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HomeMy WebLinkAbout63291D - WebbCAMA / El DREDGE &FILL Vir ,r-`\� iENERAL PERMIT Previous permit # qew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources A . ll..� D >astal Resources Commission in an area of environmental concern pursuant to 15A NCAC --j" Rulesattached. Name ` li 1 Project Location: County tV Street Address/ State Road/ of #(s) C� U y1 State �A ZIP O_ Fax # O Subdjd�ion ;d Agent Cityt�111i f ZIP c Ll--� ❑ CW - NEW PTA ElES ElPTS Phone # MI—O) River Basin 111� ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 'A(J (nat 6 ❑ PWS: ❑ FC: res no PNA yes no Crit.Hab. yes no Closest Maj. Wtr. Body Alww f Project/ Activity i ie Length eJ", ✓ not sure yes gs: not sure yes ,rium: � n/a ,� yes yes Attached: yes (Scale: y L Date Received I Check From (Name) Name of Permit Holder Check Number I Check amount I Permit Number/Commc 5/5/2014 McKim and Creed Blair Booth 175924 $100.00 1 Transfer 76-97 5/6/2014 John D. & Pamela k DeBell, Jr 7771 $100.00 Minor mod. 114-13 5/6/2014 Catherine Kelly 10649 $497.00 NOV # 14-04D 5/7/2014 Grice Construction $2 6909 00.00 GP fee for 1211 canal Dr 0 w C Division of Coastal Mgt, Habitat Impact Computer Sheet iplicant: �t 61A UA Vv e bU o Permit #. ate: 51�� l :scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement —A in "stir Nahitat rode sheet. dbitat Name DISTURB TYPE Choose One Dredge ❑ Fill ❑ Both ❑ Other�' 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 Tina disturbance. Excludes any restoration andh temp impact amount) 32— ✓�� Dredge ❑ Fill ❑ Both ❑ Oth 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 0 Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ I C, r�2C I� = 1Z` /04/2011 23:32 9105799096 GRICE CON PAGE 01 North Carolina Department of Envirc Division of Coastal M t Drury Braxton C. D oovemor Director AGENT AUTHORIZATION FORM AG Date: f % % 1e of Property Owner Applying for Permit: Na oo ler's Mailing Address: $ 01 Cv e eA D yL A L At-�^/A- C&A and Natural Resources Authorized Mailing Address: 'S4-ovl P 0. k i14 John E. Skvarla, III SKretary nt for his project: l)t t�i� ne Number H o't Z -7 '� � L (o3 Phone umber (_I_o) q q �- 16� o tify that I have authorized the agent listed above to act on y behatf, for the purpose of applying ind obtaining all LAMA Permits necessary to install or cons of the following (activity): my property Tlocated at f q I( v t i r I r" certification is valid thru (date) Z Q / Property Owner Signature E ate C _ .28?q( CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: M%6eal `6-b17 Address of Property: k� Q(VWA JunSl► \'IC161 — & At15wVd (lug �t (Lot or Street , Street or Road, City & County) Agent's Name #&iCQ C.-)n6 +mil( "3n Mailing Address: �� �� &Qu i- l Agent's phone #:`W-S-Ick-CM5 ti. Qan T5 t I N( Z106 9 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. ieacrfntien or dmw ja. with dirmenslone, must be provided with this letter. J I have no objections to this proposal. I have objections to this proposal. If yoobjections 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 Ext., 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 notifled 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 O T r Information) (Adjacent Property Owner Informati n) Signature Signature Print or Type Name Print or Type Name 001 C1�rnc�n`�' D� NL �•y, Mailing Address Mailing Add ess ��la*11 303& COVSrate/zip eityostateizip CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: O 1 I Q- eG I "0?-\A) Address of Property: Q"(-X ,` ID (__ ( (L-olt or Street 4, Street or Road, City & County) 4 Agent's Name # l��tCQ �.1 >n6i M(_-vK; n Mailing Address: lQ�(� U 1, ad) D-&1� Agent's phone Qd i Nc ZWA 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 descrintion or drawing. with dimensions. must be orovided with this letter. , jyie 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 Ext., 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. �. I do not wish to waive the 15' setback requirement. (Property 0 n r Information) Signature w6b Print or Type Name '60I L\�rncnt Uc- N �� Mailing Address �1an � 1� 3%JU6 City/State/Zip roperty Owner Information) Print or Type Name D30 Aw�11,A� Mailing Addres ity/State/Zip 9-0 ` 1a1 i �A E Postal CERTIFIED MAIL,,, RECEIPT o n (Domestic.Coverage r,u For delivery information visit our website at www.usps.como C3 A �. _.1 k � Postage $ Certified Fee � VG��OO�` Vw� � O Return Receipt Fee (Endorsement Required) �.'1 i \,`' Postmark �\ Here O Restricted Delivery Fee.j; i!;Q (Endorsement Required) C- Total Postage & Fees $ ' � ` r-,3 m se Street, Pt. No.; or PO Box No. U }� - ---------------------- ---------------- ----- -------------- City, t e, ZIP+4 r, 5C --------- /_o{ (� ------------------------------- PS Form :rr rr. See Reverse for Instructions CDaits MHCDO Ronnie Smith LPO (Domestic ru For delivery information visit our website at www.usps.cu O Postage $ yif.49 I_14 jG' — m O Certified Fee $3• iQ O O Return Receipt Fee (Endorsement Required) $" ' 7 j \�r C/ \` O O Restricted Delivery Fee (Endorsement Required) ' \� rl 17' Total Postage & Fees $ 1 t r� m �ch�— C3 --- -- Street, APt. N . or PO Box No. � ------------- "v� t/ ---------------- Ci State, ZIP+4 �! l ` ------------- tU�� PS Form :rr August 2006 See Reverse fog DW Review MNIDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■Complete items 1, 2, and 3. Also complete A. :7S item 4 if Restricted Delivery is desired. X y El Agent ■ Print your name and address on the reverse / ❑ Addressee so that we can return the card to you. B. Re ve by pint e) C. D e of gelivery ■ Attach this card to the back of the mailpiece, l4Jc I� /! or on the front if space permits. D. s delivery address different fr item 1? ❑ Yes 1. Article Addressed to: If YES, enter delivery address below: ❑ No "C c 3.Service Type ertified Mail < ❑ Expre,¢ Mail ❑ Registered '�LReturrtteceipt for Merchandise 2O��S o ❑ Insured Mail O C.O.D: 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7013 (Transfer from service labs-, 1710 0000 3407 0277 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �d-�:X li-�' cc�r � �1 � n Zhu m Rc SC 29�(l A. Slgn re X tr� I B. ?Zppived by ( D. Is delivery agdress di1 If YES, enter delivery ❑ Agent �` Addressee J4 &Date of Delivery _. 4r item 1? ❑ Yes below: ❑ No 3. Service Type VOCertified Mail ❑ Express Mail Registered ,Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes