HomeMy WebLinkAbout63178D - BishopICAMA / ❑DREDGE &FILL 63
'ENERAL PERMIT Previous permit#
New DModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued Ar`Z`
-ized by the State of North Carolina, Department of Environment and Natural Resources
;oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Name l /(T %� <<J'�( ��/L a.ItP ❑Rules attached.
(C:�;;Z1 Le--t-JotNE- 9J->
]nLk 0 115N-jam State N C_.ZIP Z%Ma
Fax # ( )
ed Agent
❑ CW ,N}EW NWA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑FC:
y' ee / no PNA yes ,C no) Crit.Hab. yes /!fits
Project/ Activity
:) length
(s)-p 6, 1,
igth
nber
I/ Riprap length
distance offshore
x distance offshore
annel
)ic yards
ip
se/ Boatlift
illdozing
S-
Length
not sure yes 6P ..
not sure yes 10
iurn: n/a yes no
yes
\ttached: C Ail
ig permit may be required by:
N
Project Location: County 7 ratF-1-+C�xir✓
Street Address/ State Road/ Lot #(s)
1 Sz 1 KIN&S. c,A,,Jo,NJ
Subdivision
City _ ZIP Z )S4q
Phone # ( —'11 River Basin C-FIG
Adj. Wtr. Body P� I Vv N (nat aY
Closest Maj. Wtr. Body Tbel: " I C— Soomp
(Scale: ' f z i
❑ See note on back regarding River Basin ri
Christopher Bishop
4741 NE 22nd Ave
Lighthouse Point, FL 33064
3079
63-643/670
�GQ 201%
ORDER OF V
D oT.i.ARC 6 a
Wachovia Bank, N.A.
Miami, Florida
1-800-735-1012
FOR Rr-- / 0� O-4 �n to f � NP
C Division of Coastal Mgt. Habitat Impact Computer Sheet
olicant: 1` 5 �'S (, Permit #: (p
te: C�
q h I
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremenl
ind in your Habitat code sheet.
Ditat 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/,
temp impact
amount
D W
Dredge ❑ Fill ❑ Both ❑ OAr
co,
cp
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 ❑
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
kQA1
Property Owner Signature
'may ly
Date
!' Q A / ❑ DREDGE & FILL N? 4
3ENERAL PwEAMIT Previous permit # 4*
_New Modification VComplete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources —7 f
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /
^-xRules attached.
it Name I.A I C l l+E11 CAiJ to l)tJ Project Location: Countypu�---
52Z$ Lj}WTAni, & L,14 Street Address/ State Road/ Lot #(s) LOT t 6
NiL Aifti T AJ State NC— ZIP 'Z '54111 1 C5`ZA t- N&S WJ.
(�tIC) t4tc Fax # (_) Subdivision
LC►�J.V, 4 f�
14-
ted Agent �;� t<s _city_ Sii�-ram zIP_?X
❑ CW l t�PTA ❑ ES ❑ PTS Phone # ( ) __.. River Basin e'-%VC.
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body__�� I, V` I't" ai"` r
ElPWS: ❑ FC:
yes /tKo� PNA yes /C' Crit.Hab. yes i no Closest Maj. Wtr. Body�L—
f Project/ Activity M i Vfi-z at CJ1 iN 1 L._t�L-7if� fZ� f� 1� � .2. - E
rck length —,,'I Lto " (c-
n(s) iC f
)ier(s) + C
ength
-
amber
d/ Riprap length
g distance offshore
ax distance offshore (l
hannel
t � �
bic yards r
?1 H-�Z a 1fi np
ise/ Boatlift
r
,ulldozing
?, c-,?6ujy
ie Length 5C i'
`iJ
w
(Scale: ('
ti
not sure yes ._
;s: not sure yes
ium: n/a yes now
yes l7
Attached: no
15Z /
ing permit may be required by: POIi 013z- See note on back regarding River Basin rV
I
0
�-- 14*�, yl"i, 'rv- �P-mf*"r/ I /- �,-- -/ *,
7.,VuW--7,y ,V� cr/YT t
VAN
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
Property Owner Signature
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORrNG PILIArGSIB/O'ATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to C�1 !I sfoo A 0 il, A t 's
(Name otProperty Ovcner)
property located at 15,91 /< Z IVY S L!a 1�,QI G ED L dT 16 ,
(Lot, Block, Road, etc.)
on rt f C (�l . in Gi ►1'l S�Qa C� , NKC.
(Waterbody) (Town and/or County)
Applicant's phone #:
q/G- KV-12bZ
Mailing Address:
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 / boatiift / boathouse
must be set 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 DRA«%ING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
/J �2 / k/A/Cj s U Y1 V j1 lam_
1 ailing Address J
(Riparian Property Owner Information)
Signature
>1
►MA / ❑ DREDGE h FILL N?
G E N E RAL PERMITEPrevious permit # *~
❑
❑New Modification Complete Reissue El Partial Reissue Date previous permit issued_-46;,
iorized by the State of North Carolina, Department of Environment and Natural Resources I.-
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC j-� o I ZC7(]
(Rules attached.
irrt Name )�/� I C i-1-i4i�1, �'/a 1�+n (jam Project Location: County_ pas)r��
is'522g LAn i�1 iv[ L-l� j Street Address/ State Road/ Lot #(s) LT 16
IN1L.(Vl11.)�MAJ State N(-- ZIP 2 6�4Q L- t Vglo& tLO
# &10) Fax # �_) Subdivision
ized Agent _. t.-q OL.SZEi�ISK M� ��J„.City H-1+'rYAryn1—*►q ZIP L6,4
d ❑ CW WfW CS A ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body / L" V �� % a
r
❑ PWS: ❑ FC: .�
Yes /� PNA yes /Co Crit.Hab. yes / no Closest Maj. Win Body L� ��
of Project/ Activity
lock) length-zDov
Yn(s)
pier(s) /
length
lumber -
%W Ripraplengdh
vg distance offshore
nax distance offshore
channel
ubic yards_
amp
)use/ Boadift
Bulldozing
ne Length
not sure yes
4$s: not sure yes
>rium: n/a yes no
yes
Attached: C/ no
lino nermit may hp rv-m6rM hv
9101.
to'
(Scale: I ''
1
d4`1 jS- e� K
A
U6ej-- 'uf
III A-" It
lsz x;Nc,S
1 -11(;o -ODq 4iyy R*y >
vpY9� r��
m
r
0
U
n
Ware,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to cArlslo h er— 91.S h, ( is
(Name of Property Owne
property located at _ /5o2 / 16/ q S l o- 1' n
ot, Block, Road, it .)
on lCltl(,J , in , N.C.
(Waterbody) ( own and/or County)
Applicant's phone Mailing Address: a k2 n y,,Q
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 set 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.)
_1z— 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)
(Information for Property Owner Applying
for Permit)
/59-i kt /?a.,-: Z.41�7
Mailing Address
(Riparian Property Owner Information)
Signature