Loading...
HomeMy WebLinkAbout61620D - BurchCAMA / ❑ DREDGE & FILL GENERAL PERMIT �46 Previous permit# ]New EJModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued >rized by the State of North Carolina, Department of Environment and Natural Resources • ' ` l Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC L� Rules attached. itName 11(1` Y III i Project Location: County yki ylsy kJ. - Kai CI v Street Address/ State Road/ Lot #(s) t11y�_ -StateNC ZIP Fax # ( ) Subdivision N LA ted Agent �•� (Y"i'(city I u zIP`d CW ❑ EW ❑ PTA ❑ ES ❑ PTS OEA ❑ HHF L IH E7 UBA ❑ N/A ❑ PWS: ❑ FC: yes / no PNA yes / no f Project/ Activity i Phone # ( ,) River Basin,111 Adj. Wtr. Body LN W (nat , Closest Maj. Wtr. Body, (Scale: )ck) length fVW n(s) X L :)ier(s) i �' X zngth ember id/ Riprap length ,g distance offshore ax distance offshore :hannel jbic yards ■■ ■ ■■■ �■I■II■..■.�I.■■e•� rnp ■■ ONE ■■■�111■■■\ ■■■■�t� ■N�■®= lulldozing ■■■MMOOM ■EVEHI■■■■ IMEMEMININEM11011111111ME ■■■■■■■IMMIUMMIUM ■■"EHRM01011 ■i■■ ■■S�itrv1.�"3■ M■■NI■■■N ie Length ■MEnot sure yes gs: not sure yes no es ■■■�11�®■■� �j�!��Ir/■ice ;no► ling permit may be required by: '`T V VI I'd L UH ❑ See note on back regarding River Basin i _ _ ij1 1']r.1 A — A 11 j j_.._i �L,� �._,i i„1. _..I , i' .1.L_ Ar4 �EC'p q P WDENR R 19 2013 North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Dee Freeman Govemor Director Secretary AGENT AUTHORIZATION FORM Date:l 2 Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: .601^1 804 c N Q Aa, r EL �� tr/ R L.E `I Owners Mailing Address. Agent's Mailing Address: 909 13 VA R )&A d Sw � 3 � E � 7 4LL- Plat; E e7— S'yOp�y. NO �, 8 AFL Z 2.910q Phone Number (774 -729,- 4 '4 Phone Number (41ic ) 3 36 -- I certify that I 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): For my property located at 991 8 VAR dS0,Av oIV. NC 11$49 i is valid thru (date roperty Own ture to CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Sel- R A A & a9,C N Address of Property: 9V 9 13 - VAR AP-Md S'W 41WY, IYd A�W �,/j� (Lot or Street #, Street or Road, City & County) Applicant phone #: 07%D. 724 lj-? 4 Mailing Address: -Ame '0�.f I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. 4�-4I have no objections to this proposal. i have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. / X I do not wish to waive the 15' setback requirement. /i rAly ilA fit.. • Owner ,81JAA4 auer! Print or Type Name p 9$ 9 ,Q- V� &4( XW Mailing Address wQo I✓ , 'file-f S��z (Riparian Property Owner IrIformation) Signature j Print or Type Name CS 914 8 - rAe e,W- sw Mai 'ng Address vpp/y, NC �l�G z• CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 13UAMA a e e.4 A Address of Property: 9gJ�— VAR �IAd `�w-✓y/ � (Lot or Street #, Street or Road, City & County) Applicant phone #: d • '%Z Z. /W-74 Mailing Address: Rf I4,!iLW 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. I 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.nccoastalmangement.neticontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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) (Ripar' ,n P per"wner Information) Si ature �MAM,o 4314,t e.9 Print or Type Name 787 ,8- t�.�e �d�r sw Mad' g Address ,Yy / /1,� .���6•Z CitvfSfatefZl5 Print or Type Marne 113 a- I%2 )&d A) Mail' g Address l Citvi3tate to 1,4610001 N0lOV! 31VOS 03NIGHOD MNV1SI0 QN 980 1ViNOM10H U00Z SNSN) £861 OVN .KRION OWD ON 2 I I I I i I 4 I I I � M I I W I � e I � ogg l l Iv I dd I _ 4 II I I I mn I N I I V j; .,s M ,LZ,9£,ZO S N Q� g 57-- „bQ,KrZO N nll I i5 < I I U j L uF4 a l 7 N 01'27'37' W _V) PROforzna • 0 M/vx 6%(-"Pv IT ONE SOURCE. INFINITE RESO applicant: ✓�/�1� late: Permit #: l I l escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ,und in your Habitat code sheet. Name DISTURB TYPE One TOTAL Sq. Ft. for. Disturbance total includes any or temp impacts) FINAL Sq. Ft. TOTAL FeetFFINALFeeteet(Applied (Anticipated final (Applied for.d disturbance. Disturbancee.Choose Excludes any total includesnyanticipated restoration any anticipated and/or temp restoration orct impact amount) temp impacts) finalibitat and/orrestoration amount) Vw Dredge ❑ Fill ❑ Both ❑ OtherS2- 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 ❑ ERBECK MARINE CONSTRUCTION INC. 3506 TALL PINE CT WILMINGTON, NC 28409 4053 DATE Z117y, s 66-46/531 ti v/DOLLARS 8 a...ma.. ACH RT061000104 .. 1 ^