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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 \FRI ■■■■■■■■■■►\■ 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 C n1vu�Gnc, 4 6R I � �s?�11J�at�-i�il�uvt�► UULLAHS F.W., S.,u, 1ae,. omw, o e.�x. AV 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 w4k� 0 ■ NCDENR Nm t�, Ga-ro-1 ZAt D of cL , Na�tLwa , RW-L'W e y JOL4--, E. S" 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 O (ti 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