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Home My WebLink About64099D - WagonerCAMA DREDGE &FILL 3,ENERAL PERMIT Previous permit# 1-1) New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized 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 O lay. two / '' tt Rules attached Name Bilk W aw o nei" (0 6.- e Pox, State NL ZIP 2,014L Fax` # _' CW EaEW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: !9/ no PNA yes / Uo Crit.Hab. yes / no Project/ Activity CA is VAV-A--t o� C LA ')1—tk IICS Project Location: County 1 "w Aa \u e'( Street Address/ State Road/ Lot #(s) Ll -SCxV\ d Subdivision City t"JC, ZIP 2�� Phone # (-7AL) River Basin�c e Adj. Wtr. Body c neat 16 Closest Maj. Wtr. Body %�'� ee.-I je 4\-1 : tI-AJ k "j-t ► n C-k J C\ fS (ScaleA%,,- .3 M E■ ■■■■ ■■■ ■6IONI N■■■■■■■■■■ th ■■■ ME NE.o ■■■N■111�!!■■■■■■■■■■■■ ber ■■■■■■■■■is�'i■■■■■1i�l�Il�itli■■■N■■■■■N Riprap length ■Mi■.111111■..■■.■.: IN A alt- ON.■■■.■..■■. distance off#hnrp■■■■■■■■■■■■■■■■■1; N11 G�■■■■■■■i/J■■■ ■■■■■■■■■■■■■■■■■iAnnel ■�1NKy■■■■■Ez 12■■ ■■■■■■■■■■M■■MEN■■ mmi MINNEEM.•I@M■_•■■■ ME ME ■■■■■■■■■iET�i`ii■■■ i�� IS11 yardsE!!!!■■■■■■■■MMEM■MM■M■EEMONE ME 2 X13■■■■■■■■■■■■■■■Eli■■■■■■■e'-=Mm L��■■■■M. O�� M■■NONE■■■■■■■■■■■IHa•.■■■l!�«i■ ■ ■■■O■o■■■■■■MM►.ii�E11GO■■M!n-��E■■■ ■N"ii■ E�■■EiN■E■■■■E■E■OEM OM:I!G%■ ■■!11 1%ENE■Em■■■■■■■ ■Ni Mel■■NI"i�B %ON■IVEN■l�.■■NEE■s1EEEliE■E■NONE■■EEO E■NE■EM■O■EE■mom OMEN 0 ■■NE■■■N�rl■■Nr�MNM■r■M■� ■■■■■■■�■■:■■■■■■■■■■■��■■■■■■■■■■■ not sure yes �► not .■■■. MEMO■■ ...N......■.■........��... ■■■■.I.■■ sure yes 0 IN yes IlItl�A ................EIS'=�.'�Xiliilii.'�(/.AI..■_ permit may be required by: A Y cj . L h sgge l/o„+ t A t • ❑ See note on back regarding River Basin ru T1 — -7 ./ ii f ---. DENR CAMA Daily Check Log for WIRO Date Check Received Check From (Name) Name of Permit Holder Vendor Number Check amount Permit Number/Coi 10/14/2014 Samuel W. or Tracy Clary Middle Sound Marina SunTrust 4139 $100.00 renewal, MP 164-07 10/14/2014 Coastal Marine Piers Bulkheads LLC Ken Kolling/transfer to Shawn Nasseri Wells Fargo 19854 $200.00 transfer and mod., MP 10/15/2014 Edward Stokes Parrish or Margaret Waller Parrish Historical Society of Topsail Island PNC Bank 804 $100.00 mod. Fee, MP 86-05 10/15/2014,First Community Bank certified check Maritime Coastal Const./William Thome Moneygram Payment Sys. In 35069222 $50.00 returned check fees/ch 10/1/2014 First Community Bank certified check Maritime Coastal Const./William Thol Moneygram Payment Sys. In 35067797 $400.00 to cover GPs 63273D ! 10/15/2014 Connaway Marine Construction, Inc Amanda Chaney & Lee Thornton B of A 6852 $200.00 GP 64096D 10/16/2014 Richard L. or Erica J. Penny same USAA Federal Savings Bank 716 $200.00 reissue GP 63924 10/17/2014,MoneyGram/Brandon Grimes Wells Fargo Bank 59098505697 $400.00 10/17/2014 Western Union Money Order/Brandon Grimes Paul Fornwald _J Wells Fargo Bank 17-081677370 $200.00 GP 64097D ($800 total 10/17/2014 Western Union Money Order/Brandon Grimes Wells Fargo Bank 17-058990188 $200.00, 10/17/2014 Allied Marine Contractors LLC Daniel Winfield B of A - 6873 $200.00 GP @346 Admirals Co 10/17/2014 Samuel W or Tracy Clary same SunTrust 41421 $100.O0mod. Fee, 164-07 10/17/2014 John Allen Odham III, Nancy Odham John Gray Hunter, Jr. PNC Bank 946 $100 00 minor fee, 406 N Shore 10/17/2014 Holden Dock & Bulkheads Simpson First Community Bank 5928 $200.00 GP 61640D 10/20/2014 Overbeck Marine Construction Inc Bill Wagoner _ SunTrust 4347, $200.00 GP 64099D G Division of Coastal Mgt. Habitat impact Computer Sheet plicant: 'j�, Permit #: (,,-q % ct - te: I6/71 1 IL4 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. bitat 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 fine disturbance. Excludes any restoration and/ temp impact amount Dredge ❑ Fill ❑ Both ❑ Otherx,4 Z40 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 171 Both ❑ Other 0 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Dee Freeman Governor Director Secretary AGENT AUTHORIZATION FORM Date:10/3 b%— Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: Owner's Mailing Address: 6,0 -!S� Ore -7O, s tat y /t/C ?,r/� Phone Number( Z94 L ¢2• 9SV Agent's Mailing Address: 3o CU i �i t_c_ c-27— !✓, ill C 2 RYQ'2 Phone Number(%10) 336 _ =,::� 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): Li F-, For my property located at This certification is valid thru (date) -2- a A .,� I — &. -;,c / S 11 0 0914— Property Own ignature Date i �"izh N u rzt �� CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOT FIICATIONIWAIVER FORM Name of Property Owner 13 1LL (�4 �yJivC Address of Property. S�✓� j (Lot or Street #. Street or Road, City & County) Agent's Name #: D 4 v . c L �rf 2 Le. Mailing Address: 350 ( isf« p,l,L Agent's phone #: 2/0 - 3�� _ �� `- v, � C 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 descriotion 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. Correspondence should be mailed to 127 Cardinal Drive En, Wilmington, NC, 28405.3845. DCM representatives can also be contacted at (910) 796-7213. No considered the same as no objection if ou have been notified b Certified Mail. response is IVER 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.) -ALA_ I do wish to waive the 15' setback requirement IAIA I do not wish to waive the 15' setback requirement. (Property Owner Information) (A - c arty Owner Information) Signature Si lure LoU;s J Print or Type Name Print or Type Name 14vd-1 Mailing Address Mai ng Address 6211t66Ory NC 2e/14-4 C41's ate2rp Citylstate/Zip 1 " 7d¢• 442.e57/ (33,7 -23(;� Telephone Number Tolannona WU he CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: �LL G✓x Address of Property: 9 .54"V-)`? P7-08 / (Lot or Street #, Street or Road, City & County) Agent's Name* __6A1/1EL Agent's phone * 1/0- .38�1- 8883 Mailing Address: 7-A < P11uc= c7- Gv�u� iu e Z 8yo`I' 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. Correspondence should be mailed to 127 Cardinal Drive Ert., 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. _AZA_ I do not wish to waive the 15' setback requirement. (Pr erty Owner Inform tion) HECEIVED DCM WILMINGTON, OCT 2 0 2014 (Ad'acent P erty Owner Information) Sign Print or Type Name �5 ( -nl �� , Ala- Print or Type Name 2_,n2_S rA,(Z-U,t7,.) R�,.