HomeMy WebLinkAbout56575D - GardnerCAMA / _ DREDGE & FILL
iENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized bathe State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules hed.
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Fax # (
:ed Agent
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yes / no PNA yes / no
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❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County 10;%i �7/l lei
Street Address/ State __Road/ Lot #(s)
Subdivision
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ling permit may be required by: 7/y**7 /A.` �, �5�/Al� ❑ See note on back regarding River Basin
-13-2010 03:06PM FROM-DEPT OF NUCLEAR ENGINEERING
+919 515 5115 T-143 P.001/001 F-293
DI s - -)
6evedy Eaves Perdue
Governor
RCW__ R
North Carolina Department of Environment and W Nral Resources
uVision of Coastal Wriagemer►t
James N_ Gregson
Direclor
AGENT AUTHoPuZATlON FORiv-
Dea Freeman
Secretary
Date:
Name of Authe rized Agent for this prolect.
Name roperty ()caner Applying for Permit~
{
� r
p er's Mailing Ad r ss=
Phone Number —
Agent's A4aifint l Address;,
phone Number
i that 1 have authorized the agent listed above to act on my behz If, for the purpose of applying
I teat fy
for and obtaining all LAMA Permits necessary to instate r construct �� faVlowing ( +tY 1
Ae r,
(my property Incated) at
r
This ceftificabcr9 is valid thru-(date)
3� for
20/0
Property owner Signature
Date
/v r e
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to %YO5 /N
(lame of Property Owner)
property, located at
CAMNI\Rz
(Lot, Block, Road, etc.)
on 8d!%N CS (1 '"T1 , in W(1r1r,5t1A-
(Waterbody) (Town and/or County)
Applicant's phone #:
Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
RECEIVED
DEC 0 9 2010
DCMI WILMINGTON, NC
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
Signature
Jh� Jimmy North - CMC FAX NO. : 9102566357 Oct. 24 2010 10:30AM P3
�y
I�ar::e of �nc?iVidual ApPIVIng
Address of Pr0P4rV ` `—— , 5t� et ctltQ
(City a.1d County) "ihe isldividua
t awti proper_ adjazent to the above-roteren�ed propem,�,
I hereby crciy tha win the de�ve��pz�,enttbe,
4ti� r far t :, � per�rlit has scr `oe to r:� as shown on the 4ached rov ded ith this letfiep.
app�, ln�
Qge prGposin$. �, aescript1on or dra�vin�, �'iti� dimensxotas, 3zc�uld e P
have ra Aections to this proposaL
lrIsion of Coast
have ob ectiovs to what is bein& pr�pos1M g,()n, C x&4il5 rite theorii;all 910-796-72'
If c�� ha 1
�16►ilm�tt�tort, N
N.jaa&jenaent� 117 Cardinal Drive i✓%tensinta,
" rscai t of this atnt?cc, % rs Parse is considered the saint as na abjecs'soz�
witha
in 10 dffiys t A
you have been notified by Certified Mail,
1VAIVF-R SECTION
that a ier, dace, maorin� piiin5, breakwater, bast bo€tBe or'tR,aat Ii;i naust'be
I understand F � in area oiri arian access a unless waived by me.
bck a mi:tirstt€m distance of f z: L,m. my , P ra note bunk below,)
wish to s�'aive the setback, you must ittitiat t e _.-....�..-.�.
i da wosl: is Nvaivc the 15` Setback requirement,
I 4o wai'v0 the 15, set'hack requirement.
Date
sip Name
-fiv VD
DEC ® 9 2m
C)eM *110 G10%
V11f�.Cteas
1.)14';5::) N cY!A5^i,kL _�1A`�'.=;Ci6,iytl',?�;'1'
Ai)JAI.� 11it:P..�'� ?'a�C�l'R1 �' UHF k �i0TiF1Q�� IiOI�T u'Ai�''�Rr 1
Name of Individual Applying For Permit: - l� r
Address of Property: .T31 q C / - , / Pl c
(Lot or Street 7, Street or Road)
(City and Co nty)
I hereby certify that I own property adjacent to the above -referenced property, The indiv
applying for this permit has described to me as shown on the aftached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided ,vith this lett
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796•
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boot house or beat lift must
bck a minimum distance of 13' frcm my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.}
do wish to waive the ? 5' setback requirement.
=�-- I do not vish to waive the 15' setback requirement.
Sign Name Date
CEN
DEC 0 9 2
DCM 'WtLMING
AMMMA
12/07/2010 14:53 9103234142 FAST PAGE 011i0.
�'iANACF1% -.NT
42, ACC' 1 AR ,kNPR- PER:' N' ,,NOTTFICATICiti_V'4FrER PORN!
Name of Individual gppiying F0,r Permit: i r r
Address o; ?ropertr _ -.4- c/
(Lot or Street -- Street or Load)
r F ar z,
(City and Court ,.-
I heresy certif�that I own propem• adjacent to the above -referenced property. The individual
apriz irg fortis is permit has described to me as shown on the ar,.ached drawing the development thev
are proposing. _q des cri Lion or drawing, with dimt,'sio;'s, should be provided wit,' this 'Letter.
I have na objections to this proposal.
If You hBvc Objections to what is being proposed, please write the Division of Coastal
Maca;emettt, 12? Cardinal Driti,e Extensi0n, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECT'I0711
I understand that a pier, dock, mooring pilings, breakwater, boat house or boatlift must be set
bck a minimum, d1stance of 15' from my area of riparian access - unless «'aived by me. (Ifyou
---.,p�—ti.p
wishto �vflive the setback, you must initlaTi the a ro rate blank below.)
- i do wish to waive the 13' sct' ack requirement.
I don t Wish tc waive the 1 ` setback requirement.
Sign: Name Date
0 IQ
Print Name
�10-3-)-3-t46*, (w) 9((j • qg,4 q
Telephone Dumber with Area Cade
RECEIVE
DEC 0 9 2010
DCN! WiLMINC ION «i
fA
NCDENR
i
i t fI
�Qif e!�
Division of Coastal Mgt- Habitat ]Mpact Computer 5beet
� I.--
Permit
licant:
61� G d�ei 1 1-2-Im (to
>cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
aitat 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)
f46Dredge
Dredge ❑ Fill Both ❑ Other ❑
ElFill Ej�' Both ElOther ❑
A0
94
Aa
( D�
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 ❑
COASTAL MARINE PIERS & BULKHEADS LLC
NCDL 3831595
6314 WRIGHTSVILLE AVE 910-256-6357
WILMINGTON, NC 28403
PAY
TO THE �--
JRDER OF I I
WACHOVIA
Wachovia Bank, N.A.
wachovia.com
FOR
Ila0 L i' 38 41Is 1:0 5 3000 2 194
DATE �c
2086 L 70 B LII'
$ Z�7 C-_) C-)