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Home My WebLink About49112D - Chenery .CAMA/ DREDGE & FILL / 3ENERAL PERMIT Previous permit# 'New ❑Modification Complete Reissue Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -7 0 , 1 i:2,0 ckRules attached. t Name t-VLC2_ GAG 0a Project Location: County ?f-_, J�1." fl— i- `� .�x 1 t7� / Street Address/State Road/Lot#(s) VrT( StatelJ( ZIP28j'l j 11—) 1 i(L.o`-T V6 '(�i‘®1)_ - Fax# ( ) Subdivision ed Agent �Ll,'Le.` City� ALL )27EAC.l.\ ZIP Z_61.4L ❑CW NEW ri,PTA DES :PTS Phone# ( ) River Basin ,A21 c ❑OEA ❑HHF ❑IH ❑UBA N/A Adj.Wtr. Body +-i, Sc N� C1-'44") (a> ❑PWS: ❑FC: yesCrit.Hab. yes / no Closest Maj.Wtr. Body _1-->9< 1(_ ' `^-, ...II)no yes PNA /(�� Project/Activity tJ 1 va i•j•.-L 4-0 tan Z_' v/,aTt Yv Aa- f )X (Scale: 11' :k)length (s) 4—_ I , I - r 1 r , . _� ier(s) l , igth +- -- — --i----. « t nber I ' DI Riprap length (0(-. '... J i Nj , i , distance offshore 2- x distance offshore Z +_ annel I � 1 i l } Ii I iic yards I 1p . se/Boatlift / / ii � K.x'571 illdozing _ ! } / , I I t i .- . p Length �/ r-- 0-i) (.,L-K)-1r A» not sure yes no i , - j - 1 not sure yes no`) ip urn: n/a yes no-) I yes nod ,ttached: yes no D--_--_-' _ i i� : i ./ ig permit may be required by: , 0P S \ L L\. I_I See note on back regarding River Basin rt. Bank of America ACH R/T 053000196 2969 ALLIED MARINE CONTRACTORS, LLC 08-03 66-19/530 N( 910-367-2159 70; 92 HAROLD CT. 40—Z3 ^--0 7 HAMPSTEAD, NC 28443 PAY lb TO THORDER OFE �c JJ 9111:74c: r6 - DOLLARS Gp 'fq/i 2 C-Ae„,6,7„/„. 4Fvu (/' i, 3 ‘34.,O Zo u 11 i `T 4/'/htv.. y�csJ MEMO �'` !Y ' [/T }/ I?/I< 000 29690 1:0 5 3000 196i: 000681, 7437380 . 3, ep 19 07 111586 Hal Fogleman 810-2703374 p. 2 Aria NCDENR. North Carolina Department of Enveorunertt and Natural Resources Division of Coastal Management Gdtieel F.Easley,Governor Chutes S.Jonas.Director Wiliam G.Ross h..Seerslary Authorized Agent Consent Agreement A1 f eL / a r,n e, is hereby authorized to act on my behalf twin Nerrre of Agent) >rder to obtain any CAMA permits)required for the property listed below. The authorization is lirntted to the �elfic adiviies described in the attached sketch. CATION OF PROJECT: J17 -FCC, A✓e op6k r I .a c.4 DPERTY OWNER MAILING ADDRESS: tY t �e ea P r-t . _ _______ P.o. 3Gg y4 gale-``e t U �1 �5 PHONE NO. 6 (A Lt DD rHORIZED AGENT MAILING ADDRESS: lq/U e Q e (or nC ✓ L 1_G 7 /yldCl. I7.6k4J ,28Lr -13 PHONE NO. / (D 36 7 — ez rS�j ltura of Property Owner. alum of Authorized Agent. • ,• �� Date: -AO-O' Oot 16 07 03i53p Hal Focleman 910-2703374 p.2 CF jj1FIED tvlA1J -RJTt1RN RECEIPT REOUESTED l")[Vl�IQN ar C,_OASTAL ANACI`MFFIVT ADJACENT KlPARIA:N 1'R.OPERTY OWNER NOTIFICATION/WAIVER FORM l'he purpose oldie.lixra is to provide proper notuc to you as an adjacta t riparian property owner to the individual or individuals lisuxt below, The C:AMA General Permit application pmcedurns require that applicants provide the Division of Cuasbl Management confirmation that a written atatcment has been obtained signed by the adjacent nparan property owners Ind icatim;that they have no objection to the proposed work or that the adjacent riparian pmperty owmers havt been notifi.d by certified mail of the proposed work. Often these forms arc submitted to the adjacent riparian property owners by a marine contractor or other individuate octant as an authorized agent on behalf of the applicant, This form was scot to you by the followtag individual or company designated by the applicant as an autbonzed apprt• ;'are r J-2,(�;�{mot ,r Sri, ; ?z4,.,;,.� Authorized Agent's Si mature Date Name of individual Applying For Permit: �Q tl Address of Property: l/ 1 r J ., �� ./>ire ! (Lot or Street d.Street or Road)J (City and Cbonty) I hereby earthy That I own property adjacent to the above-retcrcnced property. The individual applyinu for this peril sit has described to me as shown on the etsaelted drawing the development they are proposing. A dcst:ription or draw inQ. s ith dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management. 127 Cardinal Drivc Extension.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 hove been notified by Certified Mail WAIVER SECTION 1 untieeNnufrt mint o pier. dock, mooring pilings, breakwater, boot house or bind 111t most be set back a ntinituu.:t distance of 15' front my arch of riparian access-unless waived by me. (If you wish to waive the at Lack tau must initial the appropriate blank below.) I do wish to waive the 15'setback requirement I do�t wish to waive the 15'setback requirement. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION!WAIVER FORM Name of Individual Applying For Permit: Pe_ k (ke_.- Rfy Address of Property: 1 17 77of b/7 V e (Lot or Street t, Street or Road) iet pScc cr I 8-eiex-(L. Pe/S2.e_r Co - (Ci and Cothty) I hereby certify that I own property adjacent 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 or drawing,with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 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 SECTION [ understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be et bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If rout wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. d021213t-- �nlolOZ i h Nl)r) Date e (g) i4verefF _ AW. . not Name will, NCDENR . \ �. 1 � �, �' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Sign.•ure item 4 if Restricted Delivery is desired. X a • Print your name and address on the reverse • 0 A•, ee so that we can return the card to you. B. :: - ed by(•ranted N. v Cate of : • Attach this card to the back of the mailpiece, 1 , or on the front if space permits. V . ` 1. Article Addressed to: D. Is delivery address different If YES,enter delivery addresYtb! . fve eyf 3 23 R4mblew D, Ra,(e tc, f r 0 7" l 3. Service Type 0 Certified Mall 0 Express Mail ❑Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery'?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) 7006 0 810 0001 0781 0955 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-Ma-1540