HomeMy WebLinkAbout67154D - TaberCAMA / ❑ DREDGE & FILL f %, � 67154 AB i
3 O
iENERAL PERMIT / V Previous permit# ` S
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued J Z/
zed by the State of North Carolina, Department of Environment and Natural Resources /I�[1
�astal Resources Commission in an area of environmental concern pursuant to I SA NCAC e> 1 /aQD ules attached.
Name -4 Project Location: County P ��`�
Arn State g ZI P_G�
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.d Agent
❑ CW p"FTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ MIA
❑ PWS:
Project/ Activity
ne Length I
not sure yes
)rium: n/a yes i�
no
-- rfchgd`! yes
Street Address/ State Road/ Lot #(s)
Subdivision f
city 'V%41' f!!S V/' l / IP
Phone Rive
err
�Basin L400
Body /5�7/� e> -A40,
Adj. Wtr. y (nat
Closest Maj. Wtr. Body 45!? Y�Yll <-L9 �
(Scale: / %�
❑ See note on back regarding River Basin
Ai ",;Kit may be required by:
1 —1 Plnnnino luricriictlnn)
NC Division of Coastal Mgt. Habitat IMPact Computer Sleet
Applicant: e �. �( �-� ✓ Permit # y
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL
L feet
(Applied for.
(Anticipated final
(Applied
icipated final
Habitat Name
DISTURB
TYPE
Disturbance total
disturbance.
Disturbarbance.
Choose One
includes any
Excludes any
total incluudes
any
anticipated
restoration
any anticipration
and/or
T-)
restoration or
and/or temp
restoratio
impact'
/� /emp
�0`
impacts)
impact amount)
temp impaunt)
V
Dredge ❑
Fill ❑
Both ❑ Other
Dredge ❑
Fill ❑
Both ❑ Other ❑
Dredge ❑
Fill ❑
Both ❑ Other ❑
Dredge. [I
Fill ❑
Both ❑ Other ❑
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: �-.� k' r�_ ► )e-✓/ C W iZ
�
Phone Number: g 170 3
Email Address: '1 AW e r a
aV , C v�
I certify that I have authorized t "i of ;/ PaR T/i
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /
i s 6rX (FIA" r a C! C f Ei /0--i-
T
at my property located at
in County.
I furthermore certify that I 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.
Property Owner Information:
Signature
P,0 C 7 (48r 2
Print or Type Name
Title
ADJACENT RIPARIAN PROPERTY OWNER STA TE1113ENT
I hereby certify that I own property adjacent to Q �' , J L "") I- I
(Name of Property Owner)
property located at Gi Q q Sc> L
(A/ddress, Lot,
on f aSon)Lor0 SofJA-? _,in L.
(Waterbody)
Poed,
v_
Own and/or Covnty)
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.
®ESCROPTOOM AMDIOR DRf-MONG OFF PROPOSE® DEVEl OP,"MMY
(Individual proposing develop-nnent qnusff fall in de crr iof b n beBotro or adach a site drawl ,
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
ninimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive
he setback, you must initial the appropriate blank below.)
XkI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
propery Ownerr Information)
-J; MkS4
not or Type 63 ,N// (y / 1/f
oe-
Signature j" tl
Print or Type Namer// ��
7015 0640 0004 1074
lete items 1, 2, and 3.
A. Signature
our name and address on the reverse
X c
❑ Ac
t we can return the card to you.
i this card to the back of the mailpiece,
B. Received by (Printed ame
C. Date of
the front if space permits.
t-- L . �� L C•�� 5^
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Addressed to:
D. Is delivery address different from item 1? ❑ Ye
If YES, enter delivery address below` J *j*
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7a
UCIV WILNiII`J(aTON, NC
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JUL 2 7 2016
3. Service Type ElPriority Mail Ex
I I III I I
❑ Adult Signature ❑Registered Mai
IIIIII IIII III I II II I I II IIII I III
❑ Adult Signature Restricted Delivery ❑ Registered Mal
)590 9402 1670 6053 8730 64
❑ Certified MaHO Delivery
❑ Certified Mail Restricted Delivery 0 Return Receipt
Number (transfer from service label)
❑ Collect on Delivery Merchandise
Collect on Delivery Restricted Delivery C Signature Conf
❑ Signature Conf
7 015 0640 0004 1070
2030 ricted Delivery Restricted Deli,
13811, July 2015 PSN 7530-02-000-9053
Domestic Return
e items 1, 2, and 3.
ar name and address on the reverse
ve can return the card to you.
tis card to the back of the mailpiece,
front if space permits.
dressed to:
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A. SignWure,
X ❑ Agent
❑ Addressee
B. R��r� djay (Prin9N ) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
iL� -...-L�i v i:=.0
DOM WILMINGTON, NC
JUL 2 7 2016
17015 0640 0004 1070
3. Service Type
❑ Priority Mail ExpressO
IIII
IIII
III
II
IIII
III
II
II
III
❑ Adult Signature
❑ Registered MailaiITMTM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
10 9402 1670 6053 8730 57
• Certified Mail®
❑ Certified Mall Restricted Delivery
Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
tuber (transfer from service label)
❑Collect on Delivery Restricted Delivery Signature ConfirmationTM
1—.— "
❑ Signature Confirmation
015 0640 0004 1074
9721 Restricted Delivery
Restricted Delivery
July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
vseNew
2 GP-48830 Initial Levins Rhett M Lemns 01/02/2008 05/01/2008 City De°� Kelly Russell Pergwmans 179 Hunt Club Trail Hertford
Pa
;ords Matching Query =14
)w records with Lat/Long -- MINIMUM filter: City, County. Records will display in a moment.
DETAILED summary info for the permit you selected to do work on is displayed
below.
SELECTED: 4083
Edit Initial ue Reissue Permit EDIT ReissModify Permit EDIT Modify De me Permit QUICK Reissue
neral Permit (Detailed Database Display Page)
-mit Information
-mit No.: GPD36909
-mit Status: PERMIT is issued (unconditionally)
•mit Type (CAMA/Dredge & Fill): Unknown
Iject Type (Private): Y
'M District: Wilmington (D)
plication/Permit Fee: $100.00 [CAMA Mainframe General]
ue Date: 12/02/2003
piration Date: 03/02/2004
Iject Description: P-12
plicant (Owner or Agent): RHETT TABER
d1: 904 SCHOLSE STREET
y: WRIGHTSVILLE
te: NC
a 28480
untry: USA
yect Location
dl:
y: WRIGHTSVILLE
I: 28480
unty: New Hanover
e Description
,Cs
ID36909 07H .0206 Estuarine Waters
ID36909 Public Trust
Activity Number Type Replace Measure Measure2 Measure3 Measure4
D36909 Boat lift(length_width) 1 NW N 14.000 B." 0 0
rseNew
Pa
CP-48830 Initial Levint Rhett M Levins 01/02/2008 05/01 R008n'i a n` airy Kelly Russell Pergwmans 179 Hunt Club Trail Hertford
;orris Matching Query =14
aw records with Lat/Long — MINIMUM filter: City, County. Records will display in a moment. Click to hide LatLong display
-
DETAILED summary info for the permit you selected to do work on is displayed
below.
SELECTED: 3157
-Tit Initial Reissue Permit EDIT Reissue Modify Permit 1 i EDIT Modify Deiete Permit QUICK Reissue
neral Permit (Detailed Database Display Page)
mit Information
mit No.: GPD36875
,mit Status: PERMIT is issued (unconditionally)
mit Type (CAMA/Dredge & Fill): Unknown
ject Type (Private): Y
M District: Wilmington (D)
plication/Permit Fee: $100.00 [CAMA Mainframe General]
to Date: 03/16/2004
)iration Date: 06/16/2004
eject Description: P-12
plicant (Owner or Agent): RHETT TABER
11: 904 SCHLOSS STREET
y: WRIGHTSVILLE
te: NC
1: 28480
antry: USA
eject Location
dl:
y: WRIGHTSVILLE
l: 28480
anty: New Hanover
e Description
Cs
ID36875 07H .0206 Estuarine Waters
'D36875 Public Trust
Activity Number Type Replace Measurel Measure2 Measure3 Measure4
D36875 Boat lift(lenRth width) 1 NW N 14.000 13.000 0 0
wseNew
GP-48830 Initial
Levies Rhett M Lmns 01/02/2008 05/01/2008 Curyracem Kelly Russell Pergwm s 179 Hunt Club Trail Hertford
P;
-cords Matching Query =14
iow records with Lat/Long — MINIMUM filter: City, County. Records will display in a moment.l
DETAILED summary info for the permit you selected to do work on is displayed
below.
1 SELECTED: 39372
I Click to hide LatLong display
Edit Initial Reissue Permit EDIT Reissue Modify Permit EDIT Modify C ct QUICK Reissue
eneral Permit (Detailed Database Display Page)
!rmit Information
wmit No.: GP-46200
;rmit Status: PERMIT is issued (unconditionally)
�rmit Type (CAMA/Dredge & Fill): CAMA
-oject Type (Private): Y
�M District: Wilmington (D)
)plication/Permit Fee: $200.00 [General Permit Fee (9/l/2006)]
sue Date: 12/21/2006
tpiration Date: 03/21/2007
,oject Description: CONSTRUCTION OF AN ADDITION PLATFORM TO AN EXISTING PRIVATE PIER (14X6)
)plicant (Owner or Agent): RHETT TABER
ME 904 SCHLOSS STREET
ty: WRIGHTSVILLE BEACH
ate: NC
p: 28480
►untry: USA
tysical Addl: 904 SCHLOSS STREET
tysical City: WRIGHTSVILLE BEACH
tysical State: NC
tysical Zip5: 28480
►plicant (Contractor): JEFF TERRY i1
Idl: 7105 LIPSCOMB DRIVE �J
ty: WILMINGTON
ate: NC
p: 28412 t
►untry: USA
oject Location
Idl: 904 SCHLOSS STREET
ty: WRIGHTSVILLE BEACH
p: 28480
►unty: New Hanover
worNn• 0117R1RA 7r)flf,
vseNew Pa
12 GP-48830 Initial Levin Rhett M Levins 01/02/2008 05/01/2008 t°ry'aD m Kelly Russell Perqu rmins 179 Hunt Club Trail Hertford
'ords Matching Query = 14
ow records with Lat/Long — MINIMUM filter: City, County. Records will display in a moment. Click to hide LatLong display
DETAILED summary info for the permit you selected to do work on is displayed
beloH.
SELECTED: 39732
Edit 'Initial Reissue Permit EDIT Rei a Modify Permit EDIT Modi ri ete Permit QUICK Reissue
meral Permit (Detailed Database Display Page)
rmit Information
rmit No.: GP-47448
rmit Status: PERMIT is issued (unconditionally)
rmit Type (CAMA/Dredge & Fill): CAMA
eject Type (Private): Y
;M District: Wilmington (D)
�plication/Permit Fee: $200.00 [General Permit Fee (9/l/2006)]
ue Date: 01/29/2007
piration Date: 04/29/2007
ilject Description: Construction of an addition 6x6 section to an existing 24x6 floating dock.
,plicant (Owner or Agent): Rhett Taber
dl: 904 Schloss Street
ty: Wrightsville Beach
lte: NC
r 28480
untry: USA
onel:910-231-7814
ysical Addl: 904 Schloss Street
ysical City: Wrightsville Beach
ysical State: NC
ysical Zips: 28480
1plicant (Contractor): Jeffrey E Terry
IIll: 7105 Lipscomb Drive
ty: Wilmington
tte: NC
p: 28412
,untry: USA
eject Location
Idl: 904 Schloss Street
ty: Wrightsville Beach
r 28480 ��
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