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HomeMy WebLinkAbout63168D - BonsallP� .LAMA / DREDGE & FILL H • It .14 3ENERAL PERMIT Previous permit# — (New -Modification ❑Complete Reissue CPartial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources j� -oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC H • is ules attached. t Nam f,4, '0 Project Location: County kyumh(j Uc_. tx' _ ✓ Street Address/ State Road/ Lot #(s) a�� ! State ZIP 2� 2.t i7 F%Q t 1 CA.Yl Owr+ Fax # () Subdivision ,ed Agent {Y7, ityUZIP 1z9+U CWEW PTA ❑ ES ❑ PTS ne # ) River Basin OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ) a Adj. Wtr. Body nat PWS: ❑FC: yes /,no PNA yes / no Crit.Hab. yes /t"no) Closest Maj. Wtr. Body ' Project/ Activity v /r �/ f (Scale: ( s ck) length ngth tuber I/ Riprap lengt t distance offish re x distance offs ore cannel >ic yards_ ip se/ Boatlift Aldozing r Length not sure yes ;. not sure yes um: n/� yes yes atached: yes ig permit may be re GRICE CONSTRUCTION OF BRUNSWICK COUNTY INC 6618 BEACH DR SW BS. 910-579-9095 OCEAN ISLE BEACH, NC 28469-4710 PAY TO THE 4' ORDER OFc: a 9544 66-112/531 DATE la BRANCH BANKING AND TRUST COMPANY y 14W-BANK BHT BBT.com Iw FOR��`i�iy5(,) GRICE 091 PAGE Hl AMA / i DREDOE i FIL,L. GENERAL PERMIT Nlew , Modification 'Complete Reissue Partial Reissue fthorrsed by the State of North Carolina, D urttnent of Environment and Natural he Coastal ftesacrcos Commission in an area of environmental concern F,Ur"m o kmnc Name (.A iA.i !. ty � .__S.N^ ��kt!iPrcj �.j.-�.1$' ,��i ... A1�11�14_ 1t'.d� .... — — Stir State, ZIP e #). �-_ i.LKA.. Fait # Sub, orixed Aigettt yi{l--.00-,aYVzft-P--.----- itY ted ' CW )CtW YPTA ES "S ,S) ! SEA NNF I" UBA I 'N/A Adj, yes l 4o PWA yes I no ' Cr1t.Hab. yc Yno C,OI e o9 Project/ Activity (cfatk) length � rorm(9) J x b �� 605 .Jtr , er pier(s) in length IM1LW p Y iwmber p rK head/ Alprap lengt , AAA ID avg distance offs re �eb -ax distance oft ore n, channel cubic yards ramp ;house/ eoadirt :h auedoz�g .Sii� AJh 14 ekne Leosth -- r neat atee yes beds! not sure yes wo its" F—D yes no oa:no erAttache& yes nq Ndng permit may be required N° 6;311 Previous permit #—___ Cate previou- permit issued ---- Resources I$A . (. I SA NCAC —��, _ ./�/"u03 detached. !ct l-ocatiom County ac t W, st Address/ State Road! 1_rt #(s) o PA I ca.h CwY+ ZIP Z%f V! Ri ver Basin Lvvu w r r- AodyY 44i i^at /man Maj. Wtr. Body 1 Y (Scale: 0 �T&t?af-is�1�r_ 1 PXAL WAty! C. Sea note on b ck regarding R.-ver Basin rules. es/ \ Cond``itions �r1'A.tatn�. " C Division of Coastal Mgt. habitat Impact Computer Sheet plicant: (J,,�i G '�Ca Permit* U te: ILI scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer ind in your Habitat code sheet. bitat 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 fin disturbance. Excludes any restoration and. temp impact amount Dredge ❑ Fill ❑ Both ❑ Other �� I 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 0 Both ❑ Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ;Crory Braxton C. Davis rnor Director AGENT AUTHORIZATION FORM AGENT AUTHORIZATION F Date: A_Z John E. Skvarla, II Secretary of Property Owner Applying for Permit: Name of Authorized Agent for this project: NRiZO SONSALL �01 %� cilgn/Ei ,U2 / QN 6,e / GE ,C�aNs%a� L �r's Mailing Address: 03 Wiarz w« K C/,e . A//a/2LvTTf _ Nr— ,;:?- e Number 70 Agent's Mailing Address: 66/B A/z, _5_ ✓ DC /t/<' -9*7z Phone Number( ify that I have authorized the agent listed above to act on my behalf, for the purpose of applying id obtaining all CAMA Permits necessary to install or construct the following (activity): ny property located at -A�E j5� /E.cr/cAA/ e-2T. Oc4,!F/-+H certification is valid thru (date) 3 / Property Owner Signature Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Rl&tr'E� Name of Property Owner: Address of Property: CO t L�\ca r1 Coi 1- OCQQr� S� e Goc61 (Lot or Street #, Street or Road, City & County) Q Agent's Name #:&k, ��iS C_� 1� Mailing Address: U �A Agent's phone #: Q G - -1 Y6 a OCl P Qq(h M Z I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perm}t has described to me as shown on the attached drawing the development they are proposing. 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 have 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 qrstance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, ou 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 Owner Information) V"Aju Signature (� Print or Type Name g � w Mailing Address c\-aA')W City/State/Zip (Ad* ent operty Owner Information) - o Signature, Y Vl J Print or Type Name TO fwu ecyiV<I� l� � Marlin Address L VL City/State/Zip CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner.R Icha r,�5Q I I Address of Property: (0 t" \Ca r) Cojr 1 , 6COQnT-31 e h (Lot or Street #, Si Agent's Name Agent's phone#: or Road, City & County) Mailing Address: uw C IectcY 1 o sJ Ocoan sl e �eg(h N( 2 y 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. 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 have 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. "V"L (PropeertOwner Information) 1 �cfq e r1 f Signature Print or Type Name Mailing Address ON-vaAoW 2i11C� City/State/Zip djacent P operty Owner Information) 4Cam+ J4b� �/1esl�� Ltgnat ureZ W�II la eld G Da4 r 1(I CL M Sb�l Print or Type Name �l CAU5eoa`/ � R Mailing Address 1 City/State2ip hl 11 y / 1, toAAQ yRd I ■ Complete items 1, 2, and 3. Also complete A. Si ture'`' 3-f item 4 if Restricted Delivery is desired. a�/ ❑ Agent ■ Print your name and address on the reverse 6L ❑ Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, Received by (Printed Name) C. bat of Delivery or on the front if space permits. /V 1. Article Addressed to: D. Is delivery address different from item 1? ❑ s •{�rk (v�CtUC� If YES, enter delivery addres ❑ No L��EU JJ uCM WILMINGTON, NC \ A0 9 20141 '- 2-VA L 3. Service Type Certified Mail ❑ Express Mail ❑ Registered A }Return Receipt for Merchandik ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number -- - -r.-- (Transfer from service label) 7 013 1710 0 0 0 0 3407 0253 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete 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, or on the front if space permits. 1. Article Addressed to: 2 -b A. Si nat re ) C , Lent t/ ❑ Addressee 13 ceived by (Printed Name G. uate or ueuvery I-Nnnvr) S f v 3/) D. Is delivery address different from item 1? ❑ 'Y� If YES, enter delivery address below: o <ECEIVED DCM WILMINGTON, NG 3. Service Type `" r " II U Gli ll_u 016ertified Mail ❑ Express Mail ❑ Registered turn Receipt for Merchandise ❑ Insured Mail El C.O.D. 4, Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number '7 n 1. 1.71. n n n n n u r17 n 7 li t