HomeMy WebLinkAbout57591D - CrevelingCAMA / , DREDGE & FILL
PE NERAL PERMIT Previous permit#
New . _Modification Complete Reissue Partial Reissue Date previous permit issued
I
zed 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
,- V 11 T, Rules attached.
Narne,lprf) i! 1 Project Location: County Veu 41SVV 1 t4t ,
V� State VA ZIP 22(cs
(— L Q )::,-)U Ai� Igr, FFax # C_) ( L
ed Agent
CW EW )( PTA C ES PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA N/A
❑ PWS: ❑ FC:
yes no `i PNA yes ,/ no Crit.Hab. yes no
Project/ Activity
Street Address/ State Road/ Lot #(s)
�Z L�r;105UYb ;at
Subdivision N A
City ��1� cn it �SI F r2,e(k a, _ _ ZIP Z`6
Phgne # IO ) River Basin YK
Adj. Wtr. Body WI' kll (nat
`,,
f
Closest Maj. Wtr. Body -A w �\
(Scale:
■■■■■■■■�n�.r_r
_■�■■■■■■■■■■.�■w■
length
offshoreiumber
vg distance nax distance • channel
■■■■rw■.w
��=:
===mow■
■n■
■■■■■
.■:�■■■■■:■■■�
■■
NONE
■NOUN■=■a■■■
:ubic yards
■�i
ii®■■�i��.r
NOON■■■■
ONIO
MEMO,"sus
�■■■■w■■�����,,;mr
-
■■■■■■■■■■■■■�
17'■■!■■■■11■■■■■■r■
■�■■■■■■■■■■■■■■flu!
■■�J■■■■■■■w■■■■■■
Bulldozing
■■■■■■i���lsi■�1
■■t■t�■■■■■■1►I9�■■■
ine Length
not sure yes
_■�izn■■■■■■■■■■r.�z�®■■■■■■■■■■nRcw
trium: es no
■■■■■�1■■■■■■■■■■■■■�■■■■i■■■■■■■■
■■■HT!■■■■■■■■■■■■I�'tlii►�■■■■■■■■■■n
INEENIEW.
IT"
MOSEENIEN
t
H
IMENEWEE
Attached: Yes -A
ding permit maybe required by: Dam ls. I 1, LL E See note on back regarding River Basin
_ -J-1A IA.. A fille1 _,,.,I.n.. I d_.I . r,,, A I a.I, 1
02/2011 08:14 9103920884 ALL WAYS GRAPHICS PAGE I
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director
Authorized Agent Consent Agreement
Wiffiam G, Ross Jr
L_kg-,n Y3 (?X) A-, c.J„- c,,-c L-- is hereby authorized to act on my t
(Printed Name of Agent)
order to obtain any LAMA permit(s) required for the property listed below. The authorization is limitec
uecific activities described in the attached sketch.
OCATION OF PROJECT:
ROPERTY OWNER MAILING ADDRESS:
UTHORIZED AGENT MAILING ADDRESS:
l � •
DEC 12 2011
OCIV' WileMIN(,'TON, N(
PHONE NO. 740
`-� PHONE NO.
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MA-\ AGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATENIENT
Name of Property Omer: � , I l E _rirle
v r �`
.Address of Propeiv: _ � z� C�-t �L•—G C�� QCt,Lt .`?1/o L o ,ce
-(Lot or Street #, Street or Road, City & County)
Applicant's phone T (- jb'� Mailing Address: 1C 7 Lrz zy JIt
s5 < 22���
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 of drawing.
with dimensions, must be provided with this letter.
6�-- I have no objections to this proposal. 4 I have objections to this proposal.
Ifyou 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. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no obiection if -you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater; boathouse, or lift 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.)
CFI" �' I do wish to waive the IS' setback requirement.
ti+nci C� &cK rc-'
I do not wish to waive the l S' set back requirement. 1 ;t (_' �} e-A
q F A;.L r .�
,, .At.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
_54_ y L , }
City 16ttate / Zip ! J�
(Riparian Property Owner Information) Signature fill
Print or Type Dame / r I
2-2
Mailing Address
City ; State'/ Zip �'
CERTIFIED MAIL — RETLTN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
vj
Address of Property: 01615 bot—o J t e Pao i4
(Lot or Street 9, Street or Road, City & County)
Applicant's phone 9: 7 iIQ —5S D Mailing Address: Pe rIC f
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this p
has described to me as shown on the attached drawing the development they are proposing. A description of dra
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 (DI
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response
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, or lift must be set back a minimum distan
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial th
appropriate blank below.)
— I do wish to waive the 15' set back requirement A
I do not wish to waive the 15' set back requirement.
(Property Owner Information
Signature
Ve-
Print or Type Name
parian Prope er Information)
Si ature
sal i*� sn �' 16i t� rvt.a L.zy
Print or Name
10--� z - 8(9-f�,C-
Mailing Address
Mailing Address
An
6) 7
item 4 if Restr(cted Delivery is desired.
a�T--•-
X gf�'t['/.,�`T/,y.
■ 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,
B. Received t
. �
or on the front if space permits.
��� ''
1. Article Addressed to:
D. Is delivery i
If YES, ent�
c-.
�w h
P
10-7el- Q&Wt e
JAN 17 2012
AA bo rp N ` �-
3. S ll�eT �
13CM WILMINGTON, NC
>
G�o��
❑ Registel
❑ Insured
4. Restricted
2. Article Number 7011 0470
0003 510E
(Transfer from service Ie1_
PS Form 3811, February 2004 Domestic Return Receipt
U�ERTIFIED
S. Postal ServicetM
MAIL,M RECEIPT
mestic Mail Only; No Insurance coverage Provided)
nJ
O
ra
Ln
M
C3
C3
C3
C3
f�
C1
ra
Cl
N
Postal
CERTIFIED MAIL,,,,
f`- (Domestic Mail Only;
C3
CD
C3 �.I
Postage $
t17
Certified Fee
M
C7 Return Rooelpt Fee
C3 (Endorsement Required)
C3 Restricted Delivery Fee
C3 (Endorsement Required)
17-
_I- Total Postage & Fees $
M
o
..................`.
C3 treat, Apt. No.;
or PO Box No. 2.
City, ZI +
PS Form
:rr August 2006
(EASTERN COASTAL CONSTRUCTION CO.
157 ROGERSVILLE ROAD
WILMINGTON, NC 28403
E
7903
67-7194-2532
DATE �qi ` -? - /
$ R-va0'-))
DOLLARS
r-•.--� r-n � � � Vv I � � ILI:'YVA`i� �I�rY f7 i LD ��
DERAL
110007903110 1:253 27 I CA 5l:67060 154 28118
A
Division of Coastal Mgt. Habitat Impact Computer Sheet
Ilicant: <l ``ca'V4(1�Permit #:
12122-11
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 ❑ Fill ❑ Both ❑ Other
I
l �o
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 ❑
r