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Home My WebLink About57351D - BroglinT ;AMA / DREDGE & FILL �7 ENERAL PERMIT Previous permit# dew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ed by the State of North Carolina, Department of Environment and Natural Resources � IV /�D G astal Resources Commission in an area of environmental concern pursuant to 15A NCAC Ltftles attached. Name t� m"r ' f < %� r/'1 Project Location: County �� H�s�✓�� ;;? c,',r ,c` Street Address/ State Road/ Lot #(s)S%A.�? t� i f Stated'` ZIP . ) /i� -6�Fax#( ) d Agent ❑ CW XEW ; PTA E)fS ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Subdivision city %�O G Cio�✓ OF'C �I ZIP 57 Phone # (_) River Basin LOh'fie Adj. Wtr. Body �� /i / w V/) (nat /4 ❑ PWS: ❑ FC: Closest Maj. Wtr. Body es / PNA yes / Crit.Hab. yes / no io Project/ Activity L d N C-e f e O rt %.)e' 5 4 ` � �� c d es '14 L IY?N 13`,:;,,/L,(Scale: k) length s) QX I S rsy - igth fiber / Riprap length distance offshore c distance offshore annel lic yards ip se/ oatli /� r X / aL illdozing e Length _ not sure yes no s: not sure yes no ium: n/a yes no yes no Attached: yes no ng permit may be required by: Ald'f:1 &l<�f ❑ See note on back regarding River Basin r 1-06-2011 14:36 From:TFB PLAN&INSP 9108427003 JLWS-2011 M AO FRCM:lam'S DOCKSS,BULKH 910-755-S871 To:910 755 6871 P.3/4 TO.8427003 P.1 � 0/? cjq �Joo-�e el Ocpo�j 114 �a Dock �1 /!G I QX�sfiAj Dock 105 S-�G��sh r. New I)'P 3 ;onsent form jpg (JPE... Cama consent form jpg OPE... http://md l4.embarq.syna Rob NR North Carolina Depwtimrnt of Environment and Natural Resouroes Ditfisi of Coastal Manageanurtt -Wharf F. Eaft, GOva W c4d" S. Soees. Nroctof f~£dAom G sow .tr„ Seastary Authorized Agent Consent Agreement -Sam m U 6-0 is hereby autlwrized to so on my bet)alf (PkA W Ne" Of Apear) in order to obtafn any CAMA peat jXs) required for the property listed below. The authorizat on is limited to the sgme-cific activities described in the attached sketch. LOCATION OF PROJECT: Mori PROPERTY OW14ER NIAILING ADDRESS: PHONE NO. 916 _ p / � ' 919 / AUTHORIZED AGENT MAILING AWRESS: PHONE NO. �l o / 7 � W `� J Slgrawfe of Property Owner: Signature of Authorized Agen Date. 127 Qrdirs21 �dve Ext., ,'4%*gtcr, NOM CWOWa 264M M45 ??=@. 91C-7VLT215tFAX 91tt-99"s?564t nternet www.ncra+etapr a6s+txntt�et DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: pa U 6(�4 1� , rrnn ��__ r l I Address of Property: 0J-1(I� 1-I ;T (Lot or Street #, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The indivic applying for this permit has described to me as shown on the attached drawing the development t are proposing. A description or drawing, with dimensions, should be provided with this letter I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Cow Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3� within 10 days of receipt of this notice. No response is considered the same as no objectioi you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If y wish to waive the setback, you must initial the appropriate blank below.) C)WU.'�I do wish to waive the 15' setback requirement. Sign Name I do not wish to waive the 15' setback requirement. C -1k Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTYO WNERNOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: &Ail'() Address of Property: 10 S :5Jgr4I S h h2l C P n 1 J enc t l W (Lot or Street #, Street or Road) (City and County) 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, should be provided with this letter. 1/ I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. 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, boat house or boat lift must be set bck 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. X&PI I do not wish to waive the 15' setback requirement. %iame Date IA Print Name 4 . 1 q1/) Sey I g -)/ / ►. o. wak Ewa J-06-2011 14:33 From:THB PLAN&INSP 9108427003 To:3953964 P.1/5 TOWN ()F HOLDEN BEACH PLANNING & INSPEC TIC)NS DEPARTMENT FACSIMILE TRANSMITTAL SHEET FKom: Debbie Wilson PLnfm' ig & Tllspecrions COMPANY: UATR June 6, 9011 FAX Nt'MPER: SENURR'S rAX N1'MRER: 910.8427003 P1KiNP. NU Mill".R: SENDER'S P110NE NUMSIM.- 910.8426080 RR: TUFA). NO. ur PACEiS INCLUDING C:OVEJ(: ❑ U1WFiNT [3FOR REV11RW C] PLEASE-: COMMENT p VI. &SH REPLY ❑ PLE:ASF. RISCY(:I,E' Zi N(1TPS/C()AIMRNTS: ;. E I V E D JOIN 0 6 2011 ' `.@ ,JI JGTON, NC -06-2011 14:33 From:THB PLAN&INSP 9108427003 To:3953964 P.2/5 TOWN OF HO LDFN BEACH PLANNTNC & INSPECTIONS DRPARTMENT FACSIMILE TRANSMITTAL SHIKET TO: FROM Sammy Varnum Pl1,nning & [nspec6ons Cc) M P A tiY. DATU: Junc G, 2011 FAX NUMBui? SENI)RR'S I-AX V[ MBjjK: 910.842.7003 PIIONI-. N(IXJBLR: sENDER'S PIIONE 1%Li.MIIF& 910.842.6080 RI` TIYIAl. NO 01-PAc;rSIN(:fAjnlNCcawsR 1 ❑ UKGF.N'r ❑ FOR REYIISV6' ❑ 15I.T:1SL COMMENT ❑ PLI:ASP. RGPI.Y ❑ PI-PASL'• RECYCLE No TpSJC()MMICNTS: Make sure that you have notified 576 C7$t ' uid 107 Starfish Drive. 5 JUN 0 6 2011 1-06-2011 14:33 From:THB PLAN&INSP 9108427003 To:3953964 P.3/5 u�- 7'GI011 116 , x f q FK ]"AR IA" DOGKS$.BLLKH 910-755-6871 TO:8427003 P.1 DPMSIQN OF COASTAL MANAGEMENT ADJACENNT RIPP ,BANPROPERTY OWNF-R NOTIFICATIQUWANER FORM Name of Individual Applying For e Li 6CA6 P rmit: Address of Property:__1 Q 5- 4l � � . AJ [' . Pt or Street #. Street or Road) (City and County) 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, should be provided with this letter. I have no objections to this proposal, . ihe-4wn J- 41dyjr 9-off d' docs nod LJN46 Yer o.ny sel-backs -06-2011 14:33 From:THB PLAN&INSP 9108427001 --� • - — • -Xcj. ion rmu•j: t tjpamm-5 LXUCS&BULKH TIC-755-6871 ee-v5-08 114 PA To:3953964 P.4/5 T0:8427003 P.1 • 30 - r t NbJ 1) P� 105 PaL�l i 5-larAs"h d . c JLIN-06-2011 14:33 From:THB PLRN&INSP 9108427003 To:3953964 P.5/5 THE UN6ERMNLD NERERY ACKNOLCOGE THAT THE LAND SHOWN ON TI413 PLAT �IS W1711IN THE Ek-T lL6EN D: EUBDl v1E lON RL9U LATIOM JURISDICTION ING I RON PIPE OY NIP I REV IRON PIPE Cm 0 CONCREYE NIONUMEN AND THAT TNIE PLAT AND •LLOTN(NT IY NY FREE PK-P PK. NAIL IVA 0 RAIL ROAD ACT ANP D{L D, SPIKE R/W RLOHT—Of - WAY R. PROPERTY LINE 1f NAp 1 A C CCNYERLINE y 0 ti IeO ou 6 1' O?004J W of 6 RNNP Q CL� ✓. ' T o I ao z � � I r 7o k R 1 I � 1-Cr rqS LOT ZqG ILe�Lq-ly Lal z^9EI teT Y9i I LpT 30p 1 , 3 loT 1P1 T L.%� i Lt/S • L4 lC Z* j, L I EiI N gi-O' I G fI/A PI z4r [ AV% 3 EJ3 Lg ti(4Rror M y� 1^•�O S/�~` y do Cgl.,,l VIEI-J �LV C7. L..f F-ST Gp 117j An Q CA T E: i- 1!— / 1 ._.. I HEREBY CERTIFf TMAT THE AT TACNCU PEAT Of SURVEY IS TRUE AND CORRECT "" EIVED REPRESENN D TATIOOF LANSURVE YCD AND PLATTED UNDER NT SUPERYI{ION. .rya TNONAE M Ear JUN 6 6 2011 11AS 4 8 _) .3+GT®N; � � R � OOR'� p�' t Vy scale feet TA TE Of n.....,..� TO WIT ,pplicant: f9N �� L ,.i Permit #: CC late: escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremi iund in your Habitat code sheet. abitat 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 f disturbance. Excludes any restoration ar temp impact amount) ��✓ Dredge ❑ Fill ❑ Both ❑ Other % Y / y V 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 ❑ PAUL ANTHONY BROGLIN 334 SAINT THOMAS RD FAYETTEVILLE, NC 28311-2965 s oYto the order o First Citizens Bstci ftrens in For W- P%,j5 � '��_'`,._.` 1:0 5 3 100 3001:000 3 4 908 1 II' 01351 1351 66-30/531 031 Date $2-6v w _ Dollars ' b[411• en U�