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Home My WebLink About68508D - Kunkel[CAMA / - DREDGE & FILL 'ENERAL PERMIT A B Previous permit New —Modification _JComplete Reissue []Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources i 7�� :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC L S+enrc V, � O R I h d t Name ' �[ s vh d State ZIPZ_6 Y6 s `�Cl)yy(e. b1�1 E-Mail sd Agent �z AI,r 1 ❑ CW XEW )(PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ees / no PNA es / no Project/ Activity .01—k r_ , Y Az ? u es attac e . Project Location: County Street Address/ State Road/ Lot #(s) S /� Subdivision City ZIP Phone # ( ) River Basin C r' Adj. Wtr. Body +T(.JUI� (nat (n Closest Maj. Wtr. Body 4-"�'1 W (Scale: I r 2 1-1 ! I■ ■■■■■1�■■■■i�Yiii�■■■®■r■■■■■■■■■■■■■■ ■■t�■■■M[�C11AI��■■■■ ■■■■■■■■■ �I�'�f�1■■■■■■■■■■: ■��■■■1;■■■■■Ir'L'� III■■■■11 ■■■ ■11 ■■■�■NNE ■■■■riber N ■■1 MEMO ■NAIMMINIPFFA it 1■■■■�■■ W.Pmr,IIIi:� 1111■■■■ 11111INVI.% ■1 ■�A!t� ■■ NOW distance offshore■■■■■ . mnel■■■mil■■1do11■■Iliigi!=■■ I� it 11� ■■ IQ��l�■ ■■■ ONE ■■■■�f ■■I �1■FINER Col.,1/A\■ �!�!■1 ■■■ ■■■ Itlil��l■■■■■■■■ ■■■1!�! ■■��■�■■::■■■■■■i�N■ ■■■■■■ 1■1!■■■■■ ■'�■■■■■i■1■■■■ ■■■■J I■■■ ■ ■■ ■■■■ ■■■N■■■■ ■■■■r ■■1 �■■■■■ I■■■ ■ ■■ ■®■■■■■ ■■■■■■■■■ WE ■111111111111H1111111 ■I10=1I■■�' 1■1M11■■ 11 ■■■■1� ■■ ■■■■�N 1:�—' =l�IT!►l,i■1 �ri�ili�■�1s ■■ !•�■�i�� 1 �■ar�'n■:!'S • / 1�r�t::�� ■1Y Hin 7 WENNER 11M1MIME allfis/■■■■■ 1�■��:UUME ocal Planning Jurisdiction) —, CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: � �t' �-C, P yA )/J Address of Property: (Lot #, Street or Road, City & County) Agent's Name #: L4�5. Agent's phone #: _ 1 ) J � - Mailing Address: �- ere y certifytat I wn grope y a lacent o t e a ove re erence ro P pe y e in ivi ua� 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, 1 __ +'_ 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 availableathttp://www.nccoastalmanagement iiet/web/cm/staff listingorbycalling 1-888-4RCOAST. 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 15from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. <;�i__ I do not wish to waive the 15' setback requirement. (Property t Tl ation) Signature Print or Type Name (Riparian Property Owner Information) Signature Print or Type Name 130a C YM-m- 92. Mailing Address Martina Address 70153010000078488617 Add Name Delivered: WILMINGTON, NC 28409 on August 25, 2017 at 12:26 pm Expected Delivery On: On Time: Friday, August 25, 2017 Additional Information Your item was delivered to an individual at the address at 12:26 pm on August 25, 2017 in WILMINGTON, 1 28409. Get Text and Email Updates Tracking History August 25, 2017 12:26 pm Delivered, Left with Individual, WILMINGTON, NC 28409 August 25, 2017 10:01 am Out for Delivery, WILMINGTON, NC 28409 August 25, 2017 9:51 am Sorting Complete, WILMINGTON, NC 28409 W1 Ln1116TORI N� 4119co �Q B � Certaled Mail Fee ; S� cc $ J xtra ervices & ees (cneck txic add fee &c)- te) �) Q ❑ Petum Receipt (herdcopy) $ 7 I (II � �� [� Relum Receipt (electronic) S Caul/led Mail Restricted Delivery S Hero C3 [] Adult Adult SLpalu,a ReQ."d Signature Reetncted $ Delivery S _ C1 Postage $0.49 rn S dig 3 (11 % mb.59 Total Postage S and Felts LISPS Ln Senf To �rLt lK - p Street ! anifApt No:; ar pl; fox (fo. --------- 11 ------------------ _ r� I nnU, AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: S )4A,f Mailing Address: Phone Number: Email Address: I certify that I have authorized Allied Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits �1 necessary for the following proposed development: at my property located at in R; N County. I 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 Ow r I ation: '30ta Signature S -Vi4fl J Wb Icy Print or Type Name C'IW L L Title NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant:n,� Date: q 11� 5� �Describe b th 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 FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any anticipated Excludes any restoration total includes any anticipated Excludes any restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount temp impacts) amount) ow Dredge ❑ Fill ❑ Both ❑ Other C SU L ��,^ Dredge ❑ Fill ❑ Both ❑ Other [g w ( ZO Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑