HomeMy WebLinkAbout63125D - DeHavenCAMA / �4 DREDGE & FILL ` 1' %- ` ` 63-
iENERAL PERMIT Previous permit#
Vew ❑Modification El 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 15A NCAC t'( .• (� v
' n %Rules attached.
Name 4X e 1�i L� Project Location: County )✓Umw ( (,:,
d Agent
❑ CW ❑ EW ❑ PTA gES XPTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
es / no) PNA yes / no i Crit.Hab. yes / Cn
Project/ Activity
o length _
:r(s)
gth
fiber ' Riprap length d,
distance offshore
distance offshore
nnel
Street Address/ S to Road/ Lot #fs
kPh;n
'' ion ri
( (A'' ZIP I-
1—I �Q D
# ( 10) River Basin
Adj. Wtr. Bod(nat rr
Closest Maj. Wtr. Body
c yards ■■■!■■■■■■■■■■■■■1
■■■■■■■■■■■■® ■1
■■■■■■■■■■
■■■■■■■■■ ■■■■■■■pt:
■■Vii�■■■■■■�■■�./�■�
■ n�■iii �■ MINIMMIN U WON
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■■■■■■■■■■►\■ IU
■/Iw!i �i■■�■�1� N
(Scale:
❑ See note on back regarding River Basin ru
19/2011 22:24 9105799096 GRICE CON PAGE 01
�1CAMA / 'YDREDGE & FILL N? 63 VA'
'XIENERAL PERMIT Previous permit
)New LA Modification 1'..J Complete Reissue UPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural euxirces -0 oaml Resources Commission in an area of environmental concern pursuant ta I SA NCAC qW. I I o
WRules maehed.
Pro" Oct Location: County
Str t Address/ Sate Road/ Lot #Is)
Ila-at
r7cw ri tw ri PTA )S OPTS
j:j 0EA J HHF i,.l 1H !J UBA [3 ?VA
n PAM-- r I FC:
M no FNA yes n�o Crit.Hab. yes 160D
r Project/ Activity
,ck) length
imbet-
A/ Ri" length
g distance offshore
ax distance offshore
hannel
ibk yards
MP
use/ 86*dlft
iull&zing
AUY
to Lars*
not sum Yes
gs. notsytg yes
no
ra
ti
Attadiod: yes
K11" IS
ling permit may be required
VT
Sub ion —VI
ZIP
Y .
e * (ft )
;ir
N.6 River Basin
Adl.L;r. Body-_-- M-
CloM4, Wtr. Body,
RECEI ED
DCM WILMINITON, NC
JAN 2 014
. A L % i
See note or. ba�ck garding RiverBasin role!Jscu i
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
9383
1.� 66-112/531
DATE '-�--1
PAY ` TO THE
ORDER OF
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:s�e ����� Permit #:
Date: j
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremei
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 fir
disturbance.
Excludes any
restoration and
temp impact
amount)
Dredge ❑ Fill Both ❑ Other ❑
(�
Dredge ❑ Fill Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other
Tbn
1�,
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 ❑
If
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D of Cctvtu.(, Ma*ta.ge Atm-(- rrl
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuKm
Date: / ;? /g /ao/ �
ie of Property Owner Applying for Permit
5hg ,1)P &an,
ier's Mailing Address:
ie Number ( 2A4 i2t 7 - 02 y6
(Name of Authorized Agent for this project:
is Mailing Address:
1� 2Vua k QVI
Phone Number
tify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
nd obtaining all CAMA Permits necessary to install or construct the following (activity):
my property located at '-i25 5h^i � i:S% Sf- 7' r-X 1,
certification is valid thru (date)
Property Owner Signature Pate
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:1 e 1i .t.2
Address of Property: 5Q,\I�,-4 � ng� low
(Lot or Street #, Street o( Road, City & County) `^
Agent's Name #.GCA Z C�-,,' A �-UCV►64 Mailing Address: �h��urS��
Agent's phone #: g1b-S�q-q(�95 C)CQ.An'r5`� �C� I� C 291-(Cop
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.
have no objections to this proposal. I have objections to this proposal.
It 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.
(Property O n r Information)
Signature
Print or Type Name
,�.y 1 Ci "-) r`,a
Mailing Address
` ,)6"sv , \� e N�
_ A ---
,-WiacenLPrope5y Owner Information)
t
Signature
J0- 47J Co
Print or Type Name
Y2-3 rAg' 11::E 5 r-
Mailing Address
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 1 L �1�-R►� X� rl K(� 1 r t-`T 2SZ
Address of Property:
(Lot or\\Street #, Street o (� `^
Agent's Name #�j \ Q �--y � �-Uc`tua Mailing Address: w�` ` )Dac 1 ) G—SU3
C> ckn 51e IBC 2SL1(-rY
Agent's phone #: _ - � IA-(409
Road, City & County)
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.
description or drawing, with dimensions must be provided with this letter.
7 / I have no objections to this proposal. 1 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.
(Property O n r Information)
Signature
"rG G\g , c1yen�
Print or Type Name
�y 1 C�6,��
Mailing Address
(Adjacent Property Owner Information)
cc ki wa—,01,Z9
Signatu e
d-<, L�j LU a S
Print or Vype Name
7� f T & CK C v-,-e� �-, of
Mailing Address
I
I
cv-i
. CA M-e5 Cca
2C4 c�c�5
Postal
CERTIFIEDRECEIPT
(Domestic Mail Only,
No Insurance Coverage r-rovided)
0
o
G
mPostage
$
0
Certified Fee
Q
\+`V TQ \A
1-3
Return RetuReceipt Fee
(EndorsementRequired)
���
( mark
,r' Here
O
ED
Restricted Delivery Fee
(Endorsement Required)
r-3
r\-
r-i
Total Postage & Fees
Sent To
NIVQz--------y
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Street. Apt. o.j---- -N-
or PO BOX No. 1
-�------------ --------------------
C ��
'PS
------------------------------------------------
C� ,State, ZIP+4 ----------------------------------------
zg�os
Form :rr August 2006 See Reverse for Instructions
Postal
ru
(DomesticM CERTIFIED
MAILT. RECEIPT
O
0
�
M
Postage $
GG
0
Certified Fee
Return Receipt Fee
-�1M``�NG
- I_.A Vv^Postap O\4
l7
(Endorsement Required)
^J(��",\v`
p
Restricted Delivery Fee
(Endorsement Required)
,r
171—
Total Postage & Fees
fTl
Sent - —
V�-----
p
C`
treat, Apt. N
or PO Box No.
2
Ci
\
\
l 1 �5
te, ZIP+4-
----5
■ 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:
JQ m � Q rrcU
COMPLETE THIS SECT• ON DELIVERY
A. Si a ure i
❑ Agent
X y` rCu LL i- i ❑ Addressee
Received by f Pnh, ted Na e) C. ate of Pelivery
D. Is delivery address different from item 1? I V,
if YES, enter delivery add ess below�J� o
G
3. Service Type
.,Certified Mail ❑ Express Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 013 1710 0000 3407 0116
(transfer from service I
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:
A. Signature - ❑ Agent
X'-'-__,__,4" 1- 2G� ❑ Address
B. Rec iv by (Pri d a ) C. Date of Delive
t,✓ G J L C�ti�l
D. Is delivery address different from item��I
If YES, enter delivery address t�M AG
3. Service Type
A ified Mail ❑ Express Mail
❑ Registered %Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes