HomeMy WebLinkAbout62610D - McBride:AMA7 Ll DFIEDGE & FILL V114
ENERAL PERMIT Previous permit #
ew ElModification ElComplete Reissue []Partial Reissue Date previous permit issued
;d by the State of North Carolina, Department of Environment and Natural Resources
stal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attachg.-d.
Jame-- 1 Project Location: County
OYAC(O6, Street Address/ State Road/ Lot #is)
J L
L�O VOL State ZIP J_J
Fax # Subdi ision
2�41 6�
L
Agent City , ZIP
-T-
E Cw Ll EW PTA DES River Basin
-1 PTS Phone # ift,
El OEA El HHF El lH 0 UBA El N/A Adj. Wtr. Bod (nat
7 PWS: FC:
no, PNA yes / no Crit.Hab. yes no Closest Maj. Wtr. Body
roject/ Activity
length t) X I Ll
'E � I (n /
:r
liprap length
stance offshore
istance offshore
iel
yards
Boatlift
ozin"
1A,V H x
W or
A 011=1 YA M 4
pplicant: 'I Permit
-
ate: v
1�
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat Name DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
or
impacts)
NAL Feet
(Anticipated final (Applied fornticipated final
disturbance. Disturbanceturbance.
FINAL Sq. Ft. TOTAL FeTt'
Excludes any total includecludes anyanticipated restoration any anticipattoration and/orrestoration
and/or temp restoration op Impacttemp
impact amount) temp impactsount)
CDredge ❑ Fill ❑ Both ❑ Other
V� Dredge ElFill ❑ 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 ❑
u � f n Illy-
_
..........
E CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 DR SW BS. 910-579-9
OCEANBEACH ISLE BEACH, NC 28469-47010 95
I's
BRANCH BAN -BANK BEIT OBT-COMKG AND TRUST COMPANY
1 -800
r, sill 1:053 jC111 2 11:000 S I q q 9 2 C, S 2 9111
.......... ......... . �— - ---- —.1 - -1 — ..........
06/10/2011 21:16 9105799096 GRICE CON PAGE 01
_ CAMA / i DREDGE A FILL NV 6261
EN ERAL PERMIT Previous permit #
ew U I Modification `1Complete Reissue LlPartial Reissue Date previous permit issued
s authorized by the State of North Carolina, Department of Environment and Natural ources
Id the Coastal Rescurc Commission ' an area of environmental concern pursuant t( I SA NCAC 4R,
1
les attached.
d Proj ct Location; County—
tre dd Sras State Road/ Lot S)su
`j�•1,/'/)—lam" _. _
City � _._.ZIP`
Mmhyk L.;�- -- -A-
fected 'J CW CJ EWE r*TA �S C<' PTS Pho # (ID. S River Basin '19�
:C s : U CE4 C HHF 0 IN E.1 U11A 171 N/A
�� CJ PwS: nK: Adj. tr. Body— A4A
kW: yes / no PNA yes L2
Crlt.Hab. yes / no > Clos st Maj. Wtr. Body.__.
fpe of Project/ Activity ✓�� '1%
Scale:
OIsr (dock) length
;coin length
number _� ----, t.,.. -.• -- - } - -} ---�-�_-� _-__'--f--Y—T - --
lulkheadi Riprap length
avy distance offshore
max distance offshore
lasin, channel
cubic yards.
loot rampl�
`
hothouse! Boeeti$
r �
each Bulldozing
hher�f
I
_
I
I _
AoreNne Length
1� f r , I _�_��..�...
i I
lorseorlum eo jY� ,� ��,+Ilk
Aftlit
hoops: to W" V 6„tdg r J I �K• '
VahrerAttached� tt ......__ .- ---�-- _ _.�..__.__. _.._J----...._...�..----•-�..�.•..._...�
building permit may be required by: LJ bee note on k regarding River Basin rules.
`•tes/ SRecial Conditions
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management Dee Free
3everly Eaves Perdue James H. Gregson Secn
3
Director
overnor
AGENT AUTHORIZATION FORM
Date: 'J-13` \3
rAuthorized Agent fo thi�pn ct:
lam of ProQe Owner Appl ing for Permit: �
Jwner's Mailin Address;
0 q �ar n
4� a /0
Phone Number 0 4- -�
Agent's Mailing Address:
Phone Number
I certify that t 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): —
(my property located) at j
0 `r2unni S� Dig nrC
This'certification is valid thru (date)
/A'li'ih71Q�1 �
HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to ! Mds Vl'�► �� r Y `s
(Name of Property Owner)
property located at �� 7 G Ot o
(Lot, Block, Road, etc.)
on , in
(Waterbody)
Applicant's phone #:-I64-
&&J(l 1: �t- � , N.C.
(Town and/or County)
Mailing Address: 91 el, -
He has described to rue, 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 vrish to waive
\, I do wish to waive that setback requirement.
------- ---------------------------- -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
J6 Lv�Wd
Mailing Address
---------------------------------
(Riparian Property Owner Information)
Signature
Yr-ea
Print or Type Name
US MAIL
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEi IENiT
Name of Property Owner: \ �� MCC 11 ,C 1&-�\A Q
Address of Property:
%\ T M.zrl�v
(Lot or
N, Street or Road, City &
Applicant's phone #: ��b—� + ,�5 Mailing Address: U0116 �� � —
I hereby certify that I own property adjacent to the above referenced property. The indivicivat apptying for uns pens
has described to me as shown on the attached drawing the development they are proposing. A description of drawin
with dimensions must be rovided with this letter.
r :r=� 1. 1 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 E:
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no ob ection 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
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.)
A.
I do not wish to waive the 15' set back requirement.
(Property Owner Information)
wcv� 444
Signature
—Nmos
Print or Type Name
Mailing Address
��Nc\rne K C. 2c6 l (O
(Riparia�n�Prop�erty vwner iniormanvui
Signature
-- )�a
Print or Type Name
Mailing Address
v -
r6ldntbe
Toy- 21W - (o 't�H
i-_-_m
i Ira1 r lilt u.
I.
4Y
■ 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:
li�be(-4- G&�O rd �)a Q31-
�3 �etyacy Grde
r+. o+gri A
gent
-itL ' t — —
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from Rem 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. ervice Type
rtified Mail ❑ Express Mail
)MZAegistered S Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ ye
2. Article Number (7009 1,680 0000 2205 9953
Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Postal
MAIL
RECEIPT
Domestic Mail Only; No Insurance
Coverage,—.ERTIFIED
Provided)
A L
U-=
T
$
$0•46
ICA72
Postage
Certified Fee
13 • ip
14
Postmark
Return Receipt Fee
ndorsement Required)
$1.25
Here
3estricted Delivery Fee
:ndorsement Required)
so.o0
Total Postage & Fees 1$ $4.81 06/27/2013
street, Ap
v PO Box----------------
,ry, ware, rP�4_
300, August 200E
■ 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.
IS Attach this card to the back of the mailpiece,
or on the front if space permits.
(Domestic Mail Only; No Insurance Coverage Provided)
Ln
For delivery information visit our website at www.usps.com,.
. IZI
rij PostageLn
1 0472
Certified Fee
3 Q
04
0
C3 Return Receipt Fee
Postmark
0 (Endorsement Required)
$2.55
Here
C3 Restricted Delivery Fee
(Endorsement Required)
0.00
O
CO
.A Total Postage & Fees
09/20/2013
r-1
sin 1
PS Form 3800. August 2006 See Reverse fcr Instructions
A. Sign re
X L
❑ Agent
B. Rcelved NT-
inted Name) C. Date of
S fi � Z �
D. Is delivery address different from item 1? ❑ Yes
i. vac �No
1. Article Addressed to