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HomeMy WebLinkAbout66132D - WishonCAMA / ❑ DREDGE & FILL i' A B IENERAL PERMIT Previous permit# New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources in of environmental concern pursuant to I SA NCAC oastal Resources Commission an area Rules attached. Name f �1 C 11 Project Location: County U 1�y 1 J- 'f 2 '� I (,y ` !� i v Street Address State Lot #�sl) C - � f 1 k State C ZI P �J �F S (Road/ Ll t )�tt.J` �i�� 1 `J �'�- 4 +►��t'. , q I) 'LSE -Mail Subpdivision Vl ed Agent y city ZIP CTL ❑ CW DEW ❑ PTA )S XPTS hCC7 River Basin ! ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body i ° Y I Ll � (nat ❑ PWS: Closest Maj. Wtr. Body yes / no PNA yes / no L ' Project/ Activity ck) length_ atform(s) _ Platform(s) :ngth tuber d/ Riprap length C) g distance offshore ax distance offshore__ hannel I_ ibic yards mp use/ Boatlift 3ullddozriing� ,� p ne Length not sure yes no )rium: n/a yes no yes' no Attached: yes no ling permit may be required by: I nral Plannino lurisdictionlx i I i ..,. Wk, (Scale: (/ ❑ See note on back regarding River Basin 10/20/2015 Antinori Construction Inc Custom Island Homes by Ken Kiser LLC Custom Island Homes by Ken Kiser LLC Custom Island Homes by Ken Kiser LLC j Custom Island Homes by Ken Kiser LLC ;Ken Money Order for Brandon Grimes Money Order for Brandon Grimes Clements Marine Construction Inc Ocean's Edge Ventures LLC TRCK Town of North Topsail Beach Allied Marine Contractors LLC Grice Construction Roger Lewis B of A MID _$400.00 GP 64767D + GP 66' 10/20/2015 10/20/2015 10/20/2015 10/20/2015 10/21/2015 10/21/2015 10/21/2015 10/21/2015 10/22/2015 10/22/2015 10/22/2015 10/23/2015 Ken Kiser CresCom Bank Ken Kiser CresCom Bank Ken Kiser CresCom Bank Kiser CresCom Bank Scott Pindell Wells Fargo Bank Scott Pindell Wells Fargo Bank VernHawkins First Citizens Bank Margaret Ann Maida, LT BB &T same BB &T same First Citizens Bank Becky Olbrych_ B of A _ Barry Wishon BB &T 3644 $400.00 major fee, 7404 E. BE 3845 $400.00 major fee, 7406 E. BE 3846 $400.00 major fee, 7408 E. Be 3847 $400.00 major fee, 7410 E. BE 59183420318 $400.00 GP 66167D @$600 59183420329 $200.00 GP 66167D (d$600 3933 $250.00,majorfee, 6777 $600.00 1529 $100.00 40151 $400.00 202 Kings s GP 66131 D renewal fee, MP 67-0 GP 6611OD 7923 $400.00 GP 64772D 10616 $400.00 GP 66132D 'NC Division of Ceastai Mgt. Habitat Impact Computer Sheet Applicant: Permi Date: I O n n l Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance I disturbance. Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and(or temp restoration or temp impact temp im acts) impact amount) temp impacts) amount) Dredge [I FitBoth ❑ Other ❑ 56 5 Z) 5 Dredge ❑ FII06 Both ❑ Other 0 O Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ --------------------- Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both �] Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 'at McCrory Braxton G Davis Governor Director John E. Skvarla, 11 Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUKnn Date: D �� ime of Property Owner Applying for Permit: Name of Authorized Agent for this project: 40 A) Nner's Mailing Address: 7,;�1,�. A 0A11-5 �k IZ4Lt A-)C 2-7�,/ 5 lone Number PY1 ) 34.9 ,$Z$ Agent's Mailing Address: 4, zit C�zu6 \ Dc- u� Phone Number io G7Ct _°I(�QS— .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): <1 Rk_� \,-� Y-,\- '� c ►r my property located at its certification is valid thru (date) U1S,,,JrN grv%V ��'Loy 1�tJ�2 o lS Pr rty Owner Signature Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner Address of Property: �I-�D 6Gcr, 5; - SrJMSe`T bee_ . J C -(Lot or Street #, Street or Road, City & CounI91 Agent's Name X 6; r1 t e a15' c iM Mailing Address: �(� 19 6e-1-4 y/Z Agent's phone #: G to - 5 7 q .- TO `(S D( ek yr s le 1Se ti L Z R (o'f 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 dgsoriptiao or dt®wipg with d manikme must t 'aroyided,Mh this letter. have no obiections to this proposal. I have objections to this proposa). 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 represontsWes can also be contacted at (910) 796-7215. No response is considered the same as no objection if you to" been notifiod 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. (Prop rty Owner Information) _ I�IZlZ`P �Isi,o Print or Type Name 7 ?- t 2- MAN as Mailing Address k A t (6 u A/r'_ Cily/StatelZip _91g 3+9 82-87 djacent P operty Owner information) n Signattu•e �t n r) 1� Q rrQ l l Print or Type Name J 1 S s�q"t--r;sA Mailing Addresis ,, 1 City/State/Zip q �v - 5 7 9- 1 �q L-3 CERTIFIED MAIL . RETURN RECEIPT REQUESTED ADJACENT RIPADIVISION OF RIAN ROPERTOYAOWNER NOTIFICATION/WAIVER STAL MANAGEMENT FORM Name of Property Owner 1�> n (N —.— Address of Property: S -} 6,-t AJ C Z g� /' (Lot or Street #, Street or Road, City & Counfyy Agent's Narne #: (� i1 (e tn�-'� Mailing Address: Agent's phone # G 10 — S 7 q _ (D qjr Q L e 15 /U C, z g (o 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 windrawing the development they are proposing. A Cam' Iptl, on or drag with dimenoions mtrgt be provided with this letter. I have no objcctions 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 mai Manageledment (DCM) in writing within 10 days of receipt of this notice. Correspondence should be to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DC M representatives can also be contacted at (910) 798-7215. No response is considered the same as no obNec60111 If you hire been notified by Cert/flea► 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. 1 do not wish to waive the 15' setback requirement. (Prop rty Owner Information) S�g�ru/pre l�iZl2'f �►SifL� Print or Type Name .- l Z /V) t4�y a,a Ny-3 2 j2 Mailing Address ���r✓r�� /vC z-7 6l5 ;ity/State/Zip 17 3`�9 8Z8 9 `(Adjacent/Property Owner Information) �/ �/L�CLt,CL /(/d2iLGd Signature &1*va Nol-nJ Print or Type Name /1 attet-i& 'dace Mailing Address Doolislgtool, TA 19335 Cify/State/zip 610--5Y7-1256 ,r --_• r _ -�euC- 61d ae\K1�w�l -•,e,-��\I np..; �DqW-heuc� -121Z C7�a�o�Da�4S �- �q� e�oh N C 2-1(015