HomeMy WebLinkAbout50276D - PadgettIJCAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit#
❑New ❑Modification El Complete Reissue FPartial Reissue
Date previous permit issued
/
horized by the State of North Carolina, Department of Environment and
Natural Resources [�
e Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 !T . / j0 0 1240
t Name /t' -
Rules attacAhd.
Project Location: County S G
ass S P.
Street Address/ State Road/ Lot #(s)
`'.�
f StateZIP L cSy({ s-
L
5.
_
# (_7�a) S �� Fax # (_)
Subdivision
wized Agent G.: /( s S
�^
City
:ed I CW I EW 0 PTA DES ❑ PTS
Phone # ( ) River Basin
J OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
�)
,Q�
Adj. Wtr. Body / / nay
❑ Pws: ❑ FC:
• yes-11 r PNA n/ Crit.Hab. yes no
Closest Maj. Wtr. Body 6 ✓�
of Project/ Activity
(dock) length_ X /h
:r pier(s)
n length
number C
Fea§ Riprap length 5
avg distance offshore !/
max distance offshore
Dchannel
cubic yards
rarlDp
hous Boatli t z- X O
h Bulldo ing /_
r 12 AI
(line Length
not sure
yes
nor
)ags: not sure
yes
:' no?
torium: n/a
yes
no
)s:
yes
nor
:r Attached: (
ye)
no
(ding permit may be require(
Al (Scale:'
DNISiO?v OF COASTAL �iA�jAGEMENT
ADJACENT RIPARIAN PPCPERTY OWNER NOTIFICATION/WANER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individuY
individuals Iisted below. The CAIIA General Permit application procedures require that applicants provide the U,
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian prop
the proposed wort: or that the adjacent riparian properry owners have
indicating that they have no objection to
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners''
contractor or other individuals acting as an authorized agent on behalf'of the applicant.
This form was sent to you by the following individual or company designated by the apP i au# a
authorized agent:
A
s Signature
Date
'`lame of individual ApolvibsK For Permit: /�� ✓ �0 �
?address of Property: / K � J` JT
(Lot or Sweet Street or Road)
f✓1?,f G
(Ciro and County)
!l._herebv cerufv that I own propem, adjacent to the above -referenced property. The individual apptying fior this I
--as described to me as shown on the attached drawing the development they are proposing. A description or drat
,with dimensions, should be provided with this Letter.
I have no objections to this proposal.
I:f you have objections to what is being proposed, please write the Division of Coastal gemetct
arsiinal Drive Extension, Wilminb on, NC 28405 or call 910- 79b-7215 within 10 days of receipt of this 111
"e as no objection if you have been notified by Certifi
C? response is considered the sam
ed �rtail.
W ,i-VER SECTION
I understand that a pier. dock, mooring pilings. breakwater, boat house or boat lift must be set bs
minimum distance of 15' from my area of riparian access -unless waived by me. (If you wish to waiti
set -back, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive t,?-c I se-uback requirement-
/ YA A' ; ,/
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WANER FORM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owner
indicatin; that they have no objection to the proposed work or that the adjacent riparian property owners have been notified
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marin
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the following individual or company designated by the applicant as an
authorized agent:",,,
AuthorjzffAgenr's Signature
Date
Name of Individual Applying For Permit: t/T
Address of Property: /0/ 0 /J
(Lot or Street 1. Street or Road)
(City and Counn
I hereby certify that I own property adjacent to the above -referenced properrv. The individual applying for this pear
has described to me as shown on the attached drawing the development they are proposing. A description or drawin
with dimensions, should be provided with this letter.
Zr ��
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal Management, 1:
Cardinal Drive Extension. Wilmington, INC 28405 or call 910-796-7215 within 10 days of receipt of this notic
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, boat house or boat lift must be set back
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive tl
setback, you must initial the appropriate blank below.)
r1f
N_Z7LAX I do wish to waive the I setback requirement.
I do not wish to waive the I setback requirement. �
Date
CANAL
�
L1
WOOD
DECK
0)
CID
N 28'40'22' W FP
WOOD
_
S 28'51'06" E
FIR
o�,
o
BULKHEA 54.50'
DECK
5.01
o S►S
Do
BOA
E E
LOT 2
AM
LOT 1 PP
o
N
34.64fMB 11 PG 31
MB
11 PG 31
BLOCK 45
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SETTLERS BEACH
7.95ft
SECTION 3
s airs
8.08ft
Z
LOT 3
WOOD DE
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BLOCK 45
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STORY
VINYL SIDING
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CONCRETE
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— —FIR
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55.00'
S'45'00' E ��
S
55.01' FIR
28'45'00" E
FOUND NAIL IN
PP
® .110AZOV I
13.D0 MSL
1 st STREET,�``�
?A1r�.s
60' R/W
0' 30' 60' �
EWBM-'TO 1018 1st STREET ---
PHYSICAL SURVEY ®�®
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itlnrFh I;nn nnnnr'frnnnf of Cr.Ili rnmm^n+ nnrf hln+r rr-I dnnn� rnnr
"VI Lit L/Q! Vlli 1Q t./UpOl U 11,C It V1 Li 1 VII VI Il I iCJI It QI IU f VQIUI Clt 11C.iVUf VU""J
Division of Coastal Management
tvlichaei F. Easley: Governor James H. Gregson, Director
Date /77A2 /,�'
-7—
Name of Property Owner Applying for Permit:
Mailing Address:
c316 c37— ®x-
a;, -Y /"- C - a
William G. Ross Jr., Secretary
I certify that I have authorized (agent) 7)-b'�n/ C'qt1he-7 v to act on my
behalf, for the purpose of applying for and obtaining all �A�iIA Permits necessary to
install or construct (activity)
at (my property located at) /0 / `� I'S7`-ST c-f20L
This certification is valid thru/(Iate) 6 //
r.�l� o?/y!/9ic/lam
RTOPerty Owner ignature Date
00
�'
C Division of Coastal Mgt. habitat impact Computer Sheet
)plicant: Mike ( ,
ate: y I � (7-0(0
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
)und in your Habitat code sheet.
DISTURB TYPE
abitat Name Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)impact
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
amount) —temp
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/c
temp impact
amount
�
S Dredge El Fill [I Both ❑ Otheri[J 'j
V
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 ❑
PILINGS AND MORE c
JOHN CASSIDY 5681
PH: (910) 327-2009
LAKE HAVEN DRIVE /'��AX / 66-30/531
SN 45
SNEADS FERRY, NC 28460 (',C, / /" ` 457
hate
Po!r to the
�,—��der o D $
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Dollars F;"rto
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First Citizens
riBrstnk n .com G7p
For / ��"�'T� AV(41
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1:053l003001:0045? 13 2?0 131//05681