HomeMy WebLinkAbout66205D - Maxwell�CAMA / ❑ DREDGE & FILL Ra� \ -` O- �U
GENERAL PERMIT
�Nevv ❑Modification El Complete Reissue ❑Partial Reissue
>rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
6VO5 A B
Previous permit #
Date previous permit issued
it Name '� G >n
W {
❑ Rules attached.
Project Location: County I/t/
01-
U hb l
Street Address/ State Road/ Lot #(s)
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U
State ZI PZ
t�
;E �l
E-Mail t Mf�d
mn Subdivision
zed Agent
12A lie
n c•t .
City / ZIP 2 U
i El
GREW PTA Aps ❑ PTS
Phone # ( `-j----� — River Basin
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body /_lfl ✓1G�-r 6� �G (nat
❑ PWS:
yes / no
yes /'no ,)
Z4-
Closest Maj. Wtr. Body �D
PNA
if Project/ Activity
ack) length
'latform(s) 17
ength
umber
adl-Riprap length t 9c)
✓g distance offshore
iax distance offshore_
:hannel
ibic yards
imp \
ne Length G
not sure yes no/
>rium: n/a yes
yes OnoInL
Attached: `'ryes
Ping permit may be required by:
Local Planning lurisdiction)
i
(Scale: I r
❑ See note on back regarding River Basin
1/15/2016
1/19/2016 Backwaer Marine Construction Inc
Irene Hoffman
BB &T
2231
$200.00
GP 66265D
1/15/2016
1/20/2016
1/20/2016
1/20/2016
1/20/2016
1/21/2016
1/19/2016 Allied Marine Contractors LLC
1/21/2016 Kathi and Steven Todd
1/21/2016 Southern Coast marketing LLC
1/21/2016 Armand and Phyllis Daniel
1/21/2016 Pippin Marine Construction LLC
1/21/2016 Land Management Group Inc
Russel and Cynthia Davis
B of A
8092
$200.00
GP 64728D
some
Wells Fargo
6917
$400.00
major fee, 421 6th Str
Surf City Crab, INC
Coming Federal Credit Union
1046
$100.00
mod fee, MP 108-14
Ben Barker (Holmes, Sherrill, Miller, Griffin)
TD Bank
5341
$100.00
renewal fee, MP 10-0t
David and Suzanne Price
Wells Fargo
3634
$200.00
GP 66266D
Steve Malone
First Bank
46275
$100.00
mod fee, MP 37-07
1/21/2016
1/22/2016
F and S Marine Contractors Inc
Robert Gibbons _
PNC Bank
511
$$100.00
renewal fee. MP 7-09
1/22/2016
1/22/2016
1/22/2016
1/22/2016
1/22/2016
1/22/2016
MONTCO
JRW/RDW Inc
F and S Marine Contractors Inc
Charles Tilson
Woodforest National Bank
2117
$400.00 GP 66251 D
Ron Sinclair First Bank
Joel Killion ' PNC Bank
Maritech, LLC B of A
same BB &T
i same BB &T
same First Citizens Bank
same BB &T
11401
5118
2136
7568
1882
5038
$200.00'GP 66250D _
$250.00major fee, 250
$400.00 GP 66252D
$200.00 GP 66278D
1/22/2016
Maritech LLC
1/25/2016
Atlantic Coast Industrial, LLC
1/25/2016
Aqua North Carolina Inc
Stephen and Rebecca Crager
John and Janel Brogan
W.J. and Carolyn Knowles (via PatAntinori)
Logan Marine LLC
$400.00
GP 66279D
1/25/2016
$200.00
$200.00
GP 66276D
GP 66204D
1/27/2016
1054
1/27/2016
same
Southern Bank
6554
$400.00
GP 66203D
1/27/2016
Crockers Landing Association Inc.
Coming Federal Credit Union
1248
$200.00
GP 66280D
1/27/2016
Lighthouse Marine Construction Inc
Gordon Maxwell
B of A
5729
$600.00
GP 66205D
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: (�;r e * o h ✓VNay- Vv
Date: ( — 26 — IG
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
F
(Applied for.
(Anticipated final
(Applied for.
0
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
d
Habitat Name
Choose One
includes any
Excludes any
total includes
E
anticipated
restoration
any anticipated
n
restoration or
and/or temp
restoration or
tE
ternimpacts)
impact amount
temp impacts)
a
(� w
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 ❑
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Ski
Governor Director Secre
AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
MIA, we.X 1 --DorreI i r r U
Owner's Mailing Address:
Phone Number (I (% 7 -78 — 5 ( 3 0
Agent's Mailing Address:
�X53 z
Phone Number IG �� ' 2,2L�%3
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):
i
For my property located at te
This certification is valid thru (date)
Property Owner Signature Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at (O 0
�- ihskwel
(Name of Property Owner)
(Address, Lot, BI ck, ?.oad, etc.)
on C.0 l . 0�, in N.0
(Waterbody) U (City wn and/or County)
The applicant has described to me, as shown below, the development proposed at the abov
Io fopt�,
��((// , I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groi
must be set back a minimum distance of 15' from my area of riparian access unless waived b
me. (If youWishto waive the setback, you must initial the appropriate blank below.)
LI-1/ll J
� , I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adj a Pr perty Ow r f r a ion)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
11 (Address, Lox, Block, oad, )
on �� in v ,�, , N.C.
(Waterbody) (City wn and/or County)
The applicant has described to me, as shown below, the development proposed at the abov(
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groi
must be set back a minimum distance of 15' from my area of riparian access unless waived b
me. (If you 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.
(Property Owner Information)
Signature
i,A. G. /►/lw�weLt.�
f -:._t _- T...__ AI_.v_
(Adjacent Property Owner Information)
Sign at e
71, c e� Ar0 to
I
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