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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 ,,�.,�, �.Y,yQ,,�' x� �``�''"iDJ a� � d�S