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Home My WebLink About69210D - HendersonOAnna FMoGE & SILL N9 69210 A 8 C Nl��L PERMIT �p # v:Modification 7Corriplete Reese `_'Partial lReiswe Date previots J do fsnted ks authcrmed by the State of North Caroikv, Department .an of fxtvironnvnt d Natural Resources + � uod!the Cuasta4 Res rr Commission in an - f envirnrenrontaf Concern pcttasmnt to ! SA NCAC .. i Name ii Location:County.... _. Wrens Street Address! _Road/ Lot *(s)_ phone �,Ahaflzea ZIP _ :- .. Cw W PAh4on,e# __Oo � :Buin Mfeeted rQfA 1 zMilE Ili UdA G:tA Vila ►1A►S .. DIM, yes/it! .P� no Closest M4 Wtr Bodj+-__�'�-� f +.O-vm, Pier f, Fixed Firmer Ef!aris): w�_ Gran Iwo �f1Ur!lber M u''3 line �Q �angdt- avi distance oftsiare malt dismnce ottshote / t.. ekwn, Boer ramp Beach Ocher Shoreline lsergtfs 4714_ F SAV- not sure yes a ':� 3 t • = Moratonin, nia yrs nu Phoun: yes ^ sla `rawer Attach.ed'. (.f tom.,✓" A building permit may be required by- ( Mate lc+cal Wining Jurisdict)on) Notes/ special c4rwitiom See date on back regarding River Basin rules. ;LLAMA / !n-DREDGE & FILL A B pCNERAL PERMIT Previous permit # `c flew '—Modification [-]Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources ,oastal Resource Commission in an area of environmental concern pursuant to 15A NCAC C ElR es atpched. %I�/�rr_ } t Name 5 1�'�' � i) V�� S/ t-P�bject Location: County � ' (.a f ' ' �< r Street Address/ Statp Road/ Lot #(s) i G 14 V. State 9 ls'LIP� /a) _Mail g ed Agent t^P leGt ❑ CW �TA l S ElPTS ❑ OEA ❑ HHF ❑ IH -- TUBA ❑ N/A ❑ PWS: yes no PNA. yes no F Project/ Activity 7`� l -/; ; !ngth ember kdkR(prap length — Z-e ,g distance offshore ax distance offshore__ :hannel ine Length notsure yes �� :)rium: n/a yes " no yes no r Attached: no ding permit may be required by: S4 q // Phone # (`j-- Adj. Wtr. Body --a Closest Maj. Wtr. Body ZIP 2W lacin W IAZ (Scale: / o ❑ See note on back regarding River Basin 7/26/2017 Hazel Carol Larson Peter Larson BB&T 13389 $100.00 renewal fee, MP 58-09 7/27/2017 Grice Construction P.H. McKinney BB&T 11387 $200.00 GP 69336 7/27/2017 Tommy or Billie Puckett same BB&T 1011 $200.00 GP 69344D 7/27/2017 Grice Construction Jonathan Earl Bowling BB&T 11369 $200.00 GP 69339D 7/27/2017 Grice Construction Julia Harris BB&T 11386 $200.00 GP 69335D 7/27/2017 Town of Carolina Beach same BB&T 70055 $200.001GP 69349D 7/27/2017 Sisters Investments LLC same Yadkin Bank 1127 $400.00 GP 69210D 7/27/2017 Lighthouse Marine Construction James Mulligan Coastal Bank & Trust 1581 $200.00I GP 69302D 7/27/2017 Lighthouse Marine Construction Charli Davis Coastal Bank & Trust 1582 $200.00 GP 69300D 7/27/2017 lCarolina Bluewater Construction same BB&T 17980, $200.001GP 69345D 7/27/2017 Southeastern Coastal Construction Co. Becky Hucks South State 10397 $200.00 GP 69291 D 7/27/2017 Lighthouse Marine Construction Betty Westbrook Coastal Bank & Trust 1580 $600.00 GP 69301 D 7/28/2017 Frank Williams Building Co Frank Williams First Bank 3685 $100.00 minor fee, Lot 2 Washington Acr 7/31/2017 Cary or Brandi Kerns Vivian & Karen Osborne ElecTel Coop. Federal ( 1305 $548.00 NOV 17-12D. BrCo NC Division of Coastal Mgt. Habitat Impact ComF Applicant: Date: — 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 FIN (Applied for. (Anticipated final (Applied for. (An DISTURB TYPE Disturbance total disturbance. Disturbance dist Habitat Name Choose One includes any Excludes any total includes Exc anticipated restoration any anticipated rest restoration or and/or temp restoration or tern temp impacts) impact amount) temp impacts amp -2/ Dredge ❑ Fill ❑ Both ElOther Dredge ❑ Fi Both ❑ Other ❑ 2� 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: Mailing Address: Phone Number: Email Address: -c, ex ; ,.c k Co, 1 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: at my pro erty located at _ ��e� � %�'r� 1 a >%S "/ 1,r11,,4m .f 1;01 in ' County. 1 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. Property Owner Information: Signature 1 �-v5 hdes��/'7 ByTS ` S j i�a'-c ( cl5 Print or Type Name Title ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent ro to 1S L&e— P P Y J �.�.,e �� .��le,-� �., 's p N me o P op,erty Owner) property located at a� Leh 1 S S (A dress, Lot, Bloc c, Road, etc.) on L &k — in N C. (Waterbody) (City/To n and/or ounty) The applic t has described to me, as shown below, the development proposed at the above locatil 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) fief""v- or WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bad minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wai the setback, u 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. ent Property Owner Information) 1--/Ch n U I+ Pnnt or Type e a� EIS 59I117` ram• w HEAD / v z 5 N 3Y' CP \ _ 4"1 w S SJy 3' E\CP s so *3r �✓ 30. �^� EIS N 1� ��<•E Q^ I 62.2� sd�, Nm I 22„ w 8 62 _ N ` I W I I � of TRACT 1 N I AFTER RECO"ATION \ _ 16,074.37SO.FT. I AREA TO BE DEEDED \ � TO TRACT 2 0 0.37ACRES ill 21.05SO.FT AREA "F DEEDEI 0.02ACRES TO TRACT' 2 fin 9 34SO.FT, O.00ACRES In? 13O TitACT 2 A"ER RECOMMAT1d1 ' 12,512.51 SOFT. 0.29ACRES p I Q0 N I �- yy I I CA I I TRACT 1 ; TRACT 2 BEFORE RECOMBINATION I BEFORE RECOMBINATION 17,195.42 SO.FT. I 12.481.74 SOFT. 0.39 ACRES I 0.29 ACRES I I I I I I 20*X-W ACCESS t UXITi\ EASEMENT EIS . EIS 60w EIS g.00' 6,00.1 47.32' W N 7516'11' w 66.65' $ b N 66'49 S7• M 64.5r EIP 4407' Y HENDERSON LANE) s 63gr�• .ocality kean Hazard Estuarine Shoreline ORW Shoreline (For official use only) XNERAL INFORMATION ,AND OWNER - MAILING ADDRESS Permit Number Public Trust Shoreline Other lame._........ _... _ ...... ................._._..__. _...-- ►ddre-s-s? Vr%5 /�yL C� ity .)liAS , v: jil L State zipPhone L :mail— 13 0 e /i a7��s�i fE2 5 ✓G L: o n ._! L` C c> LUTHORIZED AGENT lame �� o address"? �6r; 1 Cider 'ity 77S;i� K5 oil tl �lc-- State Zip ;2,K'GPhonc _C710? '.mail Je%�ri�Q.�l :-i�c,T.s� ,OCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.) a,lol l s l Is ej 1 lot) : n 1ESCRIP'11ON OF PROJECT: (List all proposed construction and land disturbance.) IZE OF LOTJPARCEL: 12$-/ z— square feet . �acres ROPOSED USE: Residential (Single -fancily [Multi -family ) CommerciaUIndustrial Other �] 'OMPLETE EITHER (1) OR (2) BELOW (Contact your Local Pertnit Officer ifyou are not sere wltich AEC ahl,lic your property): ) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includ r conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level bu ccluding non -load -bearing attic space) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to � s L� e f Pr p rty Owner) property located at be � � c� �,� lSl � - G (Addre s, Lot, Bloc, Road, etc.) on in a, fG N C. (Waterbody) (City/To and/or County) The applicant has describ d to me, as shown below, the development proposed at the above local I have no objection to this proposal. I have objectinns to this proposal. ut5cRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w� the setback, you must initial the appropriate blank below.) —_t. 4 A- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (�rgerty wner ' orroatio�)z (Adja Property wne Information) i rr rur ` KrJ-j ,y1e LLL,. Sii,na Ita v ,i f tiA, ?C, Tint or ype Name Print or T pp Name in VOL n� s ss7.r�. w = EIS E 65' CP s \ 2CL ' w � /v �r /v 3>>3j• \CP 30. s CP It►S �Jt,t E ual 3 1cP.t. �— om N 62272 w98.6se4r 2. I W I I TRACT 1 \ AM RECOM BINAIM I AREA TO BE DEEDED \ _ 16.074.3750XT. I TO TRACT 2 0 0.37ACRE5 �t,t21.05SO.fT AR\0 9EDEEDEO ✓' 0.02ACRES TO TRACT 2 g I 9.34SO.FT. LaI W O.00ACRES L 17Z �3o TRACT 2 r AF1ER gE1AT10l1 In ; n w 14.514.5150.FT. I ini a�Aa+fs : p I P� N I R N 1 Eld 4 I TRACT 1 ' TRACT 2 I BEFORE RECOMBINATION I BEFORE RECOMBINATION 17.195.42 SOFT. I 12,481.74 SOFT. 0.39 ACRES I 0.29 ACRES I I I r io I 2.3ACCIESi SSf1AQ1 EIS �,. EIS 6a00' EIS too' &00-120 47.32' i� — — N 75'16.11• w 1!6 aS' W N ew;; &!" w 64.32' 4&O7' HENDERSON LANE) s Q3tiT�+• E r e