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
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d►. aL. b. �.a .� p�h �ss-n
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Pri�c or T}po ��
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bdo6beAddross
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c tyI Stdonip
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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