HomeMy WebLinkAbout67222D - CarterLAMA / ❑ DREDGE & FILL l�V �� � � -"?Pam B
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�ENERAL PERMIT Previous permit #
N ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑Rules attached.
Name } V Project Location: County
1 t r ! Street Address/ State Road/ Lot #(s)
i"V V `Aj State ZIP 2� [/ 4 • vi fi,1�y
(r Maii 1 l 4N,11 Subdivisi8i
;d Agent t li L • Li; Y City t �t /IA& 41 ZIP
i
❑ CW ❑ EW ❑PTA ❑ ES ❑ PTS Phone # ( ) River Basin
Q OEA ❑ HHF ❑ IH ❑ UBA ❑ WA Adj. Wtr. BodyOd na n
❑ PWS: .7
ees / no PNA yes / no Closest Maj. Wtr. Body
Project/ Activity
k) length_
tform(s)
'latform(s)
igth
fiber
/ Riprap length
distance offshore
c distance offshore
annel
ce/ Boatlift
Length
not sure yes no
um: n/a yes no
no
stached: yes G
(Scale•' ,
ig permit may be required by: ❑ See note on back regarding River Basin rt
_ocal Planning Jurisdiction)
NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant: Permit #:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Found in your Habitat code sheet.
iabitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
or
temp impActs)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amo nt)
TOTAL Feet[disturbance.
(Applied for.
Disturbance
total includes
any anticipatedstoration
restoration or
temp impacts.)
NAL feet
nticipated final
cludes any
and/orrestoration
mp impact
amount)
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 ❑ Pill ❑ 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 ❑
A�
NCDENR
North Carolina Department of Environment and Natural Resources
at McCrory
3overnor
John E. S kvaria, III
S ecretary
AGENT AUTHORIZATION FORM
Date:,%b /3--�/�
me of Property Owner Applying for Permit: Name of Authorized Agent for this project:
mer's Mailing Address:
155L-lr2) z A�l���
Agent's Mailing Address:
Email:
Email:
me (mil SD/ 9/8 Phone {
3rtkfy that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the fpllowing (activity):
r my property located at
is certification is valid 1 year from (date) Zo= -K Xl�
NC DIVISION OF COASTAL MANAGEMENT
SANDBAG REMOVAL NOTICE
uncerstand that sandbags are temporary erosion control
structures that may remain in place for up to two years after the date of approval if it is protecting a building
with a total floor area of 5000 sq. ft. or less, or, for up to five years if the building has a total floor area of
more than 5000 sq. IL A temporary erosion control structure may remain in place for up to five years if it is
protecting a bridge or a road. The property owner shall be responsible for removal of the temporary
structure within 30 days of the end of the allowable time period.
In this case the sandbag alignment may remain in place up to:
two years afterthe date of the attached permit approval
Removal Date,
�ars after the date of the attached permit approvel
Removal Date:
Address of the Structure tieing Protected: 'S-so-? 4�JJ� ;&'4
Property (hurter:
If the property is owned by a Firm or Corporation
give the name of the officer or authorized
Representative: Date.
Print Nare
signature
.Nf{. {i NlN{lfNNf Hlf1H13f.f la{ffIf f.fN.HN.Nl....N{Hffff{rH.1ffNlfff...il fflNcrf.Hf1Nt1/NfN{.Hffiff /N HflNlf l.♦
If an agent is obtaining the permit on your behalf the following section must be completed in full:
f, , give permission to,
Print owner or Officer Name Print Agent Nan -to
to act as my/our agent in obtaining a CAMA(Genera)Permit to place sandbags on the property noted
above.
Permit Number.
Property Omer/ officer Sigralure
North Carolina Department of Environment and Natural Resources
Tara MacPherson
Compliance & Enforcement Represent
Division of Coastal Management
Jim Carter
5507 East Beach
Oak Island, NC 48465
740-501-8183
windiammerbeachhouse@yahoo.com
Mailing Address
11272 Avondale Rd
Thornville, Ohio 43076
am requesting Sand Bags ocean side in to repair dune area
washed away, damaged in storm, I need to rebuild/reinforce.
My lot size of 50ft frontage out 20ft from scarf area 4 foot deep to use
as repair.
Thank You for your consideration, Jim Carter Owner.
13 16 11:12a Jim Carter's Marine 740-928-8234
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Naane of Property Own
Address of Property.
(Lot or StreetA Street or Road, City & County)
p.2
Agent's Marne # •zPr-t f ��I'bC� Mailing Address:
Agents phone f
I hereby oertify that I own property adjacent to the above referenced property. The indMdual
applying for this perrrdt has described to me as shown on the attached drawing the development
they are proposing. A descripft or drawiinst, with dimensions. must be Provided with this letter.
✓ I havc no objections to this proposal. I have objections to this proposal.
if you have op)eeSons to what is beingpnoposed, you must notify the DJrision of Coasts! Management (DCM) in
writing alfbfn 10 days of rwefpt of thfs nobre. Cbrnspondence shoufdhe mailed to 127 CanfkuW Orb* Ext:,
NMmJngton, NC, 2840541 .5. DCN repmswdntives can also be contacted at P10) 796-72f& No response is
consfdemd the tame as no ok4cdwi if have been nodNwd by Certfgd Nag,
WAIVER SECTION
t understand that a pier, dock, mooring piings, breakwater, boathouse, fr8, 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 inklal the appropriate blank below.)
l do wish to waive the t 5' setback requirement
I do not wish to waive the 15' setback requirement
(P rty atiotl) (Adjacent Property Owner Itrfotvnation)
Sr fta Sigr e
Print or Type Name Print or Type Name
//--�?z &9Y1�/ a)
MadV nygAddress
1104
cffy
/5ta
Telephom Number
bWrffng Address
4410SIG . �llaAd
city/StaleI4 l .
Telephone Number
IX) /3— 2zo/ (�
/D/.?/ 16
SANDBAG REMOVAL NOTICE
TO WHOM IT MAY CONCERN:
give
my agent in my behalf in obtaining a CA MA General
sandbags as a tempo_ nary ercion control str cture
�rt r o _ `yat _.� ,�
permission to
__to act as
Permit to place
i n front of my
�
I, Y_ , have read the
specifications in 15A NCAC 7H-0308(a)(2) and understand that the sand
bags may remain in place for up to _ years after the date of permit
approval. I understand that I will be responsible for removing the
sandbags within 30 days after that date or at any time that they are
determined by D CM staff or its agent to be unnecessary due to
relocation or removal of the structure. I will also be responsible for
removing any damaged sandbags during the period they are authorized
to be in place.
I also understand that the removal of the sandbags shall not be
required if at the specified date for removal they are determined by
D C M staff to be covered by dunes with vegetation sufficient to be
considered stable and natural.
AUTHORIZED SIGNATURE:. —_____
DATE: ���=—----
CERTIFIED MAIL ° RETURN RECEIPT REQUESTED
DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner.
Address of Property:
(L.ot/orrSStreeeet#, Street or Road, City & County)
Agent's Name #: _- �, L L�'t- Mailing Address:ZZ22—
Agent's phone
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 be/ng proposed, you must notify the Division of Coastal UanagementfDCM) in
writing within V days of recut of this notice. Correspondence should be malted to 127 Camltnal Drive Ext,
Wilmington, NC, 28406-3W. DCM representatives can also be contacted at (9f 0) 796-7216 No response is
considered the same as no objection if you have been notified by CeriNied Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of IS' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must fnitial the appropriata_blank below.)
I do wish t aiveifie 15 setback requirement.
I do not wish to waive the 16' setback requirement.
(Property Owner I*rmation)
yy�grrature /.�- /�
(Adjacent Prope ��rrnafion)
,rl�f"4
grurture
Print or Type Name Pfin€ or Type blame
e .1
50Ft Lot
Wide
Scarp
26ft Landward to
Scarp 1 Ft Deep
November 22, 2014
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