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HomeMy WebLinkAbout64607D - TobinfiAMA / ❑ DREDGE & FILL 64 3ENERAL PERMIT Previous permit # New 'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -ized by the State of North Carolina, Department of Environment and Natural Resources - 0 :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (^� jIj �` , VO Rules attached. t Name al I f�. tt Project Location: County iJY ll)k SS v ILi,. a VI W� (/ Street Ad ress/ State Road/ Lott #(s) State ZIP (o I L� � um W ✓ I(to ll `4 )' C • Z Fax # ( ) Subdivision ed Agent ! x U1 Vak Y, MA A' Aj Pty 11 ct ZIP L1( ❑ CW;Kew'KIPTA ❑ ES ❑ PTS Phone # (� I LI 5 yt C)`d River Basin (_y ► , ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body t., *1 LC( (nn ❑ PWS: ❑FC: yes no PNA yes / io Crit.Hab. yes /�� Closest Maj. Wtr. Body Kt ww ' Project/ Activity u i (Scale: ck) Elf= ngth tuber d/ Riprap length g distance offshor _ uc distance offsho cannel bic yards np ise/ Boatlift X ,ulldozing J— ie Length notsure yes ;s: not sure yes rium: yes yes Attached: /~yes ing permit may be r 2015 518/15 Allied Marine Contractors, LLC 1 Henry Von Murray III es a A _- Andrew Bray Mary Ann Tally �5/ 1120 5/8/15 Land Management Group, Inc Orton Plantation holdings, Allen's Creek Bridges _ First Bank 5/6/2015 5/8115 Eastern Builders Inc Thompson First Citizens Bank 5/6/2015 5/8/15 Eastern Builders Inc Thompson First Citizens Bank 5/1/2015 Bald Head Island Ltd. same First Citizens Bank 5/7/2015 Don B. or Connie C. Jordan same NC State Employees' Credit Union 5/8/2015 Wayne Smith & Son, Inc Jae Smith BB &T 5/8I2015 Ricky Hewett construction Ruth Netherton &Vicki Jesse BB &T 5/8/2015 Ricky Hewett construction Reaves, Corbett & Rowell Branch Banking and Trust Co 6/8/2015 Backwater Marine Construction Inc Jim Tobin BB 8T " """ "" — " — V GP 64619D 0 454oe 3322 3323 1511 2806 GP 64620D $250.00 major fee, Bn $100.00 minor fee, N1 $100.00 minor fee, N1 $100.00 mod fee, 199 $200.00 GP for Jordai $400.00 GP 65138D 19291 4488 $200.60 GP 64603D 4629 $400.00 GP 64604D 1911 $200.00 GP 64607D NC Division of Coastal Mgt. Applicant: d ►��/ 1 Date: Habitat Impact Computer Sheet Permit # 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) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fina disturbance. Excludes any restoration and/c temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other 3Z �3 Z 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 1f • NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director AGENT AUTHORIZATION FORM Date, —April 20, 2015 — Name of Property Owner Applying for Permit Jim Tobin Owner's Mailing Address 913 AshlaodAdjtLCt__ Raleigh, NC 27617 Phone Number L.9J.I3_8976243,____. Dee Free Secif Name of Authorized Agent for this project: Agent's Mailing Address. a Phone Number CYIL,) 41q3 /ffc;/ I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity) Modify existing dock on our canal and install a boat lift (my property located) at 21 Cumberland Street, Ocean Isle Beach, NC 28469 This certification is valid thru (date) October 31, 2015 4/20/2015 Q Pro erty Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to Jim and Kathy Tobin s (Name of Property Owner) property located at 21 Cumberland Street (Address, Lot, Block, Road. etc.) C 13 in Ocean Isle Beach N C on ana _ (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development propose at tha above location �f have no objection to this proposal I have objections to this proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing developrent must fill in description below or attach a site drawing) Attached WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of ' om my area of riparian ruts blank below access unless waived by ire. (If you wish to waive the setback. yo ust Initia the app p 2J L- I do wish to waive the 15' setback requirement, do not wish to waive the 15' setback requirement (Property Owner Infor^"-"% (Adjacent Property Owner Information) Jim Tobin Print or T e Print or Type game ` / �'p Name 2 Cv4 OGA g S V--!_-LL —V4 t l A y ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at on Canal 21 Cumberland Street (Waterbody) Jim and Kathy Tobin s (Name of Property Owner) (Address, Lot, Block, Road, etc.) in Ocean Isle Beach (City/Town and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above location. X-"-, ave 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) Attached WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back minimum distance of J,9LftQM my area of riparian access unless waived by me. (If you wish to wai, the setbac , yo ust Initia the appropriate blank below.) --45�rJo wish to waive the 15' setback requirement. �Y VM dY'hti✓ S � I do not wish to waive the 15' setback requirement. W-) A � t' (Property Owner Infor—#;^^` Signature Jim Tobin Print or Type Name InQ1q Achland Mill rt (Adjacent Property Owner Information) 6 ,S'ig►urRri•c SG+M Y-.� Sir, Print or Type Name 3LN3 1'�)vr y ull�llilll�llilll0,� _ - _ ---- - - WIS. 1tt 1 � I 4 l l � t I cumbvi"s6aJ v - v i l r/ (i I • ly d71