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HomeMy WebLinkAbout61545D - Allen, JCAMA / -- DREDGE & FILL GENERAL PERMIT Previous permit # INew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued >rized 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 Imo' Wftles attached. it Name` � E( i'+1;� ���"j f � 0, Project Location: County 'V► Z r'Asw I LPL—, ! ^I { V � '— y2e i' Street Address/ State Road/ Lot #(s) [ (wCi- _State �� ZIP 6( t"C I�✓l V t . Fax # ( ) Subdivision I r A r ced Agent ( � ` VIL4 (!� ti . )K\J Ii�`. City {L Ci �l i ZIP t� I ❑ CW E EW ❑ PTA ❑ ES PTS Phone # ( 10 35 4 a- ZCi River Basin i ') ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body A 1 l J w (nat ❑ PWS: ❑ FC: yes / no PNA yes /�n� Crit.Hab. yes / no Closest Maj. Wtr. Body f Project/ Activity (Scale: )ck) length n(s) mgth amber id/ Riprap length_ g distance offshore ax distance offshore hannel ibic yards "np ise/ Boatlift lulldozing 410 H x ie Length 9 not sure yes no Is*, not sure yes no rium:� n/ ves no Yes Attached: yes no ing permit may be required by: I W (A M' U1 f it L'k— ❑ See note on back regarding River Basin r CAMA / ❑ DREDGE & FILL N° 615451 ENERAL PERMIT Previous permit# i New OModification ❑Complete Reissue OPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC l�f� • uies attached, r ag.r Project Location: County TJI/l1VLS(njl (.�V dre Street Address/ State Road/ Lot #(s) :try SYat� a YIR f Zflo VaAt yla+r4l Dd Y� hqn�.#XI1%.`)r ti �iFaX +{4 erg ft)�r�xF1.1C}p"+Yr I SubdIVIS'on - <��: �t�thorized gg�nt�fLt�?idt�� (ILLY11 c�:lf1�' 4,:i City AAAMU ZIP 102. effected ❑ CW Pl EWTA ❑ ES ❑ PTS L Phone # (5 �+ Soz� River Basin YYI L✓ ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A �EC(s): Adj. Wtr. Body lklww (nat man n O PWS: ❑FC:—�` )RW: yes no PNA yes / no . Crit.Hab, yes no Closest Maj. Wtr. Body. T4 W Type of Project/ Activity Pier (dock) length i. / Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore — Basin, channel _ cubic yards Boat ramp Boathouse) Boatllk 13 X 13 Beach B Ildozing Other M 'x Shorellne Length SAVr`:. not sure ' �yet��Rno, Sandbags:..notsure Moratorium �' rt%aJ es rW Photos: �.'=/ yes no ` W04br'Attached:' . yes no (Scale;�—f �—' 2V A ■ ■Ir''����i1��1;t�1ad 51•%I■■■■■■■■■■■ C:C .>,'!i311 If�CC�(��C®CCCCENi�� ,. MEN' ! II�� ■■�■■C■I E ■■1on 1V "Em J ■ 1 C111MMEMMIN ■aC1CCi.11 C'CCC:� CCCCM CC:CC C:C: ,mill 111nC ECCC ■■ �■ ■8,■. j■■ 2 Ull M E Imo ■.■ i,( &'A m"M■ 1y ■ 1� �i�lr■ ■.■. ■■■ t�[lf CC� C■ M■ �� �.: ■ �■■■■C■■■I R �■.ACC l C CC■4ii®d ■i i ■�EEN�J1PI, n■■ ITVs ��� ..� ■�� ■iiWI�lo�� iCs...r �li�i a M 4 building permit may be required by: Votes/ Figecial Condition ❑ See note on back regarding River Basin rules. 0 ILT A4P�A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Governor Director AGENT AUTHORIZATION FORM Date: 02-24-2013 Jame of Property Owner Applying for Permit: Carland & Hilda Allen )wner's Mailing Address: 220 Gerda Street 3olden Beach, NC 28462 'hone Number( ) 910-200-0337 Dee Freei Secre Name of Authorized Agent for this project: Christopher D. Stanley, PLS Agent's Mailing Address: Post Office Box 2469 Shallotte, NC 28459 Phone Number_) 910-754-8029 certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying x and obtaining all CAMA Permits necessary to install or construct the following (activity): or my property located at 200 Yacht Watch Drive, Holden Beach, NC 28462 his certification is valid thru (date) Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Carland & Hilda Allen (Name of Property Owner) property located at 200 Yacht Watch Drive, Holden Beach, North Carolina 28462 (Lotl) (Lot, Block, Road, etc.) on AIWW in Brunswick County, North Carolina. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen (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 not wish to waive I do wish to waive that setback requirement DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) See Attached Drawing (Applicant Information) 220 Gerda Street Mailing Address (Rip V7, rty Owner Information) "'—) Signature �Ge�A41�D 1.9 Holden Beach, North Carolina 28462 Douglas J. Drummond J ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Carland & Hilda Allen (Name of Property Owner) property located at 200 Yacht Watch Drive, Holden Beach, North Carolina 28462 (Lotl) (Lot, Block, Road, etc.) on AIWW in _ Brunswick County, North Carolina. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen (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 not wish to waive I do wish to waive that setback requirement DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) See Attached Drawing (Applicant Information) 220 Gerda Street Mailing Address (Riparian P operty Owner Information) Signature Holden Beach_, North Carolina 28462 City/Staie/Zip Roy Baxter Cook Print or Type Name 0� - - .- fr.. ►.. )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ound in your Habitat code sheet. TOTAL Sq. Ft. (Applied for. labitat Name DISTURB TYPE Disturbance total Choose One includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact arnou-nt) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) OwDredge El Fill ❑ Both [I Other � l U 3Ce I 0 31a Dredge ❑ Fill ❑ Both ❑ Other X Li 2.0 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 ❑ Bath ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ )AST ENGINEERING & SURVEYING, P.C. 4918 MAIN STREET P.O. BOX 2469 SHALLOTTE, NC 28459 (910)754-8029 NCDENR - Div. of Coastal Mgmt. SECURITY SAVINGS BANK, SSB SHALLOTTE, NC 28459 66-7143/2531 004379 4/11/2013 **200.00 ,ed and DOLLARS ;DENR - Division of Coastal Mgmt / 7 Cardinal Drive Extension ilmington, North Carolina 28405 1,5I'T,,-J— D AI IT"X017C11 CI!_WATI IRC ■ 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: A. Sign r u / I/ ❑Age X nt ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? El Yes If YES, enter delivery address below: No 11o% 3. Service Type 0-te—rtified Mail ❑ Express Mail ❑ Registered —EJ"Aeturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 010 3090 0003 7163 8468 PS Form 3811, February 2004 Domestic Return Receipt ■ 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 �atlq s St�mrrOr�d 102595-02-M-1540 X El Agent ❑ Addressee B. Received by ( Printed Name) I C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No II '(M41 )nil ,Air 3. Service Type 12tertified Mail ❑ Express Mail ❑ Registered-B"Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 010 3090 0003 7163 8475 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540