HomeMy WebLinkAbout66648D - QueenCAMA / ❑ DREDGE & FILL(/ / l�/��� ; �, �_�� A B i
MNERAL PERMIT
(�` �! Previous permit #
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources / zpl'
instal Resources Commissionn in an area of environmental concern pursuant to 15A NCAC �/ �j ules a hed.
Name tS0►'r C," TIPAldnf Project Location: County AlAn-
Street Address//SSttate Road/ Lot #(s)
State Ale- ZIP 2 9- r'M/ �17� 5 �� 1 G��
-Mail '"' Subdivision
Bd Agent
MEW ErEW VkA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
yes /(o PNA
' Project/ Activity
ngth
mber
d/ Riprap length_
g distance offshore_
ax distance offshore
h annel
bibic yards
ne Length
>rium: n/a yes #n'
yes
Attached: yes
ling permit may be required by:
I nral Planning lurisdiction) —.
City ji'j/��l ��''��ri�' '1 ZIP L,�-r z
Phone # (iiv) ��' �� River Basi
r
C !
Adj. Wtr. Body OW nat r
Closest Maj. Wtr. Body i4/W
(Scale/.�5
See note on back regarding River Basin
NC? Division of Coastal. Mgt. Habitat impact Sheet
Applicant: Q�P{G7 Permit #: 1
Date:
// 5)/�
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet
Habitat 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.
Explu.desany
restoration
and/ortemp .
impact a/}mount)
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 [I Other (
��
��(�
�%'✓
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge. ❑ Fill ❑ Both ❑ Other ❑
Dredge El Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Cj Other ❑
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill [I. Both ❑ Other ❑
Dredge E] Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
.
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Film ❑ Both ❑ Other ❑
n Envelope ID: 53F1 209E-B794-48E7-9EDD-F91 OEOOE49B4
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 4/4/16
Name of Property Owner Applying for Permit:
Jason & Jeanne Queen
Mailing Address:
7319 Coastal Ave
Wilmington, NC 28409
I certify that I have authorized (agent) Logan Marine, LLC (David Logan) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) demo existing fixed pier and erect new docking facility
at (my property located at) 7319 Coastal Ave Wilmington, NC
This certification is valid thru (date) 4/4/17
�DocuSipned
X bY• —
4/5/2016
—C,D, ADa."'
Property Owner Signature Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jason & Jeanne Queen
(Name of Property Owner)
property located at 7319 Coastal Ave Wilmington, NC 28409
on Myrtle Grove Sound (AIWW)
(Waterbody)
(Address, Lot. Block. Road, etc.)
. in Wilmington
(City/Town and/or County)
I
. N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
,itials I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2, and 3. A. Signatur
■ Print your name and address on the reverseg :nt
so that we can return the card to you. X ❑ Addressee
, Z�zz
■ Attach this card to the back of the mailpiece, B. Re ed by Printed Name) C. Date of e've
or on the front if space permits. %q/;trn; /�Jp , ,
1. Article Addressed to:
-(I j � Vf*+xCS
3Z. I bO N . F)w �d
Hpiryvisa,, -ru„y s�„ P ►
` b,C) l
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: p No
DGivi vvlLfvwl b FON, NC
JUN 15 201E
3. Service Type
❑ Priority Mail Express®
II
I III'
III
III
I II II
III
IIII
❑ Adult Signature
❑ Registered Mail',
I III
I
I
III
III
❑ Adult Signature Restricted Delivery
❑Registered Mail Restricted
Certified Mail(D
Delivery
I underst�
9590 9402 1397 5329 0041 95
Certified Mail Restricted Delivery
❑ Retum Receipt for
n
❑ Collect on Delivery
Merchandise
must be �
2. Article Number (Transfer from service label)
❑Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM y
me. (If yo
7 015 3430 0 0 (10 8225 1016
tred Mail
ir$ Mail Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
itials /
I DO NOT wish to waive the 15' setback requirement.
(Property Owner Information) ( cent Property Owner Information
Signatu , Signature* �^
David Logan F - orized Agent) 8 a 1Y1yL�
Print or Type Name Print or T pe N me
PO Box 1552 S fi4vei (
Bulkhead to remain =. ;:
w Marsh"
Edge of
Demo Existing Pier
Riparian Corridor10
+7- jkIpWA
6x267 Fixed Pier
20x20 Platform w/ gx20 Floater
Riparian Corridor 10x20 Gazebo Roof