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
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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