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HomeMy WebLinkAbout67925D - DeFrancoICAMA / `-7 DREDGE & FILL II n2 1" 4 1 79�G+e3 A B 'ENERAL PERMIT , Previous permit # 1New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources 14, l :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C� ► A 00 ❑ Rules attached. t Name _� D (i p(� Frr VI ( o Project Location: County IL]►NASW( 1 5 �, l waryl Z/�•1 �n - Street Address/ State Road/ Lot #(s) Stated(, ZIP V "l (j L 2_ /U • S k l ►i I) ( ��� E-Mail 0 W A1�'F4ti� Subdivision ed Agent ���1) i ACk IJ`ft U' � ��0 �Oii � City &1i/1 <sf ZIP _ ❑ CW XEW )'PTA El ES ElPTS Phone # ( ) River Basin LVA, ElOEA ❑ HHF /❑`IH ❑ USA ❑ N/A Adj. Wtr. Bod(nat r ❑ PWS: yes / o PNA yes /� Closest Maj. Wtr. Body �'n U Project/ Activity {�� �✓A( 1� lU� Z"� d e +- J 0 (Scale: V' A) length x I b ■■■■m■■■®■■ MEMO ■■N■1=11-PIUM9111 ■■M ■■■■■■■NVI lS NA11v■!■■��■■!t!3'i■1a39`i■� ME wii■■i ■■1�•■:cNi�■�Ni ■■■■■■sl rsaln�i,e� ..�r_ ■■■■■■■■■MEN ■!■N�■■■■■ ■■■■■ ■ OMi 0La■P A21■■■■■ � ... MEN ■immllI■■r11I■l 1dI■■■■■ ■ r ■■■�.�'Jli�� I ■■. ■� I■� MEN ■�■■■■■■■■� IEEE/ I ■■11E� ■■i��■�■� IN ■■■■■■■■ MEN MEN ■a■■■■■■■■■EW_ ME■■1llS IWASIN■I■■■■■■■■■■■ ME IN HOW MINK112HE MEMNON ME IN M'4M M MINE ■ ■■■■■■■■■WPAIL A■■I�I� �■■■■!`LEI■■■■■■■■ IN �\`�■■■■■■�i�il�li ■■I11�1�■_■®■■■ ■■■■■■■■■ WI 1■M■i■1■■W iME■■ter■■■■HIM1111r:N■ OR H MEN �MR___•_•_M■m■_■■■!■m � Flo.�II■11♦`�iEO�1�Yr.i..__ •i �g ■V11ili■a■■■■■■■■�■■■� I IY■■11►J1iriZll'u g permit may be required by: �(�WY\ a wY1'� C Q G �n ❑ See note on back regarding River Basin ru ocal Planning jurisdiction) , _ i r f. I NI C Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: �-t f"YTn 0 Permit #i , Date: \L% p20c Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet TOTAL Sq. Ft. FINAL Sq. Ft TOTAL Feet .7disturbance, t (Applied. for. (Anfidpatedfinal (Applied for. final Habitat Name DISTURB TYPE Disturbance total disturbance. DisturbanceChoose One includes any Excludes any total includesanticipated restoration any anticipatedd/or restoration or and/or temp . restoration or temp impact temp impacts) impact amount) temp impacts.) amount) Dredge ❑ Fill ❑ Both ❑ Other 0 r Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Pill ❑ Both ❑ Other ❑ Dredge.❑ Fill ❑ Both ❑ Other ❑ nrAri„A r"7 mu r-1 nnfh n nfk-. n )ayment Proccessing Confirmation Date Received 11/10/2016 :heck From (Name) Carolina Bluewater Construction Inc flame of Permit Holder Joe DeFranco ✓endor BB&T :.heck Number 16645 ;,heck amount $200.00 Multiple Permits No Major/Minor 3ermit Number/Comments GP 67925D Zeceipt or Refund/Reallocated SF/2839D AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: TO e �Gt 0CAD Mailing Address: '155 �) c51 V I eW Ln Phone Number: Email Address: I certify that I have authorized NC q1Q- 4)-7- zL�3q 11 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: �-eIN I�fSi df��a at my property located at i 52Z No -4-) 51KoY-p— _DV in ByV1Ks Mae- 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 evaluating information related to this permit application. Property Owner Information: a///� �--i Signature Print or Type Name Title .JI CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTiI~ICATION[IAIVER F'ORIVI Name of Property Own Address of Property.- tL�vli,or JireeE;F, wreal or KOa(j. City & County► Agent's Name #req�►►V� DIU� l Agent's phone # 91D 51 #w#ailing.Adciss: ! hereby certifv that I own property adjacent to the above reference ;)r oMerly. The individual applying for this permit has described to me as shown on the attached drawing the development they ale�proposing, A d2sc;iutfon or drawing )qi h dime;:sio-1s ,-must be orovider3 with this b�i�-. V 1 have: no objections to this p oposai.abje< tirwi.s to this PQ ro sa.I. P ff you have objections to what is being proposed, you must notify the Division of Coastal Management MCMj tr wrfting within iQ days Of receipt of this notice. Contact jrrfor�rtetfott for 1)CM ofiriCes is available at s"Y �� -: t s. ;, tr : orbyCatling1-8884RCOAST. No 2Wgnse is considered the same as no objection !f My have been notified by Ce,rrifred ball WAIVER SECTION I understand that a pier, dock, mooring pilings, boat rarrp, 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.) Akv_,_� f do wish to waive the I F setback requirement. I do not wish to waive the i setback requirement, iP er N; Owner Information) ;Riparia Pr perty ,C.s ,yes � forrnatior3; C _ iiUi' ll1'C :jt�^, i? :Itlf'E Ot ",P& Print' or Type Name Prins or Type .N9m 95 Skf-,l X eW LI 6'8sS 'yak"•.Diae 400 Mailing Address Ma -1- address C€RTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: _ 0L--FrA4C-(--) Address of Property: fi(t F t Gf' ; 4e !S11id'5F —I q (Lot or Street #, Street or Road, City 8 unty) ff�� / Agent's Name #: l ll��t 1 e l f jf 1A[f . Mailing Address: _ � `f 54 - 6) ee4 1_ /�` /6'v Agent's phone #: ` ! (57.75 ��1 } uku .1: tc 11 /�? 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 desmio 'w oc drawir q. WJh dimerWsi0al must bf pLgyj � am this j, have no objections to this proposal. .-1 have objections to this proposal. H you have objections to what is being proposed, you must notify dw Division of Coastal Management (DCM) In wrifing within 10 days of receipt of this notice. Contact information for DCM offices is available at http: lwww. nccoestaimanaa4vmenf. netlweblcm/staff-lisfrna or by calling 1-8884RCOAST No response is considered dw same as no objection ff you have been noflfied by Cerlffied IYf611. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. I do not wish to waive the 15' setback requirement. (Property Punt or Tvoe Name '7S 3 S7,1lfav 141 rung Address (Riparian Props Owner information) ignature James C. Thomas, Jr. Print or Type Name 1520 North Shore Drive Mailing Address Snncet Reach. NC 28468 343 Fahh Mart m S6dge Rd 1. NC 2M 1 AP' pLl� '4 BL Customs Be VEWA 6934_ Cow ash, M4;ry�a/Z CO 9 Beach Dr �wete �eS/9ry /ryd' ary� CO/� �S� V ocean Isle BelchFry9lryeef Coufse ' 13-0' ' NOh Ca of9 euil�lry des r �• _ ` ` � 1s'-oN 1 � 9' s Da 28�69 C91O9j 57S_710 • t to o •L_ Jl ill • & Ra ting Flo, - o atin Dock mp to be Removed r1r 9w Deck er ng j Parcel # 256ND00345 Owner 7520 Nmes onhacqueline Thomas ISunset Bealry NC 28468