HomeMy WebLinkAbout67104D - MartinCAMA / ❑ DREDGE & FILL �L-/ �P
A B i
IENERAL PERMIT v)1111Previouspermit #
Vew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
:)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑Rules attached.
Name i 1 \(,f h` n Project Location: County L>n X1! .A, Ll cam.
Street Address/ State Road/ Lot #(s)
)&'J l"�.Y� State Ci 11zIP 3 0 2 t,,_5 Z5(? L'\ I6-0-" (-
(k.W) to - )� E-Mail __ Subdivision
:d Agent J. Y ac ki r, City ZIP Z z) y G
❑ CW ❑ EW ElPTA ❑ ES ❑ PTS Phone # ( ) River Basin L �
bdOEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body il4lw.A, nat
❑ PWS: > �C oA A�C
Closest Maj. Wtr. Body
yes / no ` PNA yes no
(Scale:
ck) length
itform(s)
Platform(s)
ngth
tuber
d/ Riprap b
g distance i
ax distance
hannel
bic yards
mp
use/ Boa
3ulldozing I a X 5D,
ne Length
notsure yes no
)rium: n/a yes
yes
• Attached: yes no �
�y �- / `
ling permit may be required by: +mac„ r`a n i JCS S[ 4iR Ci ❑See note on back regarding River Basin
I nrnl Plannino Jurisdiction) I
kMA EMERGENCY GENERAL PERMIT
yak Island
ermit Office
•ized by the State of North Carolina
iastal Area Management Act of 1974
:ant Name- s A. Al Ap i/,►/
OwWw,/ ✓ r
83 -
rized Agent W,14 W t l
f Project
ion of Activity:
> S
►f
project:
r special conditions:
Permit # 1 �) co
1-7 O A- R fo w/J�
Project Location Information
Street Address WeS1
Adj. Water Body C2,r-egAJ
AEC: ❑ CS ❑ OE ❑ HH ❑ IH
//ic,
0-0 --- 0— 0 0 •—
� �L
SITE DRAWING
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
;Crory Braxton C. Davis John E. Skvarla, III
�mor Director Secretary
AGENT AUTHORIZATION FORM
Date:
of Property Owner Applying for Permit: Name of Authorized Agent for this project:
,4_ MAW T//U
's Mailing //Address:
Agent's Mailing Address:
r
Number (sy4)44 ,-T -- U Phone Number
that I have authorized the agent listed above to act on my behalf, for the purpose of applying
obtaining all CAMA Permits necessary to install or construct the following (activity):
property located at
C�i4 t4 . fS /.4��1 /'V 0- CFe9/-/ 4,J
rtification is valid thru (date) &C
Property Owner Signature Date
Receipts for
Certified Mail
(Staple Here)
0h
ate
Adjacent y Owner
147AJ
Mailing Address V
2
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, -� A-222oQ:e TJ A- have applied for a CAMA Minor
Property Owner //
Permit on my property at 2—S"71 '.'`eS7 6IC-67t'/i F x' ai11� , in Brunswick
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at �40,4 & kl -- C> 10 I CJ or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Sincerely, �..�
Property Owner
Mailing Address
Receipts for
Certified Mail
(Staple Here)
/0 ,v �
ate
Adjacent Property Owner
tic l� /Vi ,�
M 'ling Address _
P_C f �yfd fJIL� .
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, W &&7/0-L/ have applied for a CAMA Minor
Property Owner
Permit on my property at W e.,s 7 Jig a &4 /; y R 12,9 �c 1 �lA�+•� , in Brunswick
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact meat !-,tO# ��; - ci�,��(_ ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Sincerely,
r
Property Owner
Mailing Address
�L v A +. ~ Oq
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Jame of Property Owner: /T.
address of Property: ' ' 7
lv�e_
(Lot or Street #, Street or Road, City & County)
agent's Name #: %r. /J� 9794,g -7i t; Mailing Address: i� `>�-��p�� �✓�' `�'
agent's phone #: 14 N4 -- 37-4 — EiSl� 222AZe( � 77r� , .4' 2
hereby certify that I own property adjacent to the above referenced property. The individual
pplying for this permit has described to me as shown on the attached drawing the development
iey 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.
you have objections to what is being proposed, you must notify the Division of Coastal Management
)CM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
iailable athttp://www.nccoastalmanagement.net/web/cm/staff-listing orby calling 1-888-4RCOAST.
o response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
)u 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.
roperty Owner Information)
;nature
nt or Type Name
fling Address
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailinq Address
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Jame of Property Owner: J T /-/ - %I%/1ri�/�✓
address of Property:
(Lot or Street #, Street or Road, City & County)
i
,gent's Name #:�
2-8 `V
S`
Mailing Address: U P2-
,gent's phone #: . /,, A .:�
hereby certify that I own property adjacent to the above referenced property. The individual
pplying for this permit has described to me as shown on the attached drawing the development
iey 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.
you have objections to what is being proposed, you must notify the Division of Coastal Management
)CM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
o,aiiable athttp://www.nccoastalmanagement.netlweb/cm/staff-listing orby calling 1-888-4RCOAST.
o response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
)u 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.
roperty Owner Information)
mature
,nt or Type Name
(Riparian Property Owner Information)
Signature
Print or Type Name /
iilina Address MniGnn Arlrfra.c.c
Postal
ru CERTIFIED l P RECEIPT
IL Domestic only
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CERTIFIED MAIL' RECEIPT
Domestic Mail Only
For clelivery intnrmatinn
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