HomeMy WebLinkAbout66596D - Fowlkes�CAMA / ❑ DREDGE & FILL ) .L 5/11
3ENERAL PERMIT 5 l P
New ❑Modification ❑Complete Reissue El Partial Reissue
1q
<: r ", A B
Previous permit #
Date previous permit issued
rized 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.
it Name ) A
220 Elielf
AJState G -ZIP ,?'W&O
` 50 41S E-Mail
:ed Agent �i(
❑ CW 521W jWPTA 5�tll!S ❑ PTS
APU
❑ OEA ❑ HHF ❑ IH y ❑ UBA ❑ N/A
❑ PWS:
yes is D PNA yes
f Project/ Activity �e
'length
:ngth
tuber
d Aprap length
g distance offshore -141_
ix distance offshore "Q_
hannel
bic Ards
np
ise/ Boatliffi-
ulldozing
ie Length
not sure yes
Ium: n/a yes
Project Location: County
Street Address/ State Road/ Lot #(s)
b
Subdivision
City`' 4 wr YIP
Phone # fl-?A) t' 9�;-River Basin 0
Adj. Wtr. Body V t A.0 It -Id CA- n.
Closest Maj. Wtr. Body N-IM) I "7 ✓�lr
U►4A4A-4lti \ V `i
(Scale: 1 I)z
yes /no_ff
;
Attached: yes n '
Ing permit maybe required by: 9 Lj❑ See note on back regarding River Basin r
Local Planning JVrisdiction) , ; _ /� i„ • F
NC Division of Coastal :MO. Habitat Impact- comlpuirer Wlcel
Applicant: J A4/0-w
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.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FII
(Applied for.
(Anticipated final
(Applied for.
(Ai
dis
DISTURB TYPE
Disturbance.total
includes any
disturbance.
Excludes any
Disturbance
total includes _
Ex
Habitat Name
Choose One
anticipated
restoration
any anticipated
re;
restoration or
ternimpacts)
and/or temp
jrnact amount
restoration or
ternirri acts)
ter
arr
Dredge ❑ F' oth Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge []
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 0 Both ❑ Other ❑
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Perm it:r_'�AML:� Lad—�C�—
Mailing address: �a / /�-- �%�
1-01
--S�Ve'rc a�r A�4�
Phone Number: %1D
certify that I have authorized Y - 7f'
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of _ Se A L,.,/4/( %l t
at my property located at
in County.
This certification is valid through
Date
(Property Owner Infoptation)
Print or Type Name
Title
"--%, ),�
08:48a
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property.
Agent's Name #:
Agent's phone #:
Agent's email:
21 5-4 o 4 C,�--
(Lot or Street #, Street or Road, City & County)
Mailing Address:
�L z �
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 whatis being proposed, you mustnotify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215, 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, breakwater, boathouse, lift, 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 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 J��J/ )U /
Print or Type Name
(Adjacent Pr perty Owner Information)
SlgnaGffl`-� /
Print or Type Name
-79 ) / </, /'J-
If
40*- DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of.Property owner ,/?yyt S r-�
Address of Property.
(Lot or Street #, street or Road, City & County)
u (tom Mailing 141-1;Af6d5 Fe"nt Address:
Agent's Name #. tads P=e_rMc
Agent's phone #
tti- 3f�-� 34(
Agent's email:
I hereby certify that I own property adjacent; to the above referenced property.
The individual
applying for this permit has described tQ me as shown on the attached drawin the
develo ment they are proposing. ill imp
I have no objections to this proposal.. I have objections to this proposal.
if you have objcctians to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should o melted to Cardinal
be contactt
DDrive1=xt, Wilmington, NC, 2840s4845. DCM representatives can also ed at (9!0) 796-7215. No
res Ise is considered the swme as no 0190tior, N you have been notified by Certiired Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, 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 inital the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 16 setback requirement.
(Property owner inAd acent Property Owner information)
fo m is {i
1,,.
Sag tune / Signature R .
is p-oO6�f,
Alq— \� Lti,
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19 )QZ Cab 'VIAL
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el�q&,rjs-,
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LINE BEARING DISTANCE 'vtW RIVfry
L1 S 55'04'05- E 18.29'
L2 S 4T50'53" E 18.43
L3 S 35'56'22• E 18.48' iOA�O a0 SITE
L4 S 39'23'59• E 29.61'
0.97
L6 S 2728'07• E 23.57' `7 ` 4
L7 S 3T3559' E 36.80' LLJ 'y a -
L8 N 19'26 16 E 32.07 I `�1� /Ch' IP/�'�tT� w 3 =
N 1515
O�OOG�
of !* /� 441 VICINITY MAP NC
zl �
WALK EXCEEDS EXTENDED
FIS I �, w LINE 4.2'
�9
**NOTE**o
* 15' REAR SETBACK IS PER I I � �� S �7 +/,
R8M ZONE. ACTUAL
SETBACK NEEDS TO BE
VERIFIED BY CAMA I % 't, \ F
OFFICER. CP AT q�
FIS I ��\ I \ HIGH WATER LINE 4' y
(/ F
WOOD RETAINING WALL
I I
EDWARD R. 10.47 ACR
HATHAWAY I DB 2575 �u� Ln
MARCIO M. PG 797
MORENO I I
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DB 4238 w I
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PP\O
TIE DOWN ALONG C/L SAILWAY DRIVE TO
C/L NCSR 1515
L9
I S 06'0849" W
L10
S 02'35'57- W
L11
S 22'2307 E
U077)7
Lit
S 00'5851 W
NOTE: TIE DOWN NOT TO SCALE
SHORT COURT
BOUNDARY SURVEY
�ERTIFY THAT THIS MAP WAS DRAWN UNDER MY
ADJOINERS 6' VINYL FENCE
(NO ENCROACHMENT)
JAMES FOWLKES
DB 1201
PG 207
Q,
C)
p1I LINE I BEARING DISTANCE
L13 I S 2T28.07' E 5.02'
Ll 4 S 54'50 38' E 20.20
FMN Q WM FIP \Bz
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FIP,C
N FMN IN C/L SAILWAY DR.
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_ I NCSR 1515
\
050'
100'\ 150'
FPK AT C/L
INTERSECTION