HomeMy WebLinkAbout60790 - D & KJ l
�VtAMA / DREDGE & FILL
PERM IT
�ENFRAL
ejv lodification Complete Reissue --Partial Reissue
No. 60
Previous permit #
Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources r / ,
Coastal Resources Commission in an area of environmen I concern pursuant to 15A NCAC 1
Rules attached.
.nt Name 4 rnWSf ♦tif&,�/p�1►�anri Project Location: County Amy/- w�
s f�/,a',' R.4 /�iWx- 40rj-/ Street Address/ State Road/ Lot #(s)
f'1i/l lllVfiOld r State ZIP ��/1� �.��) J � /�,'
# (% i) W20—gg2f Fax
r#/ ( ) �"' Subdivision
ized Agent ,%j'i�i l �/4-11r*fJewlls City (�I��►-���� �Y� ZIP
YeEW AW ,P TA J ES - PTS Phone # ( ) ! River Basin 61
❑ OEA ❑ HHF ❑ IH -'-'UBA 17 N/A
❑ PWS: ❑ FC:
j/ no PNA yes /e9 Crit.Hab. yes / no
A 4Pro;40 cti 5 _
ck) length j
-�,-=,�-
pier(s)
length
umber
ad/ Riprap length_
vg distance offshore
iax distance offshore
:hannel
ubic yards
imp
Ouse/ Boatlift
Bulldozing 11
71�
�
ne Length's A
not sure yes
gs: not sure yes
orium: n/a yes
yes no
Attached: yes A),
Adj. Wtr. Body at
Closest Maj. Wtr. Body �+!
(Scale
ling permit may be required by: A114 (b . —th �Or Aal D-eg!.. ❑ See note on back regarding River Basin
C Divi'sion of Coastal Mgt. Habitat Impact Computer Sheet
plicant: 1 �' J�' Permit
te: JJ
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
bitat 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/orternp
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
e
Ll�
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 ❑
Letter of agent
I J� I"& ;1 ✓:!51;417 have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all 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.
jo'/ K
Pint a /�
Si ture
Contact information
RECEIVED
DCM WILMINGTON, NC
DEC 0 5 2012
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to D-4 < J nyc� frtl&r)1-T is
property located at
on
(Waterbody)
(m .
(Lot, Block, Road, etc.)
(Name of Property Owner)
in JJCr.-) bo'avvel N.C.
(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 by me.
rI 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 proposing development)
RECEIVED
DCM WILMINGTON, NC
DEC 0 5 2012
�� �,� s � wd vl�,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEWMOORING PHJNGSBOATLIF/TBOATHOUSE)
7� L
I hereby certify that I own property adjacent to D4 �TnVe3 MBn7-5 Is
(Name of Property Owner)
property located at 003.5 l ter" -
(I,ot, Block, Road, etc.) {{��
on in IVCt� I,Ant7Ve� —, 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 (151 from my area of riparian access unless
waived by me.
r _ _ I do not wish to waive the setback requirement
1 do wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To
nbe f Ued in by individual Proposing development)
G- F+ a J-
AITA-tj" bP64-w 46 �, 0 tC'
L�
l
Print or Type N I10 -
T Number
Date:
RECEIVED
DCM WILMINGTON, NC
a +�q�
�
Nt'j �
Gevcrt t
O 1 A ai,J
�$ it r Nvesfine� Fs + C�rt� �3a�,G�
1 60.38 .Ua ld fm5le- Lr\ I
L3%lmrne`)6l nc Z94-3
Fa.&�--Lr-)-
p�v
RECEIVED
DCM WILMINGTON, N
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to T)� < I N U05iQjer1 �5 's
property located at
(Name of Property Owner)
Cy--)
(Lot, Block, Road, etc.)
on C V" , in &C � �Ar10 t1 � ►— , 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 by me.
t/ 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 proposing development)
G/1Cs93F P//<�ijJ c��CC�Jr
RECEIVED
DCM WILMINGTON, NC
JAN 2 5 2013
--------------------------------- ---------- ---- ---------------------------
Signature
12 (". 4 ,11.E -4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that 1 own property adjacent to -DA K' )JN rr - _, S
(Name of Property Owner)
property located at 7� _,�! , n
(Lot, Block, Road, etc.)
on
(Waterbod , N.C.
y) (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/boadift/boathouse
must be set back a minimum distance of fifteen feet (IS,) from my area of riparian access unless
waived by me.
- 611byI 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 indit4dual proposing development)
(' Uw W ex�1a ��
RECEIVED
DCM WILMINGTON, P
JAN252013
IrI5 &
i
DECEIVED
DC
M WILMINGTON, I
JAN252013
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