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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 Ir Ir 77'," .erm11� ! Fcc `—� -•--_-_-- 3 .. xtrd : %ei-+.I:.i:a v FHH:; (�ik+r;Ji 'x,,,t, •�tt:.','ya �r_::rPa+,priatnl p i.]ReAmc RaCaip±lnuUu>PY/ $._._. 1 p � NeUxn Recs N faia�irnninl 3 _ -_ .rUfiR l Ma1 N ntticled Delivery ' § O SfNraturr ri xlulrhi p 3 mture Rns ictnc Ih IF y i JV L( , r -- -- t Lrl CJ�F t and 1F C r1 7 0,,.A0 �lt lnla, Zlls%f 'w ... _. 0" -11 co IN- O p p p p ri C] m r-1 p U.S. Postal ServiceT CERTIFIED MAIL' RECEIPT Domestic Mail Only For clelivery intnrmatinn *.---- -- --- - ----