HomeMy WebLinkAbout64786D - Saunders
8/21/2015 NC Baptist Assembly —
6/21/2015 Johnnie S Hawkins Jr
8/21/2015 John King
- --
f_ -- GP 64740D @$20
I g p y $100.001renewal fee MP 3
0
John Aldridge for NC Baptist Assembly First Citizens Bank 5436� -
SpeCialty River Woods Go Steven Woodcock Wells Fargo _ 393 $400.00 major fee, 1 mile o
Butch Saunders NC State Employees Credit Unior _ 1428 $200.00 GP 64786D
NC Division of Coastal Mgt. Habitat impact computer Sheet
Applicant: Ro-�d-t �Cl eget- S Permit #. g(
Date:
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)
G 9
36
FINAL sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
.364
Z Z 2-
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Peel
(Anticipated final
disturbance.
Excludes any
restoration and/o
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other X
e j
Dredge ❑ Fill ❑ Both ❑ Other*
Dredge ❑ Fill ❑ Both ❑ Other x
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 ❑
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NCDENR
North Carolina Department of Environment and
Division of Coastal Management
it McCrory Braxton C. Davis
aovemor Director
Natural Resources
John E. Skvarle
Secretary
AGENT AUTHORIZATION FORM
Date:) —wan
'ne of Property Owner Applying for Permit: Name of
} /
o�fAuthorized Agent for this project:
'ner's Mailing Address:
:n
►
1 ��i L
.�i�.• ► . , .:
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k[.r
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me r _L
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Agent'sMailing Address:
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WON MIA RMINIUMIN- --- wr
Email:
:rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
my property located at
s certification is valid 1 year from (date) ]��ti� 1i2 bl�
ADJACENT RIPARIAN PROPERTY ONVNER STATEMENT
(FOR APIER1A100R1, GPILINGSIBOATLIFTBOATHOUSE)
I hereby certify- that I own property adjacent to Ov M 3& w )�Z7
(Name of Property, Owner ,_..
property located at
'(Lot Block, Road, etc.)
on �V �2,� ( , in , N.
1,114
(Waterbody) own and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I hav(
no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be sf
back a minimum distance of fifteen feet (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 not wish to waive
_ I do wish to waive that setback requirement.
---------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
RAMPS
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in 'A
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington,
DCM representatives can also be contacted at (910) 796-7215.
No response is considered the same as no obiection if you have been notified by Certified Mail
(Information for Property Owner/Applicant p T--) (Riparian Property Owner Information)
Applying for permit)
1 o E., 3Mj WwBiE 1 c,
Mailing Address
Sio ati
��r�i C`eC��rrticrry
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER Ji 100R1VG PILLNGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to� S
t , (Name of Property Q,,ypep), ,
property located at
r _ _ rr-,, _ �l (Lof Block Road, etc.1 /
on LV C�tc � I��� In ,\� � +0Pj0V e` Cluj 1 7 , N.(
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location, and, I have
no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be se
back a minimum distance of fifteen feet (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.)
do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
M D Vag`" I.. (,ef-f 5�— PLPOO
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in w
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est. Wilmington,
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
(Information for Property Owner/Applicant N„ NT) (Riparian Property Owner Information)
Applying for permit)
Mailing Address
Sio att
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (hlJfCH , 6Ai).1)i»F,� L) I
property located at LJ,)T�1Z&<. f- �(t� /�;(1_w ' 1b�) M( �—, qj I
_ (Address, Lot, I ck, Road, et .)
on � ILA I� �tl{ in 0? i-i � 0 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
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 drawing)
NEW 6DQs-Mnn k) OF- 3UM%. ARYA , Psi
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RECEIVED
DCM WILMINGTON, NC
S E P 1 7 2015
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.
(Prop e Information) (Adjacen P perty Owner Information)
Si ture Sign ure
Print or Type Name Print or Type Name
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to hum" _' AUJ)'!2 R6 's
. — I` _ n „ _ . _ , (Namq otProperty- Owner) _
property located at
' (Address, Lot Block, Road, etc
on TZ d2tc- in �y ;-1�41�i1t) � , N.C.
(Wa erbody) (City/ o ran and/or County)
The applicant has described to me, as shown below, the development proposed at the above
10 ation.
�/ 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 drawing)
�-F 4) DJ 5NJCUT010 OF AQiA I P-TE R Y-CuakiS
- fPA i'ul4 WeX I MN�P, AW KYFF i ON UT
►REGEi/ED
DCM WILMINGTON, NC
S E P 1 7 2015
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.
Ci I do not wish to waive the 15' setback requirement.
(Pro ert rmation)
J�IIAAV (A6-DJT)
Si tur
LTA
Print or Type N
�-,., .� nc���n.r�.r�►ti^_ ern
(Adjacent Property Owner Information)
Signature
Print or Type Name
MDry �RWT--CT
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RECEIVED C
DCM WILMINGTON, NC
SEp i 7 2015
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RECEWED
DCM WILMINGTON, N
`DPP 1 7 2015
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