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Home My WebLink About63221D - HoppeLAMA /,� DREDGE &FILL E N E RAL PERMIT Previous permit # New .Modification u'Complete Reissue ❑Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources y i )astal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached r Name )f V—+ `. , k C4 LC to 4'e— State ZIP 2 c d Agent r Li CW C EW a PTA [] S p�PTS ❑ OEA ❑ HHF ElIH //❑ UBA /❑`N/A LI PWS: ❑FC: es / no PNA yes no Project/ Activity Crit.Hab. yes Project Location: County '��/U oL-,Vyl L,_ Street Address/ State Road/ Lot #(s) Subdivision 0 City ZIP Phone # )S) C� L`�75 River Basin Adj. Wtr. Body U �Ci �.UUti'�C�`� ��'i/k�'C jL nab Closest Maj. Wtr. Body Al VY�! (Scale: ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■�E��II��■■ILA.:�Z+LCII.►�■i��:i■■■�i■■■I�ii■I�� ■__ ■lam■ �■�� ■ie_ �� r�■u■I��... . ■■■■■�1■■■■ i\\�\■■lLi�;i��l►•III■■■®L•/:■■■■ill Ell ■■■■■■■■■■■■■■■Iw��Q��■w��r■■�rl�lwRRR��r� ■■■MENE ■■■li■H EEMW■1■■■■■1■rn ; ►�i!!��■ Length■ not sure yes . ■■■■■■■■■■■■®■■��■■■■■■■■■��■�.�1�.�� not ' nrWr1x :�6iidR■■■■■■■I■■■■■■■■n■■■■■■■■■■■ no R ■■■ ■:lip'. a ■Rai■ ■■■rs;T!■ i'iiilr i!on •... -_ , . �■ � iti■■■■�►�■■■eta■�■;L��ia■r g permit may be required by�p�(r) yU(�V� i<,��(1� _ El See note on back regarding River Basin rL 4NLAMA /.XDRIQDGr: • FILL ENERAL PERMIT ew 1 Modification i_iCornplete Reissue authorized by the State of North Carolina, Department of F the Coastal Rest jJf ces Commission in an area of envirottm tll , 10 11 plicant Name �L dress ,lS. — y_ _ Stator zip-- � one # ) — Z .ir, VC 3S n,i thori=ed Agent Cw "4W 'I PTA Bcted c(s): JOE.A 71 HHF 711Ni J URA -w.J N/A nFc W; yes no PNA yes no Ctit.Hab. pe of Project/ Activity ier (dock) length latform(s) Inter pier(a) iroin length .__ _, ...... numbtr ,ulkheattf Prprap Irngth � �`� av�9uwtce offshore � max distance oifshorQ� ' asin, channel cubic yards oat ramp oathouw Beadift each �Biuuldd"rig h«-sane Lenat}, _ _ AV: not sure yes andbass: not sire yes loratorium: rya yns no hOtos: yes , Waiver Attached: ye, (rro) building permit may be required by: N° 632 Previous permit # _ Partial Reissue Date previous permit issued nment and Natural Resources + OM concern pursuant to I $A NCAC. Rules; at+xhcd. _ Project Location: County _e Street Address/ State Road/ Lot #(sj ----- Subdivision t� P, - - City _ �•`pp` ._ .-.. -ZIP �J Phone # �� 7 1.fJ River Basin L_h'V% Body_ Wtr. Adj. --.� �LAM-�)ma y 1 Ci)sest Mal. Wtr. Body ..JM W V1J __.--_.. (Scale: A i i ' � herlc isLt, 11 1ltar na.A All k-k a /flrrwl _.: Sea no t e on back regarding River BasiQ ruk GRICE CONSTRUCTION OF BRUNSWICK COUNTY INC 6618 BEACH DR SW BS. 910-579-9095 OCEAN ISLE BEACH, NC 28469-4710 9383 r66-112/531 DATE V 1� PAY TO THE �j � t) `_'� N K I�'�� ORDER OF L `� :OR NYC Division of Coastal Mgt, Habitat impact Computer Sheet Gj Applicant: C , Permit #: �� l Date: V1 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 fin disturbance. Excludes any restoration and temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other SLI U Dredge ❑ Fill Both ❑ Other ❑2, Z Dredge ❑ Fill Both ❑ Other ❑ C) 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 0 Other ❑ JTC—DENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Dee Freerr James H. Gregson Secret Beverly Eaves Perdue Director Governor AGENT AUTHORIZATION FORM Date: ��'o2D/-3 for Permit: me of Authorized Agent for this project: dame of Property Owner Applying Owner's Mailing Address-. L�, $gaet (�aLU S LA ri �PLfl-� N G �.4 � Zb Phone Number i 7,17 coo Agent's Mailing Address: �3QC, p S� . Z l --- -7 q 9114 Phone Number C w 1 , I certifythat I have authorized the agent listed above to act on my behalf, for thn purpose j f applying for and�obbttaiin�,iingall��CAMA Permits necessary to install or construct the follov+n gUk ►rz� (my property located) at e s �, This 'certification is valid thru date) i/-- /5 Zo13 8/2011 18:45 9105799096 GRICE CON PAGE 81 gMT1EIEp MJURK EC El RE DIVISION OF COASTAL MA A09MENT ADJACENT RIPARIAN pRo pERTY OWNER N i'IFICATIONIWAIVER FORM Name of Property Owner: C Address of Property' (Lot of Street *, Street or R , GE County) Agent's Name #: ��~ � � �n��tMali g Address: Agent's phone I hereby certify that i awn property adjacent to the above ref ended prop", The individual applying for tN% permit has destxiberi to me as shown on the attached d in the development they are proposing, i have if you have obj*C#O"$ tO whst is being PmPos'ed► ASaMaglemert (DCM) in writing within 10 days of r+se4/pt n wiled to 127 Cardinal Ddvr Ext.. Mgis consideredC contacted at (910) 796-7Z18. No rasponse notKied b C9rWed Mali. to this j}roposal- u must notify the Division of C08041 this notice. Cornaspondencs should be 384v. DCA# ropmentsNves Csn 0130 be a same as no objection if you have beers WAIVED SECTI I understand that a pier, dock, mooring pilings, breakwater, b thouse, lift, or groin must be set back a minimum distance of 16' from my area of riparian access uni s waived by me. (if you wish to waive the setback, you MUgL1n= the appropriate blank Wow. } I do not wish to waive the 15' setback (Property owner In formation) Signpfttrc,, Print or Type Name Meiling Address Property Qwner Information) xv or Tme Name Addmss CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, City & County) tc Agent's Name #: C�V CQ nS�R tL��U c\ Mailing Address: k C6 �ctC l Agent's phone #: I�A\13- t lci- qoq ,7—) C' bQC Lk] NC 2'c6-t"( (9 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 desodotion or drawinb. rifM'di0honeions: muest be btbAdgd w11th'1681eft. xx— I have no objections to this proposal. I have objections to this proposal. ff 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 �t s Wk,ou mus Itial 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) Signature Wa r-%dG Print or Type Name 69()G ChdI1►�I�� 11► N Mailing Address Ch.L l`I6 Wt 2 Z(p CitvAtatnl7in dj� e Poe O ner Information) Signature Print or Type Name Mailing Address M J-Y V VLC Citv/StateiZio 17 �III� �I -X?Q� le ,,t j a o --7