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HomeMy WebLinkAbout63903D - Ward) CAMA / ❑ DREDGE & FILL ?4e, "x F 3 3"ENERAL PERMIT Previous permit# INew --]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 15A NCAC (t `` pp Rules attaLched. : Name K f lfk �V a VA Project Location: County iV`1� /1(.�-u 332.5 T I cowl i'C�o k Street Address/ 'State (Road/ Lott #(s) (��✓ _ State ZIP �12 h C�ICI fil $�• �t . � Fax # ( ) SubdXiision N A c :d Agent c ity i�Ayllt t & a � ZIP /� t � f 16L...t CW W V"A El ❑ G PTS hone # (�) Z3Z- 2L <, 3L) River Basin UM OEA �❑ HHF -❑ IH ❑ USA ❑ N/A Adj. Wtr. Body QOJA na n Ll PWS: ❑FC: 1, (es / no PNA yes / o Crit.Hab. yes no� Closest Maj. Wtr. Body I/lJW Project/VUkjX, —JI 7S=IT-WA/1H 1AMIM (Scale: 1 k) length (s) ;gth nber I/ Riprap h distance < < distance annel is yards_ ip ;e/ Boatlift Length �� r not sure yes (OD_ not sure yes no 4 um: n/a es no ,$ yes no attached: yes no ig permit may be required by: wix 61 (VAW ❑ See note on back regarding River Basin rL i r �CAMA / 1-1DREDGEDREDGE & FILL 6 I GENERAL PERMIT Previous permit# KNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. nt Name K ("Y1y i'� i%t Project Location: County F Lifk-'IryV`! vL State ZIP 4_ zed ❑ CWTA 6HF ❑ ES ❑ PTS �UIH ❑OEA ❑UBA El N/A ❑ PWS: ❑ FC: yes / no PNA yes / io Crit.Hab. yes no Street Address/ State Road/ Lott #(s) Subdivision N/A r sty zip ` S - (, Abn' e # ( ) � � 5l :> River Basin L1i. n Adj. Wtr. Body �i na Closest Maj. Wtr. Body ft1%}VJ if Project/ Activity U UT- 11 " ' 1 (Scale: ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■�l�i�li■■I imber ■■■■■■■■■■■� . ■H■■■■M ?0 ■■■■■!H■■ ■■■■■■■■■■■■■■■■■■■■■■�■!�■■■■■■■��■■�I ■■■■■■ ■■■R■ ■■■■■ ibic yards Mp ■■■■■■■■■■■■■■■■■■■■■■■■■■ �■■L�Yli al sure■■■■/�iiliik9i■f YS �!1A '■■■■■■M■■■■■■■■■■■■■■■■_■■■■■■■�■■I rium: no & (�;�i17111P.OMM0 li��iiii■■\k.�iiir ■__i�■■■■Cr��■!■■�1�1 ■■■■■■� 1�3 =■f1■■■■1��'' ■■■■not ■IliillA!!■,�l■I ! ��lii 'M ■■■■■ ■■■!■ ■��:�:■■■■■■■I ■1i ■■■■"sile■■■ �■■■���h���■i Date Received I Check From (Name) Name of Permit Holder 5/5/2014McKim and Creed Blair Booth 5/6/2014 John D. & Pamela A. DeBell, Jr _ 5W20141 Catherine Kelly 5/7/2014 Grice Construction 5/8/20 4141 F and S Marine Contractors Inc Cory Williams _ 5/8/2014IAugustus Paul Davenport 5/8/2014 Town of Carolina Beach _ 5/9/2014 Annette and Ronald Allen__ 5/12/2014 McClure Builders _ Dennis Johnson - 5/13/2014 Antinori Construction Inc Ray & Sandra Duff _ 5/13/2014 Antinori Construction, Inc Ray Speas _ 5/15/2014 F and S Marine Contractors Inc Desherbinin 5/16/2014 NDS Inc. DS Painting & Home Iml Sasser _ 5/16/2014 New Hanover County General Acc New Hanover County 5/16/2014 Register Place Estates HOA I 5/16/2014 Coastal Marine Piers & Bulkheads 5/16/2014 Coastal Marine Piers & Bulkhead Willard BufFler 5/21/2014 VCC, Inc Robin Sandifer 4/18/2014 O N WASA _ 5/21/2014 Town of Ocean Isle Beach 5/21/2014 Earl Johnson, Jr. 5/22/2014 JP Russ & Son, Inc. David Litz 5/22/2014 JP Russ & Son, Inc. Barry Golob 5/22/2014 JP Russ & Son, Inc. Mark Davenport 5/22/2014 JP Russ & Son, Inc. Christopher Atkinson 5/22/2014 Ricky Hewett Construction Mark McDonald_ 5/22/2014 Allied Marine contractors, LLC — (Keith Ward 5/22/2014 East Coast Engineering & Surveyi Robert A. Woodin 5/22/2014 1 East Coast Engineering & SurveyilRobertA. Woodin_ 5/22/2014 John R. West Susan Noble Trustee --- -- -- Newport _ 47 Moore Check Number 175924 7771 10649 6909 3732 171 61083 4556 3470 2925 2921 3756 --- 79111 289078 1388 19547 19548 2901 80092 _66764 i 1380' 28940 28943 28942 _28941 4245 6561 _-- -- 1059 1060 22146 22146 22146 Check amount I Permit Number/Comm $100.00 Transfer 76-97 $100.00 Minor mod. 114-13 $497.001 NOV # 14-04D $200.001 GP fee for 1211 canal Dr. SB $250.00 MP appl. 7401 Masonboro Soi $200.00 — — $100.00 Minor permit $600.00 GP 63220D $100.00 Minor Permit NTB $200.00 GP 63185D $400.00 GP 63184D _ $200.00 GP 63286D reissue of 63135E $100.00 Minor fee 4729 23rd Ave., NTE $475.00 Major permit fee, Kure Beach -- - $200.00 GP 63287D $200.00 GP for 326 Waynick $400.00 GP for 242 Inlet Point Drive $400.00 Major permit fee_, 133 SwordfiE $400.00 GP 63285D $100.00 Minor permit fee, IOB $400.00 GP 60690D $40.0.00 GP 63905D $400.00 GP 63907D $400.00 GP 63906D $400.00 GP 63904D $600.00 1 GP 63256D $200.00 GP 63903D $400.00 GP 63260D $200.00 GP 63261 D $600.00' GP 63259D@200 GP 63258D@200 GP 63257D@200 X Division of Coastal Mgt. Habitat impact Computer Sheet ,ppllcant: �-� �(�,+�, Permit #: late: escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen )und in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fine DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. abitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and) restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) 1 V l Dredge ❑ Fill ❑ Both ❑ Othe Dredge ❑ Fill ❑ Both ❑ Other I `zz Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ ■ Complete items 1, 2, and 3. Also complete A. Dredge ❑ F item 4 if Restricted Delivery is desired. X ■ Print your name and address on the reverse Dredge ❑ F so that we can return the card to you. B. g ■ Attach this card to the back of the mailpiece, or on the front if space permits. Dredge ❑ F 1. Article Addressed to: Dredge ❑ F / rw(L reraaA Dredge ❑ F // ' 3(p C'raIIR°i ;: %IwJ "' l Dredge ❑ F �ti� Hill Dredge ❑ F 0? I `� ❑ gE Adt (Printed Name) C. Dat ,of E D. Is delivery address different from item 1? If YES, enter delivery address below: 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for March ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes Dredge ❑ F 2. Article Number 7 011 2970 0002 6294 1164 (Transfer from seMce label) Dredge ❑ F PS Form 3811, February 2004 C Dredge ❑ Fill ❑ Both El Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ COaits MHCDO Ronnie Smith N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date J/4 Name of Property Owner Applying for Permit: Mailing Address: 3 25 &j6xar:� 107% I certify that I have authorized (agent) /010� /,�''��`'�� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thra (date) �P��� Zao t � a Property Owner Signature — Date 11 r,i(l/V\,A �Clh .@ ro 'IM "LJ TI C`9"d CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: I A vt/i z (Lot or Street #, Street or goad, City & County) 6- Agent's Name #: M,,V� "4,06&S Mailing Address: 33aS )W,� ems. J Agent's phone #: 910 _Q5,31/)-- 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. XI 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 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature &I, W, rd Print or Type Name S2 as F,1,,, R) (Adjacent Property Owner Information) Signature M "vim K AA Print or Type Name .._:.:__ A�A-__- its i Y