HomeMy WebLinkAbout51349D - Weddle JCAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
7New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
-Rules attached.
it Name C t,- l Gr(,({ l,'e 01,1'1,► Project Location: County T/t:.+..Sivnc11
S om
G 9/ ,7� I F..2 f c t ,..,. Street Address/State Road/Lot#(s)(N) O kc,
ta/[!i e it s r L t i StateS.- ZIP.29X 76 t'2, b /41, v, ice- . 2 2 Sao o 72 yc
t I'U 1J9, -.29( Fax#(_) Subdivision
led Agent. ,, c L 1o. (9 S f City Sh'u/0 71f ZIP 2 V7
p CW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin L-N,,, G
❑OEA ❑HHF ❑IH ❑UBA ID N/A ��J Cr?
Adj.Wtr. Body ,,,c e e e e nat
❑ PWS: ❑FC:
Closest Maj.Wtr. Body /9/tt
yes / no PNA yes / no Crit.Hab. yes / no
A/
f Project/Activity ( / , u Pet. . .
(Scale: /
)ck)length %''7'x y • '
n(s) w!J '.,C j/D' I
,ier(s) L
angth i �--- $ ?(Ie 9 L tr-r e e,� —
amber i
1 w-
ad/Riprap length ---�- --`--r
g distance offshore / 'rb- .14-- JP'
lax distance offshore V ti J . .
:hannelf. v Li 'I
1i 41 vi
abic yards 4) ; ! �1 4 i 107" 4
use/Boatlift W ,`/ v 0 y/ '� _it
Bulldozing �-
`i lit
7 .
CI le 1 { l
ne Length -7- 7
not sure yes C,.ne
tigs: not sure yes ?.
4 I _._
>rium: n/a yes 4 i lci2 jC P I , 2 .2 604 72 yd L.
yes
I
Attached: yes - J L.'
ding permit may be required by: ' Z 0.4,54/ac'C CO a -1y Li See note on back regarding River Basin
n, , _ / / 21 *'-, // . -, -_ ..., %/
CJOJ LCJCJO CJl.30 O,43-031-0Z0( iflllllllll I"H{7t r
2908-11H)71214 9 JCanstrwtfon 919446-3360» CAS-Tali P 2J2
•
•
North Carolina Dotpartment of Environment and Natural RCesourres
Division of Coital Management
virn " cd5;kr,Governor
Jamai H Gfpsor+,t3iractor WAiifi R:.ss
Authorized Agent Consent Agreement
l pi i' �k � l..�t(�! �' r►�ictr] _ is hereby authorized to act on my behalf
h ives row*.N Aglow)
in orter to obtain any CAMA permit(s)required for the property kited below. The a:rtner:ration iS limited to the
specific actwit+es described in the attached srcetch
LOCATION OF PROJECT:
P-e e r2 ie e a 766
r°rc_e / A/o ,t/ as oo7,2y0
PROPERTY OWNER MAILING ADDRESS:
p t tf re,.1 i1,•( ;ff 2f3-7
PHONE NO. S YY' 1 c (0
AUTHORIZED AGENT MAILING ADDRESS:
11'efs (Ni
( J" /r
e.T l
•
41.
PHONE NO. (1K ' . 1/_' <in(", —
��
e
S,yr?azure of Prpp@r[y Owner /� _ • �Ir6aC: ,.._..__._..
Signature of Authorized Agent
O
12?caramel Drive t,a. 0/Jimmied', North C+rorna 2tt4:4-.18a9
Pw,wr 910-79t3.7211$ FAX 91O-3 5.?054:fl Wei wwtr no;oastai^;anaa,rnan:not
. -c1JUt3 lb:4 1 I-KU1 1:I"IiU-H I LHN 11l, HLHKI15 I U:1'J11 4b.5.5bb H.1
DIVISION OF COASTAL MAN,Gl MENT
ADJACENT f:fPAR1AN PROPERTY OWNER NOTIFICATION \WAIVER FORM
Name of Individual .Applying For Permit: ciC1i `5,e kAit 1 I
Address of Propert;-:_,4 I
,Lot or Street 4, Street or Road)
' )/Vt.C-C114 C - t-Lek
(City and County)
I hereby certify that I own property adjacent to the above.referenced property. The inditi
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lets
_ Z I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CI
Management, 127 Cardinal Drive Extension, Wilmington., NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAVER SECTION
I understand that a pier,dock,mooring pilings,breakwa ter,boat house or boat lift must
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback req.iirement.
1 do not wish to waive the 15' setback requirement.
f/fg
Sign Name Date AwA
ACH R/T 053000196
ALLIED MARINE CONTRACTORS, LLC 08-03 66-1
910-367-2159 12/02/08
92 HAROLD CT.
HAMPSTEAD, NC 28443
PAY TO THE N
ORDER OF CDENR $" 400.00
Four Hundred and 00/100************************************************************************************* Pc
NCDENR
MEMO
Gary Foss bulkhead-122 Boryk —.--- ----------
t-AUTHORIZED SIGNATURE
0003453tI' 1:0 5 3000 196i: 0006E147437381 GP53149
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature •
item 4 if Restricted Delivery is desired. ;k1 ❑
• Print your name and address on the reverse x Agent Assee
so that we can return the card to you. Received by(Print ame) ;of of live MI Attach this card to the back of the mailpiece,
or on the front if space permits. e��i� f C� ,
1. Article Addressed to: D. Is delivery address differe from item 1? ElYe
If YES,enter delivery address below: ❑ No
aJ%L1). �i i cot:
L& kt&J -c fl-i 3. Service Type
❑Certified Mail ❑ Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7005 0390 0003 5187 3449
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. S' nature
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse 0 Addressee
so that we can return the card to you. Q eceived by(P. ted Name) C. D to of galivery
■ Attach this card to the back of the mailpiece, janiCe K (,p daft t `6n11 Ii,
or on the front if space permits. L� (1LlkL� l.� 11
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
IlLt /' ',r I - Q
81/ 3. Service Type
❑Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7007 3020 0001 5068 9299
(Transfer from service label)