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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, rvG A-o,, r9 9 4 f- •Wi YI S �rvryl Sd/► �� 19 )QZ Cab 'VIAL pL-5 h �� rl �t'ij el�q&,rjs-, i� � 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 w1 I DB 4238 w I �I PG 733 I Flf� \ MI Ln 77 I O O LJ \ \ zl O I x \\\ I s z FIP Im : I I. J 9" I� :2I 001 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 9 Ln FMN v 3s�0 O o a o FIS �" ['P� �'' / �i/yCo N } 3 {\FMN IN C/L FIP,C N FMN IN C/L SAILWAY DR. I � _ I NCSR 1515 \ 050' 100'\ 150' FPK AT C/L INTERSECTION