HomeMy WebLinkAbout54014D - CarterCAMA / ❑ DREDGE & FILL
liENERAL PERMIT Previous permit#
New ' ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
i?R les attached.
Name_ Cott{✓ Project Location: Countyl�v�/
6twl Street37!r;�f
esss//State Road/ Lot #(s)
State k ZIP _
() .• Fax # ( ) ~"" Subdivision
d Agent / t/i///h/it// City �/�%► �r>M%rui ZIPS YCi
OCW Z W R*A ❑ ES ❑ PTS Phone # ( ).//� f1 . River Basin el
❑ El 1-1El�K OEA HHF IH UBA N/A Adj. Wtr. Body C � /Wl Wna rr
❑ PWS: ❑FC: .01
y Closest Maj. Wtr. Body h r?t
res
/ no PNA no Crit.Hab. es / no
Project/ Activity
k) length ZZZ7 X&
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/ Riprap length
distance offshore
c distance offshore
annel
is yards
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not sure yes Ind
not sure yes
._.... ....
.
um: n/a yes
yes
ttached: yes/
ig permit may be required by:
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(Scale:
OV4 %r ❑ See no a on back regarding River Basin rul
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOF-M,
Name of Individual Applying For Permit: �e�� Qn�� )2Mi C/-}✓�P�
Address of Property: 1651 M �Ar+ �"V. . �0" dl
(Lot or Street -rur, Street or Road)
M1, ni ac
(City and County
-rod P C--,
I hereby certify that I own prope-ry adjacent to the above -referenced property. The individc
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing. with dimensions. should be provided with this letter.
9_�9� I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified iY1ail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 1;' from my area of riparian access - unless waived by me. (If y
wish to waive the setback, you must initial the appropriate blank below.)
6��
I do wish to give the 15' setback requirement.
I do not wish to waive the 1 5' setback requirement.
Date
Print Name ems:
51'46'56" W 210.54' (DEED LINE)
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51'46'56" w 210.54' (DEED LINE)
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
AGENT AUTHORIZATION FORM
Date:
Name�of Property Owner Applying for Permitle ly-t-Lo
-
Mailing Address:
28'�1zS
Phone Number: (Xy) (S, ?_ WA/ 4, 2-z,5 0101
Dee Fi
Se
1 certify that I have authorized (agent) D /} i/ i 0 S n ` "T Y) C" ty / ry act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or
construct (activity) `�
at (my property located at) 76 ��Y � t/� G�d+/e �c XAim 7eA VC/ 2Q
This certification is valid thru (date)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ::57ZrF Co47--Pl/ �'t'hd fifr ', 01V
Address of Property:_ 76 S }'
(Lot or Street #, S
W �� van
(City and Co
- I-e 6 km e
et or Road)
Q c.. 2,q`(
I hereby certify that I own property adjacent to the above -referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development d1:
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 Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28403 or call 910-796-72
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, breakivater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If i
wish to waive the setback, you must initial the appropriate blank below.)
Simi Name
I do wish to waive the 15' setback requirement.
I do not ,vish to waive the 15' setback requirement.
Date
Print Namei�f1�
H
.�µTMB6Z
E 5p0 e:' IDEED LmE)
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51'46'56" w 210.54' (DEED LINE)
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
everly Eaves Perdue James H. Gregson
governor Director
AGENT AUTHORIZATION FORM
ite: - -.4-3 -,-20��
ame,,of Property Owner Applying for Permit:
HIV-- r
7P,-e*
ailing Address:
Dee Free
SecrE
none Number: 5f6 ?aV w1f2 Z9y6 J��
79v 52/ - 1153' - %rrl�
;ertify that I have authorized (agent) p A V 10 (5 )(1 lv / iv act on my
ahalf, for the purpose of applying for and obtaining all QAMA Permits necessary to install or
)nstruct (activity)
: (my property located at) 76 G-eye, 4PP u11'tAi rjj 7M/ /VG (6j
his certification is valid thru (date)
Division of Coastal Mgt. Habitat impact Computer Sheet
licant' �� �-�,�lr Permit #: 1/U
--I-f I�I'��
1
tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
tat 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)
Ji1
Dredge ❑ Fill ❑ Both ❑ OtherI
3
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 ❑
DAVID C WINNER
VIRGINIA P WINNER
(910) 45&-4577 (910) 547-3206
406 ATLANTA AVE
CAROLINA BEACH, NC 28428
Pay to the . _ D
Order of /
2068
Date 16-66i1220
1182
I $
Dollars ul
Bank of America Customer since
Rancho -Encinitas 1 9 9 9
1340 Encinitas Blvd _
Encinitas CA \
760.6 .3
QQ ��� f\
For 1 .J
1:122000660:206811,IL82411,04L.571" �'