The URL can be used to link to this page

Home My WebLink About64793D - Fitzgerald anncuiatciio1ialjulm%,Idwsun aomc �,��c�w.,o ..; _..........;G 9/17/2015 9/18/15' Francis and Ann Prior same AC Bank 720 $200.00 66101D GP 66105D 9/17%2015 9/18/15 H5 Construction LLC Thomas Fitzgerald BB &T 1306 $200.00 GP 64793D 9/17/2015 9/18/15 H5 Construction LLC Bill Sewell BB &T 1307 $200.00 GP 64794D IC Division of Coastal Mgt, Habitat Impact Computer Sheet Po.,. h61�s Permit #: escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen fund in your Habitat code sheet. abitat 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 Tina disturbance. Excludes any restoration andh temp impact amount) LW- 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 9/4/2015 Name of Property Owner Applying for Permit: Thomas J. Fitzgerald Mailing Address: 3012 W Yacht Dr Oak Island, NC 28465 I certify that I have authorized (agent) Matt Hon (H5 Construction) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) a new single piling PWC lift , at (my property located at) 3012 W Yacht Dr, Oak Island, NC 28465 This certification is valid thru (date) 01/31/2016 3�w 9/4/2015 Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Thomas J. Fitzgerald 's property located at 3012 W Yacht Dr (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Intracoastal Waterway , in Oak Island N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiory ►/_d6k 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) Proposing to install a single PWC lift adjacent to existing boat lift. See attached page for proposed site drawing. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Thomas J. Fitzgerald Print or Type N116F2 W Yacht Dr (Adjacent Pro erty Owner Information) Signature * brr I ►'� Pant or Type Name AAo;I;-- A,4,4 inn ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Thomas J. Fitzgerald Is (Name of Property Owner) property located at 3012 W Yacht Dr (Address, Lot, Block, Road, etc.) on Intracoastal Waterway in Oak Island N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loca Gf/ 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) Proposing to install a single PWC lift adjacent to existing boat lift. See attached page for proposed site drawing. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. lit// I do not wish to waive the 15' setback requirement. (Property Owner Information) 3,eei Signature Thomas J. Fitzgerald Print or Type NW2 W Yacht Dr (Ad' roperty Owner Information) Signature a��u- l u r.✓r'' 07 Print Type Na 0/z ?itil AA -;I;-- n,4,4- Mailinn Adrlrncc Existing Boat Lift (covered) 16' PPI \ ti\1 - 16' { Existing ldtxle dock' ` 16' ------------------------ --. '-�------- -- Existing ✓�" gangplank � 7, 6„ Proposed location of single piling 1500# PWC lift 5' Low Tide line (Approx.) r� 16' .,t 24 depth at low tide 21"deVtH t�wtid ------------- 3' -------- I8'dgthatlow tide i 106' Existing - Boat Lift (covered) 16' ti Existing gangplank t ------ --- ----- ----- - - I' --K- -i •-------------- Proposed location of single piling 1500# Mc lift __ 16' -- Existing 16'xl6' dock 16' 24 depth at low tide - � - 21" depth at low tide 3' -- -- - ---r ---__]8"dpthatbwtide ______- -_. 106' 5' W ----------------------------------------------------------------------- Low Tide line (Approx.) -,, 1*71.