HomeMy WebLinkAbout59110D - Pleasants' CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina, Department of Environment and Natural Resources 14 "o
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ul a ched
nt Name: ! feel
s Ti
_ I',rl f>mina +tnState W ZIP 2,ey//
# (910) 52P-W Yt Fax # ( ' ) `~
izedAgent _0*S NlYilletk�
.d CW iEW 'PTA ES J PTS
OEA HHF — IH _ UBA ❑ N/A
❑ PWS: ❑ FC:
es "/ no PNA yes / rib. Crit.Hab. yes / no
of Project/ Activity
?s)
pier(s)
length
camber
gad/ Riprap length_
ivg distance offshore
nax distance offshore
Bulldozing
ne Length S
not sure yes
9
Project Location: County Alow►' 'f1 W' /
Street Address/ State Road/ Lot #(s
Subdivision ii �/' �� �n „,0
City W ! r "I'YI n ZIP �,,00��
Phone # ( ) .S-ZI,+"o, River Basin C G4
Adj. Wtr. Body A5 ? "nat
Closest Maj. Wtr. Body A/l
(Scale:
ling permit may be required by: �% e�(y . r, 5 /! �/� J j ; 0 See note on back regardin, River Basin./ Snecial Cnnrlitinnc 1 L /. 11<
$ 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 #,
Applicant phone #:
or Road, City & County)
MailingA••- 11 /.11 d
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.nccoastalmangement.neticontact 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, 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.) k t r I '!
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type N me
DEC 19 2011
DCM W l-MINC-TON. N
(Rips pan Property Owner Information)
2`C
Signature
Print or Type Name
411 a 'Rywc,4r d 2d
Mailing Address I1
i�A le I *A L. Al 0 r711tic --t,-Ar�lL
Mailing Address
C. r, rit)4e ,\t C
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date Ia- I -,�I
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) Chap I eS C • V �(P 1rbeck .SIB to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 4 T b RGi t ,U i VLt i Vl n-kin. 1 . NA
This certification is valid thru (date) 10, I -3 L�o�o
Property Owner Signature Date
i'2n1 ems►
e
>perty
►1
MASONS CHANNEL
uckfelde
Property
EXISTING DOCK REPLACEMENT
with 14' X 16' DECK
Dr. Riley Pleasants
d lih Rnarl
Overbeck Marine Construction, LLC
WrinhtcvillP RParh_ N_C'_
G Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: ��'1� f' Permit #: 1167
J
ie:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
ritat Name
VW
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
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 ❑
OVERBECK MARINE CONSTRUCTION, LLC CRESCENT STATE BANK
Wilmington, NC IM� �ftd
,—
P.O. BOX 716
WRIGHTSVILLE BEACH, NC 28480 66-1227-531 12/16/2011
PAY TO THE DENR
ORDER OF s **200.00
Two Hundred and 00/100•*********•••*.*****..*""`***"********"*********•*********•*«*••******.*w**.**.*�.*****.**,****,***.
DENR
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
MEMO Riley Pleasants
11'00 L06511■ 1:053 L L 2275i: L 2553500011'
VERBECK MARINE CONSTRUCTION, LLC
DENR
GP591l0- aleas�nts-�11�)
Crescent State Bank- Riley Pleasants
AUTHORIZED SIGNATURE
.L000
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0
0
DOLLARS
12/16/2011 1065
200.00
200.00
w.,
Postage $
Certified Fee
n Receipt Fee
lent Required)
d Delivery Fee
lent Required)
stage & Fees
r No.
a, ZIP+4
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■ Complete items 1, 2, and 3. Also complete A. signatu
item 4 if Restricted Delivery is desired. X
■ Print your name and address on the reverse
so that we can return the card to you. B. Received by (Prir
■ Attach this card to -the back of the mailpiece,
or on the front if space permits.
D. Is delivery address
1. Article Addressed to: If YES, enter d
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❑ Addressee
C. Date of Delivery
VldiWitem 1 Yes
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Certified Mai 'I:�N
❑ Registered �a for Merchandise
❑ Insured Mail ❑ C.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service 7 011
----
0 4 7 0
0003 5102 8 616
PS Form 3811, February 2004
Domestic Return Receipt 102595.02-M-1540
Postal
CERTIFIED MAILM RECEIPT
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Postage
$
Certified Fee
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Total Postage &Fees
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■ 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.
A. Sign
�❑ Agent
X ' ❑ Addressee
B. Received by L_Printe fyamg4 I C. Date of Delivery
D. Is delivery address different from items 13 Yes