The URL can be used to link to this page

Home My WebLink About69389D - Doane'S CAMA / -' DREDGE &FILL yl ' i 1 � �' A B 3ENERAL PERMIT Previous permit # JNew -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources 1 �r�n -oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC i-� ! VOO ❑ Rules attached. t Name L��1,V DC�'li ,t 1,� _ Project Location: County __ W (0134 110 b}iY 1 / Yee k (-U K-L Street Address/ State Road/ Lot #(s) `%�� i'1 citpr 1 StateNC ZIP NI I (,.w � LAV\.L (910) �42-" 441 G E-Mail Subdivision :ed Agent ❑ CW '�EW TA ❑ ES ElPTS ❑ OEA ❑ HHF 11PH❑ UBA ❑ N/A ❑ PWS: e/ no PNA es / no 1 . i 7, f Project/ Activity A ck) length atform(s) Platform(s)�_�� ier(s) ngth mber d/ Riprap le h distance of ore a distance offs ore cannel )ic yards 1p se/ Boatlift Adozing If Length not sure yes ium: fn/a/ yes no \ttached: no D U p ig permit may be required by: _ N Q w ' l a ('✓Ly CM{I' l-.. ❑ See note on back regarding River Basin n -ocal Planning lurisdictionl City (M�WL�►1�if�1y1 zip 2 el) Phone # ( ) River Basin Adj. Wtr. Body )"- UW C t -e-' V- a i Closest Maj. Wtr. Body 5 N r z m � w 2 oZx�►a—z wvtiv COA �� I x s1l�ccs� Ob i1 Mcn a3X►� • o r �a � Mi ��NNd �°z, ,100000 �' s ka o � N %} 3� }�SZJ�VJ Location 1 is 8 ft off left of dock and Location 2 is 16 feet off left of dock. 0 -10 OCI -30 a L a -54 0 -60 -70 ff--:7 nce in feet across the creek (o is Timber Creek side of creek) Permit Number OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste _ ORW Shoreline Public Trust Shoreline Other treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA (For official use only) Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. Check with your Local Permit Officer for more information. STATEMENT OF OWNERSHIP: I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a Eperson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be I `an described as: (check one) C ZipZ94 I / Phone q 10 -352-1 410 V cran owner or r cgd title, Tide is vested in name of D A ✓+ D P Deed Book t� b 0 7 I V&S-/'0 in Arto L'E Registry Deeds' R' CQ M see page the N6k/ , f fl County of Zip Phone me and/or directions to site; name of the adjacent waterbody.) ANE �Wilming+�, NC Zg411 red construction and land disturbance.) K rnoy o 1 0 - " (04!2W d0clL Ord (arnp are feet acres amily�d Multi -family ) Commercial/Industrial ❑ Other rnfact your Local Permit Officer if you are not sure which AEC applies t AREA OF PROPOSED STRUCTURE: square feet (includes ve ground level, non -conditioned space elevated above ground level but 3UILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT the area of the foundation of all buildings, driveways, covered decks, s applicable AEC. Attach your calculations with the project drawing.) RMIT: Is the project located in an area subject to a State 'Division of Energy, Mineral and Land Resources (DEMLR)7 _an owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: 1 furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (I) CONIVOC BA2_rH (0130 (2) (3 ) (4) ACKNOWLEDGEMENTS: La I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu- lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza- tion and floodproofing techniques. 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. This the S?"day of AL/4 , 20 Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application This application includes. general information (this form), a site drawing as described on the back of this application, the ownership statement, the Ocean HazardAEC Notice where necessary, a checkfor $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application as described by these .sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action. face allowed for your lot or parcel: square feet. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (3�,v f- A 0 ua K) F 's �� (Nam of Pro arty Owner) , property located at t< La n- : �LL� (Address, Lot, Block, Road, etc.) b on t u c r C,&L , in , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatior). �_ 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) •Rery1ov0d of of.e booJ (iff 1(Isfv>) dock—, 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. (Pro erty Owner Information) �P o0 Signature- DNIDc�� N F Print or Type Name /' '/ (Adjacent Property Owner Information) Signa e * J, IIN P� � Print or Type Name 1oN :nvelope ID: DE571EAB-F291-4FDA-A4BE-E2ABB552FCBA ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1J UA N C s ` ^ (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on t-t) �� re C , in N.C. (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 AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill In description below or attach a site drawing) t�eni�vct) of 01x'0— L)OCI fI I I f f pvl 1Y-L' Cl- l� K �` JCL, �*� clock 0.�Ct �C�tr>tp j {,yL 1ocL . WAIVER SECTION 1 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. (Pro erty Owner Information) y signature Dqv 10 'DofiI N E Print or Type N=0 C k (P 1:3 9 J% m (r c� M#N.ng Address 1..J 1\w)1'1Ia � 'yl Z `� Ll 1 t Citylstste/Zrp 9to-3r2-Nlo %dam tion�uC��{n1Q�I.CGr✓1 T (Adjacent gro�erty Owner Information) ocu 'gne by: .Sig Ve5CDD8EC04DC Connor Barth Print or Type Name Connor Barth Mailing Address 7a shearwater st City/StatelZip wrightsville Beach, Nc 28480