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HomeMy WebLinkAbout69145D - DavisCAMA / Ci DREDGE & FILL ` PENERAL PERMIT A B Previous permit# New J 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/) y r, ZOO rt �� DaV, 3r ❑ Rules attached. nName S� S Project Location: County !!�y 1 Qb g+ YO'Le� '. Street Address/ State Road/ Lot #(s) D4 L T� (�� State_ ZIP 28 `� (o� C AY�tt � (LS-2-) 45- D r Gpq $2 E-Mail Subdivision zed Agent pillCA Mar,vq City 00 T cr` ZIP L.84 i ❑ CW XEW ❑ PTA ❑ ES ❑ PTS Phone # (2 S Z) q y y - $ y E12 River Basin El HHF ElIH ❑ UBA ❑ N/A -.lw Adj. Wtr. Body p na ❑ PWS: yes /(no , PNA yes no Closest Maj. Wtr. Body ,f Project/ Activity tX,74ato syn al iC,"s+-yV lu L\., -kL.A' (Scale: I ra )ck) length 'latform(s) X Platform(s) :)ier(s) :ngth ember id/ Riprap length ,g distance offshore ax distance offshore hannel ibic yards_ mp use/ Boatlift Uldozing i 4'x8* Sty wh ie Length f:�OV fy,� not sure yes no rium: n/a yes n yes no Attached: Yes no ing permit may be required by: �0 �� 00 V TS(aV� ❑ See note on back regarding River Basin i I nral Plannino hiricrlirtinnl CDaits MHCDO Tyler Crumbley LPO Ta ra DW Review Owner )RW: yes N n9 rtwa `/ yes 7 no Type of Project/ Activity �,J Pier (dock) length FacedPlatform(s) Floating Pladorm(s) % Finger pier(s) L/ Groin length number Bulkhead( Rtprap length an distance offshore max distance offshore Basin. channel cubK yards Boat ramp Boathouse Boatldt Beach Bulldozmg Other WX8` S1t&--t- Shoreline Length SAY- not sure Moratorium- n/a Photos: yes 0- Yes n yes no N? 69145 A B C 1 1T Previous permit # :e Reissue I Partial Reissue Date previous permit issued utment of Environment and Natural Resources /�y J �/ ,l )f environmental concern pursuant to 15A NCAC f 1 % ZCiV L Rules attached. Project Location: County_&lX1.t�.uCS�---- f Street Address/ State Road/ Lot #(s) 1 ZIP h J 1 L 2 4 5 --—.�'1'11 L- --- - - Subdivision e aty-Dat, PTS Phone # (25Z) _q'/ _f 9 b4 River Basin...__._-- sA :'N/A Adj. Wtr. Body Closest Mal. Wtr. Body_ -- WawerAttached: yes no --. -.__ _-_.._-._____— j I A building permit may be required by: 'Tn %-+`N e 04 IS -ZS (ayi See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions 044J. 1100 eat J d � � o� � 3Gt � ,--a °`� t tttn � �L���y+G► t (� (,e g 6/21/2017 Russell Davis First Citizens Bank 5641 $200.00 GP 69145D Joseph Mainous BB&T 2912 $200.00 GP 69250D Jim Treadwell BB&T 2911 $200.00 GP 69251D same Wells Fargo Bank 7151 $200.00 GP 69267D Bill Sanderson First Citizens Bank 3918 $200.00 GP 69139D Allied Marine Contractors 6/21/2017 Backwater Marine Construction Inc. 6/21/2017, Backwater Marine Construction Inc. 6/21/2017 Roger Bilheimer or Courtney Muller 6/21/2017 ' H&H Builders LLC n � (, NC Division of Coastal Mgt. Habitat Impact Com Applicant: 1�t T Date: G �i Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FI (Applied for. (Anticipated final (Applied for. V DISTURB TYPE Disturbance total disturbance. Disturbance di Habitat Name Choose One includes any Excludes any total includes E: anticipated restoration any anticipated re restoration or and/or temp restoration or to ternimpacts) impact amount) ternimpacts) ar Dredge ❑ Fill ❑ Both ❑ Other I 1 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ti Ss LOA_s Mailing Address: _ ! L (P East )� 4 r ----Oak slk,�l, Ql� .� OWS Phone Number: a�Sa- TyZ_q$a Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: qdj 6� aU 4 e Or at my property located at 1706; /,as% in />rNrsack County. 61G 1 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. Property Owner Information: Signature C� Llr /IL,ls Print or Type Name O wry Tithe RNU UtLlVtK ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to pa6w)AV] - -s (Iqame of Property Owner) property located at (Lot, Block, Road, etc.) r( on in L 51 N.C. (Waterbody) (Town and/or County) Applicant's phone t/: Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be fiUed in by property owner proposing development) x00 1,0 c� 1A X --------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 176 Mailing Address Signature QaL:�sia,20�S r;ruNto►oM. Print or Type Name GNU UtLlVtK ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own,property adjacent to pa6661) aVl 5 's ( ame of Property Owner) property located at r (Lot, Block, Road, etc.) on in 5!°j"CJ N.C. ('Waterbody) (Town and/or County) Applicant's phone #: Mailing Address., lie has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. - - - - - - - - ----------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) gad �0� . I_ -------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Signatur� Mailing Address .