HomeMy WebLinkAbout66657D - NarciseCAMA / ❑ DREDGE & FILL
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�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)
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(il-��� State ZI P_s� b 1�)�(--"
(, ►v)�� 3GgMail Subdivision
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: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)
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(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�
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