HomeMy WebLinkAbout65110D - WilkinsonCAMA / ❑ DREDGE & FILL
�EI'VERAL PERMIT Previous permit #
Vew CiModification []Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources �(� ' ;�� •..
)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC i ulWes attached.
;I�larr,pjj(E, ] Project Location: County
;d Agent
❑ CW
❑ OEA
❑ PWS:
yes % no
State
IC'f Fax # (-)
EW
V PTA
f❑
❑ HHF
IH
❑ FC:
PNA
yes no
Project/ Activity
:k)
ngth
tuber
d/ Riprap length
distance offshore
uc distance offshor
cannel
bic yards_
np
ise/ Boatlift
ie Length
not sure yes
;s: not sure yes
rium: r n/a ' yes
yes
Attached: yes
ling permit may be r
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes % no
Street Address/ State Road/ Lod #(s)
Subdivision i`d A
City i' k (,�. ZIP
RL
River Basin �11'AL
Adj. Wtr. Body's nat r
Closest Maj. Wtr. Body t
ri
(Scale:
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
� v
Name of Property Owner: ---------
Address��Jof Property: rl n 5\-trN _
(Lot or Street #, Street or Poad, City & County)
Agent's Name #:\p tkC$ C-e:h t -�o`�l
Agent's phone #: \\Q;- M -,A -�t�`t S
Mailing Address:lD��� &ctC-\vA
C`_c,\Ts\e ch N.L 2 blQ+
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 descriotion 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 hwe been
notified 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 Own,r I formation)
Signeiture
�V�A
Print or Typ Name
\322� N , 2nc�
Mailing Address
r1�i e L 2- '7 SvI^1
City/State/Zip
(Adjacent Property Owner Information)
. ignnlru'e
LlaudG S. C�oe-
Print or Type Name
Mailing Address
a w Y' ( � -f- -f- e C -. 8`a 7-7
City/State/Zip
(70q)�8¢�-
NCDERR-
-hrient of 17 1-nvircsiment;-wd WAtnil Resotll*CGIS
North C�irolili,' Dep�ii
, - - t
F)iVi-,i0t-i
'at John F. Skvarla, III
Secielary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuHm
Date:
)me of Property Owner Applying for Permit: me of Authorized Agent for this project:
Nner's Mailing Address'.
-7,577
' ione Number'RVI ) 'ZLZ -- WAI
Agent's Mailing Address:
21614
(Vt-
Phone Number Pj&-) Ck-
:ertify 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):
ir my property located at iFs AT
iis certification is (date)
0--��perty Owner Signature Date
IC Divisaon of Coastal Mgt. Habitat Impact Computer Sheet
)plicant:
ate:
Permit #: �51 16 b
,scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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 Tina
disturbance.
Excludes any
restoration and/(
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Ot er ❑
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 ❑
Q1 L�0
same Marine Federal Credit Union
LLC Henry Von Murray III B of A
_ Andrew Bray
Mary Ann Tally
Inc Orton Plantation holdings, Allen's Creek Bridges First Bank
Thompson _ First Citizens Bank
Thompson First Citizens Bank
same First Citizens Bank
n Isame NC State Employees' Credit Union_
Joe Smith BB &T
Ruth Netherton & Vicki Jesse BB &T _
i Reaves, Corbett & Rowell Branch Banking and Trust Co
uction Inc Jim Tobin BB &T
3013 $200.00 GP 64617D
7366 $600.00 GP 64618D @$200
_ GP 64619D @$200
GP 64620D $200
45408 $250.00 major fee, BrCo
3322 $100.00 minor fee, NTB 15-12
3323 $100.00 minor fee, NTB 15-13
1511 $100.00 mod fee, 199-87 check returned 5/7/15
2806 $200 00 GP for Jordan _
19291 $400.00 GP 65138D
4488 $200.00 GP 64603D
4629 $400.00 GP 64604D
1911 $200.00 GP 64607D
7151 $400.00 _GP 64605D @$200
GP 64606D (d$200
1895 $200.00 minor fees, SC 12-11 & SC 15-12 PNCo
1922 $100.00,minor fee, SC 15-13 PNCo
7196 $100.00 minor fee, NTB
G. Farmer Eric & Christi McComb IBB &T
Harriett Howe
itments LLC Lot 11 & 12 Peninsulas BB &T
stments LLC Lot 15 Peninsulas BB &T
_ Allan Funk TO Bank
same electronic transferfinvoice
LC Bald Head Island, Palmetto Bridge B of A
Ialfis Eagle's Watch HOA PNC Bank
same First Citizens Bank
190 Yacht Watch, Holden Beach BB &T
Lynn & Michael Seel B of A
fiction Inc Dorothy Medlin First Citizens Bank
n Priscilla Clark BB &T
an Charles Darsie & Sandra Cook NewBridge Bank
ction LLC Thomas Young CremCo_m Bank
Rick Billings
<apkowski, Ronald William Yanlandingham BB &T
,LLC Robert Lakey B of A
h same — Branch Banking and Trust Co
same Four Oaks Bank
same PNC Bank
Walter Barton_ First Bank
nswick Co Inc Fairmont I BB &T
- Marlin - -- ---- — ----
Wilmington St. OIB
576
$100.00
renewal fee, MP 65-10
_
5054 $400.00
major fee, BrCo
renewal fee, MP 120-08
3859 $100.00
6653 $400.00
NOV 15-07D
GP 64625D
minor fee, 3674 Island Dr. NTB
GP 64621D
GP 64624D
3386 $600.00
7040 $100.00
3798 $200.00
1176 $200.00
6162 $200.00 GP 64609D
2098 $400_.00'GP 65186D @$200
GP 65194D @$200
5007090239 $400.O0 GP 65195D
7431 $200.00 GP 65148D
68435 $475.00 major fee, OIB Shoreline Protection Project_ _
4402 0.00 major fee, BrCo _
$25
101220 $200.00 GP 64626D
3726 $200.00 GP 65196
10323, $600.00 GP 65200D @$200
- i GP 65110D Q$200
GP 65199D @3200
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FLIA
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U.S. Postal Service,
CERTIFIED MAIL,,., RECEIPT
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For delivery information visit our website at www.usps.com;.
iMWA
Postage $ � 0450
I— �i.49
Certified Fee
9 04 Postmark
7 Return Receipt Fee Here
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7 Restricted Delivery Fee
7 (Endorsement Required)
jTotal Postage & Fees $ 04/15/2015
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cLR7 Frr,1C1AL U S E
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C:3 (Endorsement Required)
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(Endorsement Required)
O
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� Total Postage R Fees Is
O 11 rr
Sent
rq:1r.
------- .....
ED orraet (�(�
or PO 1.Q .�,1_!___ `_ _w
� 1t 'l�L 2-�• 51
rr. See Reverse for ln,-x
('waits
MHCDO
Tyler Crumbley
LPO
Review
E�l
DW
ilete items-1, 2, and 3. Also complete
I if Restricted Delivery is desired.
/our name and address on the reverse
it we can return the card to you.
,1 this card to the back of the mailpiece,
the front if space permits.
Addressed to:
A. Signatur
El Agent
X� ❑ Addressee
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D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
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4, Restricted Delivery? (Extra Fee) ❑ Yes
Number
;fer from service label) 7014 0510 0001 9271 8787
n 3811, February 2004 Domestic Return Receipt
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item 4 if Restricted Delivery is desired.
■ 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,
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1. Article Addressed to:
CCU F� U�c\hcx�n L�
2—i5 n
102595.02-M-1540
A. Signature
❑ Agent
? al_ ❑ Addressee
B. Received dy ( Printed Name) C. Date of Delivery
0 a 1^D/u u�
, /'jL T4A'-
D. Is deliver/address different from Rem 1? ❑ Y6s
If YES, enter delivery address below: ❑ No
3. Service Type
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❑ Registered jptReturn Receipt for Merchandise
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4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 014 0 510 0001 9271 8794
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540