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Home My WebLink About55888D - PikeCAMA / IJ DREDGE & FILL�� iENERAL PERMIT Previous permit # �levw s CModification Complete Reissue Partial Reissue Date previous permit issued jed by the State of North Carolina, Department of Environment and Natural Resources >astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ' -71 1 u es attached. Name YU�fi�d + i✓�/ /�� Project Location: County AC4F,-V SwiC/O( l S L%'✓Sa ", S� Street Address/ State Road/ Lot #(s) ,Sf%i C ,0111 A✓ ?, 2,.0 !75 aRc 4 State —Pi e- ZIP .2 7yi� 9 %/O ) _S 25 - 2 Slj, Fax # ( ) Subdivision d Agent %/i do),n C 1dV21 City---- ZIP ❑ CW LHEW 3PTA (tfS ❑ PTS Phone # ( ) River Basin 4 4,--* ❑ OEA ❑ HHF ❑ IH C UBA I N/A Adj. Wtr. Body CO, a L � / w �✓ na m ❑ PWS: ❑ FC: / es / no. PNA yes Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity ^&eel ,9c �e ZX , 5 i"a 'Pled � KO iY / c1le c) length ): S 'ACL FSJ e, ,� /�( y r (Scale r(s) gth 1 ber - ' Riprap length _ distance offshore�- distance offshore nnel c yards 3 a/ Boatlift Ildozing Length S /`r not sure yes 41 not sure yes (:56- n �. im: n/a yes'. C no ttached: yes g permit may be required by: 4�1,0-5� ltr i sL 0 �pAf ❑ See note on back regarding River Basin ra ___._� r__�:�.__ \ •/ /i.. 7' ... .. /j)g. e J d n .J i 1 .0 o ; ' _,T off" �nl?' 75 .a ,' , NL ,-�-a40— rl r9. `-e-p\ ace, ro, RA ao` 6„ p?� CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: :�D v on�j ' P \" � Address of Property: (Lot or Street #, Street or Road, City & County) Applicant phone #: q\3 .S f) -S .. D, 5 (a if Mailing Address: I': r )c y.," --5sx-e-1-z-weI4 f\iG 99-1� 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 oposing. 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.nccoastaimangement.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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signaturer,./n,� ,( I� oars -�j r nn Print or Type Name � (Riparian Property Owne nformation) r—aw C_ Signature JJ r t or typ6Name 1 �p Mailing Address Mailing Address CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 360 00AJ �, to Address of Property: ,� � S�r �� she aL,,Lc' n (Lot or Street #, Street or Road, City & County) Applicant phone #: Mailing Address: �S t�r�So Se 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 p posing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I hive 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) �1 Signature �� 1c(,Vo' f '�)C)"As 4 4, P ; �- Print or Type Name (Riparian Property Owner Information) Signature Print or Type Name Mailing Address -Z C cy I jJo1�G1 N �c. Mailing Address N.C. DIVISION OF COASTAL AGENT AUTHORIZATI Date Name of Property Owner Applying for Permit: �b r �,-, �- \ (i -�- Pvl--\ r. p \ Y-- e- Mailing Address: I certify that I have authorized (agent) OA03 on 0 \ � cQPf-S to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) C'��r•b�12� `r'Qp�c4 ramp `1r'��o.'t�.3 �� 1 r` at (my property located at) ��So., �'tr�}c ► 0 C'mr. `�Sle c This certification is valid thru (date) Property Owner Signature Date plicant: te: f��,3o ii Permit #: scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer nd 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 fin disturbance. Excludes any restoration and. temp impact amount) / W/ Dredge ❑ Fill ❑ Both ❑ Other ?2- 13 Z 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 0 Both ❑ Other ❑ ITS BETTER BUILT INC. 4287 C.rolyn A,e Sh.lGtte, NC 28470 (910) 512-5946 First Bank Shallotte, North Carolina 28470 66-456/531 1916 6/30/2011 ENR $ "*200.00 DOLLARS R 5?-!R8 C3, 11100 L9 L6u' i:053 L0456g1: 79 L000 2 25ill _ ..-.TNIS DOCUMENT CONTAINS_A COLORED. BACKGROUND ON_W E_PAPER.. I-ROPRINT IB. LOCATED BELOW TNIS WARNING BAND__ ---- -- - - - - ----- --- ■ Complete items 1, 2, anw 3. Also complete A. 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: Betty C. Long 17 Anson Street Ocean Isle Beach, NC 28469 ❑ Agent ❑ Addressee 1XIT I X, U_- Isgelivery s different fro mi, s If YES, enter delivery address below: Z C) Cb 3. Servi y ertified M ❑ Express Mail ❑ Registered Return ReCeipffor Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 1680 0000 2205 4019 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 Postage I $ Certified Fee 'turn Receipt Fee cement Required) cted Delivery Fee cement Required) Postage & Fees 191 Steven R. Levine 4008 Watauga Drive Box No. rate,-ZIF+: Greensboro, NC 27410 rm 3800,A' Postmark Here ■ 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. El" lrW 0 rrl r ruPostage $ rU Certified Fee ED 0 Return Receipt Fee Postmark CD(Endorsement Required) Here E3 Restricted Delivery Fee (Endorsement Required) O cO -0 Total Postage & F- ri Er Sent To Betty C. Long o O street, aPe"'°.; 17 Anson Street or PO Box No. City State, ziP+a Ocean Isle Beach, NC 28469 A. Signature X ❑ Agent C ❑ Addre B. Received by ( Printed Name) Date , 1. Article Adrlres.qari to D. Is delivery address different fr*#rn 11r�- Yes