HomeMy WebLinkAbout65127D - CarolinaCAMA / L DREDGE & FILL n n
J E N E RAL PERMIT 1 1 Previous permit #
,.New -Modification ❑Complete Reissue —''Partial Reissue Date previous permit issued
JSr
rized by the State of North Carolina, Department of Environment and Natural Resources —f ") �i 2�0�
�oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Mules attached.
it Name �wn L ? 'Q ib r � tt Cj.. Project Location: County 1 `� k �� 1i CV ✓
I W Street Address/ State Road/ Lot #(s)
lraGnq (�)ed GA State ZIPZN 2% ( ` (A ✓t � �a (�G ��. � }Gl (�n� ���r} dri
l6) l �t� _ 2�1 ° Fax # ( ) Subdivision N Z
,ed Agent PfY1 AYV ii,'J i� Cityl.1i� kti•(,I r�H V� wa_'tlk ZIP Z �
❑ CW EW Li ES PTS Phone # ( k) Liq 3 River Basin ��
ElOEA /[❑ HHF /❑ IH ❑ UBA ❑ N/A Q
Adj. Wtr. Body U^444 (UIn4" �7(nat(/
Closest Maj. Wtr. Body / _ ` ►r { t l
yes /i n % PNA yes //; Crit.Hab. yes /1 1, 0
F Project/ Activity _
,ck) length r X x
1(s)
iier(s)
:ngth
tuber
d/ Riprap length
g distance offsho
w distance offsh e
hannel
bic yards
np
Jse/ Boatlift
ulldozing I
■■■■■■■■■■ 11■■■■■■I
■■■■■E■■■n 11■■■■■■I
■■■■■SE �ME■■■11
k
�UP
I
(Scale:
❑ See note on back regarding River Basin
Date
Check
Check
Received
Check From (Name)
Name of Permit Holder
Vendor
Number
amount
Permit Number/i
3/2/2015 Pacula Builders LLC
Roy Gilbert & Brenda Madison
First Citizens Bank
1138
$600.00 GP 65079D
3/2/2015 Pacula Builders LLC
Dennis Michael
'Security Savings Bank
1847
$400.00 GP 65102D @$2C
Dennis Michael
GP 65103D @$2C
3/2/2015 David Lee Builders, Inc
Edwards
B ofA
19918
$100.00'minorfee, TB 15-(
3/3/2015 Carolina Marine Construction, Inc.
John Clark
'First Bank
9496
$400.00,GP 65093D
3/3/2015 East Coast Engineering & Surveying, P.C.
Dinah Gore
First Bank
1308
$100.00 minor fee, SIB 15-1
3/4/2015 Hunter Development Corp.
John Ledoux
Yadkin Bank
22714
$200.00 GP 65037D
3/5/2015 Coastal Marine Piers Bulkheads LLC
James Harren
(Wells Fargo Bank
20059
$100.00 renewal fee, MP 1
3/5/2015 Mark D. Kelly
same
'PNC Bank
795
$200.00 !GP 65121D
3/6/2015 Lighthouse Marine Construction Inc
Rick Rouse
B of A
5269
$600.00IGP 65035D
3/6/2015 Bruce Marek, P.E.
Timber Creek HOA
Wells Fargo Bank
1433
$400.00 major fee, Timber
3/6/2015 Kenneth W. and Be T. Futch
same
Alliance Credit Union
10240
$250.00' major fee
3/6/2015 Gregory A_Holden
same
CresCom Bank
2017
$25.00;return ck fee, 613,
3/6/2015 Gregory A Holden
Kathryn Bradley
CresCom Bank
2016
$400.00'GP 65109D @$2C
Lockwood Folly, POA replacement for check
!GP 65056D @$2C_
3/9/2015 Garry D. Aldridge
_rtned
same
NC State Employees' Credit Union
1044
$200.00�GP 57442D
3/9/2015 Buff Builders, Inc.
Poteat-Smith Properties, LLC
BB&T
3275
$100.00: transfer fee, MP 6
3/9/2015 Beam & Associates
Sea Mist Camping Resort, Inc.
BB&T
4773
$100.00 renewal ree, MP 1
3/11/2015 Dale E and Cynthia M Joslin
same
B of A
9035
$200.00 GP 65143D reissL
3/11/2015 Allied Marine Contractors, LLC
Jon and Diane Miller
B ofA
7278,
$200.001GP-65142D
3/11/2015 Coastal Marine Piers Bulkheads LLC
Claudia Knox
Wells Fargo
20095
$200.00
GP 210 Goosenec
3/11/2015jBarry and Shari Golob
Golob et. Al.
-Bank
Lafayette Federal Credit Union
2666
$100.001mod
fee, MP 101-
--
3/11/2015 Allied Marine Contractors, LLC
John Allen
B of A
7244
$200.00
-
GP 65106D
3/11/2015 Allied Marine Contractors, LLC
Schmidt
ofA
72431
$200.00 GP 65105D
3/11/2015 Cape Fear Engineering, Inc.
Palm Cove Subdivision Lot 2, 3, 8
4B
iBB &T
260141
$300.00 minor permit tranE
3/12/2015 Dennis W. and Beverly Morgan
same
High Point Bank and Trust
8255
$200.00 GP for 444 Ocean
3/12/2015 Compass Pointe Engineering PA
Starboard by the Sea
BB &T
3084
$100.00 minor fee, OIB, Br
3/13/2015 Allied Marine Contractors, LLC
Peter Morse
_ _
B of A
7286
$400.00 GP 65151 D
3/13/2015 Southern Sportfishing, Inc.
Town of Carolina Beach
B of A
1144
$200.00 GP 65127D
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: } "✓ , &a-� Permit #. � 5 IZ-4
Date:
J'qt, S
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
found in your Habitat code sheet.
4abitat 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 fins
disturbance.
Excludes any
restoration and/
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
24
7-4 W
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 ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑
fi��
NCDENR
North Carolina Department of Environment and Natural Resources
'at McCrory Donald R. van der V�
Governor Secretary
AGENT AUTHORIZATION FORM
a�me of Proper/ty Owner Applying for Permit
"�(
wner's Mailing Address:
nail: Chi 2; 4 J La-Cd'�
lone (Cic) )
Name of Authorized Agent for this project:
Agent's Mailing Address:
fiD7 e-ff.t--LYI(e- 4 0 r
Email SOCst�,.eru.�Po�� c�I.Lti ue�i(
Phone
;ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
r, and obtaining all CAMA Permits necessary to install or construct the following (activity):
roject Site Address:
wm.
Ppe�)caner Signature ate*
*This certification is valid 1 year from date signed by property owner.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to IocRs;,,- O� Cc� r e (o ter. cc� �� 's
Name of Property Owner),
property located at
Y;-
(Address, Lot, Block, Ro d, etc.)
on C L �0.G�'� � 014 6 h , in C.�r—O �i �� � , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
_z 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 back
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)
Signature
w WO1aQ
0-10
Print or Type Name
Print
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to la&JA 0-� cav-6(--1+1- C?C-e'_c -s
(Name of Pronertv Owner)
property located at
(Address, Lot Block, Road, etc.j �
on _ C.3 YCe -L� Bex-5 i u, in co"-t (DV' A' N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location
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)
Se-1-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waiv
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) (AdjacenQroperty Owner Inf, nation)
Signature
Print or Type Name
or Type Name
Ek�t,6 � -- I
Capt. Andy Everhart
Southern Sportfishing Inc.
807 Fayetteville Ave
Carolina Beach NC 28428
910-443-8546
southernsportfishing@gmail.com
X
Southern Sportfishing Boat Slip # 15
X
X
X
GIBBI
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