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Home My WebLink About54500D - SimpsonCAMA / ❑ DREDGE & FILL iENERAL PERMIT Previous permit # New ❑Modifiyation Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources /, oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 2,1 1.2 4G 7� DRotes attached. Name P19AJ rl-i Si 1-4,05' 014 Project Location: County 4ea if- I &V )tle, P 0, a" k /% a'q Street Address/ State Road/ Lot #(s) l b jk 3 8 0d, / ,;_,9, L State /' ZIP 2 f (' �J Yk-_73J J' Fax # ( ) Subdivision A Agent (�)4/t Ao �GX City t'/C r ZIP CW `rEw ❑ PTA E-&S -- ❑ PTS Phone # ( ) River Basin LW-,y ❑ OEA ❑ HHF C IH ❑ UBA ❑ N/A �/ /� f�i Adj. Wtr. Body �JL � ,.,Sov.- C. eNate ❑ PWS: ❑ FC: Closest Maj. Wtr. Body (es / do ,_ PNA yes / rjS� Crit.Hab. yes / no Project/ Activity Y'4 ry/Q/t d %LoA7��Ay do�� (Scale:l k) length i rgth nber I/ Riprap length distance offshore c distance offshore annel is yards ip >e/ Boatlift Iv ' t Length ,1 ❑ See note on back regarding River Basin rr. Fnt by : 7048215205 SIMPSON ELECTRIC 04-20-10 10:08 Pg: 1/1 WNW .� Natural Resources North Carolina Department of Environment and Nat r Division of Coastal h9.anagement Beverly eSecretary Eaves Perdue James B. Gr*cn Dee ay Governor Director Owner's Mailing Address: Phone Number3�7' AGENT AUT�IORiZAT1Oiy E-0RM Date: ..�. 2CLl-4 -V/0 'or Permit: fume o€ Authorized Agent for this praiect: Agent's Mailing Address: Phone Number I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CANAA permits necessary to install or construct the following (actiuiiy)_ �hP/�5�� fD�PS a�/'"`�-�� OGf�i�✓-'!Et`r� C `z/ "Jet L/�s:'�'S (my property located) at This Cortificationis valid thru (rate) /O� owner Signature lr 1J --� Date g�KO 14-r L- CERTIFIED MAIL -- RETURN RECEIPT REQUESTED DIVISION OF COASTAL NIANAGEME;,iT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Name of Property Owner: LAA)IJ Vy 0,440 L V I M PSO d — Address of Property: �� li,! �� ST UCEiFI,c� 46C IJG-1, 1JC ;7PA1 % (Lot or Street #, Street or Road, City /& County) Applicant's phone #:74 ,41 G 0 Mailing Address: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this per: has described to me as shown on the attached drawing the development they are proposing. A descriotion��_ of drawi 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 (DCP in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive I Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-1215, 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 Iift must be set back a minimum distance 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 IS' set back requirement. I do not wish to waive the 15' set back requirement. (Property Owner Information) Signature �A N ,l w U� 2c� S� H Ps O J Print or Type Name PC) 130,�r Mailing Address ,t Al i 10 (Riparian Property Owner Information) Signature Print or Type Name Mailing Address City / State I Zip City / State / Zip rJA Z)C4.4 vt/(- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE) -'' I hereby certify that I own property adjacent to J 6 H N .S-J 6AI GE L off. td 's (Name of Property Owner) property located at 170 77-( t ("/) S i CC 6/1AJ /S CC /� e/,/- (Lot, Block, Road, etc.) on 0 C L� SO U iJ D �o2tit'-/G , in 1151"V S ccl C K > N.C. (Waterbody) (Town andJor County) Applicant's phone #: Zo4 FI SLO Mailing Address: eja,�N / Z,41 AJC29a7%-ilo� 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 DE VELOYMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) Po 60x /10 Mailing Address City/State/Zip (Riparian Property Owner Information) Signature Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING -PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to Syu cJ (/oO T /__htE{ C t e 'st (Nacre of Property Owner) property located at l✓� G �' ST - DCCf1 A)1S(C 13C-tV NG ,2 PV 61 7 (Lot, Block, Road, etc.) on 0 Yo0,C)in /J'IL UAJSU)/GiG ,N.C. (Waterbody) (Town and/or County) Applicant's phone #: 7a mailing Address: / d 13 O X /10 9 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 (I S) 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) (Information for Property Owner Applying for Permit) o 60K moy Mailing Address Ve (Riparian Property Owner Information) Signature City/State/Zip Print or Type Name S�UN. C) f t�' 301 ONO guLy oT no aP w.7 QcG�tNT�r+clJe A)C- Lo T �3 SOJAJD F(-DA)-F DIy?C Division of Coastal Mgt. Habitat Impact Computer Sheet dicant: fly �� S�rn�s��✓ Permit #: cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement rid in your Habitat code sheet. kat 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 Tina disturbance. Excludes any restoration andh temp impact amount) O 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ CHARLES FOX HOMES, LTD 16 CAUSEWAY DRIVE OCEAN ISLE BEACH, NC 28469 910-579-0908 TO THE IER OF F(elv /4/.t BB&T OCEAN ISLE BEACH, NC 28469 66-112/531 15090 5&0 DOLLARS B1 s—ty Wow.. muw D.W. o..k IO )ty /WlY C r+�i� OAUTHORIZ D SIGNATURE 11,0 15090116 1I:0 5 3 LO L L 2 LI: 1 3t,0000 LO 7408�l' ■ 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. 1. Article Addressed to: So v,j ;) f l-20ti r f la" c L 2. Article Number (Transfer from service label) A. ❑ Agent 4A k,14 ❑ Addressee B. Received by ( Printed Name) C. Da of De ery D. Is delivery address different from item-1? ❑ Ye If YES, enter delivery adder❑ No 292010 3. Service Type Certified Mail ❑ ❑ Registered INRettxn R ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 7008 0500 0000 3881 2145 PS Form 3811, February 2004 Domestic Return Receipt ■ 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. 1. Article Addressed to: T6 /1 —S V 3 / S 3102, Ncz &M&A3S.20/to, k)C 7w Mx 0 ISO ❑ Yes 102595-02-M-1540 A. Signature t / ent (�JC.C�[-N'�l ❑Addressee B. Received by ( Printed Name) C. Date of Delivery �(Al /I-;�-3 D. Is delivery address different from item 9? rL-I I If YES, enter delivery address below: ❑ No 3. �S.Cervice Type C! Certified Mail ❑ Express Mail ❑ Registered )iZ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7008 0500 0000 3881 2152 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 COMPLETE•N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1, 2, and 3. Also complete A. Sign re item 4 If Restricted Delivery is desired. X L y ❑ Agent ■ Print your name and address on the reverse ✓ �" ❑ Addressee so that we can return the card to you. B. Received by ( Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailplece, or on the front if space permits. D. Is delivery address different fmm itam i ^ ❑ Yes