HomeMy WebLinkAbout67300D - DriscollDAMA / ❑ DREDGE & FILL
GENERAL PERMIT ` /' I Previous permit # A B
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iorized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
r 0 Ru a hW.
tnt Name v 1 Project Location: County�`��
s 'Al i �. �' Street Address/ State Road/ Lot #(s)
�, State!` zip �� �- A_ y'�
# () -�E-Mail
ized .Agent VVVA
d dCW ❑EW El PTA El ES ❑
'.pEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
/❑ PWS:
yes I' no PNA yes / no
Platform(s) _
ig Platform(s)
length
lumber
:ad/ Riprap length
vg distance offshp
nax distance of
channel I
amp
wse/
Bulldozing X
ne Length
not sure
)rium:
Subdivision ---
City y
Phone # ( ) River Basin
Adj. Wtr. Body
Closest Maj. Wtr. Body
�IiAt►�.�.�i'"�lF%�ii11�T'�'�l lh:�l_�i<1
ling permit may be required by: _
Local Planningjurisdiction)/", t 1
❑ See note on back regarding River Basin
t Vlln. 1 „�� 1 to , . ► .r r_ .i _
NC Division of Coastal Mgt. Habitat Impact Computer $beet
Applicant;-1 1v��Permit #:
Date.-
lJ�
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(AppJ ed..for,
Disturbance total
includes any
anticipated
restoration or
ternp impacts)
FINAL Sq. Ft.
(Antidpated final
disturbance.
Exdades any
rest6ration
andfortemp
impact amount)
TOTAL Feet . FIN.AL Feet
(Applied for. (Ahticipatedfinal
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts. amount
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge. ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge [] Fill ❑ Both ❑ Other ❑
Dredge ❑ .Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both. ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑. Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑
Dredge ❑ Fill ❑ Both .0 Other ❑
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 10 B1,MZ 408ZELI0/u
Mailing Address:
ty
Phone Number: ,,L4A —2 �'
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in County.
1 furthermore certify that 1 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:
Signatu e-
Print or Type Atame
Title
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
Name of Property Owner:
Address of Property: �i
(Lot or Street k, Street or Road�bty A County)
Agent's Name #:�9 fd Mailing Address:
Agent's phone #:�')
I hereby certify that I own property adjacent to the above referenced property. The individual
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.
I have no objections to this proposal. I have objections to this proposal.
If 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
available at http✓/www. nccoastalmanapement.netlweb/cm/staff-listing or by calling 1-8884RCOAST.
No response is considered the same as no objection 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 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.
(Property Own r Inf rmation)
c
ignat re
,/=,7`' Alai
Print or Type ame
/72 /`6 > /,zL # AV
Mailing Address
(Riparian Property Owner Information)
e
Print or Type Name
J- E / ,
ailing ddress
CAMA EMERGENCY GENERAL PERMIT
INFORMATION
>wn of Oak Island b
AMA Permit Office
authorized by the State of North Carolina
�r the Coastal Area Management Act of 1974
Applicant Name
Address 44 "if
city
Phone # y /?Q Zff f,
Authorized Agen
Type of Project
Descri ion of A tivi
Cost of project:
Notes or special conditions:
Permit #
Project Location Information
Street Address/ 1
Adj. Water Body
AEC: ❑ CS ❑ OE ❑ HH ❑ IH
SITE DRAWING
icPherson, Tara
>m: Donna Coleman <DColeman@ci.oak-island.nc.us>
nt: Tuesday, December 27, 2016 8:40 AM
MacPherson, Tara
bject: FW: 1727 W. Beach Dr. Rebuilt Sand Dune
-a,
the sand push permit to change the authorized person
nna F. Coleman, CFM
MA-LPO / Building Inspector
Nn of Oak Island
.0)201-8047
.0)278-1811 fax
im: Robert Driscoll [mailto:robert.l.driscoll@hotmail.comj
it: Thursday, December 22, 2016 8:33 AM
Donna Coleman <DColeman@ci.oak-island.nc.us>
Sect: Rebuilt Sand Dune
,ould like to designate Danny Leonard as my agent for pushing
id on the beach.
anks,
bby Driscoll
27 West Beach Drive
k Island, NC
! 1
"•
� I /
Mailin
• 1 1ress
'i r11 ♦ � _i r
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
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For delivery Information visit our webaRe at m .
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� Postage $ �� p
Certified FeeC3 ark
ReturnReceipt Fee j, P st He a
O (Endorsement Required) a
O Restricted Delivery Fee
(Endorsement Required)
C3
ul rU Total Postage & Fees $ &AJ
,
ti
Sent To
m� -
Street, Apt. o.;
O or PO Box No. �7 '� /_ /3 F --- X
Iti----------------- ----- /' _ /r'ik fir`
have applied for a CAMA Minor
Property Owner
Permit on my property at .0 JOL Lp f L 006 in Brunswick
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at M& ,572 j' - (;/ or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Sincerely,
Owner
Mailing Address
\.. I/ r ., AVI./ : L"