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Home My WebLink About66583D - McCormickCAMA / ❑DREDGE & FILL / /3 1 66583 A B O'EN ERAL PERMIT % c Previous permit # clew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued ized by the State of -North Carolina, Department of Environment and Natural Resources !� ^� 1� O p o—t 0 , I � Do oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑Rules attached. Name �✓ C 4 t Project Location: County �'N"'k �,t-- �M, Street Address/ State Road/ Lot #(s) ,hS Sg1 State ZIP �� `PLA "\ r�U R5� - 6G E-Mail ' ��I��C , (d�Subdivision ed Agent �-f 1�11� U/U�GY NY/� ham, City ��' ((,,t CA, Vq� y�I� ZIP_ ❑ cw AEW 'XPTA *S )(PTS Phone # ( j�) w{ �v' f `'` River Basin Vok [IOEA /❑ HHF ElIH [IUB/A ❑ N/A Adj. Wtr. Body t VVV ` �nrat ❑ PWS: 1 V v V � � Closest Maj. Wtr. Body yes /6oj PNA yes / [ ) f Project/ Activity et V1 A ,ck) length atform(s) Platform )ier(s M'gth imber ,d/ Riprap length— g distance offshore ax distance offshore_ :hannel ibic yard mp e\ ine Length not sure yes fi0 VV :)rium: n/a yes f yes r Attached: yes o ding permit may be required by:i(� e Local Planning lurisdiction) n , tk, rc-� to V^ Ck % 1e''V \A)�� (Scale: � 1 bI &vl See note on back regarding River Basin NC Division of Coastal Mgt. Habitat Impact Coml Applicant: b al M , AA Date: S/a 5 /moo L ( Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet Fit (Applied for. (Anticipated final (Applied for. (Ar DISTURB TYPE Disturbance total disturbance. Disturbance disl Habitat Name Choose One includes any Excludes any total includes Ex( anticipated restoration any anticipated res restoration or and/or temp restoration or ten temp impacts) impact amount) temp impacts am Dredge ❑ Fill ❑ Both ❑ Other � p` � C1 Dredge ❑ Fill Both ❑ Other ❑ G Q C ( 000 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Pat McCrory Governor A k; Ar Aaft North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skva Seaete AGENT AUTHORIZATION FORM Date: -3� Name of Prope Owner Applying for Permit. Name of Authorized Agent for this project: oes Mailing drys: Agent's Mailing Address: 110� r6,, 5v mil% aKy l�2 Email: Ant_ks do&S 4 ying C[1r Phone (q(d )(4C( 2 -Ll TJ g�__ 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): For my property located at This certification is valid 1 year from (date)' -;?(J _,,)0 11 Plile4g.e �*d 4iJ F-e.4 U r yJ. -- rti VS CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner Address of Property + ( `7r'e'«✓f (Lot or Street 8 Street or nose. t,ity 6 County) Agent's Name It % , . f! C C Mailing Address ! L` % e,r 11" la Agent's phone [/L - �i� c� 1 r� .��11101.�1�i�� I hereby certify that I own property adjacent to the above referenced property. The irtdividus applying for this permit has desenbed to me as shown on the attached drawing the developmen they are proposing A description or drawing with dimensions must be provided with this letter 1 have no ubjectiun� to tills proposit: I have objections io this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) 6 writing within 10 days of receipt of this notice Correspondence should be mailed to 127 Cardinal Drive Ext Wilmington, NC, 28405-3845. DCM representatives can also be contacted of (910) 796.7215. No response considered the same as no objection if you have boon notified by Certified Map WAIVER SECTION I understand that a pier. dock, 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 I do wrist, to waive the 15' setback requirement I do not wish to waive the t 5' setback requirement (Property Own insoti ) i 4,1 Signature / / % (Adjacent Property Owner Information) X�-- C�`-�tgnnt ure z< N.d, ■ Complete items 1, 2, and 3.Areverse A. Signature ■ Print your name and address on th❑ Agent so that we can return the card to yX Addressee ■ Attach this card to the back of the y (Printed Name) C. Dat❑e of Delivery B. Received b or on the front if space permits. 1. Article Addressed to: D. Is delivery dress ch ere 1? ❑ Yes If YES, eq er delivery address ow ❑ No 6 P•S UOTO�' ^ �� 3. Service Type it I1lIIll I'll III I III I I it II III III I I I I Illl III III ❑ Adult Signature xpresse ❑ Adult Signature Restricted Delivery � R aiITM ❑ Certified Maile Mail Restricted 9590 9402 1240 5246 2705 91 Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Mercha;W" Ar -- Number (Transfer from service label) 1:1 Collect on Delivery Restricted Delivery O SOM Wp pnArtnat10 rl 7015 1520 0003 2855 0925 insveriMail il n ftm,ation ail Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ Complete items 1, 2, and 3. A. Signa re � / J v� ■ Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailpiece, �de ed (P . ed or on the front if space permits. 1. Article Addressed to: rDIddress dif If YES, enter delivery �2y� / ❑ Agent 11 Addressee C. Date of Delivery ST3-� L n item 1? ❑ Yes below: ❑ No -7 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑ Registered Mail II IIII I I I III III ❑ Adult Signature Restricted Delivery ❑Registered Mail Restricted II I�IIIII III II I Ill I I II ❑ Certified WHO Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. .... .. .'----._- ._-- _ -_ ._ _ .. _., n r' u—r,,., r�ivery Restricted Delivery , ❑ Signature Confirmp" r 7 015 1520 0003 2855 0932 lestricted Delivery Restrictred Delivery J 1 we2k � : VcuK.waTea2 % N1av-IN+E iob -,— IOe�"".0 aN� Iola e--A-- ka IkLP-4� k.- caN�,c P P � J/ 44 I /D bt rc�14c�Jr �alk��g� �.