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