HomeMy WebLinkAbout62527D - Branner/ I ti *� 6
CAMA / D•'-iEDG� &FILL `/ ��� C bF
E N E RAL PERMIT Previous permit #
_'New Modification _ Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 4 /1 /ZDh
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (7 f�
/ ules attached.
t Name ,, Y Ah ram bly Project Location: County /��PPe
�r�
d +'Hi Street Address/ State Road/ Lot #(s)
--filthO4 bZb State ZIP
# (`) ! -`[s'Z4ax # Subdivision l S
ized Agent /r► le City /» / ZIP
Y'E CW W _, PTA ❑ ES � J one PTS G°i. d o# ( ) �"�River Basind OEA ''I HHF - IH UBA ElN/AAdj. Wtr. Body ,i1 t 6i/�1' s4
PWS: FC:
yes no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
r
bf Project/ Activity
lock) length
length
camber
:ad/ Ripraplength
Avg distance offshore_
nax distance offshore
channel
ubic yards
amp M
case/ oatf /3a-/j
Bulldozing
ine Length
not sure yes no
igs: not sure yes
)rium: n/a yes
yes fho
Attached: yes —
�01114 /
(Scale:
ling permit may be required by:
ve / . /
See note on back regarding River Basin
c i._ . ,.I .
pficant: G7/o Permit #: ZS7 Z
te'
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
Atat 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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
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 ❑ Both ❑ Other ❑
Dredge ❑ Fill 11 Both ❑ Other ❑
4080
:CK MARINE CONSTRUCTION INC.
3506 TALL PINE CT
WILMINGTON, NC 28409
66-46/531
DATE
-zoo* Iry
DOLLARS 8�H„�
:;H RT 061000104
NP
1011■ i:053 L00465l: L000 L49438 L93u9
RCDEWR
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: 69'l3- �/ 3
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address:
�V3 LoM43 )07-
10/Z /V Al6To;J itJC 2JM09
Phone Number( /b) 27y42Z r
Agent's Malting Address:
2 Q o9
Phone Number (4ro ) 3 H(o-- $88-3
I certify that 1 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):
1 ,ys 4LL 30,4 i L.t
For my property located at _770S eD111 X U PT
this
valid thru {date)
0 ner Signature
Date
RECEIVED
CCM WILMINGTON, NC
JUL 0 8 2013
T3 i G co s
ma
10(0(0 AOSC141C
-7-7 03
5,U A; 51- tAJ k I
7707 cek441-�
22 2St A Y A-) L: S
V uuAJA 1 U4 22 I g
[-�707 Gam s WI-�
SPG3� Ca ��
�L� go -7
-Zb�o 60q-1 q-a- Z'DLl� Z-k)
RECEIVED
DCM WILMINGTON, NC
JUL )o 8 2013
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
4DJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
of Property Owner: (o yf AJ 6, 3
!ss of Property: 7-7
(Lot or Street #, Street or Road, City & County)
s Name #: 6A-Av 1 EL s/tr�� y Mailing Address: "55p[<, 7-40i/0
s phone #: gi - 3R6 - 8883 ��; , e �. nsny ti d- 2S'Y 9
>y certify that I own property adjacent to the above referenced property. The individual
g for this permit has described to me as shown on the attached drawing the development
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.
ve objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
tithin 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
'on, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
ed the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
land that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
iinimum distance of 15' from my area of riparian access unless waived by me. (If you
iaive 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.
( Owner Information) (Adjacent Property Owner Information)
Signature
)e Name Print or Type Name
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
e of Property Owner 4', pf A ; Ci i3 +/ / ; — p
?ss of Property: -7 %c`
(Lot or Street #, Street or Road, City & County)
:'sName#:_6A+ti,E'er s/�f�� y Mailing Address: T,u
's phone #: 1/ e
'Dy certify that I own property adjacent to the above referenced property. The individual
ig for this permit has described to me as shown on the attached drawing the development
e 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.
,ve objections to what is being proposed, you must notify the Division of coastal Management (DCM) in
vithin 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
ton, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
'ed the same as no objection if you have been notified by Certified Mai!
WAIVER SECTION
;tand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
ninimum distance of 15' from my area of riparian access unless waived by me. (if you
,vaive 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.
y Owner Information)
(Adjacent Property Owner Information)
Signature
oe Name Print or Type Name RECEIVED
■ 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:
5uN5hfini� lZEfIL Lsn�i�
2690 G��fr�/L�ue Lti
&z'01zAA0 SP&SI co
On 0-7
A. Signat
X /' %'//Pik KAgent
❑ Addressee
B. Received by (Printed Name) C Date of Delivery
PAJU
jri
D. Is delive address different from item 1? ❑ Yes
If YES EFl-'FMfI.Vr& 6 Vow: ❑ No
DCM WILMINGTON, NC
JUL 0 8 2013
3. Se ice Type
gertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label 7 011 2 970 0003 4 80 0 5353
PS Form 3811, February 2004 Domestic Return Receipt 1 o25s5-o2-M-154o
■ Complete items 1, 2, and 3. Also complete
item 4 if Mstrictp d 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:
L'�►2L YasS1C-
2 2 5 �4/L,-fnj'SS R d
Uj�.wAu4 If V4--
7Z/F/
A.
❑ Agent
B. Uggiveckby ( mg) (/ C& D to of Delivery
D. Is delivery address different from Rem 1? ❑ Yes
If YES, entenV)Cpcl VtU ❑ No
rr��CG�� VV
DCM WILMINGTON, NC
JUL 0 8 2013
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
2. Article Number
4. Restricted Delivery? (Extra Fee) ❑ Yes
-1n11 l 1O'-1n nn1.1- - .-.