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Home My WebLink About68575D - Matthews"I I 5IV-"��AM�(/ ❑DREDGE &FILL � ,� 3ENERAL PERMIT Previous permit A B Aew Modification JComplete Reissue Partial Reissue Date previous permit issued_ rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (`-7 12 C t Name �� L✓S Project Location: El Rules attached. County �i V y1S W K ��p 2 CVyr \.A C. W , LA Street Address/ State Road/ Lot #(s) 5 uvrdv State Nt ZIP 2 2. 2- bW PA (A V� <� lr�J E-Mail Subdivision :ed Agent Sq IMW VAV i SV City 6 N ZIP CW �W A El ES ElPTS Phone ( ) u ��3 12 y 5 River Basin V J M ❑ EA ElHHF ElIH El USA El N/A Adj. Wtr. Body Al W IN (•mot)_/i ❑PW yes PNA yes / Closest Maj. Wtr. Body A I W JAI Activity M ick) length 1 atform(s) Platforms)_x_. ,ier(s) ngth tuber d/ Rip rap length g distance offshore uc distanc ffshore cannel bic y rds np ise/ oatli 1� XIS ulldozing V\ I t. V V i I , . CiVA hocJ11 ■■m■■■■■■■MM■■, - ■�►��■■■■■■may■■■■ �■■ IIfM111A� Im i-••mm" nn►9FAMI ■■■■■a■■■GrVA17,T %` r iiiim l J- ;k�\ C"\ (Scale: ❑ See note on back regarding River Basin ri Local Planning lurisdiction) �A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management I F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr., Secre Sammy V6V110M is hereby authorized to act on my behalf (Printed Name of Agent) to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to th, activities described in the attached sketch. 'ION OF PROJECT: eowmon S+ S1j RTY OWNER MAILING ADDRESS: ocviG .Z PHONE NO. S3� 90i� — 3Y 9�r RIZED AGENT MAILING ADDRESS: Moo-�4or Buc�Es4Q!-e5 �ar PHONE NO. q10"q43-4aS 4 e of Prooertv Owner: ./�!� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM lame of Individual Applying For Permit: OtlotI4 0c tH)r�.> kddress of Property: o-� a i1 d &' Voe" tV f'C(k?C (Lot or Street #, Street or Road) 4 (City and C 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 .re proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 vithin 10 days of receipt of this notice. No response is considered the same as no objection if ,on have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set ick a minimum distance of 15' from my area of riparian access - unless waived by me. (If you vish 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. ign Nuake Date { �c JJ , l�Cft�ti Tint Nam +( L NCDENR elephone Number with Area Code :'.cama shelts�riparianproperty _frm DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIO WWAIVER FORM lu lame of Individual Applying For Permit: Oao fl Mame Wl./> Lddress of Property: Lo+,9 I 601."M o �4' god Cgoe)Ns IV 1ANG (Lot or Street #, Street or Road) So (City ai k c ri) hereby certify- that I own property adjacent to the above -referenced property. The individua pplying for this permit has described to me as shown on the attached drawing the development the, re proposing. A description or drawing, with dimensions, should be provided with this letter. "t-4 EiS6J I have no objections to this proposal. E you have objections to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390( ,ithin 10 days of receipt of this notice. No response is considered the same as no objection ii Du have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you ish 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. gnName Date G�_ of \ r, . f9 \, tV-,A c�,c k 4N__ 1 rl DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM lame of Individual Applying For Permit: OtIo q r�C1 f!tti� address of Property: L o+ 9 1 C - - Oo": ;! MCI V) (Lot or Street #, Street or Road) hereby certify- that 1 ipplying for this perm .re proposing. A desc f you have of Management, vithin 10 days ou have been understand tb ck a minimum +ish to waive t. � Lim WA" �o i� Na /. -Kr- n VO Fc/, The individual development they Kith this letter. n of Coastal 910-395-3900 o objection if ft inust be set ,y me. (If you 1&1W1N►w i i ac"j, dw.v, t"Y9l X �1 i i Greg Bellamy 531 Gray Fox Ct. 5E, Leland, NC 28451 Phone: 910-232-4666 November 20, 2017 Mr. Sammy Varnam Varnam's Docks and Bulkheads 1574 Monsterbuck Estates Supply, NC 28462 RE: Lot 21 of Bowman St and Boonesneck Rd, Supply, NC Dear Sammy, Pursuant to our telephone conversation this morning enclosed please find the Adjacent Riparian Property Owner document completed and signed by me. Terely, Greg Bellamy NC Division of Coastal Mgt. Habitat Impact Com Applicant: U M *� 1 Iqtw5 # 5- Date: tl- J o� /! Describe bellow 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 FII (Applied for. (Anticipated final (Applied for. (Ai DISTURB TYPE Disturbance total disturbance. Disturbance dis Habitat Name Choose One includes any Excludes any total includes Ex anticipated restoration any anticipated ref restoration or and/or temp restoration or ter temp impacts) impact amount) cts art Dredge ❑ Fill ❑ Both ❑ Other 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 ❑ ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ID75 L[Lncas�q . Sc, an'Iai- M5 A. Signatu X gAgent ❑ Addressee B. Received by (Printed Name) C. Dara of D livery /l 7 7 D. Is delivery address different from item 1 ?1 ❑ Y s If YES, enter delivery address below: '-Io NOV 272017 r 3. Service Type ❑ Priority Mail Express® II I III I II II II I I I II I II I it I II IIIII I I I (III ❑ Adult Signature ❑Registered MaiITM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 3518 7275 5860 72 Certifiied Mail® Delivery Certified Mail Restricted Delivery ❑ Return Receipt for . ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirnationTm ❑ Insured Mail ❑ Signature Confirmation 7 017 0190 0001 1319 0484 d Mail Restricted Delivery Restricted Delivery ssoo) PS Form 3811, July 2015 PSN 75 - - Domestic Return Receipt r ' Complete iterns 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1, AtltlreSSed to: A. Signature X �� ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery addretm different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No �t MCI II I IIIIII !97402 ❑ Adul3. "S gntuice Pe Mail 9590 3518 7275 5860 65 ❑ Aduk Signature Restricted Delivery ❑certified Mail® ❑Registered MaipMess® ❑ Registered Mail Restricted Delivery ^ * ^�� nr r+,�. rr,,&r frnm service /abe0 7 017 ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature Confirmation* 019 0 0001 1319 11477 'rd Mail fired Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 r $5(30) Domestic Return Receipt 0 0 C r r n