HomeMy WebLinkAbout63982D - MossSCAMA / ❑ DREDGE & FILL
3ENERAL PERMIT
.'New 'Modification El Complete Reissue
❑ Partial Reissue
Previous permit #
Date previous permit issued
63
rized by the State of North Carolina, Department of Environment and Natural Resources --� U .' Z ,
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
�Vjl
Rules attached.
Project Location: County VASW IStreet Address/ State Road/ Lot #(s) �r1U t�J State ZIP Z� 1 LI tC k Q Y Ii m _Z Y,14 A-
(�PMtAJ
Fax # ( ) Subdiv' ion N
edAgent _itylry � N��#
CCity�(} �4 �i�1ZIP
❑ CW W TA ❑ ES ❑ PTS ( ) 2� 2y 7� River Basin j
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body A V\
nat b
❑ PWS: ❑FC:
Closest Maj. Wtr. Body
YES n0 t PNA Vey n�n t CritHah
__ vne nn
f Project/ Activity
ck) length
I(s) I2 X
igth
nber
i/ Riprap length
,distance offshc
x distance offsh
annel
sic yards
ip
>e/ Boatlift—M-�!
dldozing
Length
not sure yes
not sure yes
Jm: n/a J yes
es
ttached: yes
g permit may be
%�. l
DENR CAMA Daily Check Loci for WIRO
Date
Received
Check From Name
Name of Permit Holder
Vendor
Check
Number
Check amount
Permit Number/Corn
_ 6/25/2014 Elite Homes By Forrest Timor, Inc.
6/25/2014 Grice Construction of Brunswick County
6/25/2014 Kleigh M. Prevatte
6/25/2014 Backwater Marine Construction, Inc
6/25/2014 Charles Fox Homes, LTD
6/27/2014 NCWRC wire transfer 0000070743
6/27/2014 Karen Z. Perry __
6/27/2014 Custon Island Homes by Ken Kiser LLC
6/30/2014 Maritech, LLC Adam C Knienrn
6/3-0/2014 John L.-Clark
7/1/2014 Timothy U. and Diana B. Glasson
7/1/2014 Charles F. Riggs & Associates Inc.
7/1/2014 Eastern Builders of the Carolinas Inc
7/2/2014 Ryan D. Cooper
7/2/2014 Carolina Bluewater Construction. Inc_ _ _
7/2/2014 George Land Roseon Rosemarie K Jones 9 — _ - —
7/2/2014 Wells Fargo Cashier's Check to B and B Construction
--- - --
_
7/10/2014 Bruce Marek
7/10/2014 'American Marine Const. Inc.__
7/10/2014 Charles Riggs &Associates - —
- -- -ci
7/10/2014 F and S Marine Construction _
7/10/2014 Advance Properties LLC
7/10/2014 Western Union Mondy Order
7/10/2014 Western Union Mondy Order —
7/10/2014 Willie Richardson/Richardson Construction
Cabebu, LLC _ -
H & H Construction
H & H Construction
Mike Cecil _
8046
_ 9710
$200.00
$400.00
GP 63973D
GP 63958D @$200
GP 63959D @$200
1001
$200.00
GP 63960D
Craig Brad _
1557
$800.00
GP 63296D $400
GP 63297D $200
Jim & Mary Beth Yeager
John Lassiter
Ralph Patterson _
_ _ _
Tommy Perry
James Geiger
Griffin and Zack_ _
_ _
Herbert & Louise Rust
Donald Thompson
Jim and Janie Crouch
Joey_Dinkins _
— --_-_
Chris Butzko
Gail Wamsley
Catherine Kelly
$100 credit _
Middle Island Community Dock
TommyPerry
Devincenzo
Coleman Parks
Mike Riley_Wells
Ronnie Hayes
Carol Haim
Crai Long
GP 63167D $200
19381
$200.00 GP 63295D
$100.o0'mod. MP # 138-13
$100.00 GP 63976D
$200.00 GP 63977D
$400,00 GP 63956D
$200.00 GP 63152D
$400 00'major fee, Brunswick Co
$100.00 minor fee, TB
$100 00 minor fee, NTB
$200.00 GP 63298D
$200 0.0 GP 63974D
$200.00 GP 63925D
70743
5201
2387
1826
4549
972
13529
— _
39886
1808
9315
3608
6740400592
$1,053.060
GP 63955D @$153 + $4
—
GP 63926D @$600
_
GP 63927D @$200
GP 63981 D
Wells Faro
1357
$400.00
$100.00
$50.00
$200.00
$200 0o
$100 00
$200.00
$400.00
_
GP for riprap
GP 63976D
SC Ex 14-08, Pender Co
GP for Waynick Blvd
GP 63988D
GP63981 D
GP 63299D
GP 63300D @$200
GP 63963D 0$200
First Citizens
85590
First Citizens
13512
PNC Bank
3862
BB&T
1579
_
Faro
17-033118103
Wells Faro
17-011962641
BB&T
5687
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Permit #'
Date. -
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
'ound in your Habitat code sheet.
iabitat 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
ZI
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 0 Fill ❑ Both ❑ Other 0
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date /
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) jC44r-a dm to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) K��
at (my property located at)
This certification is valid thru (date)
nntp
,its '
00 ..
._
.so
lob
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: I / k
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: �%� //�i Mailing Address: /,� S il/h/ o� .
i
Agent's phone #: �/� o� 3.) - a,5-3eo
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 I havc 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. Contact information for DCM offices is
available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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.)
RFLs I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
h�
Sign�(ture
In As�
Prim Name
(A roperty Pwner Information)
- 7
S g ature 2�
/!?I %QrcQ tr G ke �.cJ
Print or Type Name
(&q 14;"r; 151
�,;,N.,� ; niv �5
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: _ram U N /Y�SS I I
Address of Property: 0/ c �ffff �T �1�/�ri /lam
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Allielo �%I'�/`li Mailing Address:
Agent's phone #: _ //>'D32- Z 30 o�� AVM g
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. 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. Contact information for DCM offices is
available at www.nccoastalmanapement.net/contact dcm.htrn or by calling 1-888-4RCOAST. 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 Owner Information)
f AJa
Signat e
_C,f. xa,,�s
Print or iVpe Name
4_r
(Adjace t Pro
etrty Owner Information)
Signature
Print or Type Name - kA
i ) �
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