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Home My WebLink About60646D - Tillman_ CAMA / DREDGE & FILL NO. 6a GENERAL PERMIT Previous permit## .- New C1Modificatidp LIComplete Reissue Ed Partial Reissue Date previous permit issued - rized 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 G� �'�✓` Rules attached. nt Name / i / / `�� Project Location: County s ;> -_ rr �, fi Street Address/ State Road/ Lot #(s) State NG.. ZIP /�+ /r Id1J # ( ) Z Fax # ( ) Subdivision %C7'� �C�!!N 74 ized Agent City- � - �,��! ZIP` :7 f : d ❑ CW CAI Ew j;MA E ES = 1 PTS Phone # ( —"'^ River Basin ❑ OEA ❑ HHF IH UBA L N/A Adj. Wtr. Body_ nat ❑ PWS: FO / no PNA no Crit.Hab. yes / no Closest Maj. Wtr. Body C^ - A Project/ Activity i lD L .C,^_ !ock) length r m(s) 6 pier(s length umber ad/ Riprap length 0 ' vg distance offshore iax distance offshore Ix X1 T IZ channel ubic yards I � / imp wse/ Boatlift Bulldozing V ne Lengthnot sure yes gs: not sure yes no mum: n/a yes no yes Attached: yes �MiO� ling permit may be required by: W (Scale: 4 ❑ See note on back regarding River Basin / .- . J✓ /) CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, City &"County) Agent's Name #: l//,` i ,„� ,,, Mailing Address: �✓ -� 1�r',r� C.�� s g Agent's phone #: C L & IS" AL 2 A!�e 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 with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmana-gement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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 me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15 setback requirement. (Property Owner Information) Signatz�e aA Print or /ype Name b _� 4) .ni /ol Gods (Adjacent Property Prit or Type Name -� j� Uni/inn AAA A�� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Mchael F. Easley, Govemor James H. Gregson, Director VVM= G. Ross Jr., Secretary Date 7 - 3% - l Z Applicant Name Mailing Address C-5 j�q . I certify that I have authorized (agent) _.4111`a �� r'�/.�L to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) This certification ' valid thru (date) Signature 6--3�)-(3 �1 (pK `Z �✓ G awed td S �6x 1n.2 / -- _) 1 17) %f 5415 Fayetteville Road • Raleigh, NC 27603 • (919) 662-8001 • Fax (919) 662-86 www.RaleighPrintinglnc.com Email: RaleighPrintingCaol.com q1O -�),5 F" Covey Shea F (A) •` z S • /"f From Time Pages (including Cover)_ ' ),AGE: XE) 4? 7'�-- G u bf 746 �-7459Z75- CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: , J la I Ut-.TTS hr� (Lot or Street #, Street or Road, City & Agent's Name #: ; nal; K4 6GS Mailing Address: /�5 /1 k l ��+ lj? Agent's phone #: q/(2 232 2536 k�%SLJ aL 7 c/r s- 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 with this letter. V I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmanagement.net/contact dcm.htm or by calling 1-888-4RCOAST. 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 me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inf rmation) Signature Print or �Pe Name 5 3 (Adjace Property Owner Information) Signatu ' Print dr Type Name -_.:-- A---- )plicant: % l //,A�A �� (A� Permit #: ite: U 76 � I Zt Z vz,- scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. TOTAL S" Ft. (Applied for. �itat Name DISTURB TYPE Disturbance total Choose One includes any anticipated restoration or temp impacts Dredge ❑ Fill ❑ Both ❑ OtherQ 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 ❑ 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 0 Both ❑ Other ❑ S NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ierly Eaves Perdue Braxton C. Davis vernor Director August 21, 2012 CERTIFIED MAIL — 7007 0220 0000 8224 7182 RETURN RECEIPT REQUESTED Mr. Clyde Simmons 6906 Denlee Road Raleigh, NC 27603 Dear Mr. Simmons: Dee Free Secre This letter is in response to your correspondence, which was received by the N.C. Division of Coastal Management on 8/9/2012, regarding your concerns about the proposed development by Ms. Sandy Tillman, located at 103 Coastal Bluffs Drive, in Hampstead, NC, adjacent to the AIWW off Topsail Sound. The project consists of installing a 16 ft. x 17.5 ft. covered gazebo along the southern side of the existing platform. The project has been determined to comply with the Rules of the Coastal Resources Commission (71-1.1200) — General Permit for Construction of Piers and Docking Facilities: In Estuarine and Public Trust Waters and Ocean Hazard Areas and as such, a permit has been issued to authorize the development. I have enclosed a copy of the permit, as well as, the relevant statutes. If you wish to contest our decision to issue this permit, you may file a request for a Third Party Appeal. The Chairman of the Coastal Resources Commission will consider each case and determine whether to grant your request to file for a Contested Case Hearing. The hearing request must be filed with the Director, Division of Coastal Management, in writing and must be received within twenty (20) days of the disputed permit decision. I have enclosed the applicable forms and instructions that must be filed prior to that deadline. Please contact me at 910-796- 7266, if you have any questions, or if I can provide any additional information. Respectfully yours, Debra Wilson Wilmington District Manager (Domestic Mail Only; No Insurance Coverage Provid For delivery information visit our website at www.usps.com ■ 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: Cc; (t/ 5ftifZ 01; ( C oa5 fa I Q1k � Cf r A. SigrydWe ❑ Agent X 2i7Cddressee R eived by (Printed C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Serv' ype Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7011 3500 0000 2494 3414 (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: G j�l � � .S � m ✓►10,�5 CORM��e� 11, , J61 COMPLETE THIS SECTION ON DELIVERY A. Signature / / �J ��? j� Agent X ��//XJ�` / ////�i /J1/ddressee B. Received O'(Pn`nted Name) C. DrItlueiivery D. delive C erettttYom item 1? ❑ Yes If YES,�nter del' eery address below: ❑ No AUG 0 9 201� 3. Service 1WWq. _„ Certified Mal 12 ss Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7011 3500 0000 2494 3407 (Transfer from service labeQ PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete gnd� c item 4 if Restricted Delivery is desired. 7 Agent ■ Print your name and address on the reverse iieceive0d Addressee so that we can return the card to you. (Print Date of Delivery ■ Attach this card to the back of the mailpiece,Cyr or on the front if space permits. J Yes D. Is delivery a ress di nt from �