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HomeMy WebLinkAbout62572D - LanierCAMS+. / ❑ (DREDGE & FILL / 62+ 'IENERAL PERMIT `/ Previous permit# 'f'— ,New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC L DU / Rules a hed. Nam A �I !V -Gf W ;lG�Soject Location: County T Wit+ v Q Street Address/ State Road/ Lot #' (ss) r State / e-- ZIP ,ad Agent " n /— ❑ CW t EW ij PTA ❑ ES C PTS ^ ❑ OEA HHF IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes / no-' PNA eyes] no Crit.Hab. yes / no Project/ Activity :k) lengthIt Y, t' (s) `mot$ er(s) igth nber i/ Riprap length distance offshore x distance offshore cannel )ic yards__ ip se/ Boatlift illdozing Length 7/— 5 notsure yes s: not sure yes 9 ium: n/a yes t yes \ttached: yes ng permit may be rec ;'Sf 9 i' f'I Subdivision City v % / ( Ilk Phone # OtU 247 72 Adj. Wtr. Body Closest Maj. Wtr. Body A rl% �#- ZIP Z5"-V t River Basin�t I r V (Scale: I it, I plicant: %� �Permit #: t(J 1 C( - /-3 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. )itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet (Applied for. (Anticipated final (Applied for. Disturbance total disturbance. Disturbance includes any Excludes any total includes anticipated restoration any anticipated restoration or and/or temp restoration or temp impacts) impact amount) 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 ❑ Both ❑ Other ❑ ding, LLC ?190 28445 1 194 BANK OF THE OZARKS 1 779 Wilmington, NC 28405 81-727/829 8/12/2013 `"200.00 ° DOLLARS 8 Y U L L U 0�1 16-11 O J L 7911' 1:08290727D: 114270400238ill• 2 GE & FILL 62 577 2 PERMIT Previous permit # 4iF�l ;Complete Reissue -.'Partial Reissue Date previous permit issued authorized by the State of North Carolina. Department of Environment and Natural Resources d the Coastal Resources Commission in an area of environinenril concern pursuant to 15A NCAC cr, 1 Rules art—hed c-Project Location: County___,_.,_ Street Address( State Road/ Lot #(s,)-, —A� Subdivision city zip c3 Vj Phone# River Basin- _ ja'J!:�, ---- -11— - OEA f -j HHF AH LMA HIA 11' �Qs): Ad'. Wtr. Body ink PWS, FC: Closest Maj. Wtr. Body W yes t� �q� PNA <��Ts no Crit.Hab. yes no (pe of Project/ Activity L�, S t -f r (Scale: Lj 0' 11w ;dock) length Sroin length nurnber—, WkSea&'Riprap length, avg distance Offrl re - max distance offshore e­ 3astn. channel cubic yards kat ramp 3coathause/ Boatlift - ---- ------- 3each Bulwating Zither_ iAV- WK sure )-S wa Yes vVaiveAMthed: yes jj k building permit may be required by ftenote on back regarding River Basin rules. U, i 1 0 j 0 11, t Q i`y��-'A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Governor Director Dee Freei Secre AGENT AUTHORIZATION FORM Date: 3 1 /3 ime of Property Ownerr Applying fo( Permit: Name of Authorized Agent for this project: riner's Mailing Address: Agent's Mailing Address: Ook )-55 z �LI L( Phone Number( �10 ) Z (n 2-2-43 Brtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaining all CAMA Permits necessary to install or construct the following (activity): r my property located at 5,// w0-1e-I- L A •')I011"'S s certifinntion is valid thru (date) Property Owner Signature Date �CEIVF—D CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, Ci County) PD - �� ��-Agent's Name #: /Mailing Addres :/ �.:� Agent's phone #: 410 - 3 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by,rqp (If F-4V ED wish to waive the setback, you must initial the appropriate blank below.) DCM WILMINGTON, I do wish to waive the 15' setback requirement. AUG 1 6 2013 I do not wish to waive the 15' setback requirement. (Pro rty,)Owner Inform tion) � � r Signature /tom U Print or ype Name (Adjacent Property Owner Information) Signature Print or Type Name AA -.'I;-- A,4,4 -- CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, M " t Agent's Name #: Agent's phone #: 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waivedb wish to waive the setback, you must initial the appropriate blank below.) HIL U � f i ft D DCM WILMINGTON, NC I do wish to waive the 15' setback requirement. AUG 1 6 2013 1 do not wish to waive the 15' setback requirement. (Pro qz%Owner Inform tion) l � r Signature ,,, P � t or ype Name Mailing Addre.5s (Adjacent Property Owner Information) Signature Print or Type Name Mailinn Arldre±.cc YICINII° MP 00I 10 SCALE am ;IIE KcXYS CRILK R0AD SURF CITY VICINITY MAR, Paa a3� 4Ar 1¢ rve • � M J w _a i i Y �t a�L _!! ati aarr/i Ap A �'f" �e / y�4tlir�� p3 RECEIVED DCM WILMINGTON, AUG 1 6 203 SAS+ WxAef La,(\A C1 45, rECEIVED DOt,,ii W1LMlNGTON, nn4Q ■ 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: 1 /1 WILMING AUG 16 - AT —� A. X B. ReceWby (Printed D. is deliveDfraddressdifferent �om'em1? ❑ If YES, enter delivery address bE� 284� d, NC S. Service Type ❑ Certified 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) 7006 3450 0003 6742 1123 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 : �elivery information visit our website at www.usps.comu Postage $ Certified Fee ' a _E D ttum Receipt Fee �GTONwAl ;ementRequired) ;ted Delivery Fee ement Required) 6 r Postage & Fees $ ' ice 1 % Q -------fa ------ Apt. 'ae, ZI +// � V ��J---- -- 7U. August 2UUt ■ 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. m ru f` Postage $ m Certified Fee F N/L�Q O Return Receipt Fee V L [Vl wtLMI i GTO ,W Q(Endorsement Required) p Restricted Delivery Fee (Endorsement Required) o� 1 2013 ill .� r., ._-.. .. f rl Total Postage &Fees Sen ,/� !cam LIbC(YS /1 �f/� ----------- -------- O Street, Apt. No.; [� or PO Box No.O City, t +4PS Form :rr August 2006 See Reverse for Instruction- A. Signatu X i ❑ Agent ❑ Addressee B. Received by ( Printed N e) C. D e of elivery