HomeMy WebLinkAbout66112D - Oiutlaw��vkT�w
'.FAMA / ❑ (; DREDGE & FILL i o u L ,6
aENERAL PERMIT
New ❑Modification ❑Complete Reissue El Partial Reissue
A
Previous permit #
Date previous permit issued
-ized 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 `
r / f � , �� � � ❑Rules attached.
t Name X 1 N6 V t t�1/1 Project Location: County
Street Address/ State Road/ Lot #(s)
.,rr.✓f State ZIP
E-Mail Subdivision
ed Agent
❑ CW
0 EW PTA
❑ OEA
❑ HHF ' ❑ IH
❑ PWS:
yes /, rio
PNA ;yes no
Project/ Activity
A) length l0 k S
�tform(s) ! �}�
Platform(s)
%th
nbbr
I/ Riprap length_
distance offshore
x distance offshore
annel
sic yards
ip
se/ oatl
city I've- {4 7aas-s1,' ZIP 2 ry
❑ ES ❑ PTS Phone # ( ) River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body ? 0 h - nat r
Closest Maj. Wtr. Body 'l" ✓ n Py
■■■■■�■■■■�! ■■■�■� I■■■'3�Z/■Ir! 7!■■■■■
■■■■■■■■■iJ&'!/L afdlYil�1■� Imo!■lil�■i■■tl■r!■■■■
Noll
No
ME
NEEon
■iw■■MNOW "■■■■■■■■■1■■■■i■1■
M I W ■
7/2015,
9/18/15
John Clawson same Citizens Bank
Francis and Ann Prior same PNC Bank
—-
Construction LLC Thomas Fitzgerald BB &T -
H5 Construction LLC Bill Sewell BB &T
F and S Marine Contractors Inc Brook Taube PNC Bank
—
Jeffery and Cindy Youngsame First Bank
---
American Marine Construction First Citizens Bank _
Mark L. Dalen StapletonBB &T
Jennings and Julie Outlaw same Wells Fargo
3506
720
$300.00�GP 64�atlu 5e87
$200.00'GP 66105D
—M 15
9/18/15
7/2015
9/18/15:H5
1306
$200.00 GP 84793D
$200.00 GP 64794D _
$250.00 major fee, 29 Sal
-
$644.00NOV 15-11D $21
7/2015
k-9/21/2015
9/18/15
1307
8/2015
4818
_
2015
86008
$200.00
GP 65024D
1/2015
9/21/2015
2467
$200.00
GP for 3 Fairrnor
9/21/2015
6935
$200.00
GP for 505 Trade
a�
O >
Y Q i � -_
---
v —
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: ) -e 0 to c Vl W U
Date: [ b _ ( — (''-
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
F
(Applied for.
(Anticipated final
(Applied for.
V
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di
Habitat Name
Choose One
includes any
Excludes any
total includes
E.
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
temp impacts)
impact amount)
tem im acts
ai
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 0 Both ❑ Other ❑
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to b •(bJ&D/t
property located at ( (Name Property r)
on (Address, Lot, Block, Road, etc.) /_
(Waterbod in /L c^► ` 7�� ( f�v �v` N.C.
y) (CitylT wn and/or County)
The applicant has described to me, as shown below, the development proposed at the above loca
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 drawinc
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w,
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)
(Adjacent Property Owner Information)
ignarure dui w
h i xw D e/�f' .Soh l., /te��(e✓ 1- I�
Print or Name hrl�� fie
,S`y e-> X' o c �' f� Print or Type Name
A/nilin Arm DQ z V �/ C, R .-
ADJACENT -RIPARIAN PROpEgTy OWNER STATEMENT
I hereby certify that I own property adjacent to &".b of,
`-; ; 0�aw of Property Owner) — property located at T ' - . LJ 1 � 5
on (Addmm kat. Block, Road, etc.)
(Waterbod , in _ N T j ��- l N. C.
y) (CltyrTdwn and/or County)
The appli nt has described to me, as shown below, the development proposed at the above local
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 aftach a site drawing
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
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) (Adjacen r Owner Information}
I�
' tore / *oT�n t or Type Name y1 'f its- C t.re jqme,, k_ 1 C"jl z �..1
_
64Q.� Aes le �
kl-Y Sfx / en e i
Domestic Mail C
� .Fordeliye�y,in#4rrK
ao ICertified Mail Fe7e//�
ED
ul
r-q
E3
Iti
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
zic
II I'III'I I'll I'I I� I Il I II l II�IiI I I I (' III l I I I III
9590 9403 0113 5077 0913 57
2. Article Number (Transfer from service label)
PS Form 3811, April 2015 PSN 7530-02-000-9053
yTr ,{�
?�
❑ Agent
❑Addressee
B. Received by (Printed Name)
no,,)
C. Date of Delivery
D. Is delivery address different from item
1? El Yes
If YES, enter delivery address below:
❑ No
3. Service Type
O Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
0 Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation"'
❑ Insured Mail
El Signature Confirmation
G Insured Mail Restricted Delivery
over krinn)
Restricted Delivery
Domestic Return Receipt
J?C�, 13ox
13L) �-Jc)f),
1"T - r1
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner &
Address of Property. -
Agent's Name #:
.Agent's phone #:
(Lot or Street #, Street or Road, City &
n �s_ D� the P,-/
Mailing Address
mlyI 5?A S' a a_., C04 h 7 .
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 noted 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)
n7
' tii�ntltitre
Print or Type Name
(Adjacent Property Owner Information)
.Signature
Print or Type Name
SG�1iSSf,c)k& a
Mailing Address
Mailing Address
"i:
<:
�.
�.
� �-
,,�/� tT `� ` �✓
..
I
��
t �
_ --_-�
__
� ��'� ,er � � E
%�
t � �, '
1 � _ �l% �
�'�',
E s j
� '' _.� a
--
F
Kry�fa �e.��
I
33
r el
Kt'y sl�