HomeMy WebLinkAbout68035D - NewCAMA / ` DREDGE & FILL
�NENEew MRALon PERM El pITSSUe
Q W U• \l
❑Partial Reissue
I-P8030 A B
Previous permit #
Date previous permit issued
Ized 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 C J /�
�44. 1 2 UU
❑ Rules attached.
t Name Mbl) L11K ��aT40r
1pU iJ0x y j
Va k% .rr-." StatdJ . ZIP Z
(4L-U) Sr53b3 E-Mail
ed Agent F -t4 (Er et# rnA A^t
ElCW K EW [)(PTA ❑ ES ElPTS (_.UA c
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
yes / no" PNA Oyesno
Project Location: County��
Street Address/ State Road/ Lot #(s)
U
Subdivisions
City �I-Ms1S ;js „I ZIPJ�
Phone #
( ) River Basin
Adj. Wtr. Body TAX' �.Ednk nat /r
Closest Maj. Wtr. Body k)L j (L�\xx7r
Project/ Activity ►+a •
■■■■■■■■■■■L'�iiliri�r■■■■■■/'wl1"n■Yi�l'i�■
igth
nbe
nber
I/ Riprap length_
distance offshore
< distance offshore
annel \
is yards
;e/ Boatlift
Ildozing
Length 5 +_
not sure yes no
Jm: n/a yes n
yes no
ttached: yes no
g permit may be required by: S n ❑ See note on back regarding River Basin
ocal Planning Jurisdiction)
KCAMA / DREDGE a FILL NV 58035 A B C
9ENERAL PERMIT Previous permit #
ew Modification 'Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0 Rules attached.
Applicant Name_ . Pt,� �,, �0 Project Location: County_ADN51QAe) _______!
ress b -X Ll Street Address/ State Road/ Lot #(s)
Ky-Z Q Qom_ State l�}� 23P?$y�Ob
Phone # E-Mail Subdivision_
Authorized Agent ��,!_ nie, coneff i(N*h`t_ City � gdtj ziP-2ft&,()
Affected CIN KEW )(PTA ES PTS Phone # ( ) River Basin A+f.-.?_ )
❑OEA ❑ HHF f_ i IH UBA ! N/A
AEC(s): Adj. Wtr. Body ._ek nat _man
0 PWS: {
ORW: yes /� PNA ye no Closest Maj. Wtr. Body
Type of Project/ Activity g(�i i?rCt si" 1)�(, c [,,(y 6 S
` x 40 TT (Scale: j = 24c
Pier (dock) length j!�-X LiU
Fixed Platform(s)tv
Floating Platform(s)
t
Finger per(s)
Groin length
number _. _ F Oit1 . ' J, --1
Bulkhead/ Riprap length_ _
avg distance offshore_
max distance offshore
Basin, channel \
cubic yards
Boat ramp
Boathouse/ Boattift
Beach
Other
Shoreline Length 500 + f
SAY: not sure yes _.
Coll
Moratorium: nia yes n I i
Photon. yes no
Waiver Attached: yes no -- 1 - --- -- —
A building permit may be required by: / l A 5 �r„J F See note on back regarding River Basin rules
( Note Local Planning Jurisdiction) ��/
Notes/Special.Conditions �,viC f), 9 ad �'e1!,(_ S�f-,(- , O,1J iQ� (tiles
NC Division of Coastal Mgt. Habitat impact G+mlr PUter Sheet
4pplicant: ,��� 4Z ,,.r ��c� � Permit #;
Date: 62- Its I j
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
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/oi
temp impact
amount)
lr'
Dredge ❑ Fill ❑ Both ❑ Other
S`I Li
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 0 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
t-omments
2/8/2017
New River Ennett Marine Coastal
Plantation Construction/Jerry Bank
HOA Ennett Trust
GP
517 $200.00 68035D BS rct. 3445D
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: A) � Oa (JC—V�
Mailing Address: f) C)(C)X
Phone Number:
Email Address:
I certify that I have authorized P, il(lP4 MatUnc, Oba1 tY-kc-bm
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: (� Do-N MUn i+—A
at my property located at (' 01`(1MU (� i'► l.� t li C� 1,'x'A ( VV i �YLcY �� �' I C�
in (DY S UVJ County.
I 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
r cr-446C 14 G 1a-) ..0 -'/e 1. /
Print or Type Name
URI,*
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to N�iD " }�0 A is
(Name of Property Owner)
property located at Lmm u p
(Address, Lot Block, Road etc.)
on C� , in CAPV� " , N.C.
(Waterbody (City/Town and/dY County)
The applicant has described to me, as shown below, the development proposed at the above locatioi
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill 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 m
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.
(Property Owner I
Signature "
Ly1 tc t4-k'g ' I - -r�i.y ✓E�Cccf��
Print or Type Name
(Ad' ent Pr perty Owner Inform tion)
Signa�ure
Print or Type Name
8Co L-vi4,,, Crl'4:C-f �"
9
4o
No
/ Q/ .1L-4/
,5
iILIALW M LW QC,! "C 914JIMOU I A L,ft ,-d _,WaOP A
ADJACENT RiPAR1AAl in OWNER STATEMENT
I hereby certify that I own property adjacent to N -ID- -1(:) A
's
Property located at r� , , (Name of Property Owner)
`(Address, Lo Block Road etc.
in
(1Naterbody � N-C.
(City/Town and/o County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this ro osal.
N N
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in descripfion below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish 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.
(Property Owner
Signature --
Pnnt or Type Name
(Adiace Property Owner Information)
Si np
Pff� Fie
Print or Ty e N'pme
(-I
P
ICP?' 70�
6
ADJACEMI-BRIPARIAN MOPKIM OMER RATEMENT
I hereby certify that I own property adjacent to _ 14�� s
mparry bcaw at WA m LAW,% �t let:,; � ;.�'*
on )4t{
n (.' Lot, B oekrR , etr-
r R S F2. yy-w N.C.
("Orbody (Clty/Town and/or oud city)
The[ applicant has descrimed to me, as shown below; the develDpm proposed at the above location.
hQ-1 i have no objection to this proposal.
have objections to this proposal.
DESCRIPTION ANDIOR DRAIAfING OF PROPOSED DEVELOPMENT
(kK*V" W erg dWefiaPHWW ~ fi f M descrWffbn below or affiw,fr a Me drawmqy)
4_MAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
Mimmurn distance of 45 from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement
(Property Owner
Signature
fntu64-CL A rriww<<.�<caft...)
tor Type Name
ft
M Address
w � - - 5 &-1 �-U C-
Cr►_3r)Stsfs/Zm i?W�
Telephone Number
S--?5" -5 3k:?,
Date 02/vy/.?0(7
'teen Infornntlon)
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