HomeMy WebLinkAbout68019D - Timberlakej,CAMA / ,y DREDGE & FILL L / 1
PERMIT Previous permit#
?'ENERAL
.Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rued by the State of North Carolina, Department of Environment and Natural Resources .-7 1 a
-oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC v
1 ❑ Ru s attached
t Name ( mv���" V '! 1- ' Project Location: County ] / V AA �!
Street Adddreesss,/^State Road/ Lot #(s)
State ZIP a l � V1 ') i?" I '�'`ji f '� (/1 !/l VVA
J �� -Mail Subdivision
'
:ed Agent f City ' ZIP(P-(� c
❑ CW ❑ EW ❑ PTA ❑ ES PTS Phone # ( ) River Basin
EA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Bod NA AAn
❑ PWS:
yes / no PNA yes ro ) Closest Maj. Wtr. Body
' Project/ Activity �-f ;.; AA VAIWWWA rh (AAA A&A 1 ('
ngth
tuber
i/ Riprap length
distance offshore
x distance offshore
cannel
)ic yards
ip
se/ Boatlift
a Length
not sure yes JpvI F MEM■■■■M■■■ NEV OME
yes Ithij M..
kttached: yes
ig permit may be required by: �\'�+� y� n ❑ See note on back regarding River Basin`n
-ocal Planning jurisdictioQL,
NC Division of Coastal Mgt. Habitat !impact 'CoIreaputer sheet
Applicant: (ti TV4 l� Permit #:
C
Date:
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
(Appt ed..for.
Disturbance total
includes any
anticipated
restoration or
ternimnnactts)
FINAL Sq. Ft
(Anticpated final
disturbance.
Excludes any
restoration
andror temp
im ait arnount)
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)
Dredge ❑ Fill ❑ Both ❑ OtherK,
bredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge[] Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both I] 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 El Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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0 2013 Broft, Sisley Desgn SW*
CAMA MINOR PERMIT PROGRAM
❑ MODIFICATION ❑ EXEMPTION [MAINTENANCE AND REPAIR
of Oak Island Permit # H �� #` 2-�
A Minor Permit Office Date previous
thorized by the State of North Carolina permit issued
ie Coastal Area Management Act of 1974
iplicant Name C"psr 14 .T►rn6&r lalaa..�i
ldress AS2.It" Copolut�Rd
ty Uging-br , NC 2.1;L92,
one # 331. -ZA7 •�S`I f 5w. -.L5°I-3cl 1 2-
bJaqrep'
ithorized ALYent Wh* lcr dxou0ln0.
pe of Project
scription of Activity:
Yrditl dezkgmkd w-tA. %V%
►t ore housc prtye^+
v'
16 Qs+ AtLri n !a %Arm Cane
tes or special
editions: Cost of project.
b odtkrmty ed b-4
[n+ - 'SCE witanf.r
4lutleu l.ar►ds i
Project Location Information
Street Address 57SIR
pta<kTslRrnd, W G
Adj. Water Body Ae ,kwLA1c. CCAan
AEC: ❑ CS [,�OE []' HH ❑ IH
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SITE DRAWING
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner: C.c,.Lp �- f-t
Address of Property: ' 2`i 1�'rac.SN—Val�U-Jc , L)rck 151cc.1d PVC �4.
(Lot or Street #, Street or Road, City & County)
Agent's Name #: WhtcAcy 14nasaaDI Mailing Address: �.z� C, &otal fora
Agent's phone #: 910 • Z.}8 ' (o l 2.9 Ik,V 1'1C` IZ�Y1 NC- , <2 .z�t2
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. 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
available at http://www.nccoastaimanagement.netlweb/cm/staff-listing or by calling 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 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 Information)
zi
Si lure
N Ti rrn 6 c , Irt le r
Printr Type Name
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailina Ad res
Mailing Address
win be 23 no
� nc�el
J Z' have- no o b1 [ctr s l-��'t?/ eG�" k3 A*av- r aAd
!�C',
T have- 06 ores � the �-r�:�ct a.�d ha✓t crlclosed
Q4Y19Ii1 5
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Postage
$ l
Certified Fee
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wment Required)
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Postage
$ ) 6
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( Rsemi Receipt
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Postmark
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C3Restricted
Delivery Fee
(Endorsement Required)
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V.
LAMA MINOR PERMIT PROGRAM
❑ MODIFICATION [:] EXEMPTION EA/MAINTENANCE AND REPAIR
of Oak Island
A Minor Permit Office
thorized by the State of North Carolina
ie Coastal Area Management Act of 1974
iplicant NamelWV- 4. -Tirr)6Jk rae-
I-
[dress *2-5?0-PX0�
I
ty uw, NO, 242-q2-
one 9 Jj3&- 23cl-3<412-
ithorized Agent
pe of Project
icription of Activity:
;kkiploair
rfw i1o, use
tes or special
iditions: Cost of project.
,s-t v f o vo (ec 6 raL , d
Permit #
Date previous
permit issued_
Project Location Information
Street Address k;�2-cl &5i--9eaC-h-DYWe-
Qqk-- - Eiw)(A , NO alb s
Adj. Water Body A+ JctniiL, OQ-C-co
AEC: 0 CS 2 OE allH [:1 11-1
[ av 30' +Y oy-r,
Ott C-ar,�
Tfle
L
SITE DRAWING
U.S. Postal ServiceTM
CERTIFIED MAILT,., RECEIPT
tnnmPsiir Maii Oniv; No insurance coverage Provided)
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For delivery information visit our website at www.usps.com-.
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D Postage $
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Certified Fee
(3 Postmark
0 Return Receipt Fee Here
0 (Endorsement Required)
C3 Restricted Delivery Fee
O
(Endorsement Required)
w
Ln Total Postage R Fees
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Sent
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----------- - _ )----- - -
Street, Apt No.; ` U ��Q
f3 or PO Box i W
--------------------------------------------------- --------------------
----------
Ji��i��slad�d
�-� CAMA MINOR PERMIT PROGRAM
�110 ❑ MODIFICATION ❑ EXEMPTION
0 of Oak Island
IA Minor Permit Office
ithorized by the State of North Carolina
he Coastal Area Management Act of 1974
pplicant NameWS 'r- Ftt
ddress y2d
ity LwInc6n N(2 9,74a9z
}ct
lone # 3 -,� -3,-1 1 2_ 33� . Z� C r
✓;
uthorized Agent_
'pe of Project
scri tion of Activity:
-611 �oe� lvkm" n
11
ites or special
nditions: Cost of project.
Y
o ne rrl
V�IAINTENANC_EE AND REPAIR
Permit # H N
Date previous
permit issued
Qwi" i l loll(,
Project Location Information
Street Address f5.9 alksk.&D-J) p
Oc l---t�—>l ck nd_ (\12.
Adj. Water Body AA n n -6:,, (ACC Q n
IAEC: ❑ CS N OE Eg "JHH ❑ IH
SITE DRAWING
AGENT AUTHORI7A-rB®M FOR CAftl41A (PERMIT AIPPUCATION
Name of Property Owner Requesting Permit: 01-L50t r cly,Ct C kfVr111 fa--11 niber I JUL,
Mailing Address:
Phone Number:
Email Address:
ZA g z.—V"OL; C;
Yl ) N C' xqzcI Z
certify that I have authorized
Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: n\►-m P YID U at my property located at L-0c—J�P-ac%-DY\V'e-- b0..LT51anCl
in _�,ru-t�su, l� County.
l furthermore certify that l 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.
G. prcueci b�(
Property Owner Information: �j era . tACP hers h) C3trw
011
Qxt;Tt VV\b ey--1 o
Print or Type Name
Title
Uu4"r
�tnce � 55ZR
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