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HomeMy WebLinkAbout56505D - AveretteCAMA / I - DREDGE & FILL 3hEN ERAL PERMIT Previous permit # ]New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ri-d by the State of North Carolina, Department of Environment and Natural Resources ,y� 12 �� ;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / F3wi es attached. t Name ;' > Project Location: County ��l r^/S &✓l C'Ar Street Address/ State Road/ Lot #(s)/ State`ZIP .ed Agent -CW L� OEA PWS: yes / no Fax # (_ ) ❑ EW J PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes F_-no Crit.Hab. yes / no Subdivision City 00Z c/ O"- 9--m c'i zip 2 F Phone # ( ) / River Basin /—cs n Adj. Wtr. Body (ii, 0 L a-OX A' 4'l✓ (nat Closest Maj. Wtr. Body A y 1(s) LK( , 5 1/ " MENNIONEENEENE OEM ngth tuber d/ Riprap length_ g distance offshore_ uc distance offshore cannel bic yards np Z0'k7 ulldozing �e Length not sure yes nol ;s: not sure yes no •ium: n/a yes no yes no Attached: yes no ing permit may be required by: *0Z4110r 3OAC /) 0 See note on back regarding River Basin A, irt RMENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director AGENT AUTHORIZATION FORM Date: � l' Name of Property Owner Applying for Permit: Mailing Address: T503 � i've i st'4 lam e, 14Aufyell'�,'n�e�,SC ::�`t51� Phone Number: I certify that I have authorized (agent) Dee Freen Secrei to act on my behalf, for the purpose of applyingforand obtaining all CAMA Permits necessary to install or construct (activity) j)C%ve-o✓I I&mtft -� t at (my property located at) i 1 S lg�rtt�S* n Sj"fe f gc lkn &CFC4+ Sc- This certification is valid thru (date) /� (;IV( k II g n t ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 6ckatj ,A v0e- ff e is (Name of Property Owner) property located at �� S Qyl�`'1�T�R 5 Iteet M&M K? N G g� (Lot, Block, Road, etc.) on and a SW U) , in _14o46 `I wa c l -4 64'>(A u 4 k"t 1 y, N.C. (Waterbody) (Town and/or County) n� Applicant's phone #: S ��' `� Mailing Address: �61 K 11 yA La'`< Nr,1411S 1,10,sc a`1S?J He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) AI've - art 1Qo��{Ii �a �yf5`fiA� y'�ac�Ii%� dOct-rt S�la�iN�Pltii�� VI�(rPSS4•� 5'ic�L1(I�.(`i"n W1pWS4+PS. (Information for Property Owner Applying for 1 j 'Permit) 63 Cr w-5 Mailing Address /�Uv,,,t t 1 5 T,I� �, S C (Riparian Property Owner Information) i 1 7N. AR a / C Mlp,i L - C'I;RTIEIEn MAIL — RE rI11DiY K1,'CEIPT REOUES'I'I;I) nIVISION OF COASTAL hl kNAGELMENT ADJ,I,CENT RIPiUUAN PROPERTY. OWNER STATEMENT Name of Property Owner: /11/gdelie Addreee of .Property: r� (Lot or Street #, Street or Road, City & County) Applicant's phone #: p"bsl T� 6 Mailing Address: "0 5 (2tve �Side (hoc J n(.r A, S G� g 5 -� 1L I hereby certify that I own pmperty arljarent 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 ofdrawine. with djmgno ions, must be Dvoyided 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. Correspondence sbould be mailed to 127 Cardinal Drive Ext. Wilmingtun, NC 28405-3845. DCM representeUves can also be contacted at (910) 796-720. 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 beset 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 I5' set back requirement. I du uut wish w waive the l5' sclLaak requ.ireincia. (Pro erty ner Inform ion) �. (Riparian Property Owner Information) atu a l Signature n 14e (Yh S Print or Type Name Print or Type Name J 45,03 02 411'4 l�tirQ _ 4--� 3', /M #'drl �e SirPo � fQo �, cli Mailing Address Mailing Address /y�Nw��l<<5���{/ 5C �9S%� �i►avla��� NC �8�13 City / State / Zip City / State / Zip Telephone Number Coy 3 65 f6 �Teleph.one Number ?D rm 1 Drive -on Boatlift -� 7'X20' (Proposed) 140sq.ft. O6' 7 t Support (Proposed) 1 16' Gangway (Existing) Floater 16'-- (Existing) 128sq. t. O RICHARD AVERETTE DRIVE -ON BOATLIFT ADDITION 1 1 5 BURLINGTON STREET, HOLDEN BEACH, NC 28462 DATE: 9/27/ 1 O DATE REVISED: c m a Irn x. 1HW/Critical Line abuts:':': Bulkhead':':' Fixed open 6' PierheadJW.IkWay (Existing) 46sq fl PROPO; ADDITIor, APPLICE RA y Lot 170 (117 Burlington Street) Parcel #231MF029 PIN 201618304044 William R. & Norma Jean Burleson 4467 Regan Church Road Lumberton, NC 29358 --------------- "`- Lot 171 (115 Burlington Street) r: Parcel#231MFO28 PIN 20161830405 - ; Richard & Linda Averette a, u-��' - - :•-%r 4503 Riverside Lane Murrell's Inlet, SC 29576 • e ftf°:O::�; Lot 172 (113 Burlington Street) Parcel #231MF027 PIN 201618304955 Gail p. Helms Stream Road 4333 Middle charlotte, NC 28213 PROPC RICHARD AVERETTE DRIVE -ON BOATLIFT ADDITION ADDITIC 1 15 BURLINGTON STREET, HOLDEN BEACH, NC 28462 DATE: 9/27/ 1 O APPLIC FA '-r r- � r-^x r r e-- rr r--, ilicant: Permit #: scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen ind in your Habitat code sheet. oitat 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 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 ❑ .a N1I�i�i� �i\�I ���♦ii• �...l\III 1�1+.�i�IM1\1 P.O. BOX 1532 CONWAY, SC 29528 (843)248-9388 THE CONWAY NATIONAL BANK CONWAY, SC 29526 67-231 /532 10/1 & PAY TO THE NCDENR .r ORDER OF **200.( Two Hundred and 00/100********************.*..*....**...*.«..,**..«...,.....,«*..«.....*...., .*..,�««.,*.... *««*.. . n NCDENR 127 Cardinal Drive Ext. Wilmington, NC 28405 r C1p5lo�OJ (l�' 2. s MEMO 401 Water Quality Fee II■00424711' i:05320231131: 01172M73451