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HomeMy WebLinkAbout67294D - WilliamsCAMA / ❑ DREDGE & FILL PENERAL PERMIT , Ievv ❑Modification ❑Complete Reissue �,\L �/ v kq I I Lf ❑Partial Reissue ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC f t, Previous permit # A Date previous permit issued ❑n Rules attached. Name ,V Project Location: County �yv►/i I Y ui Street Address/ State Road/ Lot #(s) LVV-SV State ZIPV t N_Mail ' Subdivision { i i � d Agent City 1ha ZIP ElCW \)R(EW A ❑ ES PTS Phone # ( ) v+Ier(,Bas�in Lv., v., wi ❑ OEA ❑ HHF ElIH El UBA ❑ NIA Adj. Wtr. Body V - ( V� nat ❑ PWS: — ,/- _- oKJA Closest Maj. Wtr. Body ip IY oath :Length , not sure yes Jno um: n/a yes yes stached: yes ig permit may be required by: _ocal Planning Jurisdiction) ,,_ A ❑ See note on back regarding River Basin ru C Division of Coastal Mgt. Habitat Impact Comp Applicant: i Date: Describe be ow t e 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 Feet FIN (Applied for. (Anticipated final (Applied for. (Ant DISTURB TYPE Disturbance total disturbance. Disturbance disti Habitat Name Choose One includes any anticipated Excludes any restoration total includes any anticipated Excl rest, restoration or and/or temp restoration or teml ternimpacts) impact amount) ternimpacts) amc Dredge ❑ Fill ❑ Both ❑ Other 1 Dredge ❑ Fill ❑ Both ❑ Other [ l 'J Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ _ A ayment Proccessing Confirmation late Received 11/9/2016 heck From (Name) Allied Marine Contractors lame of Permit Holder Vivica Williams /endor First Citizens Bank :heck Number 5017 :heck amount $600.00 Multiple Permits Yes Major/Minor 'ermit Number/Comments GP 67294D teceipt or Refund/Reallocated TM/3451D 5VIIJ AGENT AUTHQRIZATiON FOR LAMA PERMIT APPLICATION MY .V Name of Property Owner Requesting Permit: �l dr.- i (a S I. Mailing Address: Phone Number: Email Address: zlg3-- L I / t eb-)VLe t s/ "eplot, certify that I have authorized Agent ! Contractor to act on my beha;f foi the PUrPose of applying for and obtaining all CAMA permits necessary for the foiiowif 1g, proposed development _ /� •r at my prc� erty tot.aicc a ;& ���� //�,,/`�=---L�i�f �2° �(J �_ n / 051 i frirthermore cerlify that t ::t-t :�s-".._::�:; ' ; wit "Wil do in fact grant permission to Division of Coastal fi anagc-nrevtl str.N. itit: vrmif Officer, and their agents to enter on the aforemenhooed lands r!; ti?rVt evaltiatutg information related to this oerrnit application 'roperty Owner Information: 1 Signature //' , Print or Type Name Title CERTIFIEQ MA 1�_ RETURN_RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Jame of Property Owner: (duress of Property: 1 S r ee:t *,Street or Road. City & county) kgent's Name #: AllleJ ar I� Mailing Address: 9a NA'yl� kgent's phone #: 17/ell- 3n)' hereby certi a own prope`y a lacent o the above re erence pro pe y. a in ivy ua ipplyine for this permit has described :o me as shown on the attached drawing the development hey are proposing. A descri tign �_r dr�wino with dimensi ns,..mua1 be provided with this lette[. I have no objections to this proposal. _______ I have (-:bjections to this proposal. f you have objections to what is being proposed, you must notify the Division of Coastal Management 'DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is 3va,Jableatht�://www.necoastalrnanagement.net/webl<.►n;_yt�rst�r orbycalling 1-888-4RCOAST. No response is considered the same as no objection if.lou have baen notified by Certified Mail. WAIVER SECTION understand that a pier, dock mooring pilings, boat ramp, breakwater, boathouse, or lift must 3e set back a minimum distance cf 1 5' from my area of riparian access unless waived by me. (If rcu wish to waive the setback, you must initial the appropriate blank below.) do wish to waive t'_�e 1 5' setback requirement. ✓ I do not wish to waive the 15' setback requirament. Property Owner Information) vgrtature ti ke4cq w tl / (RY1'f 'tint or Type Name (Riparian Property Owner Information) .Si,�Ttr � ! tu•c, Ptinr or Type Name R n 1n (,,overt � ef/'l lore, CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM Name of Property Owner: t1l, yL� vi 111'am s Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: &,4j, l y,401le, Mailing Address: qoa WO`J Agent's phone #: /D'�3r�' oZ.S,� � S 1 vi/�c->:5 ; ereby certify a own property adjacent o the above referenced property. The indi ua applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be Provided with this letter. CV I have no objections to this proposal. I have objections to this proposal. If you have objections to what is be>ng propos , ybtu must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available athttpJ/www.nccoastalmanagement.net/web/crn/staff-listing or by calling 1.888-4RCOAST. No response is considered the same as no ob%ection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance cf 15from 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. so1 do not wish to waive the 15' setback requirement. (Property Owner Information) Signature 1ljrica )A1111 t -qW s Print or Type Name (Ripari operty Owner Information) Signature Cl ok Print or Type Name CIA, z 0_„ . .t — OA \ate. \♦ � ,,,a t ., �.,, ♦ A t 3, jq ♦ y c ♦ �+cWN , � +y IF �a �, 1 acPherson, Tara )m: MacPherson, Tara nt: Wednesday, August 17, 2016 11:00 AM Bodnar, Gregg bject: RE: 1601 Swain Dr. Oak Island Notes ank you!!!!!!fIIIII ra MacPherson �Id Specialist ; Division of Coastal Management partment of Environmental Quality D 796-7425 office D 395-3964 fax a.macpherson@ncdenr.gov 7 Cardinal Drive Ext Imington, NC 28405 Nothing Compares-,, pail correspondence to and from this address is subject to the firth Carolina Public Records Law and may be disclosed to third parties. )m: Bodnar, Gregg nt: Wednesday, August 17, 2016 9:52 AM : MacPherson, Tara <tara.macpherson@ncdenr.gov> bject: 1601 Swain Dr. Oak Island Notes )rning Tara, Depths were at low tide adjusted for tidal offset. approx.. western riparian line 25ft off coastal marsh 2'6"