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(
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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 ❑
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)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
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•
& 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