waive the
setback, you must initial the appropriate blank below.)
I do wish to waive the i setback requirement.
i
I do not wish to waive i 5' setback requirement. IF
xi^
CDENRe are
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Y,pcine Number with .Area Code
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I't Uf u I lJC7I vuI IQ LdUPaI U I10I It UI LI IV I I vI If iCI It C1 I I 14CILUI Ql IICJUUI t.CJ
Division of Coastal Management
Michael F. Easley: Governor James H. Gregson, Director William G. Ross Jr., Secretary
- Date �J �> '9
Name of Property Owner Applying for Permit:
Nailing Address:
1 I I -5 C_a 4-0 uJ(eK oQ1,S I)
jZC
/117 dam'
I certify that I have authorized (agent) W,* CAJJ V y cl/t` to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 3t7,1f IN "JC amc.-I, -,- 6E/L /Vo/ _ ,
at (my property located at) / 1 17 C f t.46 W %c.t<_ S k oR-LS /Q 2
0
This certification is valid thru (date)
5 - a5 - %o
Owner Signature Date
t
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: 910-796-72151 FAX: 910-395-39641 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
NC Division of Coastal Mgt. 11itat impact Computer Sheet
Applicant:
Date:
a� �o
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
c4 i., vniir Nahitat rnde sheet.
I DISTURB TYPE
Habitat Name Choose One
TOTAL Sq. Ft. FINAL Sq. Ft.
(Applied for.
(Anticipated final
Disturbance total
disturbance.
includes any
Excludes any
anticipated
restoration
restoration or
and/or temp
Dredge ❑ Fill ❑ Both ❑ Othe
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 ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
FINAL Feet
(Anticipated final
7cludes
in
disturbance.
Excludes any
d
restoration and/or
restoration or
temp impact
revised: 02; 03/10
252-808-2808 :: 1-888-4RCOAST :: ww�n+•nccoastalmana ement_net