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Home My WebLink About60647D - ChamplinNO. 60E CAMA / . DREDGE & FILL (/ , , ; ; : ; (', GENERAL PERMIT Previous permit # New Modification -Complete Reissue -_Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources % �0 coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC j ❑ Ru les ched. L' Name/ 4 � r ±�%� �A/ Project Location: County p.( .3� 2-V�l E � L Street Address/ State Road/ Lot #(s) � ✓! L ue State ZIP ?jD 0 &A Fax # ( ) Subdivision o97 OF :d Agent City r ZIP Z-g CW �w � PTA r,ES PTS w.y c�� Phone # (/ �); 3 2�' �T / er B in - OFA _; HHF - IH _ UBA N/A Adj. Wtr. Body Ol h rS C, PWS: FC: fie no PNA yes no) Crit.Hab. yes C no Closest Maj. Wtr. Body Activity k) length ''1-iON54,aII N-i-u '_ log-' ,$) _ :r�5) N igth fiber �Riprap length fi, pQ distance offshore — distance offshore I innel — - ---- is yards P e/ Boadift Ildozing Length not sure yes not sure yes f " 1— im: n/a yes yes cached: yes g permit may be required by: ' becial Conditions . �Y! MM-ed!r, I I See d- , El S n /� cote on back regarding River Basin r r va vi � � ��- P ► n QL -14-V Ir2 ---;L W Vill a --7)lLl fi CAROLINA COAST CONTRACTING, CORP. NC Division of Coastal Management Permits BOA Checking 5544 11/16/2012 :ality S t4ly ?an Hazard Estuarine Shoreline ORW Shoreline (For official use only) JERAL INFORMA TION JD OWN ne cress I �YOck F4Y` cenmwllle State CI `7)4 THORIZED AGENT ne I - i Permit Number a Public Trust Shoreline they Zip Phone I (?y 70 J yim :ATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of tt scent waterbody.) II I rA I rr nlf) r, I,- -c-C (-n11 A Y) (\ �/(�� iCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) eo_ wao- OF LOT/PARCEL: square feet acres )POSED USE: XR_ esidential Single Family Multi Family ommercial/Industrial Other rAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON- NTAL CONCERN (AEC): I-- square feet (includes all floors and roof covered decks) OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE \STAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): square feet Iculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry os, etc., that are within the applicabte .AEC. Attach your calculations with the project drawing .) lose the AEC area that applies to your property: (1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC ER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAME r development permit. As a service we have compiled a listing of the kinds of pen -nits that might be required. W -st you check over the list with your LPO to determine if any of these apply to your project. Zoning, Drinking Wate , Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Heating and Ai litioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivisiol oval, Mobile Home Park Approval, Highway Connection, and others. FEMENT OF OWNERSHIP: undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a n authorized to act as an agent for purposes of applying for a LAMA minor development permit, certify that the n listed as landowner on this application has a significant interest in the real property described therein. This interest e described as: (check one) An owner or record title, Title is vested in fr (� see Deed Book W in the . County Registry of De ds. an owner by virtue of inheritance. Applicant is an heir to the estate of ate was in I County. f other interest, such as written contract or lease, explain below or use a separate sheet & attach to this cation. [FICATION OF ADJACENT PROPERTY OWNERS: lermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given JAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (Address) DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: iowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible sion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems iated with this lot. This explanation was accompanied by recommendations concerning stabilization and )roofing techniques. TISSION TO ENTER ON LAND: iermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents er on the aforementioned lands in connection with evaluating information related to this permit application. 1pplication includes: general information (this form), a site drawing as described on the back of this application, th -ship statement, the AEC hazard notice where necessary. a check for %100.00 made nsvnhle. to the lnrnlity and nn 9C'dE'NR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Governor pee Freeman Secretary AGENT AUTHORIZATION FORM Date: Name of Authorized Agent for this project: Jame of Property Owner Applying for Permit: ` r Dwner's Mailing Address: Phone Number Agent's Mailing Address: L ,W v Phone Number f �IIG) %) I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying uct the following (activity): for d obtaining all LAMA Permits necessary to install or constr rP nAc'e- �iCJ (my property located) at This certification is valid thru (date) Prope Owner Signature �"-1 Date 01,A J 10/30/2012 Thomas & Rebecca Olbrych 2916 Snowhill Rd Durham, NC 27712 Dear Mr. & Mrs. Olbrych, This letter is to inform you that I, Duane & Kim Champlin, have applied for a CAMA Minor Permit on my property at 112 Boryk Ave, in Pender County. We plan to remove the existing home and construct a new home in its place. We are also removing the sea wall and rebuilding it. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawings as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at (770) 519 1272, or by mail at the address listed below. If you wish to file written comments or objections with the Pender County Central Permitting Division CAMA Minor Permit Program, you may submit them to: NC DIV. OF COASTAL MGMT 127 CARIDNAL LN WILMINGTON, NC 28405 910-796-7215 Sincerely, Duane & Kim Champlin SENDER� COMPLETE THIS SECTION 232 Luckie Street Lawrenceville, GA 3004E • Complete items 1, 2, and 3. Also complete item 4 n Restricted Delivery is desired. ■ Print your name and address on the reverse srli¢that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. r 1. Article Addressed to: -1 `. (`.1 A Signat - O Ac X `. - ❑ Ac B. Regved by( Printed ame) Date of J -r a C. l b. Is delivery address different from Rem 1? ❑ Ye If YES, enter delivery address below: 0 Nc RECE�VE� 10/30/2012 Thomas & Elizabeth Broome 1215 Dunbar Drive Laurinburg, NC 28352 Dear Mr. & Mrs. Broome, This letter is to inform you that I, Duane & Kim Champlin, have applied for a CAMA Minor Permit on my property at 112 Boryk Ave, in Pender County. We plan to remove the existing home and construct a new home in its place. We are also removing the sea wall and rebuilding it. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawings as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at (770) 519 1272, or by mail at the address listed below. If you wish to file written comments or objections with the Pender County Central Permitting Division CAMA Minor Permit Program, you may submit them to: NC DIV. OF COASTAL MGMT 127 CARIDNAL LN WILMINGTON, NC 28405 910-796-7215 Sincerely, Duane & Kim Champlin 232 Luckie Street -: COMPLETE THIS SECTIORT Lawrenceville, GA 30046 N 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: A. Signature C B. Received by (Printed Name) C. Datr F1 e D. Is delivery address different from item 17 C if YES, enter delivery address below: RECEIVED )plicant:� ate: Permit #: ( '7 rZ 1� � Z f 1( scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. Atat 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 ❑ Oro /v �to Dredge ❑ Fil 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 ❑