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Home My WebLink About63194D - Elliott'CAMA / ❑ DREDGE & FILL 1�,�•�� `� "ENERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources u 1 -2x o oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC "Rules attached. Name � t Project Location: County I UASWuA�— _tat , „„ ZIP" 11- ad Agent c ❑ CW \,kj EW .4 PTA ES ❑ PTS ❑ OEA '/ ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: yes no; PNA yes no) Crit.Hab. ye / no Project/ Activity ck) length X ` 1(s) X ,ier(s) :ngth tuber d/ Riprap lengt g distance offsh re ax distance offs re hannel ibic yards mp use/ Boatlift 3ulldozingL A 1 Y ne Length not sure yes gs: not sure yes )rium: ('n/a yes G-S) Attached: yes Jing permit may be ri Street Address/ State Road/ Lot #(s) Subdivision a ityhM� itL� ZIP h1 # G ��5 River Basin Adj. Wtr. Body (nat i Closest Maj. Wtr. Body I WLA3 (Scale: 1 23/2011 12:36 9105799096 AMA / DREDGE & FILL I r ENERAL PERMIT New Modification Complete Relssue ParUil Reissue 1t ,or-izcd by the State of North Carolina, Depar'tntent of Envirnnn,eltr and Natur a ,he Coaxial R.eSgU 'C2S Con'frnI'Sion ill An arcs Of C+��ironmc!ntal cor}r grt, pur5:61nt icant Name S qvt M C,� j Pro 'e s 1� I ;GI ,,��1 4k stre �'1I plat t ►'1 zip�3� M"! ] 7 rt le # �) �'7.� ' 23` 5 : —4 V )20} VI V Sub orized AgentO,", tttL,��T� ,t :led CW XTW PTA es PTS QEA HHF W VBA N;A (S) Adi PWS: Fc. 1: yes up PNA yes n1, Crit.Hab. yn� i uo C C�/ _ • ,- e of Project/ Activity . J.-._� r (tMxkl IE+tgtt, � ``k I trr rn(>) rr pier(&) ?;o lengdl ......� ....._ . lino,!>er 7 7►A/ l�Wilrlk Kew,) knea(L KI(x'ap ICngll max klmwoufkl rC i,>t:�l(-f lj �x Ic, -rtOlt ' • ! ruby y,rdsiriA bY1 YJ.t[t�. 11 r-arn, L-C11a5C11� f 11I101rSQ/IlCc t�ifY I CON PAGE 03 Nt.) 1i,( 1.9 Prewi17115 Permit # date IarhvinuS perlrtit, isSttcd... Resources I SA NCAC'.. T� l--a- F'4utrs a,tlnc�A. t Location: Comity r, U r1. ylrJlL:+ t Address/ State Roadf Lot #6 0 ivision f«il xk a-- 171P c # (lit ) RivelBasin tr. Body `I (lint st Maj. wtr Body �lVtA� 0: t Kn Nt 0,0w ( � (.. � ��.s.._._--..r.-•tom---�-�'.c�..,� �.�-� �. x,yl•ne Length ,ribagl no; purp >ratpri,n,,. 61 1�n� Attached: l,1` ye" I� f'` , I Yuddir%8 pgrrrtit mazy be required by: See natc of, U.-IC!, regarding River B+,S ,t rotes. / , r[[!s! Special Conditions _ T) t ` _Jt]Aa� -- -1 Y] 1L�. �L -s_ lL�t �.. _+tea •.:� ... _'k !•.�''� N T (Scale: (I GRICE CONSTRUCTION OF BRUNSWICK COUNTY INC 6618 BEACH DR SW BS. 910-579-9095 OCEAN ISLE BEACH, NC 28469-4710 s " PAY j N TO THE \I4- ORDER OF Y t ti 9544 66-112/531 DATE 4.8 " r( D4- DOLLARS ~ + JI ; ; BRANCH BANKING AND TRUST COMPANY LG,tj f 1-800NKIBANK AND RUST COMPANY FOR lL'� 6 1 ti1l��i('�1L nr Division of Coastal licant: Mgt. Habitat impact Computer Sheet C� l cribe below the HABITAT disturbances for the application id in your Habitat code sheet. Permit #: OqcAL All values should match the name, and units of measurement )itat 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 impactamount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fins disturbance. Excludes any restoration and/ temp impact amount) wDredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other i v trJ -- 0 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 ❑ � R ivy' " A. �- ' IW-TI M MUMMA ' Or } .P IVA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management McCrory Braxton C. Davis John E. Skvarla, )vemor Director Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUKM Date: / ZS 191 ie of Property Owner Applying for Permit: Name of Authorized Agent for this project: ier's Mailing Address: �3/3 LADy /FspI-Uy RoAli ' iD tof /J14-WA ✓<i 13 / rat me Number(6'¢))378� -Z3g ELL (.ri4o/ Zo!- 7570i6 Agent's Mailing Address: i'"4k. 3PCICh ; S�22% Nc Phone Number A10) 51c+- q3I �rtify 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): FLOA r/n/4 DOG/G. .4AIo 9 9�tATb! *cct-- j j STEPS A�✓D RRµ r my property located at *l/0 5411-r-f r# Sr. SvA1S&r bEA-C*I NC 26J46$ s certification is valid thru (date) *Ze4w - CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPAR N PROPERTY OWNER NOTIFICATIONIWAIVER FORM e of Property • neJ Nam Owner: e Q Address of Property: �a& > t', (1 Q7 h3elCkCX 1 (Lot or Street #,( Street or Road, City & County) Agent's Name #: �(`\Qd �(`�C� Mailing Address: Agent's phone #: �)IIA hQUR �I e V� 1py 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 description or drawina. with dimensions. must be orovided with this letter. 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 Owne I formation) S, 77t(-q 1 � Print or Type lame Ud6hl R� MailAddress MT , a� N'231 City/State/Zip (,�r,,A----7,-� -7 nc' Owner Information) bSignature ,4J,tb Print or Type Name 7c,69 /Vef R Mailing Address �— a ? /SIC 2 7 �?f City/State`Zi %] IA nw . —A-- CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT Pr RIPARIAN N PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property • ner. w : �JE`r Address of Property: �� '.J�, V (1 S� r &(' J' I (Lot or Street #, Street or Road, City & County) Agent's Name #: `�`\aC\ �1` iCS� Mailing Address: LQUr ` Agent's phone #: `I )- S��-�y't� Cy,n �I N( tpy 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. --4 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 Owne I formation) �� S' n i ff :7 Print or Type rbme V-5s\ 5 UlA�6h1 R� Malin Address `, �� I�'2311y City/State/Zip (Adjacent Pr Information) Signature No I/ / S-y- Print or Type Name Mailing Address City/State/Zip J� 1 1 Cam. a v Fn --Iv y\g z UC CG rck y1�e y' �so�I I ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. s 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�;V"VTN\6 A. Sig lure ---: ❑ Agent X ❑Addressee B. ed Printedjilpme) C. Date of Delivery D. Is d d s'd❑ Yes E,ery reldevef Yry address below: ❑ No �Zifi15/ -DECEIVED )CM 0111.MINGTON, NC h ( f Service Type Certified Mail ❑ xpress Mail `J ❑ Registered Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7013 1710 0000 3407 0192 (Transfer from service label) _ PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete A. item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. B. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. deliverer address different i1g f YES enter delivery address Agent Addressee C. Date of Delivery ? ❑ Yes ❑ No �QZ Q Vf1il DQM RECEIVED 07 3. S ce Types-- Cejfied Mail ❑ Expre ail ❑ Registered._-__ rn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number L 7 n 1� 1710 0 0 0 0 3 4 0 7 0185