HomeMy WebLinkAbout67965D - Schuman1'CAMA / ❑ DREDGE Ilk FILLV107 "'7965 A B
;ENERAL PERMIT Previous 'permit #
!New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources `'
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC U7 f' ° 2 D
❑ Rules attached.
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Local Planning Jurisdiction)
i
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: VIA&M, V�
Date: I Z/( 0(/` /
Permit #: C,-7 S,v
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated fin
Habitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and
restoration or
and/or temp .
restoration or
temp impact
temp impacts)
impact amount)
temp impacts
amount)
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 ❑ 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 ❑ Other ❑
)ayment Proccessing Confirmation
Date Received 12/14/2016
;heck From (Name) H5 Construction LLC
Name of Permit Holder John J. Schuman
Vendor BB&T
Check Number 1815
Check amount $200.00
Multiple Permits No
Major/Minor
Permit Number/Comments GP 67965D
Receipt or Refund/Reallocated L 78D
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: --:3c) H Y`V
Mailing Address: o espyy J t (D
Phone Number:
Email Address: " 31 0 S J &
1 certify that 1 have authorized L��xz1 iC M OLT) 2) Art
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in+l���tS��r� County.
J furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Print or Type Name
r4 I'a �. Title
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
on
(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 ANDIOR 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.
not wiso'to waive the 15' setback requirement.
r In frnJatWn)
V /P1e Name
:��a Lal u 'S %
(Adjacent Property Owner Information)
Signatr e*
uC
Pr;i+n�t �r QT/y� e Name
Z` � 1.Jj' ;'4-� N c'3f� r fir.
i
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �0 }`' OW �� & u e -* r s
(Name of Property Owner)
property located at L 2 o S r? N o r-: S �', , S v/3 PI- y/I,- C- 2, & M 4, Z
(Address, Lot,
on C %� w l"' , in
(Waterbody)
:k Road, etc.)
'JVw ae.t*c.
(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)
-6 (-, C'- � I'll J 0 C- k 0,
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 Ovmqrlljnf7
ation) (Adjacent Property Owner Information)
si gn Signature * r
no j--Lc� J SC 4U YxAte, of �- P Y t cV #I- n-t '1Z
Print or Type Name Print or Type Name
•rell, Sean C
m: Merrit Hon <merrithon14@gmail.com>
it: Monday, December 19, 2016 1:35 PM
Farrell, Sean C
eject: Fwd: Fwd: Drawing - CAMA 120 Sanford St.
low Up Flag: Follow up
3 Status: Flagged
ached you will see the drawing that was provided to the neighbors of 120 Sanford St., Holden
ach as well as Mr. Daniel's OK to proceed to go along with his initialed waiver. Please let me
ou need anything else.
------ Forwarded message----------
,m: <htdsmd@nc.rr.com>
.e: Mon, Dec 19, 2016 at 1:32 PM
)ject: Re: Fwd: Drawing - CAMA 120 Sanford St.
Merrit Hon <merrit@h5construction11c.com>
TO PROCEED. HARRY T. DANIEL
m• Merrit Hon
it: Thursday, December 15, 2016 11:23 AM
htdsmd(a)nc.rr.com
)ject: Fwd: Drawing - CAMA 120 Sanford St.
od morning Mr. Daniel. Please see the attached drawing per the CAMA meeting at 120 Sanfo
Aerday. If you could please respond with your "OK."
ou have any questions, please let us know.
ank you and have a happy holiday!
rrit Hon
'ice Manager
Construction, LLC
L880-4381
1K GREEN, SAVE OUR EARTH
rrell, Sean C
m: Merrit Hon <merrithonl4@gmail.com>
it: Monday, December 19, 2016 1:36 PM
Farrell, Sean C
)ject: Fwd: Drawing - CAMA 120 Sanford St.
achments: 1214161413 jpg
low Up Flag: Follow up
g Status: Flagged
------ Forwarded message----------
)m: Merrit Hon <merrit@h5constructionllc.com>
te: Mon, Dec 19, 2016 at 11:57 AM
)ject: Fwd: Drawing - CAMA 120 Sanford St.
: John Schuman <jis31051 @gmail.com>
,od morning Mr. Schuman. I have not received response from your neighbor below. Would y(
e to get his OK on the drawing please so that we may move forward. We have already paid f,
rmit, but need this OK so they can email it to me officially.
ank you, happy holidays!
------ Forwarded message----------
1m: Merrit Hon <merrit@h5constructionlic.com>
te: Thu, Dec 15, 2016 at 11:20 AM
)ject: Drawing - CAMA 120 Sanford St.
HTDSMD @nc.rr.cOm
od morning. Please see attached drawing per the CAMA meeting at 120 Sanford St. yesterda
j could please respond with your "OK."
ou have any questions, please let us know.
ank you and have a happy holiday!
rrit Hon
D
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