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HomeMy WebLinkAbout64699D - CasseseCAMA / ❑ DREDGE & FILL GENERAL 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 ' + '7 Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC C1 `Lcc FX Rules attached it Name L V1 k 1 V ! k2- L C�isla'via lIal/v- Mau Apt. 4 b5 bu d l n State%.,. ZIP n rE ) "-11 1 Fax p# ( ) zed Agent 1 h I ❑ CW i�EW APTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: ❑ FC: yes /(no.) PNA yes /(no ) Crit.Hab. yes ( no f Project/ Activity )ck) n(s) mgth amber id/ Riprap length g distance offshc ax distance offsh hannel ibic yards_ mp ise/ Boatlift lulldozing ie Length not sure yes no_ s: nots//ut�g_ � yes no �ium: 4y� no �- Y� Attached: yes no ing permit may be requir@d i Project Location: County V to Street Address/ State Road/ Lot #(s) 564 a r'((rl Subdi is'on �� V1 ►� city I' fl U(,%_ ZIP PhcAi 4k 3 7 O35S River Basin )rl Adj. Wtr. Bod(nat Closest Maj. Wtr. Body v 0 (Scale: _�❑ See note on back regarding River Basin 7/17/2015 7/20/15 Stanley or Sharon Stubbs ny.0 same ram n y v B of A 4859 rwv.w $200.00 GP for 1304 Carc 7/17/2015 7/20/15 Richard or Sharon Love same_ Wells Fargo Bank 1434 $200.00 GP 64712D 7/17/2015 7/20/15 Anbnori Construction, Inc. Chris Mohr B of A 3780 $200.00 GP 64715D 7/17/2015 7/20/15 Holden Dock & Bulkheads Anna Odam & Rufus Yates CresCom Bank 2181 $200.00 GP 64697D 7/17/2015 7/20/15 Atlantic Coast Industrial LLC David Brinkley BB &T 11791 $200.00 GP 1400 Point H 7/20/2015 Money order from Brandon Grimes Patricia Welfare Wells Fargo Bank 17-213876532 $200.00 GP 64717D _ 7/20/2015 Robert or Candace Rice same BB &T 10394 ' $200A0IGP 65041 D 7/22/2015 MHCDO River Bluff Holdings LLC same 7 1121 $100.0-0 renewal fee, MP 1 7/22/2015 Richardson Construction Michael O'Hem BB &T 6063 $600.00 GP 64698D @$2 Lennon Smith GP 64700D @$2 Geneveive Cassese GP 64699D @$2 2017 $200.00 GP 64701 D 3856 $200 00 GP 64756D 7/22/2015 Backwater Marine Construction Inc Matt Hendrix BB &T 7/22/2015 Clements Marine Construction Inc David & Ann Sneeden First Citizens Bank NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Ca Permit #: � 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. (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/o temp impact amount) V V " Dredge ❑ Fill ❑ Both ❑ Other I 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 [I Other ❑ Dredge ❑ Fill ❑ Both 171 Other ❑ -A CQENR North Carolina Gepartmein of Eliv ronmont and Natural Resources U viyiol, o Coastal Nlanagermen _PPE -rear,,, f� E=.verl/ Eaves rordtiv t?m�s � .:ire+ son Vommor Duedjr Secret; t; cCe„ Ai',FNT AUTHORIZATION FORM Narre of Property Owner applying fnr Permit: Name, of Authorized Agent for t~is p,ajFct. Owner's Mailing Address: Phonc NumberWL, a4 -I LI Agent's Mailing Address: Prone NU111rer I certi that I have auttiorized the agen` fi sted above to act on my beha'f, fo- the purpose of a ,ply.-ng for and obtai^ing al CAMA Permits necessary to install or construe. the fciiowing (activi; ): (my proper.; lc -rated) at 34 r This certification is valid thru (dater % Property Owner �Signature 77 date ADJA.CE T R*IPARLk— I- PROPERTY OWNED STATElYtFNr {F`ORAPM"i OOPJNGPE%DVGSIBOATL fF"1lBQ4THOUSp I hereby certify that I own pzoperty adjacent to ��/e� ✓p �55 5 `s .(NameofProperty pvvn.er) property located at (Lot, Block, Rdad, etc.) on -A���;� aterbod . C. (W y} {7�o�n andlor Counf�) APPHcanfs phone He has described to me, as shown below; the developrc mt lit, s proposing at that location, and, I have no objections to his proposal. I uuderstand that a pler/mooring pilings / boattM 1 boatbouse must be set back a minimum distance of fifteen fcct (15) fram my area of riparian_ accessunless waived by fie. (xfyou wish to ware the setback, you must initial the appropriate hl �k below.) I d� wish to waive i �) f do wish to waive that setback rcg=emenw. D112SCRIP ION AND/ORDRA'G IN(; Olt' PRQPpSFi) DE V LOPhjEI : (To be filled in by inndividual prnp,)siIzg developrtrent} PO S bock. (InfOfWation for Property O'ner A-pplyimg for Permit) M,ailira address 0tiparian Property 09mer Information) �Sigutme- .ADJA.CENT RIPAIlLkN PROPERTY ow-NER STATE1 WI, (FOB -4 P.IlrB N00RING PU"G"0A17-9T1B04.TH0USB? I :hereby certify that I Own property adla,-ent tD � ('_Name OI'Propet'ty owner) ProPeny located at .(Lot, Block. Ii d, etc.} on �attrbo�dy) in (TJW)Wn s adlor Co u ty) AFplicant's phone 7#4aiF-g Addrms,3. �L�� i-k has des�ibed tome, as shown below, the dovelaprn * }1e i� m have no objections to his proposal. I and P Pig at that location, and, I must be set back a that a piedmooriag pihp l bovM) boathouse mIIritnurci distance of fifteen fmt 0 S� from my area of waived by me. (If you Nish to waive the setback, you below.) mast initial the appropriate sj� I de -MA wish to waive I do wish to waivethat setback.,gWrecuent, DESCRIPTION ANDlOR DRAWING OF PROPOSxD DEVELOPi4ffN7 -_- - (Ib be fitted in by individual pror,#siu:g ddevPloprrrenz} Con L�L 4, 'n'L , r---i- (Information for Property Owner -----"_`___ ------------- �.____ for Permit) PlymB {Ripari operty Owner Information) �d s --4E _ �-c � Signffiure Print or Tree Name ITVA in 2n 24'6 1[lft+/- 20'2 2ft ng