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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 u1�- ,� ❑ 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. - I 1 , f n ... 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 �t E v 0 L = v 0 3 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