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HomeMy WebLinkAbout61575D - MaraCAMA / DREDGE & FILL M 61 E N E RAL PERMIT Previous permit 'New _ Modification Complete Reissue LPartial Reissue / ' (j 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 15A NCAC �l ` ❑ RuI attached. t Name�jyN�e Project Location: County P. &ee i _-- State tV C, ZIP,C "�157- Fax # zed Agent// OCI�'di��`e('/`Y[�ti.t� CW EW NFTA ES PTS OEA HHF ❑ IH CC UBA ❑ N/A PWS: ❑ FC: yes / no PNA yes /Q )f Project/ Activity S q lock) length ' 'm(s) pier(s) length umber ad/ Riprap length vg distance offshore iax distance offshore channel I � ubic yards imp �u Boatlift Bulldozing ne Length + ' i oo / not sure yes gs: not sure yes >rium: n/n vac I .. yes no Attached: yes no ling permit may be re fired by: IV rr— Crit.Hab. yes / no -z-,P_ .o... Street Address/ State Road/ Lot #(s) Subdivisio City- ZIP Phone # O River Basin Adj. Wtr. Body � 50i f,9 V r nat Closest Maj. Wtr. Body ❑ See note on back regarding River Basin vo �M C 0\1,4 �Zfl X2° -�L ,/Q.,/s AA A k A N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date /-Z Name of Property O%ner Applying for Permit: 4 Mailing Address: I certify that 1 have authorized (agent) to act on m, behalf, for the purpose of applying for and obtaining all (':%%IA Permits necessary to install or construct (activity) it (my property located at) Phis certification is valid thru (date) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to (Name of Property Owner) property located at �• (Lot, Block,,Road, etc.) on _ in N.C. (Waterbody) (Town and/or C unty) Applicant's phone #: Mailing Address: i Ile 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 feet (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 idled in by individual proposing development) (Information for Property Owner Applying for Permit) �n Mailing Address City/State/Zip (Riparian Property Owner Information) gignature • i Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to �,J GSLM / �C'f's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on in (Waterbody) Applicant's phone #: (Town and/or County) Mailing Address: N.C. 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 feet (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.) _Izl do not wish to waive f do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: {To befrtled in Av individual proposing development) (Information for Property Owner Applying for Permit) 50►� /�'� Mailing Address City/State/Zip (Riparian Property Owner Information) Signature G- 1z f�� ( s Print or Type Name ?/a-- 6/a_ _<:2� 3i(� Telenhone Numher TPlPnhnne Numhrr MA / ❑ DREDGE & FILL V 6 ENERAL PERMIT Previous permit # -� ew ❑Modification ❑Complete Reissue :]Partial Reissue Date previous permit issued 4C rized by the State of North Carolina, Department of Environment and Natural Resources ' �,/1 Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC `CV �❑ RufI sattached. t Name , %'R.C� ,) ��'� Project Location: County Street Address/State Road/ Lot #(s) State NG ZIPZ;'�/!�-- Zo 477r # (1 Fax # , Subdivisio zed Agent t� DD � 11 1� J °!/✓N 4 City ZIP n Cw �w lcrrA Es C Prs Phone # ( ) River Basin OEA HHF IH UBA ❑ N/A /� �� Adj. Wtr. Body J O u n nat PWS: ❑FC: es no PNA yes /Q° no Crit.Hab. yes / Closest Maj. Wtr. Body )f Project/ Activity 1i► AR a . Pie" ock) length r pier(s) ength — umber _ td ad/ Riprap length I vg distance offshore �'Q P- - iax distance offshore / P� r :hannel _......_.. �� j ubic yards �Pdi imp . 1c, � Bulldozing k ne Length not sure yesril 1 � gs: not sure yes J >rium: n/a yes �� yes n. �-/ (Scale: (5 i / i Attached: yes no P /I I i i , ! _ ling permit may be r:gred by: ❑ See note on back regarding River Basin I, Jason n: Dail, Jason t: Monday, April 22, 2013 10:42 AM 'hal-amc@charter. net' ject: Jason Mara CAMA General Permit chments: Fi1e0218. PDF please take notice of the specific conditions on the attached permit and call with any questions. care, x lason Dail Field Representative N.C. Division of Coastal Management 177 Cardinal Drive Extension Wilmington, NC 284,05 P Pti: (910)79b-72 2 ' Fax:(910)395.39o4 t. Email: lasonAaiIOncdenr gov . �+rottir.nrcaastalntanagrntentatrt bNotth Carolina Deyarttttent of nment and Natural Resources - 4 01 use note that e-mail correspondence to and from this address may be subject to the North Carolina Pt rds Law and may be disclosed to third parties, * Message Confirmation Report Name/Number 92703374 Page 1 Start Time APR-22-2013 09=56AM MON Elapsed Time Mode �Ecm Results r 0. To APR-22-2013 09:57 AM MON Fax Number Name MA / 0DREDGE & FILL N° 61575 — D AsEENERAL PERMIT Previous permit# _ ew I 'Modification L1Comploto Reissue L ]Partial Roissuo Dato previous permit Issued__ ed by the State of North Carolina, Department of Environment and Natural Resources 77 and the Coastal Resources Commission In an area of onvlronmonmI concom pursuanr to I SA NCAC_ 7 !��nn� Ilunt Name ,/� .r�chea i1-- _ ! rq[...,.. Project Location: County_ Nddnass W1,04 .6[Ir rM f� _ _. _ Street Address/ State Road/ Lot #(s)_ �S 41 _ _ State NG ZIP t��L 2:0 � __�/�t/�' Pfwne # (/t11 � � Fax # ( ) Z3"� j Subdivlsb --_- - - ALutherigadAjenc-_ _0 � /'t Gh. _ — 7JP 2&6, Alfecud LJCw WW �;VTA UEc OPTS Phone# ( ) . RhrerBasin AEC(s), nou ❑ mit L11H O VGA 1) WA news: L)aC Adj. Wtr.Bodyrfv_.N�d not .anlynkN ORW � no PHA yes /® CrltMab. yes /(S) Closest Mal. Wtr. Body Type of Project/ Acthdty q 0 P" P,-, Pier (dock) length 12 X � 1 W ' Platform(.) Zo y�i Finger per(s) _ Grdn length _ _ number._____. _ BulkhoW PJprap lengrh .i; dk—ce df.lare _J mar dotanu onshore Bstin, channel -�_-'fi cubic yards_ - Boat ramp Bouhou Beach 11 1n11doanyq OtherF-r�^/4 O X�c' St —fins Langth *�/QQJ - e i l SAV not aure yes SeMbep: rot wre yr cant: A 7zZ-%3 Permit # ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement in your Habitat code sheet. DISTURB TYPE t Name 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) n f 'V 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 ❑ Bank of America ACH R/T 053000196 RINE CONTRACTORS, LLC 08-03 910-367-2159 92 HAROLD CT. %MPSTEAD, NC 28443 5682 66-19/530 NC 58754 9,/ 3 ' I $ oc� �- ' , " DOLLARS