HomeMy WebLinkAbout67140D - MohammedCAMA / ❑ DREDGE & FILL
i,'" ERAL
7w [-]Modification
2-1 1 LP
PERMIT 'I Previous permit #
❑Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources /1, ��
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC t!' /J Wules attached.
Name Q�'1� ��A% Project Location: County_
S��Hh t Street Address/ State Road/ Lot #(s)
I rNN ri �Jr. StateZIP t /
()
E-Mail _ Subdivision
ad Agent 1 i' City ZIP 2�'�
ElCW 34A ❑ ES ElPTS Phone # ( � J�/ River Basin14
3 7Y
OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ��
❑ �iy7 �rr
Adj. Wtr. Body nat
❑ PWS: p p
Closest Maj. Wtr. Body
yes / Rio PNA /yes// no
Project/ Activity
ck) length
atform(s)
!ngth
tuber
.d/ Riprap length_
g distance offshore_
ax distance offshore
hannel
ibic yards_
MP -
use/ Boatlift
PSG/ s
✓.;
(Scale: 1
❑ See note on back regarding River Basin
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:�11(M !/jiif'GN iel'I711t
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
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Aoplied..for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im-�ppact amount)
TOTAL Feet.
(Applied for..
Disturbance
total includes
any anticipated
restoration or
temp impacts.)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/oi
temp impact
amount)
Dredge [I Fill [I Both El 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 ❑ Other ❑
Dredge.❑. Fill ❑ Both ❑ Other ❑
.
Dredge ❑ Fill ❑ Both Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
A
��
R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director
Secretary
AGENT AUTHORIZATION FORM
Date. 7
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address:
S 3-7 5/�.wv Pr— /Tis
br0l- ,sir �
Agent's Mailing Address
3 5e (oc�-
�J� iv c 28 Y4
Phone Number Phone Number
I Certify that I have authorized 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):
9 E21ACE— /le
For my property located at 9 3`:7 PC J:�
This c ertiation is
X//I-l/
71i;�14
DCM WILMINGTON, NC
JUL 2 6 2016
• RETURN RECEIPT RLgU&S?ED
0TVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PRDPERTY OWkER ►+OTIFICAr-Of PPiAIVER FORM
p ane of Property ove-ier Fa" M -i immed
mess & property. 837 $Minn Point Ind.
PAI or Strad A. 3"d a Most Cyr 3 0=04
A4errf a Name * Oanid Shirley m+9 Add3503 Tall Pine Ct.
Agmv's pflo(re t 910 38&=3 Womrrg1on, NC 26409
I hereby milify 74lt I awn prop" adyamm to the alcove rid txoperty The indiv-OuW
SpQ" !Of tits PwTrul has desott*d to me m shown on Ow amadod drawrxlthe develOprrgm
ftY "PmPc&,-g A gfflg=n of daWrla wdh arrWd-XYVL Mug _amjrJod w&�
bfl�'e 7lO p�;pGt7pQt5 t4 � jM'pQOti>sl.---__--- t }l1�'C ntalccit�r45 t0 i}:15 FiC'i'�`�
MIo Wm a4em4m m irn.r a bWg peoposm4 you a+wr mdry lbo Dhis)w ao Comur K&nNWm"Ibcm on
NrM# 00*3 10 days of rseaipt of this notice Cwrm"600ACa sh*.dd -k* M&W de 127 ar&l7s) b6m EA,
*50mL-120 NC. 2i465aat`, Dm npra#a MZV*S cm .dsn be ca"Wcud n ("m rfs-mI No nmWW sa is
CarararW IN sxx as no R&Er ++ X YOU hM arrn nolflryd br Cerdlftd dax
WAIIVER SECTION
I unlerst" that a pux. Sock, m5lrig piit►a5. breakwa*Or. 00VWKIN, f} Of 7.0in must to 99
om* a rnfiirrnsn djitonce of 1 S iro m rrry area of npa an aixim wOm waned by rneL Qf you
wish to waive trie setback. you must i lbal the appmpiale Wane hoar.)
I do *%h to *Wv* the 15 seMliCk ernent
y t do not wash ID wapm t** 15' jctbac* rt-quitertwrnt
;Property Owner Iofw"tion} (Ptfirmer tnlornution�
Sint Signarly[
Faza Mohammed
Pmw or Type Name
Scott G- and Virginia B. Crrywder
P►'titf & Tj;m /ikm
a37 ShMn Point Rd.
bill Shinn Point Rd,
AlmNnp Addass
:Vik ere-,*CN1 Mr- 7R4CIQ iuk� -4— un -V"0%d
CERTIFIED MAIL • RETURN Ct� EIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner'
Address of Property:
Fazil Mohammed
837 Shinn Point Rd.
(Lot or Street #, Street or Road. City & County'.
Agents Name #: Daniel Shirley Mailing Address: 3506 Tall Pine Ct.
Agent's phone # 910 386-8883
Wilmington, NC 28409
I hereby certify that ; 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 prop Ing. A description or drawing, with dimensions must be Provided with this letter.
�' I have no objections to this proposal. 1 have c�hjection� to this proposal.
J po - -
ri you have objections to what is being proposed, you must notify the Division otCoastal management (IJCIN) in
writing within 10 days of recoV of this notice_ Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405.3845. DCM representatives can also be contacted at (910) 79&7215. No response is
considered the same as no o4jwdon if you have been notified by certfied Malt.
WAIVER SECTION
I understand that a pier, docdc, 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.)
NiA I do wish to waive the 15' setback requirement.
N/A I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si,anat ure
Fazil Mohammed
Print or Type Name
837 Shinn Point Rd.
Mailing Address
(A en roperty Owner 1 formation) '
Sign.�rure ��.
Nelson C. Jr. and Vicki H. Klaus
Print or Type Name
833 Shinn Point Rd.
Mailing Address
Wilmington, NC 28409
CitylStawZip
V,fiImington NC 28409
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3506 TALL PINE CT Fazil Mohammad PAGE 1
WILMINGTON, NC 28409 837 Shinn Point Rd. ------ P101W number 10M 910-386-8883 D.I. 3 May 20is PAGE-01
Wilmington, NC 28409 .,D,�n I)y Gaps
Ch.,kd 4 Dis