HomeMy WebLinkAbout64010D - Melton',CAMA / DREDGE & FILL io
'ENEkAL PERMIT Previous permit#
7Nevv :-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources H GtJ
;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC a U
Rules attached.
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State_ZIP Lrf
Fax # )
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V
ed Agent
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❑ CW
XEW ATA )4S ❑ PTS
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑
F Project/ Activity
Project Location: County tJYii Yt51i1t1 Llk,
Street Address/ State Road/ Lot #(s)
Q" r. .
Subdivision(, 1A1 ✓�i ��� #?.+CA
Pity e ZIP
hoe ( River Basin _ A�
Adj. Wtr. Body �K Parr (naa'' /
Closest Maj. Wtr. Body
ling permit may be required by:
❑ See note on back regarding River Basin
DENR CAMA Daily Check Log for WIRO
Date
Check
Received
Check From Name
Name of Permit Holder
Vendor
Number
I Check amount
Permit Number/Con
9/19/2014 Parker Construction Group LLC
9/19/2014 J & J Properties of Calabash 1 LLC
Parker
Calabash Marina
Bank of the Ozarks
Citizens South
7431
1422
$250,00 major fee, 1 Auditorium__
$100.00 MP 74-05 renewal
9/19/2014 Seashore Realty Group, Inc.
9122/2014 Land Management Group, Inc. _
9/22/2014 Howard and Janice Malpass
Heritage I, LLC _Coastal
Riverside Park_ Marina
isame
Bank & Trust
First Bank
Wells Fargo
3959
44494.
3787
$100.00 MP 64-06 mod. Reque,
$475.00 major fee, Riverside Pa
$100.00 minor fee, Topsail Beac
9/22/2014 Danford & Associates Land Surveying, PC
9/22/2014 AC & Emily Skinner -_
-
!Loder-Strickland
AC Skinnard
_
Wachovia
NewBridge Bank
1793
8478
$200.00 GP 64064D
$100.00 renewal, MP 23-07
9/22/2014 A'N'A Builders, Inc.
!same _
TD Bank
6979
$100.00 minor fee, NTB, 205 Se
9/23/2014 Geoffrey & Stacy Alexander
9/24/2014 CFPUA
same
same
Wells Fargo --
B of A
SunTrust
2305
55808
4333
$400.00 ma*Or fee, Br.Co.4302 E
$800 00 Vio# 14-17D
$100,00 mod. fee, MP 36-13
9/24/2014 Overbeck Marine Construction Inc
_
Whelan
9/24/2014 Coastal Marine Piers Bulkheads LLC
A. Murphy
Wells Fa o
Lafayette Federal Credit Unic
BUT
19810
2770
5765
$250.00 major fee, NHCo.
$250.00 major fee, Br. Co. Oak 1
$800.00 GP 64007D 40$200, GF
9/24/2014 Barry & Shari Golob
same
9/2412014 Willie Richardson Construction
_ - -
9/24/2014 Tidal Ventures
same
BUTy
2026
$100.00 MP transfer 42-05
9/24/2014 B & K Marine Construction
Prisilla Clark
BUT
1151
$200.00 GP 64065D
9/25/2014 Johnny J. Williams/Land Surveying
William & Tracy Ellis
First Citizens Bank_
15247
$100.00 minor fee, TB, Pander C
9/26/2014 Southeastern Coastal Construction Cc
Ellison
First Federal
9243
$200.00 GP 64066D
9/26/2014 Charles Riggs_ & Associates Inc _
Susan Brown
First Citizens Bank
13649
$100.00 minor fee, NTB, Onsim
R 9/26/2014 Charles iggs & Associates Inc
James Gooch
First Citizens Bank
13650
$100.00 minor fee, TB, Pender C
_
same
9/26/2014 Lincoln Bain Scott III/Renee Scott
PNCBank
First Bank
684
6406
$200.00 minor fee, NTB, Onslo%
$100.00 minor fee, Caswell Bch.
9/29/2014 GRA Construction Inc. —
SeaGusion, LLC (Mike Coltrane)
Forrest Sound HOA
_ 9/30/2014 Allied Marine Contractors LLC
B of A
6891
00.0
$10 MP 118-06 renewal
Melton, Vidal-Tai
10/1/2014 Backwater Marine Construction Inc.
BUT
1667
$600.00 GP 64010D(a)S400.GPE
C Division of Coastal Mgt. Habitat Impact Computer Sheet
)plicant: umwl 1 -fi% Permit #:
1
ite: q �' �
.scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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 final
disturbance.
Excludes any
restoration and/c
temp impact
amount)
Dredge ❑ Fil Both ElOther ❑
l
0C/1LJ
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Fr
Governor Director Se
AGENT AUTHORIZATION FORM
Date: --- --/ -�-�—
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address:
19:s 1 (A) -
AIL� �
Phone Number (1/0)1414 3Z 3 2_
Agent's Mailing Address:
1 q & '`) /,,� ), . '004 1 5 IC.)
Phone Number J/&)
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):
(my property located) at /
This certification is valid thru (date
Property Owner Signature Date
ti
CERTIFIED MAIL -- RETUItw RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEI�iENT
Name of Property Owner:t,-,�� (1 (GA.;
Address of Property:
(Lot or Street #,
Applicant's phone,
Mailing Address: -Lyo
t nereny certity that ( ^wr, property adjacent to the abo- ! referenced property. The indivicual applying for this p
has described to ni, zir, shown on the attached drawing the development they are proposing. A description of drat
with dim sips must be provided with t is letter.
I have no objections to this ro osal.
P P _ 1 have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (D(
in writing within 11) days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response i
considered the same as no ob'ection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distant
15' from my area of riparian access unless waived by me. (If you wish to waive the setbi,.ck, you must initial the
appropriate blank below.)
f
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Pro arty Owner Infor tion)
Sigttattue ----
Print or Type Name
Mailing Address
(7MpLo---
µ rty Owner Information)
�--�—
Signature
//
Print or Type Name
MAHinB Addmiss
city /S"I p
Cityl State rZip
CERTIFIED MAIL, — RETURN RECEIPT R,QUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY_ OWNER STATEMENT
Name of Property Owner:
Address of Property:
(Lot or
Applicant's phone
,/ axe -�—
#, Stree or Road, City &
1 �iL
Mailing Address: l�
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this I
has described to me as shown on the attached drawing the development they are proposing_ A description of dra
with dimensions, must be provided 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 i\ "agement (DI
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drivc
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response
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, or lift must be set back a minimum distan
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' set back requirement.
I do not wish to waive the 15' set back requirement.
(Pro erty Owner Information) (Riparian Property Owner Information)
Signature Signatu
Print or or Type Name —
S�ert el
Mailing Address
Print or Type Name --
i 7
Mailing Address
�K
MII M I�•i' to Ott
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