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Home My WebLink About68032D - Williamsonpleat 3.k .vi CAMA / ❑DREDGE &FILL q B iENERAL PERMIT Previous permit# New --Modification El Complete Reissue ❑Partial Reissue 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 I SA NCAC t Z O n Rules attached. . Name 6 G � b k �/ ` 'M( A m w Project Location: County�— V 1 Street Address/ State Road/ Lot j (s k � p C State —NC ZIP_�� O ] 3� �V r'VG`C/t �r. �J " ' -Mail Subdivision ad Agent City_' ZIP Z VI G ❑ CW ❑ EW XPTA ❑ ES ❑ PTS Phone # ( ) River Basin U "A ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body sN� (i A nn HJ YfiY' a r ❑ PWS: ci �l a. tit/ Closest Maj. Wtr. Body yes / o PNA yes / n, Project/ Activity ck) length ko atform(s) V � 1 Platform(s) I�Y_l :ngth amber id/ Riprap length g distance offshc ax distance off) hannel ibic yards mp use/ Boo SIriNt '1 a A t !l rv1 A VO w �k'-( do ( t=-.' ��■N�� T.1 ��i M MI C ❑ See note on back regarding River Basin HC Division of Coastal Mgt. Habitat Impact Computer Sleet Applicant: 6b 67 W,11�AmSovi Permit #: � go S2— (� Date: 02-16 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremenl found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft TOTAL Feet FINAL feet (Applied for. (Anticipated final (Applied for. (Anticipated fina Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/c restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount Q W Dredge [IFillFill ❑ Both ❑ Other -7 ` Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Dredge ❑ Dredge [IFill Fill ❑ Fill ❑ ❑ Both ❑ Both ❑ Both ❑ Other 171 Othe Othe Dredge ElFill ❑ Both ❑ Othe Dredge ❑ Fill ❑ Both [I Othe Dredge ❑ Fill ❑ Both [I Othe Dredge ElFill [] Both [I Othe Dredge ❑ Fill ElBoth ❑ Othe Dredge ElFill ElBoth ❑ Othe Dredge ElFill ❑ Both ElOthe Dredge [IFill [IBoth Q Othe Dredge ElFill [IBoth ❑ Othe FOR Urgent DATE_ O T TIME A.M. P. M. While You Were Out M 05y [_Se,**� Io u 0 s / f� 5-/ PHONE `"'t /V AREA CODE A NUMBER VTENSION TELEPHONED PLEASE CALL TO SEE YOU E WILL CALL AGAIN NED YOUR CALL WANTS TO SEE YOU MESSI�GE & �l%L!n C ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �r� /��ibr Lunaf. S728 f'lver& '011, NW &h. Alc 284Z v A. Signature ❑ Agent ❑ Addressee B. Received by (tainted Name) D. Is delivery address different from item 1? 0 Yes If YES. enter delivery address below: ❑ No RECEIVcG _)CAS WI! [AiNGTON, NC JUL 2 2 2016 3. Service Type ❑ Priority Mail Express® j ❑ Adult Signature ❑ Registered MaiITM II I IIIIII III III I I II I I II'lllll I I I III I'I I I 0 Adult Signature Restricted Delivery ❑ Mail Restricted COLO ❑ Certified Mail® Delivery De '• �' 9590 9402 1661 6053 1817 58 ❑ certified Mail Restricted Delivery ❑ Retum Receipt for Merchandise o i ` LL ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery ❑ Signature Confimtationn" ❑ Signature Confirmation 2. Article Number (Transfer from service label) 7 (115 1520 0002 4186 3 7 51 (sured Mall isured Mail Restricted Delivery Restricted Delivery Nver$500) c PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt M C)7 Oa00 :UC�co o 0 C:) C14 SENDER: COMPLETE THIS SECTION ■ Complete items 1 2and 3. A. ign o ■ Print your name and address on the reverse, Agent so that we can return the card to you. 10 Address( ■ Attach this card to the back of the mailpiece, B Received by (Printed e) C. D e of Delivei or on the front if space permits. L (� � 2 1. Article Addressed to: D. Is deliv ; address different fro item 1? ❑Yes �Ci /Hs, C'/ey/een C*�� If YES, enter delivery address b ow: ❑ No � 110 5011AM73 Y 161vd z &31 CDUNIT Myrtle &-dch. SC 29572 3. Service Type ❑ Priority Mail Express® Signature Registered Mail - II I IIIIII IIII III I I II I IIIIIII I I II I I I I Restricted Delivery Adult SignatuCertified Ele�� Mail Reatrio Malre 130 I®Adult Ur N 9590 9402 1661 6053 1817 41 ❑ Certified Mail Restricted Delivery ❑ collect on Delivery. ❑Retum Receipt for s. a� E 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation ❑ Insured Mail" ❑ Signature Confirmation °- 7 015 1520 0002 4186 3744 1 Insured Mall. R��+r,a Delivery Restricted Delivery 0 (over $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receir c CD ((nn ti 1= E E Q) t0 .AMA It DREDGE ` FILL t; Idi1)J;; a B ENV ERAL PERMIT V.."Ilt a �le�+ r`.04111KAW011 t. tunpsrle kr•+tutr Martial ItPlssun Darn hrni�r,us p«rrnrr itsutd___._.�.. tw1 by the State of North Cat alma. Drpar "I 11 of t nvfronment and Natural Rest) it, r, O� U ,Na' ResM:rtM C.rntr„tsst(s, in ar, atra of rnv.rnr,n,rrH�l rarKern Ixwsuant to i SA f Ir A'r b•.t►, ar•y,�' 0, n� C x 7 Street Address! State Road/ Lot .� 1te N� 71P Z-J"15`1 Subdivtsfvn --�` ztd Aunt City CVII Ew PTA IS PTS Phone M ( j Riuv�r Bas � 1, JA- oEA HHr IH USA t WA Adj. Wtr. Body V �� rn n 4y'�Y , A' ►ws .- �l tiGl it/tiGti I.v' !�-� r Closest Maj. Wtr Body 1/�t rp$ ; ,a PNA yet f r Projecc Activity �jlrya(1A1y1Q� (scale: t� _ PyMo•misl Lv��•C(�1rt ,ngmat►ar,,,., g` yi 6' mad'Klr&Pk-Vh °t{4�1�t�t1 Avtv'�-� av=entfmc.crhha max distoae ont z Channat <.tb•c rand, _ to ,a fit ch Ow r.„z 1 of reftnc Li• sth _ r noc wa yes .. tJ 1 f"Ork n Als yas (1 3 1 f2mv xos yes 6Cit I,s' 1 J�• SirU l j . wvw AUAKtwd rat K" pwmtt 'nay De requuRd by _Lap if, jai � Co V ! " Y �, 0 See rote on back-egardtn= Rmw Saw tole Loin Plaw-int f„riwiction)._ 1 a n 1 ,teu Special Conditions i,( i ' i ,.1.11k.f 1A. AL_.11 Illot i. \n 11.'eL1.1 AJ'- CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: A265i4 elm (&66y) W11/allrL5flY1 Address of Property: Zyt#14, 9731 RivavaAe Dr. NW A6h. Air - (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: 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 ;,r drawing with dimensions, m!!st he nrovided 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. 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 Map. 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. 1 do not wish to waive the 15' setback requirement. ;Property Owner Information) ohhy//i8rhson Tint or Type Name Vft 326 flailing Address I-- &4hr 11/) nOActM Adjacent Properjy�ner Information) Signature wI', -- Print or Type Nam ?12 �1 '; PeA cak ,� .J/v Mailing Address e) Ole, 2 , 200 /8 k 6 FLOAT 20 X 20 —i MED bx E* 4 ACCESS 37. 5 ' _ 75 ' — WACCAMAW RIVCR PROPERTY OF rAYLOR LUNay Le4handc4-0003 kJH4'L-I .COw. j 40 $ 7 60 00 Check No.: 00 County: Pease retain receipt for your records as proof of payment for permit issued. .Pplican eso,wati Date: - Date.