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Home My WebLink About69142D - WilliamsonCAMA / DREDGE & FILLS u ,� A g ;ENERAL PERMIT Previous permit# New —Modification El Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources C, /• ) �, oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC } Yf W - ❑ Rules attached. t(� �j f/ :Name 1^ 1`.1 �.)_Project Location: County 1-01) iS Street Address/ State Road/ Lot #(s) State. ZIP I-5g6 5 j j is " () E-Mail ed Agent ��—� o J % ys ❑ CW ❑ EW ❑ PTA )(ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes no PNA yes / no f Project/ Activity Subdivision City C k Ts•,w ZIP Y Phone # () River Basin Adj. Wtr. Body �r�` nat i Closest Maj. Wtr. Body •-CAC JA,h A t 'N � 5�� D � ck) length j 3 X atform(s) Platform(s) I� XiA :ngth amber id/ Riprap length ^— g distance offshore ax distance offshore hannel ibic yards mp use/ Boatlift 3ulldozing — ne Length L0 7 not sure yes >rium: n/a yes yes Attached: yes ling permit may be required by: (Scale: I� ❑ See note on back regarding River Basin 6/1/2017 6/1/2017 6/1/2017 6/5/2017 a M0 17 e/,7 ------ TK Cable Bank Check/Ingram Walters_ or Lathe Pierce T. Farmer/TRA COM Services .nnett :to Marine Construction _ ack Marine Construction__ ending at Snows Cut/Donne__Gurga_nus. tics Constna:tion - u/1i; $200.0 UP_55113D Kelly and Thomas Williamson BBB&T _ __ - _ 2725 _ _ _ 5200.00 GP 891420 same --- BBBT - -- 5009388848 $200.00 GP 69185D same BBBT — ___-._T_ 5712 $200.00 GP 89221D Harold and Meredith Muse - _ _ BB&T - 4908 $200.00 GP 89223D Jeff Lowry - Coastal Bank & Trust 632 GP 69178D Mark Cnssey _ First Palmetto Savings Bank i 3430 _ _$600,00 $200.00 GP 69230D John or Tracy Kane - - SunTrust -- - _ 4836 - - $400.00 GP 69229D same _ First Bank - 30088078 $10&00 renewal fee MP 68-07 NHCo Mary LacLeod BB&T 775R -- einn nn min.. — ew-- o. MA- -& �M NC Division of Coastal Mgt. Habitat Impact Com Applicant: 6��Y �-TL �X kw1jNX Date: 705 SW 15q. ( jllC� 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 FI (Applied for. (Anticipated final (Applied for. (A DISTURB TYPE Disturbance total disturbance. Disturbance di: Habitat Name Choose One includes any Excludes any total includes E) anticipated restoration any anticipated re restoration or and/or temp restoration or to ternimpacts) impact amount ternimpacts) ar Dredge ❑ Fill ❑ Both ❑ Other 24 Z Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: k-YA1 -/- �Iljo� ZQe- Phone Number: �% �5 4- �� V0- Email Address: I certify that I have authorized ct nt / Contractor to act on my behalf, for the purpose of appiyir and obtaining all CAMA permits necessary for the following proposed development: Pc IL- qLA(k Me P N PdV a A109LGhT IOA� at my property located at G in LLn < zt) j� (k County. I furthermore certify that 1 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: i �dZAWVA- loy Signature Print or Type Name Title CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: y`��—/�� , (A_ Address of Property:�� ) (Lot or Street #, Stre Agent's Name #: Agent's phone #: or Road, City & County) Mailing Address: 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. Nt _ 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. 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 Certified Mail. 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Print br Type Name ZQS 5_X Mailing Address (Adjacent Property Own e .Information) Signature k-, Print or Type Name 20-3 � ► �� Mailing Address ID A, it . N - - l - ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 11 bMw, U z tcvw� c's (Name of PropertyOwner) property located at c�U S S �� l - n at— i c v , NL on (Waterbody) (Address, Lot, . in i NC (City/Town and/or County) , N.C. The applicant has described to me, as shown below, the development proposed at the above locati _ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill 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 bai minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w 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. (Propert Owner Informa ' ) (Adjacent Property Owner Information) f � gnatur Signature ' Name �l� i� Ddha r Type Print oe Print or T e Nam S Mailing Aodre$s i J Mailina Address