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Home My WebLink About57542D - BrownCAMA / DREDGE & FILL 31ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources )r CC nn :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ! �(J L ❑ Rples attached. t Name , . i i > Ow wti Project Location: County / W% Street Address/ State, Toad/ Lot #(/s) u 7 c Stat&ja,,� ZIP V 64-1'2 l L (✓ �j�Sto/C _l'✓ ('D) ? -- 3 q7 Fax # O Subdivis' edAgent 'y�f j10/< ZlhOl jT✓f ice• City ' q-A f ZIP �11 Cw EW PTA ES ❑ PTS Phone # ( ) River Basin OEA HHF IH - UBA ❑ N/A Adj. Wtr. Body / �� na PWS:_ ❑FC: nf-kAl` yes / no PNA yes o Crit.Hab. yes / no Closest Maj. Wtr. Body ) V Activity 1 e L D JA ✓✓ v"i� D T (Scale: ///, -- CCCiiCCCniCCCM.M. MECCIMENMNIN .. EEM CMCOEM MEN CCC'OCFICM:CCMaidlMORM H ■■■M■■■�■■w■1��1■■� I■ � �■MM�■M■�iM■■■MEIN■ ■■ME■ EM11■ M■MI■�1■M■ ■■■■■■■■■ ■ CCCCCCC IN M EMISVuMNMEEN ■■■■■■■■fir■■■■M�1■ �I■■■■■■■■■■■■■■■■ I■■.9�L'f:IG� �t�1?jLY�ll ■MEMEECC11■■C■■MI■ M■■■■■■■■iI■■■■■■ I■ I■C■■Y■I /'1■MMIMINIMIN Ili/ll�■ • MUMNEEMMEM ■CNEW CCMEMO MEMO C■■�:■M■■■MMCMI ding permit may be required by: ❑ See note on back regarding River Basin NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ael F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr., Se qh�l ._Q%t is hereby authorized to act on my behz (Printed Name of Agent) er to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to fic activities described in the attached sketch. \TION OF PROJECT: 5 R1vE )b>k QR 07-7 A_p.S rr ki2� 'ERTY OWNER MAILING ADDRESS: .aIss9t4 PHONE NO. ORIZED AGENT MAILING ADDRESS: V12r)hl) 8 PHONE NO. _ 910 - 3o-), ? - 3 y 7 WrP_ of Prnnarfsi nt"narr A/-h - X _ — - ■ 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: w»t 9�rrn x. :zH,-r» IP,0. T: cOA 103-)0 A. Agent IB. Received by ( Printed Nam) li C. Dat a of Delivery D. Is delivery address drfierent from Rem 1? Yes tf YES, enter delivery address below: ❑ No w1 VrnI f_a G Of.l aB ao 4 3, Service Type ACertfied Mail ❑Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 0960 0000 6030 9771 (rransfer from service fabef) PS Form 3811; February 2004 Domestic Return Receipt 1 -► I W ■ 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: C"AZkF6 5 . Q F1T1111=US �f- 1 l �4 w �-i,� ►� for T' 1�I2�, A. Si ps;tyre L/ ❑Agent X e eived by ( Printed Name) C. Date of elivery D. Is delivery address different from Rem 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type j� C"tified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 1 " Restricted Ddivery? (Extra Fee) ❑ Yes 2. Article Number 7008 G150 01300 5544 ..7053 (Transfer from service fabeo — — — — — 102595-024A-1540 1 PS Form 3811, February 2004 Domestic Return Receipt ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Apm jF�s o�„ 's (Name of Property Owner) property located at 1a5 (Lot, Block, Road, etc.) on Nsi--) S� 1 V rr I2 , in 5 t`1 c gft!s Emt� 14 C. , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: La V�gTScros QN Ma 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. (If you wish to waive the setback, you must initial the appropriate blank below.) -�-- I do not wish to waive I l�W I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) k(-,ItVD OCT 17 2011 ')C- ; Wit11/IGi4GTON, NC ------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address Signature is Q rinD,-T= r1 t1 n Sr u, i, a 1 /✓ /I /L/ . )licant: e: Permit #: 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 tem pacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp i (unt) 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 ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ A NT I N O R I CONSTRUCTION 145 VIRGINIA LN SNEADS FERRY NC 28460 PH 910 327 3475 FAX 910 327 0135 FAX TO: .JASON DAIL FAX # 91 0-395-3694 FROM: .JENNIFER ANTINORI DATE: 1 0-2 5-20 1 1 COMMENTS: 1 95 RIVESIDE DR RECEIVED OCT 2 5 2011 DCM WILMINGTON, NC THANKS!! LAMA / DREDGE & FILL GENERAL PERMIT Previous permit # New ]Modification ❑Complete Reissue '.,Partial Reissue Date previous permit issued thorized by the State of North Carolina, Department of Environment and Natural Resources e Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_ ❑ Rplas attaFFted. cant Name ► t t E%5 1 % wP: cant Project Location: County — �+ s --�Gj /�/ ✓�� 5 ro t ��; Street Address/ Stat ttoad/ Lot #(s)��7�__� csc ZIP � 15-4-- Subdivis*t= orized Agent/1 d.?�i, fJ_��( _ _— City— _'- — ZIP. �CWWA OES OPTS ted ;_; OEA :i] HHFr ❑ IH ❑ LIRA 0 H/A Phone (—)_ / River Basin r ik-r ' �' dna man Jur (s), Adj. Wtr. Body b �1� ' a' ._-_.- :- PWS: C1FC: Closest Maj. Wtr. Body � L r '{''•'�".: ----- yes '. PHA yesGOD Crk.Hab. yes / no e of roject/ AciL'tivity i t (i .1 ' ��+ T+ - `v'_ !'i ..v-cZ _ y� �'� - i L (Scale: r�. r (dock) length _ RECEIVED Se pi(er(s) ---- i.z x ri rtV oin length —. -- number---- ---- . OCT 2 5 2011 i Ikhead/ Riprap length avg distance offshore max maz distance offshore _. t� C INa W f L M i fV G T C) N, NC 1 f _ l 1 in, channel 1 cubic yards i at ramp -- --- ------ u _. athouse/ Boadift—_ _ — � i each Bulldozing. they;-4( �=;:( horeline Length _ I notsure yes ;andbags: not sure yes no oratorfurn: n!a yes hotos: yes giver Attached: yes See note on back regarding River Basin rules. building permit may be required by: otes/ special Conditions 'die---