The URL can be used to link to this page

Home My WebLink About64714D - Gordon-�CAN!IA / ❑ DREDGE & FILL 3hENERAL PERMIT JNew ❑Modification ❑Complete Reissue El Partial Reissu rized by the State of North Carolina, Department of Environment and Na :oastal Resources Commission in an area of environmental concern pursu t Name State zip Fax # () ed Agent ❑ CW [5� EW Y PTA CES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FQ yes (.; no' PNA ,-qet / no Crit.Hab. yes 1 no `Project/ Activity 64 Previous permit # — e Date previous permit issued tural Resources ant to 15A NCAC t-�t 2- OC-' ❑ Rules attached. Project Location: County p t� Street Address/ State Road/ Lot #(s) 7AA,\C Subdivision City � A" Ir ` -kz- Pik ZIP 2 4- Phone # ( ) r /k-1/1A 4-' River Basin Gf = 1 Adj. Wtr. Body 'S' AtX-N G na Closest Maj. Wtr. Body <:,o I PP.L.L P-1P--(LAP 1VwoN ' (Scale. ck) length x p (-- '(s) 2.' X ! V ngth -nber pray le g�th / bC) dtstarice' offshore x distance offshore cannel t==Len 11m :l!■��■I'■■ 71 not sure yes . Lill t11►�aui��4 not sure yes ■;1� :■r�l■owl yes,, I■lpr,.§R■■a ig permit may be required by: ! i�— !1 • ❑ See note on back regarding River Basin n n i �icv i a nay vnwan v 'q v ac n1209 $400.00 FnvY.pZi yr wrnvv a 7/15/2015 Andrew or Bailey Gordaon same Ne Zdge Bank GP 64714D NC Division of Coastal Mgt. Applicant: Date: Habitat Impact Computer Sheet Permit #: 1 M �' 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) jP FINAL Sq. Ft. (Anticipated final disturbance. Exdudes 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/c temp impact amount Dredge ❑ Fi 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 ❑ Dredge 0 Fill ❑ Both ❑ Other ❑ CERTIFIED MAIL. - RETURN RECEIPT REQUESTED DIVISION OF COASTAL, MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Address of Property: (Lot or Street #, Agent's Name #: , 0 0a\ Agent's phone #: R\ - or Road, City & County) Mailing Address: :Y= n\O1 1�vuvaaa,1 1.1L ZA2r 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 or d awirt with 'dime sioris must be (b%4ded'MthJb1SJ6tIgr. I have no objections to this proposal. I have objections to this proposal. N you have. obj0ctivns Ro whet is being proposed, you must notify the Qivlsion. of Coastal Management (DCM) in writing within 10 days of mj;olpt of this notice. Coirpspsprid ric should be, rri fled io `12r Gardliiai pave dirt., Wtimingfon, NO, 28405-384'v". DGMrepresenfativea c&p Jsd be contacted at (9�0) 786-72t5, Ko response is ab si�l�ted ttie.same.as ho oblection if vbu have helm notisind h%YfZi Mfsi;� Mail- WIAIVER SECTION I understand. that a pier, dock, mooring pilings, brak*gtBr, boathouse, lifj, or:groin rryust be set back -,a minimum distance of 15' from my,arb� of riparian �dcess :unless waived by me. (If you Wish to Wald the setback, you.rnust initia[.the approprJa a 0106K below.) I do wish to waive the 1.5' setback.requirerpsnt. k I da not wish to waivo, the 16' setback requirsment. (Property Owner Inforttiatiion) Sfgnat re (Adjacent Property Owner lr)formadon) Siinature -Rix-\a. "Av 4Ae 5 Print or Type Name ■ Print or Type Name ti 6276 5 �rro�res �11� L),,,k t1 restrictions prior to any asatgn or construotion. ' Site VICINITY MAP Kxs. (riursLl 0 1 i �I P f"P r. row' ^i •`�1a��C�"' a I Lot 11 LOT 12 2QO12 s.f LONG polNr t � k � ��, ESTATES o SECTION 5 , o °S } LW170 MB 36. PC 45 M SF R ag 1� ae- � _ ____ li Tie Line �1v PrImte WOstewotar Eas ment Q 0 LOT 10 w LONG POINT o ESTATES SECTION 4 r) MB 36, PG 45 u? - mrp�s,,L fi te- S Y zi6 W iO4.43 S 365'22'O0" W 96.03' IV — WashYn.gton. Acres Road b (40' Private R/W) Scole: 1"= 40 ' Legend: O Existing Iron Pipe 40, 20 ' p' .ilt' Q Existing Iron Rod SURVEY FOR: 4 Peal 13. Talbot,_do certify that CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: 2\� W C�r�. v.�,ro �J� Az !;�vlAt-1J� Z�' (Lot or Street #, treet or Road, City & County) �� Agent's Name Mailing Address: ua r2 L-i_\oA Agent's phone #: al!�� 2` �� t,�L 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 or drawing with dimensions must be provided 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 Mail 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) S'ignaturC Print or Type Alame (Adjacent Property Owner Information) Signature Print or Type Name Mnilnn Ai4;4r ■i_s!_- w_r_�___. elU41 Gress � ? or LOT 12 LONG POINT ESTATES SECTION 5 MB 36, PG 45 1 Oa}1v11alu�o nn cn nn ..0 �y uwao restrictions prior to any design or construction. , I a I 0 M N N Lot 11 I 20,012 sJ m o 't' �7CciSW/t N con t{p X 70 i) — 40 -- ' Site VICINITY MAP x T.s. l'PGVLtUP� �tto"T LOT 10 LONG POINT ESTATES SECTION 4 MB 36, PG 45 OTC Jr�G (�Cf �tFl Tft�t� O V _ Waste1 Tie Line 10' Private water Eos ment— S 3622'00" W 104.43' S 36'22'00" W 96.03' Washington Acres Road (40' Private R/W) Scale: 1 "= 40 Legend: O Existing Iron Pipe 40 ' 20 ' 0' 40 O Existing Iran Rod SURVEY FOR: I I, Paul D. Talbot, do certify that this actual survey and map was �"CAR:;Y�. _