HomeMy WebLinkAbout63139D - King�CAIVIA / ❑ DREDGE & FILL 9L
AENERAL PERMIT Previous permit #
t Nevr --:Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•,r
ill ,
rized by the State of North Carolina, Department of Environment and Natural Resources - `' I�
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 4 �j
Rules attached.
V; t Name iA t'f Kinc, Project Location: County Tj►/ Ul(,�L
Street Address/ State Road/ Lot #(s)
Ir4 State ZIP �s6() i `�1(� LAC;`4 CO► GL f;��"
Subdivision
:ed Agent ` cSZ , City _ U 1 A-VY ZIP L�
❑ CW EW XPTA ❑ ES ❑ PTS ne 1c ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ti
Adj. Wtr. Body C &AA 0-� (nat /
❑ PWS: ❑ FC: 14
yes no j PNA yes
—T Project/ Activity
ck) length io x
ngth
tuber
d/ Riprap length_
distance offshore
uc distance offshore
cannel
tic yards
np
ise/ Boatlift I ZS X
uj�I�ldpoz/inAg
i
e Length Do
not sure yes tn.
fno
s: not sure yes
ium: n/a yes no
yes no
4ttacher� �( yes no
ng permit may be requir
Crit.Hab. yes / no
Closest Maj. Wtr. Body �t ww
(Scale: s
29 2011 06: 26 9105799096 GRI CE CCH PAGE 01
CAMA / DREDGE & FILL M et 3 1
GENERAL PERMIT Previous permit #
New Modification 'Complete Reissue Partial Reissue Date previous permit issued
:horized by the State of North Carolina, Department of Environment and NaturW Resources
�e Coastal Resources Commission In an area of environmental corxern pursuant I SA NCAC � _� T�
uiesatteched.
:ant Namewd ✓! —A �I. Pr t Location: County Vylswl�
is} Str t Addre State Road/ Lot #(s)
r_ 1 .fir �(i v.�. _ i Y_
state 1 C, ZIP 2ko � . l � uc {CA
�,I ' tt Su 'vision yf
# .... i Fax # f I
irized Agent Y'lUI(U, +Ad'IWtr,
�T i�C�.�` zip
Cw `(Ew KPTA is PTS n lD) c14�► n River Hasin
`) r oeA HHF lH u8A rue Body l j/i We
inat...man
i 1FC:-- ----
yes o PMA yes / no Crrt.Hab- yes / no CI est Mai. Wtr Body
at Project/ Aetmty (�_ 4 n
{Scale:
fdock)leng[h %t
lip' L f,
n length t v it t` mW I f
number
head/ Riprap length VwHW^ it1*-
avgdstanceoffshore
�
max distanceoffahora�
i, channel
CubK ya.ds P
r
amp
I.+S hUtz' ! j�' a ouse! Boatlift Z. L,pp.t-
Z.
l iC;EiVCD
h ting� Sir I I • DCM WILMINGTON, N
FEB 0 5 2014
aline Length l fv
not sure yes no
'bags' not sure yes V y_ 4 ; 1 j + 1CV 1�.
atrium: n/a no A OaG �n `U,�(TIfW_S,aji�"��
os: �[ 5 no
nor A11 X yes no
41ding permit may be required by: ' &nV* &ALL See note on back regarding River 84siin�rullee5
es/ Specipl Conditions
WC Division of Coastal Mgt. Habitat Impact Computer Sheet
n�
Applicant: Q, ✓ 0-1V Permit #:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
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 fii
disturbance.
Excludes any
restoration ani
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other Ic
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
pk
TQTHE \K \Dl\
-ORDER OF
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BIBT BST.coM
ck
9409
66-112/531
DATE
2
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
t McCrory Braxton C. Davis
ovemor Director
John E. Skvarla,
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUKM
Date: — % 3
qe of Property Owner Applying for Permit
VAM--'R k-MYKIAY�_ �
ier's Mailing Address:
S"a6� 1�t� ,q
Name of Authorized Agent for this project:
Agent's Mailing Address:
n Ctch A
z5 W y_
Phone Number f ,k) � C Uq S
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):
my property located at
certification is valid thru (date)
7
Property Ow er Signature
Date
'A�L1 U\� q ��V
ca\a�
a� °ve <- '1� � (�3
1.25/2011 03:56, 9105799096
07,122/2011 19:29 9105799096
GRICE CC1N
Ci31`1
PAGE
01
F'N4 �E
01
DIVISION OF COASTAL h 14 NAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER I IOTIFICATION/WAIVER FORM
Name of Prop" Owner:
Address of Property: •� t ` 1 [=r }t ly Y
}
(Lot or Street #, Street dr F A lad, City 8 County)
A0onf'1,z Name # t`t C r1' t't..ttC };. / r-1 t XtG
c�J� i� M i (ng Address, 6 ,,,
Agent's phone # t 1 _ I__-- Al(yk ) i �; c+i L �-
I hereby certify that I own property adjacent to the above r twing_the
eneed property The indMc;ual applying for
this permit has described to me he as shown on taNacttad development they are proposing.
1 have no objections in this prnpoail, I have mtinns to this proposal.
If you have Me>ctidna M what Is being pr pomf, a must notify the Division or Coastal
Management (DCU) fn writing within 10 days of eacelpr f this notice. Correspondence should ba
mailed to 127 Cardinal Dr'!ve Ext., Wilmington, NC, 28 3845. 0CM reprb�sentatives can also be
Contacted st (910) 796-T,2t$, No rvaponse is considorsor o samo ss no OWectlan if you havo been
notMed 4y Certified Ms/l.
WAIVER SECTI
I understand that a pier, dock, mooring pilings, breakwater. thouse, lift, or groin must be set back a
minimum distance of IFj' from my area of riparian ac=a% kins waived by me. (if you wish to waive the
setback, you must inittat the appropriate blank L)eiow )
tt. b) �,�,,.� 1 do wish to waive the 15' setback requirama
—..,_ i do not witch tO waive the 15' setback req
(Property Ow r Information)
.IYi.Q�krttirr
Pnnt or Type N&ms
Meiling Address
City/stete p
t-
Property Owner Information)
� a
r Type i
pnL
r Address
"f 1_ Ll IG
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property: C l `1
(Lot \or Street #, Street dr Road, City & County)
Agent's Name #: U t�\C� ��+�5�t u�\ Il�c� Mailing Address: l�08 Iluch P 5�
Agent's phone #: CAW S-1q-VR S �� 15� Bpod) I V i 294169
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.
I have no objections to this proposal. .4- _ 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., 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.
A- I do not wish to waive the 15' setback requirement.
(Property Onformation)
TO
a e n
1Signature 11
U :K�RCIQ Gc, c- , QgenA—
Print or Type Name '
Mailing Address
\�(�Or.) W Z 40}
City/State/Zip
(Adjacent Property Owner Information)
Signature
N I t311- i'
Print or Type Name
t-
Mailing Address
l Z 0 .1
ity/State/Zip
(Domestic Mail Only;
Provided)
For delivery information visit
our website at www.usps.come
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PS Form :rr August 2006
See Reverse for Instructions
Postal
CERTIFIED MAIL,,.,
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Postage
$
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Total Postage & Fees $
�6.11
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2. Article Number
(Transfer from service lab(
PS Form 3811, February 2004
■ 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.
I. Article Addressed to:
�G� e 1
3. Service Type\�'
Certified Mail ❑ Expresa*ail
❑ Registered -O R
❑ Insured Mail ❑ C;O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7013 1?10 0000 3407 0147
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 rtUr,lby(&�t7ob
Agent
Addressee
�byrpt-d{Vame)) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address bei4�:, ❑ No
A. Signature
X 11<9ent
❑ Addressee
B. Received by d e)/ rJ C 04te of Delivery
(VI J
D. Is delivery address different from item 1 ? q Yes
If YES, enter delivery address bel9yv: *No
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3. Service Type
ACertified Mail ❑ Express Mail
❑ Registered ---92- turn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number