HomeMy WebLinkAbout66133D - OceanaAMA / 13REDGE & FILL A B
iEN ERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
,zed by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (1 Rules attached.
ff pp !! (J ( �o ICt�� iri' j 1�
Name
�rV�e' Project Location: County �
UY�Ni►(�t.
I t `rnA3
Y Street Address/ State Road/ Lot #(s)
F; State_ ZIP2_t'663
(V_) _913 E-Mail __ Subdivision 1� r t
ad Agent i± �� 5 City ax, It t. - ZIP �1
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❑ CW XEW (PTA ❑ ES ❑ PTS �he e *r f'-1J� , ��+,�(u River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body c" V J (nat
❑ PWS: 1W lk)
Closest Maj. Wtr. Body
yes /(no PNA yes / ro
Project/ Activity
(Scale: `
ck) length
atform(s)
Platform(s)
)ier(s)
:ngth
amber
Id/ Riprap length-
g distance offshore
ax distance offshore
hannel
I�
--
I
Ibic yards
mp
,
use/ Boatlift
Bulldozing t
4TJ�
i '
ine Length Jv
not sure yes n
i
:>rium: n/a yes o
r Attached:
ding permit may be required by:
. 1 .. 1 Dhnninn L,ricriirtinv",l i.
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10/20/2015
Antinon Construction Inc
I Roger Lewis
B of A
3880
$400.00
GP 64767D + GP 66
___
10/20/2015 1 Custom Island Homes by Ken Kiser LLC I Ken Kiser
10/20/2015 __Custom Island Homes by Ken Kiser LLC Ken Kiser
10/20/2015 Custom Island Homes by Ken Kiser LLC Ken Kiser _
0/20/2015 Custom Island Homes by Ken Kiser LLC Ken Kiser
0/21/2015 Money Order for Brandon Grimes Scott Pindell _
rIO/21/20151Money Order for Brandon Grimes Scott Pindell _
10/21/20151, Clements Marine Construction Inc Vern Hawkins
10/21/2015 Ocean's Edge Ventures LLC Margaret Ann Maida, LT
10/22/2015 TRCK same
10/22/2015 Town of North Topsail Beach same
10/22/2015 Allied Marine Contractors LLC Becky Olbrych
10/23/2015 Grice Construction Barry Wishon
10/23/2015 Holden Docks and Bulkheads John Kozak
10/23/2015' JRW/RDW Inc Rick West
I
CresCom Bank
CresCom Bank_
CresCom Bank
3844
3845
3846
_
$400.00
$400.00
$400.00
major fee, 7404 E. 8
major fee, 7406 E. B
major fee, 7408 E. B
CresCom Bank
3847
59183420318
59183420329
3933
6777
$400.00 major fee, 7410 E. B
$400.00 GP 66167D @$600
$200.00'GP 66167D @$600
$250.00 major fee, 202 Kings
$600.00'GP 66131D
Wells Fargo Bank
Wells Fargo Bank
First Citizens Bank
BB &T
BB &T
1529
$100.001 renewal fee, MP 674
First Citizens Bank_
40151 $400.00 GP 6611 OD
7923 $400.00 GP 64772D
10616 $400.00 GP 66132D
2286 $2'
00.0066135D
B of A
_
BB &T
CresCom Bank
First Bank
1180 $200.00
GP 66133D
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MC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: rr�� I lnvt�w4s U Permit
Date: ' ` w Y W"Y
11\\ r
Describe below the HABITA disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
Dredge ❑
DISTURB TYPE
Choose One
Fill ❑ Both ❑ Other
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
15�
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/ortemp
impact amount)
I ✓ �.,
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts}
FINAL feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
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 ❑
4Dr�edge[]Fill
❑ Both Q Other ❑
Dredge 0
Fill ❑ Both 0 Other ❑
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 91 1 s
Name of Property Owner Applying for Permit:
Mailing Address:
_T7 5fAotc 1,)�) <sr-
A5tkej,4,—, me 2ZPd�
1 certify that I have authorized (agent) � to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 0, `
at (my property located at)
This certification is valid thru (date)
n..6-
/-5
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
(Address, Lot, Blockyoad, etc.)
on , in (� t /i / Q y .C.
(Waterbody) (City/Town and/or County)
's
of Pr perty Owner)
y l (f> -*%--"` c C
Tt(e appli rit as described to me, as shown below, the development proposed at the above
location.�J V L I ave no objection to this proposal.
J-
/.,I have objections to this proposal.
ION AND/OR DRAWING OF PROPOSED DEVELOPMENT
development must fill in descriptionslow or attach a site drawing)
eQ 4 ,, ( -,
3A'�C"
* � )eO461't- F1,
vA
WAIVER SECTI N
I ur)OerstandNhat a ier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
mustbe set backpnminimum distance of 15' from my area of riparian access unless waived by
/ me. (If you wish to 7
aive the setback, you must initial the appropriate blank below.)
I do " h to waive the 15' setback requirement..
V N I do) of to
to waive the 15' setback requirement.
(Property Owner Information) - (Adjace It Property Owner Information)
Si re Si nature*
Print nr vna Namd Drint nr Tvnn Almc
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that t own property adjacent to
property located at
C
e ofPr perty Owner)
I_
(Address, Lot, Block,Road, etc.)
on , in < /V Q � 2 C
(Waterbody) (City/Town and/or County)
Tl�ie applika"ht Oas described to me, as shown below, the development proposed at the abw
locatioru
Dave no objection to this proposal.
y
J have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individualpro ing development must fill in description e/ow or attach a site drawing
)t t4,5
�2 I T> � J i-� 7 Y-
L L�
WAIVER SECTION
I urtderstand�that a ier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or gro
must be set back minimum distance of 15' from my area of riparian access unless waived t
me. (if you wish to waive the setback, you must Initial the appropriate blank below.)
I do , h to waive the 15' setback requirement.
I do,, of wish to waive the 15 setback requirement. ) ,.
(Property Owner Information) - (Adjacent Property Owner Information)
St ure M L- J Si�{ tore* A