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HomeMy WebLinkAbout66657D - NarciseCAMA / ❑ DREDGE & FILL \Lt/ �I I A B �EI\IERAL PERMIT Previous permit# ,4ew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources t oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC • ' 11 �� c �r ❑ Rules attached. Name `Y' V Project Location: County \ — \V k Street Address/ State Road/ Lot #(s) LLT (il-��� State ZI P_s� b 1�)�(--" (, ►v)�� 3GgMail Subdivision i :d Agent Y� City ,t�. �_ S\!%L �` C ZIP'Ay�ct ❑ CW )4W A ❑ ES ❑ PTS Phone # () River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body I n ❑ PW : ` (es no PNA yes no Closest Maj. Wtr. Body rojec Activity 1wit R) length / C tform(s) dXV 'latform(s) er(s) igth nber I/ Riprap length distance offshor c distance offsh)fre annel `j ,ic yards ip oatlift dldozing� a1 Length lf not sure iurn: n/a yes yes no atached: yes no ig permit may be required by: _ _ocal Planning jurisdiction) 0 i A (Scale:I ► L ❑ See note on back regarding River Basin n NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: ` /� \� /� J Permit #i : um Date: .�� qaall LO Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement `ound in your Habitat code sheet. iabitat Name DISTURB TYPE Choose One TOTAL Sq. Ft FINAL Sq. Ft. (Applied for. (Anticipated final Disturbance total disturbance. includes any Excludes any anticipated restoration restoration or andfor temp temp impacts) 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) Dredge ❑ Fill ❑ Both ❑ Other 01 Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 0 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to John P. and Buffy A. Narcise s property located at 9th Street (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Danis Canal ,in Oak Island (Waterbody) N.0 (City/Town and/or County) The applicant has described to me; as shown below, the development proposed at the above locatio 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must Off in description below or affach a site drawing,) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of ; 5' 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 wish to waive the 15' setback requirement. I do not wish to waive the 1 5' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature John P and Buffy A. Narcise (own of Uak Island Print or Type Name Print or Type Name 8101 E. Oak Island Dr. 4601 E. Oak island Dr. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to John P. and Buffy A. Narcise s property located at 9th Street (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Davis Canal -,in Oak Island N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above 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 I understand that a pier, dock, mooring pilings, boat ramp. 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 wish to waive the 15' setback requirement. I do not wish to waive the 15'setback reouirement. (Property Owner Information) 5� gnalure John P and Buffy A. Narcise (Adjacent Property Owner In rmation) 17 Signature * Ronald G. Kracht ETUX Pant or Type Name 01AA C: n-1, 1-1-4 r�- Print or Type Name A hlr .." �. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to John P. and Buffy A. Narcise s (Name of Property Owner) property located at 9th Street on Davis Canal (Waterbody) (Address, Lot, Block, Road, etc.) in Oak Island (City/Town and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above 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 I understand that a pier, dock, mooring pilings, boat ramp, 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature John P and Buffy A. Narcise Print or Type Name Signature * Ronald G. Kracht ETUX Print or Type Name WTer jr� 1// ('0 5�- I�M r/d N s 'Jul CA 00 Ilk,