HomeMy WebLinkAbout66514D - MolininiCAMA / ❑ DREDGE & FILL` l A B
>,E L PERMIT `l' Previous permit #
New�Ste
ony� ❑C�pomplete Reissue []Partial Reissue Date previous permit issued
h r'a0l`r&'�-�
ized byrt arolig, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ( H
❑ Rules attached.
Namet__\ 1 Project Location: County YtL -V�
Street Address/ State Road/ Lot #(s)
Y—U 0A State$ ZIP Y` `
41 M.H Subdivision t ,
:d Agent +`L CityZIP l
❑ CW A LIES PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
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11 PWS:
Closest Maj. Wtr. Body �/vy
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Project/ Activity
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(distance o shore
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not sure yes
um: n/a yes
yes
attached: yes
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ig permit may be required by:
_ocal Planning jurisdiction)
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❑ See note on back regarding River Basin rt
X Divisjon of Coastal Mgt, Habitat impact Computer ,Sheet
,pplicant: nA `� �/��' C�L� `l� Permit #:
ate:
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
fund in your Habitat code sheet.
abitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
of ther
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 0 Other 0
Ate,
NCDEN�
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
at McCrory Braxton C. Davis John E. Skvarle
governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 3 .11 • % Lo
'ne of Property Owner Applying for Permit: Name of Authorized Agent for this project:
fChael wlol�m►nI st)IS+iit Bo'k1Ak 14 Ck, f e d—C
ner's Mailing Address:
►_41 Aoltnin►
y c xekr RA .
�.►or\ PA I 333
me (484AICI 1,13
Agent's Mailing Address:
Email:
Phone (qlo ) Lt'3 4 - L1$J�,
:rtify that l have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
)e_ Lk.s�'. n 1 �oC�
60C4a- k:"S , . j/ T `a w ).`k "9 Ube -�- 0.S 3 (—AW
my property located at
s certification is valid 1 year from (date) 3 • )1 - it.,
■ Complete items 1, 2, and 3. A.
■ Print your nVe and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
At'r. A AV s Rosen
L-li 9 Lucy Lane
Mec4_� VIlk D')C)
I..JI.1Cgent
❑ A dressee
C. Ite Delivery
I D. Is delivery addr&Tdifferent from item 1? E/Ye:
If YES, enter delivery address below: No
ppp
IIIIIII'I I'll I'lll III Illlll II III IIIIII I'I II III
'I
9590 9403 0319 5155 0483 36
3. Service Type
❑ Adult Signature
❑Adult Signature Restricted Delivery
❑ Certified Mail@
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
D Priority Mail Express®
❑ Registered Mail
❑ Restricted
Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
2 �---.�__�__ r�_ _„�� , ti n
❑ Collect on Delivery Restricted Delivery
El Signature Confirmation'"
7015 1520 0000 4698 7706 estrlcted Delivery
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Mail OnlyO
SOUTHPORT, NC 28461
1:0
Certified Mail Fee
$3.45
1a461
$
07
Extra Services & Fees (check box, add tee P date)
❑ Return Receipt (hardcopy) $
❑ Return Receipt (electronic) $ —&0 -r0��y
0
Postmark
r_3
❑ Certified Mail Restricted Delivery $ $0 , 00 --
Here
1:1
❑ Adult Signature Required $ ---.,>~pq--
O
❑ Adult Signature Restricted Delivery $ i V . V
ru
lU
Postage
;ii.98
$
(13/11 /21116
L'1
r_q
Total Postage and Fees
$7.23
$
Ln
Se T
�
_�kel�°--------------------------------------------------------
Street and A t. No., or Pb 8\x No.
� 6 ��---1�1" "_(lc�(�--1 --- -1
o
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Domestic Return Receipt
Postal
CERTIFIED 0 RECEIPT
I
Domestic Mail Only
For delivery information, visit our website at
MC LEAN, VA 221111
www.usps.com
Certified Mail Fee
$3.45
0461
$
07
Extra Services & Fees (check box, add t are)
❑ Return Receipt (hardoopy) $ $0 UL)J
❑ Return Receipt (electronic) $
Postmark
❑ Certified Mail Restricted Delivery $
00r-
Here
❑ Adult Signature Required $ --$ 0 .
[:]Adult Signature Restricted Delivery $ $r • ! r =r
Postage
$ $0.98
(I3/11 /21_11 6
Total Postage and Fees
$ , /4fX v SCn
Sent To
�7f�[fie-
�trellet
a,nd A�pt.'N�o�.o�r PP Box o.tl /� 1
------ V -'1--- lIX �IXIW
cit�rG
.........................
+-
PS Form 3800, April r753D-02-000-9047 See
Reverse for Instruc;
A. Signatur '
❑
a Agent
X �� "L ❑ Addressee
ijec�eCiv d by (Printed Na e) C. Date of Delivery
D. Is delivery address different from item 1? 13 Yes
JSPS.com® - USPS Tracking®
Page 1 of
English Customer Service USPS Mobile
OFOUSPSCDM`
USPS Tracking@
Tracking Number: 70151520000046987706
It
On Time
Expected Delivery Day: Monday, March 14, 2016
Product & Tracking Information
Postal Product: Features:
First -Class Mails Certified Mail' Return Receipt
Sea tracking for related item: 9590940303195155048336
DATE 8 TIME STATUS OF ITEM LOCATION
March 14, 2016 , 4:68 pm Delivered MC LEAN, VA 22101
Your item was delivered at 4 58 pm on March 14, 2016 in MC LEAN, VA 22101.
March 14, 2016, 8:47 am Arrived at Unit MC LEAN, VA 22101
March 13, 2016, 7:23 pm Departed USPS Destination DULLES, VA 20101
March 12, 2016, 6:35 pm
March 12, 2016, 2:10 am
March 12, 2016, 2:Dg am
March 11, 2016, 5A3 pm
March 11, 2016, 1:01 pm
aality
Arrived at USPS Destination
Facility
Departed USPS Facility
Arrived at USPS Origin
Facility
Departed Post Office
Acceptance
DULLES, VA 20101
CHARLOTTE, NC 28228
CHARLOTTE, NC 28228
SOUTHPORT, NC 28461
SOUTHPORT, NC 28461
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JOUSPSCOM'
USPS Tracking®
Tracking Number: 70151520000046987690
Expected Delivery Day: Monday, March 14, 2016
Product IS, Tracking Information
Postal Product: Features:
First -Class Maile Certified Mail' Return Receipt
See tracking for related Item: 9590940303195155048329
DATE 6 TIME STATUS OF ITEM LOCATION
March 14, 2016, 9:33 am Notice Left SOUTHPORT, NC 28461
We attempted to deliver your item at 9:33 am on March 14, 2016 in SOUTHPORT, NC 28461 and a
notice was left.
You may arrange redelivery by visiting https://www usps.com/redelivery/welcome.htm.
March 12, 2016, 8:37 pm
March 12, 2016, 10:50 am
March 12, 2016, 2:10 am
March 12, 2016, 2:09 am
March 11, 2016, 5:43 pm
March 11, 2016, 1:02 pm
Departed USPS Facility
Arrived at USPS Facility
Departed USPS Facility
Arrived at USPS Facility
Departed Post Office
Acceptance
FAYETTEVILLE, NC 28302
FAYETTEVILLE, NC 28302
CHARLOTTE, NC 28228
CHARLOTTE, NC 28228
SOUTHPORT, NC 28461
SOUTHPORT. NC 28461
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/
LOCATIONS OF APPPARENTNTILII'IES AND MAYROR MAY NOTASHOWN DEPICTS GOUND � 16"PIN E
INDICATE THE EXISTENCE OF THE UTILITY, AS LOCATED.
4 \ a 16"PINE
THIS SURVEY WAS PERFORMED W"OUT BENEFIT OF A FULL AND 16"PINE // R
ACCURATE ABSTRACT OF TTTIE. ANY INFORMATION THAT MAY \
BE REVEALED BY A COMPLETE TITLE REPORT MAY NOT BE \ r
SHOWN ON THIS SURVEY. I R F / �� 4d
COASTAL WETLMD SPLIT 2�� 16'PINE_r e— 015 rm
NOTES LINE DESIGNATED _
• ALL ELEVATIONS SHOWN ARE BY CAMA OAK I \
NAVD 1988 AND WERE LOCATED �V \
ON 9-18-2015 h 9-21-2015. ,2 24 I
•• THIs IS SHEET 2 OF 2.-\S3•,w \
SEE SHEET 1 OF 2 FOR
OTHER NOTES & REFERENCES.
NORMAL HIGH WATER
DESIGNATED BY CAMA \\ - 4 / COASTAL WETLAND
8-26-2015 '�\ LINE DESIGNATM BY
.\ / J0j• 64' CAMA 8-28-2015
/
tiol!� — I R F
rN\ NORMAL HIGH WATER
DESIGNATED BY CAMA
0� 8-26-2015
r
cry
—2—( Q?
M q J\ R S N
1 \
\
WATERLINE \ \ 7
9-18-2015
16: 10 HRS EDT \
CP
1 \
S80'55'S3'rE-1
1� O- cis
BUCK O00 &
A C O COCA r/OHS WATERL NE
APpR kWACC 169-18-21
0 HRSO EDT
%W
p S T MA r
aDEN .4 r� f •eFOOT E DOCK AREA CALCULATIONS:
8 k l�a fq 3 q�Owq'Z r OPEN DECK AREA 79 FT'
F7+ COVERED DECK AREA 321 FT'
FLOATING DOCK AREA 230 FT'
1.50 RAMP AREA 48 FT'
/ 2)(, a TOTAL 678 FT'
C0 35 a 67.�.
PLANS BY SOLSTICE BUILDERS FOR NEW
0f�� IMPROVEMENTS, AS SHOWN FOR BOARDWALK,
--"tot 41 FT, �T �� � � P 4.yq• DECK do DOCK.
FLOgnNC 70 _ SCALE 1' = 20' FEET
?� �k 4REA I? �'Zz19 •