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HomeMy WebLinkAbout63920D - SampleICAMA / DREDGE & FILL 4 3ENERAL PERMIT (slew i Modification ❑ Complete Reissue ❑ Partial Reissue Previous permit # `4z�- Date previous permit issued 'N. irized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. It Nam4-5-A-90 S P� -' �Ci Project Location: County j� ��► Street Address/ State Road/ Lot #(s) StateZI P 35 1 1)UE5W Oo D I-N wte t 10) Z.?-O-'4L195 Fax # ( ) Subdivision :ed Agent City jY1AnS� ZIP Z 4k ❑ CW N*W PTA _ ES ❑ PTS Phone # ( ) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. BodyL1NWOMFD4Pt,#+L OFF A 1 A ( atd ❑ PWS: ❑ FC: es no PNA f J no Crit.Hab. yes fno) Closest Maj. Wtr. Body TOP�A I L S oOJ�% f Project/ Activity %9'VVNLk- 9-AP'-'l_XF'T- (Scale: ock) length !W d/ Riprap`t g distance ix distance hannel bic yards np is _ oatlift Z x 1Z u ozing e Length not sure s: not sure ium: n/a kttached: yes yes yes yes yes 6) —' no L o no ._. ng permit may be required by: VENDC-)(- W • ❑ See note on back regarding River Basin r WENK LAMA Wally une= LOg Tor rvlKU Date Received From Name of Permit Holder 6/2/2014 H & H Constructors, Inc. Mike Gook 6/2/2014 IF & S Marine Contractors Inc _ Robert Peyton 6/2/2014 Maritech LLC Bauer,Beaudoin,Gallagher,Tomlinson 6/4/2014 Nancy S. and Rober B. Swart Swart 6/4/2014 Chipley Paving Company, Inc. Roy Chipley 6/5/2014 Sandra Warren Butler i Donovan Butler 6/5/2014 Antinori Construction, Inc ICarolyn Boyd & Diane Barwick 6/5/20_1_4 Allied Marine Contractors, LLC Peter Caldwell _ The Andrew C. Edwards Trust 6/5/2014 Antinori Construction, Inc J.R. Barbour _ 6/5/2014 John H Kino Kenneth Samuel Catlett Jr. 6/6/2014 Hope Gray and Lary Keith Bowen 6/6/2014 Antinori Construction, Inc 6/6/2014 Boatzright Inc. _ _ 6/6/2014 Overbeck Marine Construction Inc. 6/10/2014 Carolina_ Marine Construction, Inc _ 6/10/2014 Michael Joseph Sauer 6/10/2014:, Lighthouse Marine Construction Inc. 6/10/2014 Lighthouse Marine Construction Inc. 6/11/20141 Herman E. Rouse 6/11/2014 Allied Marine Contractors, LLC 6/11/2014 Holden Dock & Bulkheads 6/11/2014 Constance Stokes 6/11/2014 Grice Construction of Brunswick Counl 1/7/2014 Grice Construction of Brunswick Count Leigh Barnes _ Blockade Runner Resort Michael and Carey Sauer_ Nash Johnson _ Jane Bowden same Lepsig Short 119 Burlington St. OIB 29 Raeford St. OIB Robert & Susan Hoppe 6/13/2014 Antinori Construction, Inc Fussell 6/13/2014 Southern Environmental Group, Inc Blankenship 6/13/2014 Charles Rig- & Associates James 6/16/2014 Joyce Godwin same 6/17/2014 Vince and Mary Hinson same 6/17/2014 Steven T. Farmer/TRA Com Services Puente 6/17/2014 6/17/2014 B & K Marine Construction 6/17/2014 Grice Construction of Brunswick County 6/17/2014 6/18/2014 Kyle A. Buck 6/18/2014 Town of Leland 6/18/20141 Hunter Development Corp. 6/18/2014 Charles F. Riggs & Associates Inc. 6/18/2014 B of A Money Order Smith I Leatherman Michael t uton Paul Dorazio Alice Brown 6/18/2014 Delivery Concepts East Gary S; Check I Check am ount mount Permit Number/Comments 8052 $100.00 1 Minor fee, Onslow, Co. community pool NTB 3777 $250.00 major permit NHCo., 8038 Bald Eagle Lar 1819 -fee, $400.00 GP 63916D 1145 _ $100.00 SC 14-07 minorfee 23035 $200.00 GP Ocean Isle Beach 2604 $200.001GP 63186D 1122 $200.00 GP 63934D _ 5334 $200.00 GP 63292D GP 53 N. Ridge, Surf C _ GP 60691 D -- -- ------ - GP 63937D GP 63942D NTB minor fee 114 Oceanview Lane 2959 $200.00 1748 $200.00 $200.00 _4264 9066 $200.00 576 $100.00 4994 $200.00 GP 63928D 1171 $800.00 GP for 160 Chadwick Lane Sneads Ferry 6640 $100.00 modification MP# 23-13 _ 5643 $200.00 GP 63293D 1260 9677 9383 2966 $200.00 $200.00 $1,000 OOIGP GP 63938D GP 63940D 63165D @$200 GP 63919D Major Permit fee, Turtle Creek, Oak Island minor fee, 129 Atkinson Rd. Surf City 63948D Vio.#10-42, Ocean Isle_ Beach, Brunswick Co. GP 63944D @$200 _GP 639@$200 GP 63939D39D ___ - - - - GP 63947D @$200 $200.00 5867 $400.00 13471 $100.00 1096 $200.00lGP 5419 $630.00 4517 $400.00 _ 1145 $200.00 1145 9695 $600.00 9695 GP 63949D @$400 1016 $250.00 $100.00 $200.00 $100.00 $1,000.00jGP Major fee, Shipwatch Minor fee, 844 Appleton Way, Sturgeon Creek GP 63950D 29013' 21071 13473 1139200123 minor fee for The Corner Villas 63922D @$200 11392001231 1 GP 63921 D @$600 1139200123 15031; $200.00lGP 63920D NC Division of Coastal Mgt. Habitat Impact Computer Sweet Applicant: Date: / — / - / l f Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme found 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 fi disturbance. Excludes any restoration an temp impact amount 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ oil rcotove-A Goo, p. ignature verification: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT A I hereby certify that I own property adjacent tom 111 r -"Cl (Name of Property Owner) property located at f x .i-'k- (,C i1 f, _ ddress, Lot, Block, Road, etc.) on r �. �ni�hi �1 (1 � ( `Y�qj in — ilat —� i .fit ect(� N.C. (Waterbody) LC)Cdfr" i t J (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. A I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back 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. x I do not wish to waive the 15' setback requirement. (Property Owner Information) Ad'acent Property Owner Informateon) dot'o" verified dotloop 0(�(/ "469t SIJW9GJ7&HJ(N- ELG ��� MVIBEf sighature Sizwture t Bill Brockway Theresa Brockway Print or ame Print nr Tvna Names } 763 Timber Lane Malljng�Addlress ` ne�ringtlin^ n NC 28 � m'+i�►'' II( v L lr�tr� A I f ' Wington NC 28405 Citv/State210 910-620-0550 T�l�... L....... f11..sr.1..... ADJACENT RIPARIAN PROPERTY MENT I hereby certify that I own property adjacent to ( ame of Property Owner) property located at t � �� oY.7)n,c n (Addregs, Lot, Black, Road, etc.) on �l _ c3u � , in stw d , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc, I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawin WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set b minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to 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. tion) IL (Adjacoot Propwy Owner Information) zg tur / / � Lj `kw `J /i JPI176� ' Print or Type -Name I I\e.'2,_�.�'_ ►t Print or Type Name 2 S/ 9 A,"- i✓�7J17 �d,f/�'