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
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C 0\1,4 �Zfl X2°
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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