HomeMy WebLinkAbout57594D - ManessCAMA / - DREDGE & FILL
.QEN,ERAL PERMIT Previous permit #
.New _.Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized 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 i GG 5 �i . 1z00
WRules attached.
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❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
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yes / no PHA yes 4(no; Crit.Hab. yes Kno
A Project/ Activity
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A - 1
RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management Dee R
Beverly Eaves Perdue James H. Gregson SE
Governor Director
AGENT AUTHORIZATION FORM
Date: /OV
//
Name of Property Owner Applying for Permit: Name of Authorized Agent for this
project:
Owner's Mailing Address:
751 � i�a►iouJ 1��� e-
Z? 33 Z
tint
Phone Number
Agent's Mailing Address:
�{ Co �P
Phone Number ftt0)
I certify that I 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 iocated) at �(�Cr% ���t�( ��✓
This t certification is valid thru (date) Z
Lfi l
natP
yl tic.:
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATENIENT
I hereby certify that I own property adjacent to 3-0�,-, f 11Q (19- S
(dame of Property Owner)
property located at NUA ck-\gk
(Lot, Block, Road, a c.) `-
S in �u� � uc +� \ NX
(Waterbody) (Town and/or Cou ty)
Applicant's phone #: q (� �,�-lq-Ql� ailing Address: S
1 a Zb
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in v
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington,
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
(Property Owner Information)
mkt
Signature
J 6h n ' %nA
Print or Type Name
'151�6� �IIa(AL') ,vP
(Riparian Property Owner Information
Signature
/-�,
Print or Type Name
Mailing Address
Mailing Address
UJ"G-i" _' 1 11 J4 rnV1'J-!)Z11n `XIlLb- Ya t L1' A A -1 Jd !.v Lv 1 GU_. 1 ulYlG/ t ur�� r z
MURrIFIED I':1IA;I_ RECEIPT RI QUI sTl=^
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONI!`1N'AIVER FORM
Flame 6f P �operty 0woeir: ' kJ►l►1 1��52 —
Address of Property ! .�_�.0 Stu L�'^ _.� -J`lS1 L-.1�r-gi T-% ,emu_
(Lot or Street #, Str4st or Road, City & County) n ll
Applicant plione #: C�kb' S-1CI - 9 O PAaiiing A ess:
&-ack NC Z.S�f C I
I hereby certify that i own property adjacent to the above reverenced property. The individual
applying frr this permt has ties -rib d !e MJ:> ,j�; I Q;-J 11Ie 'r ::hc?ii :iJ:swi^p thta develops ln'
they are proposing. A description or drawing with dimensions must be provided with this letter -
I have no objections to this proposal. T have objections to this proposal.
Myoa have objections to what is being proposed, you must notify the Division of Coas tal Management
(OCAI) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
avallabie at www.nceoastaimangement:neticontact dem.hfm or by calling 9-888.4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, bock, mooring pilings, breakwater, boathouse, or lift gnus 7 be set back a
minimum distance of 15' from my area of riparian access unless waived by m e. i It you wish to
valve the setback, you must initial the appropriate blank below.)
do wis h to waive the 15' setback requirement.
i u o not wish to waive the 15' setback requirement.
(Property Own r I formation)
Signature ,,,,�� CC
`
Print or fVp& Name
a
Mailing Address
N C 3 3-a
City/Statw7la
q\a -1-11 - 2- (b
(Riparian Properly Owner Information)
Signature '
-Tit 3n 21l PMA) I,Z L)
I at oo, ype t .7e
p Address
CityiStatelzip
30 - - -_.
IUJ'"L 11 LA J'3 rnU1'J-J=qn W11Ili- JLJ I' L.-L- 1 tU:. i uc-eu i VU10, 4. z
s;I;FtYIFlEi1 [:It�fl_ Ft:T:iRPd REECEPPIT
CI'VISiON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN
\PROPERTY OWNER NOTIFICATION!'W''A1VER FORM
Name a` P opetty Owner:_ -
Address of Property ` i CL1 c�C;l`_ —� _ C c�__ _ _ crJ l(A
(Lot or Street #, Street or Road, City & County) �u
Appli rat pitone #: g� �'S� 9 -9��5 Mdiiing ,ruidress: WQ A
I hereby certify that i own property adjacent to the above reverenced property. The individual
applying frr this parmit has der- ;r'ixid to me ,I^ tiie >'t ,::he?d ;:J awl^p th3 fC9vJ31ol; z r•
they are p ing. A description or drawing. with�limensions. must be provided with this letter-
�ve no objections to this sal. Y have objections to this proposal.
� ito>as P�� .,...-- 3 P p
Wyou have objections to what is being proposed, you most notify the Division of Coos tal Management
(OCAp In twrWng within 90 days of receipt of this notice. Contact information for DCM offices is
available at wwwnecoastaimangamentnet/coniact dem.him or by calling I•888.4RCOAST. No
response_is considered the same as no objection If you have been norlfled by Certificd Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift mus , be set back a
minimum distance of IT from my area of riparian access unless waived by me. tit you wish to
waive the setback, you must initial the appropriate blank below.)
_i I do wis h to waive the 15' setback requirement.
V i Jo not wish to waive the 15' setback requirement.
(Property Owner information.) (Riparian Pr rw4r I formatinr,)
Iti.-tit �� rd
Signature Signature
Prins or Type Name I rrt o, ype t "Ie
Mailing dress 1'(I �fi, dress
City/Statbf?.io C#y/Stste1zJ0
Y1 air.-:
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
h (Name of Property Owner)
property located at ,10�� C—U r\q � 1,►— V-Q
(Lo Block, Road tc.)
Fg r'\,330 , in r��-Q� �ctC�l , N.(
(Waterbody) (Town and/or County)
Applicant's phone #: o11b- S-1 S - 26S ailing Address: 101)
umU Yi 4- CtC1-` PC ZT4
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
----------------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in 'A
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington,
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
(Property Owner Information)
Signature
) \-\
Print or Type Name
Islu y \�C( rw�,J-, Z
('Riparian roperty Owner Information
SignatureLU
Print or Type Name
Mailing Address
Mailing Address
Division of Coastal Mgt. Habitat Impact Computer Sheet
ilicant: k, Permit #. 5: 959 4 �
e:
I/L 12
cribe 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 [IFill ElBoth ❑ Other ❑
15, Z)56
Dredge ❑ Fill ❑ Both ❑ Other ❑
L 00
VD
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 ❑
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
PAY _DATE ' 1 L-
TO THE
ORDER OF
BRANCH BANKING AND TRUST COMPANY
y 1 ( L-900- K BBT BBT.com
m Was
I "
111000080 25u■ ':053 LO L L 2 L1:0005 L999 265 2911n
8025
66-112/531
, A T.,
IV
■ 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:
r 1Z�
A. Signatur `
_ ❑ Agent
X ❑ Addressee
eceived by (Printed ame) C. Date of Delivery
iC tic - I�
D. Is delivery address fferent from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7009 1680 0000 2205 9533 —
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
RRISP,tlRG W. 29075
Postage 1 $
Certified Fee
m Receipt Fee
rent Required)
d Delivery Fee
nent Required)
$0.44 0470
$2.85 14
Postmark
S2.30 Here
$0.00
)stage & Fees I $ $5.5? 12/02/2011
------------------------
tt. N �(jj'JJ�1 I
-ZIP - �.--------------------
r'tA),ka Zg07�
3800. AU1
Postal
CERTIFIEDRECEIPTo (Domestic Mail Only; Coverage Provided)
Ln
Ir
W&YAM K
ru Postage $ $0.44 0470
ru
Certified Fee $2.85 14
C3 Postmark
C3 Return Receipt Fee 0 (Endorsement Required) $2.30 Here
Restricted Delivery Fee
ED (Endorsement Required) $0.00
Cc
Total Postage & Fees 1 $ $5.59 12/02/2011
rq
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Er
Street. Apt. Not _"� --}--
....or I' Box No.�570\� \Q� (�,��•��C..�\ `-----^-'-------
Ct S1 , ZlP+4
PS Form 3800. August 2006 See Reverse for Instructions
■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery i§ desired. r _ ❑ Agent
X
■ Print your name and address on the reverse C ❑ Addressee
so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address diffnrPnt fmm it— 19 ❑ Yes