HomeMy WebLinkAbout67296D - Baker/ C'DREDGE &FILL L I
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,GENERAL PERMIT
Previous permit#
klew ❑Modification ❑Complete Reissue El Partial Reissue
Date previous permit issued
sized by the State of North Carolina, Department of Environment and Natural
Resources
'uW
qjZoastal
Resources Commission in an area of environmental concern pursuant
to 15A NCAC
1
it Name � rw Kid
"
Project Location:
El des attached.
County�1
tpo � ('7,,(' )C q y t (al �f �i Lx') l
Street Address/ Statee`Road/ Lot #(s)
�
xState ZIP A,
•U i �.
1'^ 'U. �, t S l U '�
E-Mail
Subdivision
�
ted Agent Y ' 'r` \i''li`./!Cit}c�'��
11
l t ZIP
❑ Cw ❑ EW ❑ PTA ES ❑ PTS
Phone # ()
River Basin
;SOEA ❑ HHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body
i '"�
A� n
El/
/
yesP os PNA yes //�o
Closest Maj. Wtr.
Body
%`��
�Kq w I M a WAKIM !! 1113
t .
.r� •,«w
ENNINEENE
■■�It�ll■■■■111 ■1r:V►i1 � ■ !1�_
angth
ember
id/ Riprap length
,g distance offshc
ax distance offsh
:hannel
ibic yards
mp
use/ Boat
1
3ulldozing
lin
■i■�■■■'ice]►: ■■1�■���■■ Aii■
NC Division of Coastal Mgt. Habitat Impact Comp
Applicant: 1
Date: �� +
Describe belo � flfe H'VITAT disturbances for the application.
(0-1 �Xlo—
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FIN.
(Applied for.
(Anticipated final
(Applied for.
(Ant
Habitat Name
DISTURB TYPE
Choose One
Disturbance total
includes any
disturbance.
Excludes any
Disturbance
total includes
dish
Excl
anticipated
restoration
any anticipated
rest,
restoration or
and/or temp
restoration or
teml
ternimpacts)
impact amount
ternimpacts)
amc
t�
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 ❑
wwrrE
nrrr�a
6 ?, 1.8 14
PA
NCUM
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C, Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 1 i 21261 b
Mvi�e a mA--)
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
M (��-� � v 1 o G ' 0 a rL 14art4, Aae&� C/M
Owner's Marling Address:
Wait
Phone Number,, /1 EoLt - qqZ LI
Agent's Mailing Address: ++
2�34G�
Phone Number! q (d) 279-60)
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity)::
'il e k i l; e a N J I AA e c r i CA cL � 11r o n A I u A-t k C n� f'o ,,FYI aV (C( 1'YV"1 v' \
For my property located at
This certification is valid thru (date) ( 7,13112o 1 (.
Property Owner Signature Date
I.1)rC2
`(ll.�- Qk-F (uUXlf
4XV,wi �eam l-
,l o
,ch I w-r
CAMA EMERGENCY GENERAL PERMIT
vn of Oak Island
MA Permit Office
authorized by the State of North Carolina
the Coastal Area Management Act of 1974
Lpplicant Name 01f fzV,*1 t 6Ak-ER—
►ddress ()ppc7� he r 3
:ity_ LNG 21
'hone # 1 `1) 9 w- q q 2
►uthorized Agent
ype of Project
lescription of Activity:
iZ
,F v s,t-s b UT -
et bkciL tin
ILo s�e- r -h: G e_c_a.,1
'ost of project:
Totes or special conditions:
Permit #
Project Location Information
Street Address
�C•_ Ic _ L�Q ate(. 13►�t � ; rt ct..w C1� _
Adj. Water Body
AEC: ❑ CS ❑ OE ❑ HH ❑ IH
?A ►J L
10
LA
v
d
V
d
Receipts for
Certified Mail
(Staple Here)
(I <M?.0it,
Date
T W t4 OF 6 A K , rtN `X�v� n4 cote V-Y�J
Adjacent Property Owner
Ma ijingsdres��(1C� ki C 2 SLi��
City`, )State, Zip Code
Dear Adjacent Property: �/_
G tz�
This letter is to inform you that I, , c, r Vt � KL-have applied for a CAMA Minor
Property Owner
Permit on my property at 5 �0 ( e + b t 1)& 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 noobjectionform. If you have any questions or comments about my proposed project, please
contact me at lq 16 ) qD4 or by mail at the address listed below. If you wish to
Applicant's Telephone
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
i00t
Mailing Address
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER ,N/O`TIFICATION[WAIVER FORM
Name of Property Owner: ! r Ini �/�" f t-1 6 9/11&— - �
Address of Property: �l le • C)lK j-`JarV ` �i r VL
( of or Street #, Street or Road, City & County)
ijC l� Z�
Agent's Name #: n-'�0-4cJl cFyL/-1 Mailing Address: (390
Agent's phone #: 0 rC .1 Z-71 - Cagy' l t ()6-I =!- '�Ct IVC 284G S
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=dese"r'ip'tron or draVving; with -.dimensions; must be=providedwith thig1ettei.
I have no objections to this proposal. I have objections to this proposal,
If you have objections to what is beingproposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastaln7anaciement,netlweblcrn/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mari.
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
Signature
-(Riparian Property Owner Information)
�/c.411W-1. 0 gaIl-,
Signatures
Print or Type Name
!a/_ i' / ` i'7 . / - 7 / / i %. _
Print or Type Name
CQ
m
O
ti
rL
ru
C3
t \'ZI Ili a
O F
) T
Adjacent Propgty Owner
Mon,q Address i�G 2Z o
sit
City, State, Zip Code cry
Dear Adjacent Property,
EDEN,, NCa 2 g
Certified Mail Fee x
$ $3.30
Extra !Vices & Fees (q,e�k . edd fee 046�1
Ry�p
❑ Return Receipt (hardc ch ate V 7
❑ Return Receipt (electronic) $ I T r NC
❑Certified Mall ResMcted $ � . Delivery $ Ark
Adult Signaturo Required
❑d Delivery Adult SignaNre Restncta$
ostage �16
$!l•47 v,
Mal Posh and Fees
Nilf3.77 11S 16
To
M /JGP
_
° 0 0
27� ----------------------------
-------------------
This letter is to inform you that I, �� I —�� ('Zhave applied for a CAMA Minor
Property
Owner
Permit on my property at '�� t El --!)ILV E , 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 grruestions or comments about my proposed project, please
contact me at ( q 1 l) q0 y — R q Z �IJJ,or by mail at the address listed below. If you wish to
Applicant's Telephone
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,
� -C
Property Owner
too) 0 o s rb;,-.
Mailing Address
t.t I, r-' .r '�"-7r-p-7
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: / , I tq-U f 4
Address of Property: :2 I caK J-`jard b r r v'e—
( of or Street #, Street or Road, City & County)
pa �L z k � I 0�
Agent's Name #: Pi 0y'' u l Mailing Address: '(390 ( C , CQQk
Agent's phone #: �q �C -) Z7� - (nc (( �4IL �.QO r'ZGf lUG 2646S
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'd&6flp 6 oHraVvind, with tllmerisionst must b`e'brovi etl with>this leiter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you mustnotify the Division of Coastal Management
(DCM) In writing within 90 days of receipt of this notice. Contact information for DCM offices is
available of h ttp.11www. nccoestaimanagement. net/web/cm/staff-listing or by calling 9-888-4RCOAS T.
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)
Signature
Print or Type Name
-(Riparian Property Owner Information)
Signature
Print or Type Name
60) 6/0DaSiTl;n Wes/