HomeMy WebLinkAbout64019D - Kelly�a
_1CAMA / DREDGE & FILL <J 64
3ENERAL PERMIT Previous permit# 1114
flew _ Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Dq /_/ ,
ules attached
t Name
U/
A?bq
I !r
Nj l`r.t
)iv, State ZIP Ze, '/li
�-
Fax #'�r
:ed Ag6nt
/C
&1`1rW
4M [�A ❑ ES ❑ PTS
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
,yes / io PNA es 1- no Crit.Hab. yes / no
f Project/ Activity Z
ck) length 4
X
( )
ier(s) 7 /ram
ngth
mber
d/ Riprap length
distance offshore
uc distance offshore
cannel
)ic yards
rip
s oatlift
r i /
ulldozing
e Length
not sure yes
s: not sure yes
ium:
n/a yes
4!1'
no
_
kttached: yes
46+
ig permit may be required by:
Project Location: County /�—ekz tit-0`Y/
Street Address/ State Road/ Lot #(s)
Subdivision
City vl /' r ZIP
Phone # () River Basin
Adj. Wtr. Bodyli t'9r IL✓ a
Closest Maj. Wtr. Body
/ See note on back regarding River Basin r
DENR CAMA Dailv Check Loci for WIRO
Date
Received
Check From Name
Name of Permit Holder
Vendor
Check
Number
I Check amount
I Permit Number/Con
Watford
GP 63984D @$200
8/1/2014 Hon Construction & Concrete LIC
Brian Kirkman
BB&T
1073I
$200.00GP 63993D
8/1/2014 Holden Dock & Bulkheads
Leonard Taylor
!First Community Bank
5835
$200.001 GP 63985D
8/1/2014 Coastal Marine Piers & Bulkheads LLC
Milian
Wells Fargo
19717
$200,00'GP 64017D
8/4/2014 Maritech, LLC Adam C Knierim
George Allen & John Cerasani
B of A
1832,
$200.00 GP 64015D
8/4/2014 Overbeck Marine Construction Inc.
Kevin Morse �SunTrust
42991
$200,00 GP 64018D
8/5/2014 1 Overbeck Marine Construction Inc.
18304 River Road ISunTrust
4300�
$200.00 GP 64019D
IC Division of Coastal Mgt. Habitat impact Computer Sheet
J)plicant: G> P'// j Permit #: 6��eo ! 1
ate: /J511a
sscribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
and in your Habitat code sheet.
abitat 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 anc
temp impact
amount
Dredge ❑ Fill El Both ❑ Other
J
l 3 t(9 -2
1 JacVjZ
Dredge ❑ Fill ❑ Both ❑ Other
76)
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 0 Other ❑
KA WJ
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor r Director Secretary
AGENT AUTHORIZATION FORM
Date
Name of PrqpertyOwner A Ifyingf,or Permit. Name of Authorized Agent for this project.
Owner's Mailing Address.
N�-
�' ,q C L ,ill /1/G
Phone Number
Agent's MaNing Address.
7AtjP/&E
LA4,.t, b77-A J n l
2!�-,ci0q
Phone Number + 0C, ti a(, -- 88&-'s
I certify that I have authorized the agent listed above to act on my behalf for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at
v e-',u /<O,
certification is valid thru (date)
UL,
Property Owner 3 gnature
Date
MAI
4-V
F
7V ->J3f--ltJ 4-OU
A-77Z-W --Q-C :fC h-'V-SJCV4
10
VIV coA,'v 00*8
777 74Nn "D N 5M3'
-40 Al>jsljcrd<
I LfA
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIANEROPERTY OWNER% NOT I\C�TION/WAIVER FORM
/01
6��
v / �"
Name of Property Owner
Address of Property. o � / ve n' 0. " " AM 0 4
(Lot or Street # Street or Road. City & County) elks ►Q ri/ o JeO/y
Agent's Name# 31fiiZ1-i27 Mailing Address. 55OG -TAt_s. Piti,—Cr—
Agent's phone # _ `ri'�O -Aie7�_
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 drawing. with dimensions, must be provided with this letter.
__Ir/ 1 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.,
Wllmfngton, NC, 28405-3845, DCM representatives can also be contacted at M10) 796-7215. No response is
considered the same as no objection H 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. Of you
wish to waive the setback. you must initial the appropriate blank below.)
A) AI do wish to waive the 15' setback requirement
lam— I do not wish to waive the 15' set4fk rr quo
(Pr rty Owner Info i
i nature
Print or Type Name [/
%V le N L
Mailing Address
�� I/.
Cit�fi StatelZrp
(Adjpcent Property'Owper Information)
(?+t l PP&J
Print or Type Name
722-- f c,2 S i H," S 1 .Q-
Mailing Address
CrtylState2rp
CERTIFIED MAIL • RETURN RECEIPT *r-niiESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPER'Ty OWN A40 iCATKINMAIV'ER FORM
Nane of Property Owner
Address of Prope,ty
(Lot or 5rreet#. Street.w Road, 04 3 County)
Agent's game #- _ b!> ti°r � �l i r2CL-�% Ma&nq Address. 5-0(o 7-,g-" f /-vim
r
Agent`s Phone #
i hereby certify that I own WOPOry adjacent to the above referenced property. The individual
applying for taus Pe,=4 tms dssCdbed t4 me as shown on the attached drawing tha deveioprnent
they are proposing A descrpglior or dra�vjna. wrfh di•rfensions must be aroi iagg whit this letter.
-,-V/ i aave so opiec dons to this ptoposal. 1 n3+;'P o&j ections to this prop.zss;.
Nyou have 04JOCV0 a to whatig bekgproposed, you fwst r:oWMQ -04vis$on of Caastat A nagementm M} in
writing wrthur fQ days of reeaipt.of this nofim Correspored*nca should be amded W f27 C&4rmi 06 et Est,
Wrimingron, NC, 2"051V45. DCM representatvas can afro be conraste+d at MP ZWM. No responsa is
considered the.5ams as no oblecuvn #) ow hate bean nafHfed by Carti{fed Mad
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin. mast be set
hack a minimum distance o€16 faun my area of riparian access unless waived by me. if you
wise? to Waive tfv seibacr., you ra t JnWI the appropriate blank beia&,j
jOUA- f do %ish to waive the 1,^"; setback requiretneni.
_ ti',r+ I do aotwish:to wawa ttte .5, setback.requirernent.
1pr pertyQrvrsaflrtfo����gy
� y
f / 4z
?rfnf or Type Name ,
-7,ye
j064A21L lye ll A/C+ -Z;R,-/�
V Xl/? -Zp
latent P rapedv owner Irrthrrnationl
Print or Type Name
'21, (�l - ( eq C-31t -D
JqaPlirg AoVtess
CrrfrS�tElLiif
-10tr -�lIS"