HomeMy WebLinkAbout69002D - GerkeK AMA / ❑ DREDGE & FILL
.ENERAL PERMIT
KNew --Modification ❑Complete Reissue
PF4 3,5 '1-7
❑Partial Reissue
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Previous permit #
Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources II
-oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0� �l • ' Zo
❑ Rules attached.
it Name � (� �- , � t. ^ _ Project Location: County �j►NYi 5 "', (k.
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: AA ` 67i ,,j Permit #:
Date: �D t %'�.o
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.
(Applied. for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet . FINAL feet
(Applied for.. (Anticipated final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts) amount)
Q W
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 ❑ Other ❑
Dredge ❑ Fill 0 Both ❑ Other 0
a1v�.va�vY La1lvvii�.Y i Viii 1 Vl llll{ 11V1V.{i�
('Name)
Will
1�U11■R/l.lI a111VLL111 I 11U111UG1/
Comments
3/2/2017 Richardson Michael R. Gerke BB&T 6638 $200.00 GP 69002D SF rct. 378(
49
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
AGENT AUTHORIZATION FORM
Date: 2 / 15 / 2 017
Name of Property Owner Applying for Permit:
Michael R, Gerke
Owner's Mailing Address:
5709 Lancashire Court
Raleigh, NC 27606
Dee Freeman
Seaelary
Name of Authorized Agent for this project:
Wits richardson
Agent's Mailing Address:
3235 Seacrest Ave. SW
Supply NC 28462
Phone Number(919)291-2245 Phone Number( 910) 367-0335
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
10,000# Boat Lift
(my property located) at 133 Swordfish Dr. Holden Beach NC 28462
This icertifi lion is valid thru (date) 2 / 15 / 2 018
2��s 20�7
property Own_ r Signature Date
CERTIFIED MAIL — RETL'R- RE CEIPT REQUESTED
DIVISION OF CO_A.ST_AL KkINAGEA UNT
ADJACENT RIPARLA_.N PROPERTY OWNER STATUN ENT
I hereby certil� that I own property adjacent to
property located at
on Canal
133 Swordfish Dr
(Waterbody)
Applicant's phone #: 919-291-2245
1811TUT—TI3T
(Name of Property Owner)
(Lot, Block, Road, etc.)
in Holden Beach
�S
N.C.
(Town and/or County)
Mailing Address: 5709 Lancashire Court
Raleigh, NC 27606
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
Boatlift Installation, please see attached drawing.
u yuu uavc uuic—us to wnat is being proposed, you must notify the Division of Coastal Management (DCM) in writi
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ezt Wilmington, NC
DCM representatives can also be contacted at (910) 796-7215_
No response is considered the same as no obieciion if you have been notified by Certified Mail
(Property Owner Information)
U)Wc
Signature
Will Richardson (Auth. Agent)
Print or Type Name
3235 Seacrest Ave SW
(Ri anAn Property Owner Information)
Si e
Juanita Maultsby
Print or Type Name
3212 Guy Street
Mailing Address
Supply, NC 28462
Mailing Address
Fayetteville, NC 28303
ADJACENT RIPARIAN PROPEjrfY 0WNLR STATk7vM T
(FORA PIER4)tOOB17VGPH"GS✓BOATLn7 BOATHOUSE)
I herby certify that I own property adjacent to Mike Gerke s
.(Name of Property owner)
property located at 133 Swordfish Dr.
.(Lot, Block, Road, etc.)
on Canal
(Waterbody)
Applicant's phone #: 919-291-2245
in Holden Beach
(Town and/or County)
Maming Address: 5709 Lancashire Court
Raleigh, NC 27606
N.C.
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pi3ingS / boatliff / boathouse
must be set back a minirnufrn distance of fifteen feet (15D from my area of riparian access unless
eyed by me. (If you wish to waive the setback, you must initial the appropriate bl uk
below.)
I do not wish to waive
I do wish to waive that setback requirement
DESCRIPTION A-N-D/OR DRAWING OF PROPOSED DEVF,LOPMENT:
(To be filled in by tndlv&zud proposing development)
Boatlift
Will Richardson (Ruth. Agent)
Y~_
(Information for Property Owner Applying {Riparian Pro. -
for -Permit) Penh' Owner Information)
3235 Seacrest Ave SW
Maui%; Address -
Signature
Supply, NC 28462 Buck Jett/Linda Dienno
City/StatP.IZiP
Print or Type Name
Walter "Buck" Jett
131 5wordfish Or
q 10-880-4016
CANAL
Michael Gerke
133 5wordfish Or
Holden Beach NC 26462
q 1 q-2q 1-2245 cell