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Home My WebLink About66690D - Smith1,CAMA / I-] DREDGE & FILL r�'?)I1 A B .��/�/) aENitRAL PERMIT Previous permit # 4New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued_ sized by the State of North Carolina, Department of Environment and Natural Resources -� h /� :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ) 1 ►' O ❑ Rules attached. it Name �/,,� W � T- h j Project Location: County t-Ci1/� J►'�SIN�� K I� C) $ d C"Street Address/ State Road/ Lot #(s) StateAZIP �� ti C y�'�/of C,✓" �, ' (,-Q�/ S 14 E-Mail 1--1m, rT\A, � r � k� Subdivision �/ ,V�G�Y\� ["o� y'- :ed Agent //�(Ah%A Y ��Gtl/nG�� tCity 6�6` �� l� zip 'r V� ❑CW /MW �TA ❑ES ❑PTS 6 o e # (i�D ) 4_1— --40 S River Basin VLW ❑ OEA ❑ HHF ❑ IH ❑ UIBA ❑ N/A 1 (/,„ /?y-�1 -�7,1; ,.p, 1 ❑ PWS: yes / no PNA Jess/ no f Project/ Activity :i�t i.� t `�Z Y VO ,ck) length atform(s) ` Platform(s) :ngth tuber d/ Riprap g distance uc distanc cannel bic np \ ise/ oatlijt� d � a ulldozing— �^ t e ngth not sure yes IF�d ium: n/a yes tt�J/J yes kttached: yes no (t e, r• Adj. vvtr. Body J�- Vi at Closest Maj. Wtr. Body b G a_ ,1 (Scale: _ ng permit may be required by: Local Planning jurisdiction) ❑ See note on back regarding River Basin n A/iOFIVOGEBFILL Np 6669€ J;OEFNERAL PERMIT Previous permit# A_Modification -Complete Reissue '._.Partial Reissue Date previous permit issued As authorized by the State of North Cardin, Department of Environment a d Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuart to i SA NCAC (/ I • 7t`[/V Itulata¢adro. ApplicantName S� Project t.ocazion: County YaVIl7V'�i�T,Nr�F,,.f Add..— �i 4 KPM W�� G Street Address/ State ttoaW lot a) 'Wt it low Cm u lrylL Vc steel! t ZIP ti pe c �pwait✓ D r. /L" � T-J -1 S Al .-_......`. ._ .4 Subdivision flYtAl- ,r�` AuthoNzal Agent:WW�f �/Q.VY}�i City �� zip 'k tA` Afteaed C'V -6. ?(AA 71 •1S Z:FTS �6 � �91D)`�'�j►.ks RhwB=M IiiM 644-- AEC(s): `oEA PvW& = CtN tsA CN/A Adj. Wiz.Body &)L fit ORW: yes J ra Pia / no ClosmM* W� Type of Project/ Activity 0. BSI, a tl l rwl a 'lt a.1'-`ibc > Plat ("°d )'"°' E6 fl �tii,o _ —inPla _ h _. -.. F "r`•' —... ATM__ H�� t x � '� t��X�L?0` -la's nDa,_+raGr�7rar Wish, ire nv fat -- a8d,m eyte. S17 Batn.drann� , -- V�- Beath Bulldour�__.. ......: Oil- rsoraodum: Na ra Phoiw: Wtiwer Attached: ems,, �� A bundirtg permit maybe required by -Q 17t y! KSy, tZ VtWVt ;_j Seept p regarding Rhs BasinMo.( Note Local Planning)urisdkrion) Notes/ Soedal Conditions - it A Aga¢ Applicant ranted---'- Pamritpgp.+s prate a _.....__.-- 6 Si}.mae '"P comp'farce statem . badcdprtmit'e Si><r— r �t,l�.atL i1/10 �raofG Esprradon Dwat NC iDiyislon of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Date: 0 7/0 l /�o I Permit ##: ( j() -Z Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen 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. Excludes any restoration and/or temp impact amount TOTAL Feet (Applied for.. Disturbance total includes any anticipated restoration or temp impacts FINAL feet (Anticipated fins disturbance. Excludes any restoration and/ temp impact amount) t . I W Dredge ❑ Fill ❑ Both ❑ Other I b g 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 Q 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 ❑ Pat W-'Tory Governor L-A I�CDENR North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skvarla, III Secretary AGENT AUTHORIZATION FORM Date: 3- 10. 1(0 Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: E:d Samnnu U401113M Owner's Malting Address: 1 So N Ke0wC0(4 CT W&Ab;ne M ►'J ;;174-7 Email: 5M1 ffij U2 aA -(;4mad Phone caYo, 7 3 - ao t o Agent's Mailing Address: IS-7-4 ►170/16ter 13i k �5141-f5 Sao I u A/c ago 4)a Email: Varmoi a "ati d bt,Ikh s a-, yaha Phone ry 44 3 - ya4s_ 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): For my property located at This certification is valid 1 year from (date) Property Owner Signature Pr L— DOtO(3 O -3/it,hG 3 /13�i6 Date Varnam's Docks & Bulkheads 1574 Monsterbuck Estates Supply, NC 28462 Owner- Sammy Vamam Offlce- 910-755-6861 Cell- 910-443-4245 Fax- 910-755-68-71 Varna(O &cksavid bo lKh c;ads a yahoo. coin Varnam's Docks & Bulkheads is in the process of obtaining a CAMA permit for Ed Sm.- -h at-L.: 1 a -K w ), d i MA A VP(— . In order for CAMA to issue a permit we have to notify adjacent propeKy owners with the proper information. Please take time to review the enclosed information; sign and return or fax back to us. If you have any questions you can give us a call. Also if we can be of any assistance to you in the future please give us a call. Thank you, Sammy Varnam DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/ VAIVER FORM Name of Individual Applying For Permit: Ed— srn l 4*, Address of Property: L (Lot or Street #, Street or (City and County) k I* VIC I hereby certify that I own property adjacent to the above -referenced property. The individ applying for this permit has described to me as shown on the attached drawing the development tr are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coasi Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-39 within 10 days of receipt of this notice. No response is considered the same as no objection you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ify( wish to waive the setback, you must initial the appropriate blank below.) t� Qn Name I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ", 6 111,_1_20 / 6 Date LocVwood �,o (,�,XIa 1;-� \,b '1 is X )A .)/'i`\Ilk( I/lf i0o, %--� LcAwwd- f'c, r 100 ■ Complete items 1, 2, and 3. Also complete A. Sign urE item 4 if Restricted Delivery is desired. X ■ Print your name and address on the reverse so that we can return the card to you. B. Received ■ Attach this card to the back of the mailpiece, or on the front if space permits. �f ❑ Agent Addre ame) C. bate of Del D. Is delivery address different from item 1? 'U 1'e�ts 1. Article Addressed to: If YES, enter delivery address below: o U� v A to c t_ 3. Service Type ` > Certified Mail® ❑ Priority Mail Express- 13 III I II IIIII IIIII II IIIIIII IIIIII I'll'I I'lll'lll Registered Insured Mail ❑ Collet on Delivery livery Merchandise El 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Numb( (fransferfrom 7014 0510 0001 9272 4245 PS Form 3811, July 2013 Domestic Return Receipt Ln slum ru L U Postage` Certified Fee a _ Return Receipt Fee Postmark 3 (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) 1 Total Postage & Fees _ Sent To ------------ - 1 k _ _ I or PO Box No t o fi n W I! Ca v V).— d i ---- -- U.S. Postal ServiceT,., CERTIFIED MAILT,., RECEIPT (Domestic Mail Only; No /nsurance Coverage Provided For delivery information visit our website at www.usps.com�, Delivery