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.
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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
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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 ^