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Home My WebLink About67972D - ReiserICAMA / DREDGE & FILL z K V ' /// � /� 97972 A B 3ENERAL PERMIT Previous permit# New --Modification ❑Complete Reissue El 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 Q �• Z�� ❑ Rules attached. t Name �1Ar ��5 - Project Location: County - je I rj p ry' L~.H & Pvc • Street Address/ State Road/ Lot #(s) State AA_ ZIP 7-00 40 E-Mail Subdivision -- ed Agent F%/r-1" City ZIP ❑ CW X EW • PTA ❑ ES ❑ PTS Phone # ( ) River Basin H +2 ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 3 G.1 jG S ( nat El PWS: yes / no PNA yes / no Closest Maj. Wtr. Body I `^kS h Project/ Activity (Scale: 1 — 1A 1..o h ■ ■MEAN■■■MI■■I�li��iNIN H■N�RdN■■■■N1�1 ��■N�fl!,'1fP►1■■■■AI�� I�NINE ■N■Nr!12000■■■N■`II rl►rrltMh�lsi■��IFI��I�:l►Al'\kq I�■■■`■MI�■■■■■■■ ■ A 1110 iber■■■■E■■■ MEME■ENl_11I1■■1 low ■■■■■■■■■■■■ NOON■N/,%N■■■nN■. �1 IIIE■M■► NNE■■■■■■■■ ■■�aR� w�■■■■■n■n■I■�..�1■■►IN EM■n■■■ NElIP1CISiir■■■■NNE:■�ii■� I/�I�\I i�irr►�■fvN�A7111N! ■■1�■■■■■■■■■ii�i11MIL ■■No ��1■�■l■liti■■■ low a!ff ME I I "Ill. ■■■MEN ■NONE ■NMEMENN■I1■raIN IN 1!!■tion■■■■ NNOMEN ■MEMO N■MWENE ■11■ IfO■OO�iiii■WWiy■■■■ OMEN ■OMEN ■NMEE■MM EI 1■ ■■E■EZI'tiLilAl■■WIN! ■■■E■ NONE NNNE■MMENN11NIlONNEI�IEIIr�'�:�EEN■ ■■NON■ME■■■■N■■MENE111 IOli■■NN■NE■NE■NON N■■■ME■■MNNNN■■■■Nrl:l■N■■N MEMO N■■■■■■ N■NN■ENN■NN BIN ■■1EENIIIIENM MEMO■■E■NE■ O■N■■■■■■�NO■NEII I I■ ii■N■■ME■N■NME■ ■■■NNON■■■■■■■■■■■■ E■■N■N■N■■■o1■■t■■iii11■ MEN /1■NONN■N■■N■E■ NON■EN■■■■EMEN �N■mo■■■■■■N�NSN■i��. i17i EHNME■NM■NEM■ yes Cb E�■I�lii:l�!!�M�■��EVILiE iIN■■■■NE■NEENE■ 0110012MP"Fli 12001 ME ■■■111'tached: NE yes .NNN■NNO■,S�ILIZaEN■N■INONNi�lllilrNN■■■ g permit may be required by: Je-('t -- oc ��ft Jl ❑ See note on back regarding River Basin r ocal Planning jurisdiction) NC Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: A � Permit #i . M �LZ �- Date: b I /,06 (17- 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 ternimpacts) 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/or temp impact amount) 0 Dredge ❑ Fill ❑ Both ❑ Other L 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 �3 Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ )ayment Proccessing Confirmation Date Received 12/29/2016 :heck From (Name) F&S Marine Contractors Inc Name of Permit Holder Martha Reiser Vendor PNC Bank Check Number 5973 Check amount $200.00 Multiple Permits No Major/Minor Permit Number/Comments GP 67972D Receipt or Refund/Reallocated FS3433D Pat McCrory Governor ��A NCDENR North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skvarla, III Secretary AGENT AUTHORIZATION FORM Date: I W-.1 J104 Vame of Property Owner Applying for Permit: Nam of Authorized Agent for this project: Il'1fi�i%hA a�sls u W �,X#1 )wner's Mailing Add I 114 Sv. 6y► W4 z8 � :-mad: i u) 3653 J l * 'hone Sqb- 11irl Agent's Mailing Address: M. Box ::•: NC 28480 Email:• = Phone certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying or, and o taining all CAMA Permits necessary to inst nitto' -or my property located at VJV 20• -his certification is valid 1 year from (date) rL% % ye if f J )a O 1 - ai Dr I� a / C, V i the following (activity): F dC s 0.130)(868 t�vit�e Beach, NC 280 W righ v (910) 25ra"3062 44- L-4i i�lj I L-JIVE EXiSTIW "D N V 113.18' RIPARIAN L X- (PRUPLRTY Litt EXTENDED)ILAFIDAIED AID VAH MHW (MEAN HIGH WATER 1 IS AT T -A—CEOrYUL7KTEA—D STAIRS FLOATING co DOCK j. eR I. -_xUNG, v �--7 77 7-7 7, rn FLOATING wapo 8' PILI STAIRS -41 j RAMP 0 YPICAD 7 MCK —wuuu RAMP FLUATING S 60*13'11' E 168.69' RIPARIAN LINE MmTY LK i�lj I L-JIVE EXiSTIW "D N V 113.18' RIPARIAN L X- (PRUPLRTY Litt EXTENDED)ILAFIDAIED AID VAH MHW (MEAN HIGH WATER 1 IS AT T -A—CEOrYUL7KTEA—D STAIRS FLOATING co DOCK j. eR I. -_xUNG, v �--7 77 7-7 7, rn FLOATING wapo 8' PILI STAIRS -41 j RAMP 0 YPICAD 7 MCK —wuuu RAMP FLUATING S 60*13'11' E 168.69' RIPARIAN LINE MmTY LK L-JIVE EXiSTIW "D N V 113.18' RIPARIAN L X- (PRUPLRTY Litt EXTENDED)ILAFIDAIED AID VAH MHW (MEAN HIGH WATER 1 IS AT T -A—CEOrYUL7KTEA—D STAIRS FLOATING co DOCK j. eR I. -_xUNG, v �--7 77 7-7 7, rn FLOATING wapo 8' PILI STAIRS -41 j RAMP 0 YPICAD 7 MCK —wuuu RAMP FLUATING S 60*13'11' E 168.69' RIPARIAN LINE MmTY LK CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: / r`mam 584t Address of Property: JV' �� L' )1d. yyth (Lot or Street #, Stree or Rod, City & County) ✓J pp Agent's Name #: tl A*. Mailing Address: 1 �' � Image Agent's phone Mal 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 are proposing. A description or drawing with dimensions must be provided with this letter. I have no objections to this proposal. 1 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certifie4Uail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boa house, 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 Info ation) i Signature MOW Print or Type Name /)J V 5P. t�/*4* A3, Mailing Address (Adjacent Property Owner Information) Signature iikw)* Print or Type Name /" A40W A� d4-. Mailing Address K ws feet meter, 5*1 Alkio- eef,�v IDEl-, )�14 7t�v�3a�