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HomeMy WebLinkAbout66670D - LevinaI•CAMA / ',� DREDGE & FILL 1L I / _ �' 'ENERAL PERMIT S (l' '`' A B r'' Previous permit # (New ❑Modification ❑Complete Reissue OPartia eissue 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 15A NCAC ^' ❑ Rules attached. Name T e,Vi V I.C\ Project Location: County rw �b o �Gi iQtGj�IStateNC ZIP%1_:6� --- 7 `1' (.0 l t E-Mail f _ �d Agent �/ � � �� h A (ti S61r1 �i7V` YU (. � 4 V \ ElCW ❑EW El PTA DESPTS Street Address/ State Road/ Lot #(s) Z���0 ulla4', 7� Vd IQQS Subdivision City H7 r ,co e A C zip 1�40 o LwAi Phone # () River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ees /I� PNA yes / �i� Adj. Wtr. Body Co V'i G1 ( Closest Maj. Wtr. Body (nat /n E4'j14 i ice% Pr J t/ Activity `, �/ Gt A ulh� W :k) length ;. VJ u T {% 1n (Scale: i � '11110fi _ TT_T� I tform(s) E I J Natform(s) i igth nber I/ Riprap length ! r distance offshore 0 c distance offshore annel J is yards Length not sure yes im: n/a yes yes o ttached: yes n g permit maybe required by: TO'W d ` h t (U_ O �"( ,r'f _( See note on back regarding River Basin ocal Planning jurisdiction) NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant; b h Permit #: Date: j Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied..for, Disturbance total includes any anticipated restoration or temp FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet. FINAL Feet (Applied for. (Anticipated final Disturbance disturbance. total includes Excludes any any anticipated restoration and/or restoration or temp impact temp impacts) amount IV . Dredge ❑ Fill Both ❑ Other ❑ lIimpacts) 4' Dredge ❑ Fill ❑ Both ❑ Other 0 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 ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge,❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both �3 Other ❑ Dredge ❑ Fill 171 Both ❑ Other ❑ NCDENR North Carolina Department of Environment and Natural Resources D+vision of Coastal Management Beve Eam Perdue James K Gown Dee Freeman Governor Direcbr Seaeiary AGENT AUTHORIZATION FORM Date: 6 15 —Ito Name of Property inner Applying for Permit:: Name of Authorized Agent for this pnojea Ann Lev%na Will t`�r c harcisorl Omae's Malting Address: W9 We--*t Le,-x m a� 6yG l- ah Phone Number 1:35W Agent's Mailing Address: .3a35 L -e5-t Ave. �bW . �uu►71y . NrC oZg�� Phone Number (qt()) -33 5 I certify that I have authored the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): Sulkhy WoOt " K2.WQ r* This certification is valid thru (date) Property Owner Signature date Jun.-21, 2016 2:13PM PM BROWNS MASONRY onst & Marine 91.08425597 No. 1291 P. 2E. 2/ 2 ..•r. • v vot%4 DT,VYMON tW COASTAL M&X& ZM]= =AMT R'A'SUN PROUItTY OWM STATYMEff I bmtbY tit I own p mp" 4scent to x st 0 �gyn atJProp.tt� Omar) CLA (W(Tmm smgar Co sad I hm no objacaaos eo Ow proposal. bsb wtti�t bortiCq DZKMr ON ANDMDDAWJVG QF PR POM Db'V Lopbfz T: (beoi"dp vw&g &"Jopmw xr wfiv hi &watwm bdox or Awad a me d rmmhw guy klkk4A via t1 ► r ifs a,ra.Q ►rm age wft f a Dttwm or coosw w to dw at r.cdpt dtffi . Gorres rises *mw be U44d to W cndbW W D0K t p m ett.ma d►. aL. b. �.a .� p�h �ss-n Pr'mc a ZyQs x..» !*W �•� _91t� -- 3��-033� Pri�c or T}po �� I5ri (dal 3"�hnson i d bdo6beAddross Lv i n aito. N c ' 7 c tyI Stdonip T WWMMNV=bw 9!O 9� i " - - " .. -- Ic" r"I)eod XMArr —xETr, v RECERY-1 REQUEMD WBION OF COASTAL NLAi-iAGEh1XN"T AWACE7 RIPARIAN PROPERTY OWNER STATiM9W I hmby rectify dW I awn WVtq 4aCM t to Iinil_V PmPcTty locdcd at (fame of Property Owner) ^a ct;n ti N.C. APPLicanes phanc y: ody) (Town and/or County) one Y; — & +-I Mat7iugAddrcs. ALL1, the has desa bed tD me as shown below the ic and I have no objections in the proposal. ruposing;t to loc R DESCRIPTION eiNWOR DRAWING OF PROPOSED DEYFJ OF MENT: '- 7n""Id-d propasing de dapm--t must, W is acseriptio rn bPlow or attack a sfte diawuzr j, If yos here abjectlum to what is being proposal, 7oa mast Hole within 10 days of rttxiPt of thjs naiicc COrrespa tLe Dirltion of Coastat ivtanatQMrnt fD� I Via. i)t'(y1 mpretimtativex can also be contacted at (910)74&TlIS id be m�1ed to 22 i CuYliaa! Drive Ut. wdmk wj , Nc rtsvo s�Oauderad tDe ssrue ss eo ab)edlorz if m, ve fern notx,5ed ht ('�cti are� boa} Si�omire Weil ►�ithi.tr,to, 11i��h. Rim or 1}y3a Nsma 1 City/S t 'p ` Tetepnone Ntmmber 7 �- J Dam (t 127 Carding Lsive 1 � Wfts mtot4 Plo6gt Cafolir>a 234b'S i84S PtyOtte: 91Cri�.T215'tFAX' 91�i95�9Sd'�iniamat wViw_nlmASla�r:te,:,L�ei Mcve�0---y1hYvro6weFxfa evoy---- 110%Ek5iC ppt (Riparian Prapertp Owner Informa&nn) &gpKv- i y Rut or Type Name 1 Address i ity t Z4§ y Teiephoa Numbs Canal r� Jeldco Property LLG NT5 f�pprox 13ft 105 Lumberton 5t New Bulkh ad Wall --- ------------------ Jose Venegas 312 Ocean Blvd. West Holden Beach NC Scope of Work: Holden Beach NG _ Ann Lev n-aJ 10 Ocean Blvd. West Holden Beach NG Install approx 13ft of bulkhead wall in alignmjent with existing bulkhead walls) to prevent E