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Home My WebLink About61541D - SmithCAMA / DREDGE & FILL 3 � N E13oAL PERMIT M, Previous permit # It, dification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources -:;�, 4/ ' /7zq"-) ;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC t Name Wit , f� ��/ ules attached. Project Location: County�/�� e� L ��L:�%�'""dY� Street Address/ State Road/ Lot #(s) -L/V', !...,rl� tate1W ZIP AL &LIH�>� �r 6ar-g5a5 Fax (/ ) ' Subdivision ^# ed Agent �✓ /k C.. lre' '" f 5 City vi/%! k 1%/ CW EW _' PTA ❑ ES i PTS ^ Phone # ( ) -�'— River Basin GG ❑ OEA HHF C IH ❑ UBA ❑ N/A Adj. Wtr. Body A4411 ��S �� /(nat El PWS: C FC: yes / noyes / Crit.Hab. yes Closest Closest Maj. Wtr. Body t Project/ Activity st / t i i�/sr l �/s ` /> 7° k) length 6 ',k /t 9' me ILIi !a rpme (Scale: ling permit may be required by: / ��.y„ �jj/, ��fl ��11❑ See note on back regarding River Basin SnPrini rnnrlitinne // i..!/if 72 Z _ 1% /./4 f_ .�..., .ti�� -n .. _ _ _ _ _ /' —4 ..�. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PIUNGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to SM- 's (Name of Property Owner) property located at iCP I�r�we (Lot, Block, Road, etc.) ((�� on in r�c,�ty.4' JeAeA ,N.C. (Waterbody) Town and/or County) 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 b me. X I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual prop sing development) 00 An e j pvt to R+Forlan ) rrs4r, c f i'vr , X Signature ()e V- h11� Print or Type Name q 1 Q 7,6 kk L4C1 a) Pi Telephone Number � Date: RECEIVED D DREDGE & FILL N 61541 lZi'CAMA / �NERALPERMIT Previous permit# L eW '_7Modikation GComplete Reissue ' (Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources !Z J t 249 in of err onmetttal concern pursuant to 15A NCAC 7 /� i and the Coastal Resources Commisslon an area uies attached. 5; « ° s _ e Project Location: County---� a?; �ijpplr�ant I�Gme 3 � , A}� { less f��_ iY x �• ` `_ Street Address/ State Road/ Lot # 8 --- cm _ ,-/X, °/% _ _fir' _ 1/Z_ �--_. Pt+one #` (`�ll�? ��' ,: Fax # ? i __ Subdivision- City-4 j ry �/�,�•� '� Gt ✓/ 1/ 1 �P_ Authorized tiger; __... &1 A CES OPTS Phone# {�) "''�_ River Basin--1 Affected ❑ OEA C7 HHF ❑ IH O UBA ❑ IV/A AEC{s): Adj. Wtr. Body _ sYr •tCS /� {nat 11 Pvrs: ❑Fc: ORW: yes 10 PNA yes le �.� Y � Closest Maj. Wtr. Body lei'►-�tPI� S'tat�,o%� Tppe o Profec nutty Gt ,pnr) WA rr"—er piers) Groin length , number..__--- B:dkheadl Npmp lefgth__-,_-- a,,g distance offshore max distance offshore Basin, channel cuikyank _ -.. Boat ramp _ -- Boathouse! ift Bear Buildozin OtherJPVA fi' Shoreline Length SAV; not sure Yes sandbags; notsure " yes Moratorium: n/a yes Photos: yes Waiver Attached" es IrhamMEM ■ir■■■■■■■■■■a■■■in�i�ti?�i�C_�■■■■■■■■■■■■ONO ■■■ ■�■■■ R�t.,t� ■■tom■ ■■�■■■■■■ ■! 0■■ Il!!'1 j91: No YA ME 44. `�,�'��_� WEi�ii��i�i■� i%�ii■�ii�ii A build ng permit may be required by �rA— n �i 1 � /l LiCfL [i See note on back regarding Rk• BWn nAec. Notes/ Special ConditiNVho ons P eY&Signanae *P►easereadcomplbLUm nmtonbackofpermit" LocalP�noing�trisdistion. Roverl;UeNattt,-}ks,+m Chock # Letter of agent I `ba p � ,1 I l k have retained Mark Clements DBA, Clements Marine Construction Inc, to make application for any and ail permits needed to start construction on the work requested for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way relieve me of any obligations to perform all work according to the building codes of North Carolina, CAMA, DWQ or any other state and or county ordinances. date 3 I - . Contact information )l6StSi7,�,Vt f : IVI.�,t,►rCIII.- Ta4cn q I o -Czcv- y'1 L-I -I (-" H-CHIANNEL ORV le Y& . e - 4 G�la ti At,( pr Wo7isnamse mv A/Fia) LvIQ I 6, I f � 3• � r t�x�b 4.4 N�►� ' Fa m gx/I. lfo"kr I o of 40 Em pitr 1•If 0- ITO- O \ I �oGK�D P rerAwf e Lin er I I av% Division of Coastal Mgt. Habitat Impact Computer Sheet dicant: &4 Permit #. v115 V/ 3 /i tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name DISTURB TYPE 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 Dredge ❑ Fill ❑ Both ❑ Other v f) -3 UD 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 ❑ UNE CONSTRUCTION INC 3011 1-270-9110 66-30/531 3 365 Date 1 $ Zoo-- - Dollars n :ens CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAWER FORM ie purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or dividuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of 3astal Manasement confirmation that a written statement has been obtained signed by the adjacent riparian property owners dicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine �ntractor or other individuals acting as an authorized agent on behalf of the applicant. his form was sent to you by the following individual or company designated by the applicant as an ithorized agent: � iglZ/i C/NO %T� uthorized ,Agent's Signature Date 'ame of Individual Applying For Permit: �6YJ1 Sl7j/7`� .ddress of Property: 12- N C+V one' 10� (Lot or Street #, Street or Road) (City and 'County) hereby certify that I own property adjacent to the above -refer as described to me as shown on the attached drawing the devi ;ith dimensions. should provided with this letter._ I have no objections to this ✓ f you have objections to what is being proposed, plea! .ardinal Drive Extension, Wilmington, NC 28405 or call - - - - - -- - ------ — lo response is considered the same as no objection if you 1 WAIVER SE understand that a pier, dock, mooring pilings, break ainimum distance of 15' from my area of riparian acce etback, you must initial the appropriate blank below.) I do wish to waive the 15' setback r�----- I do not wish to waive the 15' setba-- ■ 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"Jo.,P.e wad A. Siga 1� X ❑Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery S . �)Ll? Wt.11<t,r D. Is delivery address different from Item 1? ❑ Yes If YES, enter delivery address below: ❑ No FEB 2 6 2013 3. Servi Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7007 1490 0001 8396 4364 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ 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 row•^ �% �'"'O`% ~ ru t 2. Article Number (Transfer from service label) PS Form 3811, February 2004 A. Signature � ❑Agent X �� ❑ Addressee e y Printed Name) C. Date of Delivery L D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No FEB Z 6 Z013 3. Service Type Z1 Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7007 1490 0001 8396 4371 Domestic Return Receipt 102595-02-M-1540 �vV Q-f 7-Y'llvq i9yli `awes � � e -f-yto "? r u v Saz tS o (ON A �� (-Ao (� i