HomeMy WebLinkAbout69145D - DavisCAMA / Ci DREDGE & FILL
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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
.