HomeMy WebLinkAbout69223D - Muse�CAMA / ❑ DREDGE & FILL Q�'�) 0 A B
3"ENERAL PERMIT Previous permit#
kiew ❑Modification []Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources r fJ O'y
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r L
❑ Rules attached.
t Name �'j'NvUI dr�V1
�j '1 (%�
U �cK �blX ?
State.__ ZIP z�% 4 v �(
E g�L)Zqarr " ME -Mail
and Agent T U `I
ct
❑ CW L>fW )ePTA
❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH
❑ USA ❑ N/A
❑ PWS:
yes / ,now; PNA yes / 6
f Project/ Activity
w✓ a to �, cvt S A A 3
)ck) length )C 1
'latform(s)
7. Platform(s) XZ O
pier(s)
ength
ember
ad/ Riprap length
ig distance offshor
iax distance offs re
:hannel
�[pri
1101=w
IVAM111111111111illillia
Bulldozing
F
ine Length
_2 ff
�
Project Location: County O r ki SkAZ16
Street Address/ State Road/ Lot #(s) `�-
Z G(31kbLyb s
Subdivision I -
City n(V Q .1 �.� 1! C Vt ZIP
A lone # 3' 1-7 R River Basin LV�tA
Adj. Wtr. Body (C&V (A (nat /
Closest Maj. Wtr. Body 11 /M JAI(
not sure yes
i
:)rium: n/a yes
yes
r Attached: yes
(Scale: , ": 4
i
ding permit may be required by:
❑ See note on back regarding River Basin
8/1/2017.
TK Cable
_
6Pl/2017'-
-BBBT BankCh-MOngramWalters
6/1/2017
Roger or Lathe Pierce
6/1/2017
Steven T. Farmer/TRA COM Services
6/5/2017
Jerry Ennett
6/5/2017
Palmetto Marine Construction
6/5/2017
Overbeck Marine Construction
6/5/2017
The Landing at Snows Cut/Donna G_u_rganus
6/5/2017
_
Lam Rice Construction
n ryvi
Kelly and Thomas Williamson
same
same
Harold and Meredith Muse
Jeff Lowry
Mark Crissey
John or T_ r_a_cy_ Kane
same
ooai
BBBT
BB&T
BB&T
BB&T
Coastal Bank & Trust
first Palmetto Savings Bank_
SunTrust
First Bank
BB&T
0000
GP 651
GP 69229D
NC Division of Coastal Mgt. Habitat Impact Coml
Applicant: 1"k d & k-e,"'-�x /"u - t A
Date: i)5 / k /( -
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
M
(Applied for.
(Anticipated final
(Applied for.
(An
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disc
Habitat Name
Choose One
includes any
Excludes any
total includes
Exc
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
terr
ternimpacts)
impact amount)
temp impacts
am
(�
Dredge ❑ Fill ❑ Both ❑ Other
O
1(00
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other 0
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
,Crory Braxton C. Davis John E. Skvarla, III
vnor Director Secretary
AGENT AUTHORIZATION FORM
Date: 7 - / 7
of Property Owner Applying for Permit: Name of Authorized Agent for this project:
r-ed, AL /kt,,�s e_ 1 va c( I F
s Mailing Address:
? � ✓'l�K OGt�7 �Gt V'm s
7Y �9
Number 27 � `/' /& 76
336._ 701- 0 3rS
Agent's Mailing Address:
"'Po 13oy 13US
Phone Number 6 (a)
that I have authorized the agent listed above to act on my behalf, for the purpose of applying
obtaining all CAMA Permits necessary to install or cornstruct the following (activity):
1-7 fc�C,� " ,n i� Zv f —
dlA}_rSV
property located at r
lification is valid thru (date)
Property Owner Signature Date
DIVISION OF COASTAL MANAGEMENT
Name of Individual Applying For Permit:
Address of Property: �✓
P rty�
(Lot or Street #, Street or Road)
(City and County)
certify that I own property -Ojacent to t e a ove-ref&ihced property. The indi
applying for this permit has described tome as shown on the attached drawing the developmei
are proposing. A descri tion or drawing, with dimensions, should be provided with this let
01 I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 'Cardinal Drive Extension, Wilmington, I C 23405 or call 910-79(
within 10 days -of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break-wo"ter, boat house or boat lift mus
bek a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to -waive the.setback,,you must initial the appropriate blank below.)
�-�---
�`Xh Sli/gp. Lig '
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
Date
DIVISION OF COASTAL MANAGEMEN
IPARIAN T
ADJACENT RPROPERTY OWNER NOTIFICATION/WAIUR FORM
Name of Individual Applying For Permit: f
Address of Property:
(Lot or Street #, Street or Road)
(City and County)
-I hereby certify that own property adjacent to the above -re erence property. The indil
applying for this permit has described to. me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lets
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796
within 10 days -of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakivater, boat house or boat lift mus,
bek a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 1 setback requirement.
I do not wish to waive the 15' setback requirement.
JSign Name Date
/��r.P,^ L- P ; mow. .
A W 1