The URL can be used to link to this page

Home My WebLink About64680D - Jam'rCAMA / �'bREDGE & FILL 64 aENERAL PERMIT Previous permit # INew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued r -ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concer��ct 15A NCAC /7 Rules attached. Name y!'i /"/��/!� (,l�tH' Location: County l U3y Sir &./*Py 5WIP Street Address/ State Road/ Lot #(s) 2 Ind 001 StateW zip 2gyy5 (-?A) #ax # ( ) Subdivision Bd Agent C�/� i� lG •s +y.S 1?& "W 5i�TA L ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A /�❑ PWS: ElFQ ( 1. no PNA yes l A1101) Crit.Hab. ves / no igth fiber 1�iprap length istance offshore c distance offshore_ innel ' not sure yes im: n/a yes yes :tacked: yes �— g permit may be required by: - - - - -- li - City JW J /0i, n'1 r-6-7 zip 7S' Phone # (g/`)0�7-4'- River Basin �' JV Adj. Wtr. Body Closest Maj. Wtr. Body (Scale: . I / ❑ See note on back regarding River Basin _ m�cno4osau _Construction Smithaei uence _ First Citizens Bank 3826 $1,200.00 yr GP 64679D Smith I I I GP 64880D NC Division of Coastal Mgt. Habitat impact Computer Sheet applicant: Gltit� �7p Y//!f /C . t ��I �rl-li /�� Permit* * )ate: )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ound in your Habitat code sheet. labitat 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 (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/o temp impact amount rnDredge ❑ Fill ❑ Both ❑ Other (/ V Dredge ❑ Fill ❑ Both ❑ Other [ U u 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 ❑ Letter of agent IA baOb &W+tQ have retained Mark Clements DBA, Clements Marine Construction Inc, to make dpplication for any and all permits needed to start construction on the work requested for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way relieve me of any obligations to perform all work according to the building codes of North Carolina, CAMA, DWQ or any other state and or county ordinances. Prin nan Signatme date tJ-315. Contact information P) e- 12- 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFJC T10NMAI«R FORM Name of individual applying for perrrtit:�� ? �A Address ofproper-iti-: 7 � Pr". j M, K C Z qq) 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, should be provided with this letter.) �I have no objections to this proposal. If you have objections to what is being proposed, please Nvr-ite the Division of Coastal Management_ 127 Cardinal Drive Extension, Wilmington, North Carolina. 28405 or call (910) 395-3900 within 10 days of receipt of this notice. No r-esPonse is considered the same as no objection if you have been notified by Certified Mail WAIVER SEMON (Dees not apply to hulitheads or Hp rap) I understand that a pier, dock, mooring pilings, break -water, boat house, lift or sandbags 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. Sign ture ll rte Print Name ?-63- oy7f Telephone number with area code c I DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTI' OWNER NOTIFICAT] ONAVAIVER FORM Name of individual applying for pennit 1 I hereby certifi 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. should be provided with this letter.) �I have no obiections to this proposal. If you have objections to what is being proposed, please -,vnte the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or. call (910) 393-3900 within 10 days of receipt of this notice. No response is considered the same as rro objection if you have been notified by Certified Mall WAIVER SECTION (Does not apply to bulkheads or rip rah) I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access uWess waived by me. (If you wish to waive the setback, you must initial the appropriate blank belo«•.) I do wish to waive the 15' setback requirement !/, I do not wish to waive the li' setback requirement. rgnature hat-. Print Nam:; Telephone number with area code DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY WA"NER NOTIFICATIONMAINTR FORM Name of individual applying for pennit: e 1 e_ 5 Address of property: ZZZ3 NI, Ue S�trnne� i) 1 1tv_1 tY LYI k)C. 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, should be provided with this letter.) I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or, call (910) 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION (Does not apply to bulkheads or rip rap) I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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 beloiv.) I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. ,,'�igriature l llate Print Name g(c) a6' rp? o Telephone number with area code Ou) K he_cx6 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY QWNER NOTIMCAT] ONM AINTR FORM Name of individual applying for penuit: \ a ( " - A-i e Address of prop"-:_ ZZ23 /til i a 8 e- 54��^r"� �.Oe`l� J I,) : I tO)'`1 /'C l hereby certify that 1 .own propertt adiacent 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 dinnensions, should be provided .vith this letter.) V, ✓ I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Exteusion, Wilmington, North Carolina, 29405 or call (910) 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION (Does not apply to hulkheads or rip rap) I understand that a pier, dock, mooring pilings, breakwater, boat houselift or sandbags must be set back a minimum distance of 15' from my area of riparianaccess uWe'ss waived by me. (If you wish to waive the setback, you must initial the appropriate blank belmv.) I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. 21/,2 0,7 r- Signa re Date Print Nam: mod'/a 76 3- a y<7 f Telephone number with area code L—p Rd fil5 I I I I I I � I I rk k Q I� 1 � ` J Legend ----------------------------------------- ; -a- .Um r .=A J I cw�r suu T I 4 T P I ................... . ................. :/ ........... . . . .. . ... . ...... O t -. - - - - - - - - - - - - - - - - - - - - - ----'--- -- ------------------ 10, 11, 12, and a Portion of Lot 13 mEpE oa " WITH I of the Palmetto Bluffs Subdivision oundary Survey ^aL..m with Adiacent Lands 4.a. !E2z2 n wq (yvo— Mong °-tc. iVa o/ ,g� v I j a id giXgl s `l a2x8 , � 4 1