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Home My WebLink About61622D - SchochJCAMA / n DREDGE & FILL l GENERAL PERMIT Previous permit# ZNew Modification Complete Reissue ❑Partial Reissue Date previous permit issued arized 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 r <- Rules attached. nt Name ` , ❑Clo Project Location: County s Street Address/ State Road/ Lot #(s) YYP►Is I n1A Statesc ZIPL 0 �) Fax # ( ) Subdivision N p zed agent L,1 J' - City � l•� U V1 S U � ��lf (�L� zip ❑ CW z I EW PTA —ES PTS phone # (� L )� i� River Basin ❑� V11 IJOEA F] HHF IH 'I UBA ❑ N/A + Adj. Wtr. Body ' �%1 i. � � lt+ti nat C PWS: J FC: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body _ Wh t ( ' O 1` if Project/ Activity i,f'' 4 1Cn_1 JA k A Li L_ ock) length M(s) pier(s) ength umber_ ad/ Riprap length vg distance offshore iax distance offshore :hannel ibic yards imp 'use/ Boatlift Bulldozing SANL =A-4 <1- 50x2.42X( ., x I Z I IJ- ne Length not sure yes no. gs: not sure +may no ��+rium: �n/a es no no Attached: yes j'n�o ___ l' `t ling permit maybe required by: i`1 r•. (Scale: I r! ❑ See note on back regarding River Basin i in" Fwd_ ondbagpenmit pVexwoxr t aS://]rc�l4�ttaC�el��Dog etaen� wuxau �wz�w �yw E05992013 OWN. ft A*A D North Cardina Department of Environment and Natural Resources Division of Caastaa ftagement Pat McCroy erauton C. Devis John E Sk�asla, ,sl �aver»or Director Se�xet8ry A0QNT AUTHORIZATION FORi�i Date: Name of Property Owner A lying for Permit: Name of Authorized Agent for iizia project: Owner's Mailing Address:: iYltt (i f ti�a Fl� Sc. •�i; 7G Phone Number-L EJc li-;;-- f L ! __-• Agent's Mailing Address; Phone Number '11 ter i f Cat+ r l certify that t have authorized the agent listed above to act on My behalf, fpr the purpose 8f applying for and obtaining all CAMA Permits necessary to inetail or corwstruet the following (afntivity): For my propetty located at H J tr-- ThIs oertifleatIOn is Valid thru (daW Plopedy Zh rfer Signature ba ges in "Fwd: sandbag permit paperwork" Blips://mail-attacbrmntt9oogleusercontenLcomlattachment/u 'CE05092013_00000jpg A& M.M.Wft -E.Md.YA NCDM North Carolina Department of Environment and Natural Resources Division of Coastal Manacement Pat McCrory Braxton C. Davis v John E. Sk ala, J Gcvemor Director Secrewi AGENT AUTHORIZATION FORM Date: Name of Property Owner Alying for Permr Name of Authorized Agent four this project: 1 Owner's Mailing Address: Vo (110r�+�► Agent's Mailing Address: rTt'.� tic Phone Number (1,13) tf l�` I 1 j Phone Number C 1l0) �+12,- 1 100 I certify tnat I nave authorized the agent listed above to act on ray behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): Y property `I tr c ; Formlocated at _ �_ � �� cry i� N This certification is valid thru (date) gILI P Pe Owner Signature Da e ges in Twd: sandbag pernit paperwork" https:Hmail-attachwritgoogleusercoriterrt.con✓attachment/u 'CE05092013_00001.jpg SANDBAG A L NIOV'AL N OTIC�E TO WHOM IT MAY CONCERN: � ) ( i 106� , give permission to to act as my agent in my� behalf in obtaining a CAMA General Permit to place sandbags as a temporary erosion control structure in front of my property at t-1 t f� F.. s 1 .� `�� `�(� Ali �k 0 C k have read the specifications in I NCAC 7H-1700 and understand that the sand bags may remain in place for up to years after the date of' permit approval. I understand that I will be responsible for removing the sandbags within 30 days after that period or at any time that they are determined by DCM staff or its agent to be unnecessary due to relocation or removal of the structure. I will also be responsible for removing any damaged sandbags during the period they are authorized to be in place. I also understand that the removal of the sandbags shall not be required if at the specified date For removal they are detemiined by DCM staff to be covered by dunes with vegetation sufficient to be considered stable and natural. AUTHORIZED SIGNATURF: DATE: CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORIM Name of Property Owner: Address of Property: �1 (r () , 10 N C (Lot or Street #, Street or Road.. City & County) Ager:t s Name #: )�t�a t I r� 1 (�' '`' Mailing Address: Agent's phone # �" �`� �i tr0 I hereby certify that I own property adjacent to the above referenced property. The individuai 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. x I have no objections to this proposal. 1 liar e objections to this proposal. If you have objections to what is being proposed. you must notify the Division of Coastal Management (D-IM) 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 rne. (If you wish to waive the setback.. you must initial the appropriate blank below.) l do wish to waive the 15' setback requirement. i do not wish to waive the 15- setback requirement. (Property Owner Information) .Signallw Pnnt or T pe Name ,k,4 acgnt Propg4y Owner Information) Print or Type Name Mailinn ArldrPs.s Mailinn ArldrP.as s Jin "Fwd: sandbag permrrat paperwork" https: //trail -attachment. googleusercordenLcom(attachmeriYWO/ E05092013_00002.,jpg CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER{ NOTIFICATIONIWAIVER FORM Name of Property Owner. -'� + �i \0 t r\ Address of Property: L I �I i ! f `,t }t'° (� 1 { (Lot or Street #, Street or Road. City & County) Agent's Name#: .)�I�(�t)�`z `-0f AAIUr.'(,',I At ilingAddress. rsU'cll Fr ,!.L. t Sal 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 wsth this letter /G _x I hax e no objections to this proposal I have objections to this proposal. If you have objections to what is being proposed, you must notify rheDivislon of Coastai lhanagenrent (DC114) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC. 28405.3345, DCiV 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 (Nail. 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 me. (If you wish to waive the setback. you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirernenTr, (Pro rty Owner Intormation .SYgucfttrre 04------------ -1 "1(- � " Print or Type Name jacent Prope Ownrar Information} �,F �� 1.�,, 0? <�,- r3 fltm�s Print or Type Name Mailing Address Marling Address M(4)(VNei,5h+d'10'w ITT Skgnce ef' r N 4 A pp(o . f3 �� Sc cole S�I 0 f"^iS �2'� °�hh Pik of Amerlca Advantage® 1-84 6279 67-048 53 SC 1/, / / / j Date 1629 $ A/ CAD vlQ� - Dollars F�NYI�� BFCY It on C Division of Coastal Mgt, Habitat Impact Computer Sheet iplicant: Zr( 1- S c��vt ��- Permit #: �2Z ite: 5 �z1 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 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 kOther ❑ 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 ❑