HomeMy WebLinkAbout74871D - ShufordyCAMA / - 1 DREDGE & FILL
GENERAL PERMIT
[XNew • ❑Modification ❑Complete Reissue El Partial Reissue
No. 74871
A B C `�
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name .S'rF rAE pjF �HwFWZD Project Location: County %Jt:w iA A,,/o„r- w-
Address 19 4 0-5A09'C-"AtA 17R . Street Address/ State Road/ Lot #(s) I g
City CtAARCoT-rc- State ZIP 2e2tIl
Phone # (_T04) W y- (59 9 E-Mail ssln� F'o�dltl_ �trAr}gpe: cdw+
Authorized Agent E O Fey AN
19CACN ROAD So►-kTH
Subdivision 'F 1 Cl u RE r-1 C-1N T-
City W1 L-M1,46 TOn/ zip-2- 94 11
Affected ❑CW )(Ew ((PTA El ES ❑PTS Arc c.N, Phone # ((110 ) 25V - 30G2 River Basin WH%-rE 0AW-
❑ OEA ❑ HHF ElIH ElUBA ❑ N/A CFIAAIAICL nat an /unkn
AEC(s): Adj. Wtr. Body SA..�KS )
❑ PWS:
ORW: es / no PNA yes / Lrto� Closest Maj. Wtr. Body M %v inc- So u�� a / A I W VJ
Type of Project/ Activity = Al S TA L1_ g oA T L 1 F ? I N go AT SL.1 V -41- To
P�r (dock) length
Floa
Fi
Groi
Bulk
Basin
Boat
Boat
Beac
Oth
Shor
SAV:
Mo
Phot
Waiv
�Il�le�n��s'�■!■S�ld���::�J
•
- .
■■!3�/7E
:■■■■■■■���■■■■■■■■■■■■■■■■■/
NOON
•
J
A building permit maybe required by: NF v+ AANOVr_R CotAAIT y ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions fou�R ( 4) Fos M A 1 r- D 13OA-r 5 LIP'S Pr_PtAITiCV tk N 0r- R
CAMS► MA?oy_ Fr_ p"%-r -4 22 — 12. Alo 'PART of T A C Doc Ktn/A FACILITY SNAw
C
Agen r lic nt>Printed Name
Signature Please read compliance statement on back of permit
Ate. o o # 8 4'26
Application Fee(s) Check #
'T -1-1 L_IEIIZ M t. Ci'A mr-
Permit Officer's Printed Name
tic
Signature
2/l `l /20 & A 9 �Zo
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 5AYe4
Mailing Address: 1 1 6 D �y6b�'
Phone Number:
Email Address:
I certify that I have authorized
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
I �i L���in� SLAP
at my property located at __ �'� �, L✓1' � /y�� ��%� ,
in County.
l furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
pen -nit application.
Property Owner Information:
S
YSG
Signature
Print or Type Name
61` 1N)Wr _
Title
1 , OJ
Date
This certification is valid through 1 i �/
553'4 I 1O2"E 586° r - LOCAL PIERHEAD LiN=
' — 49.20' 2� 14E
28•67' FLOATING
1' 12.9, �j�- _ •-- -- G DOCK
II DOCK \ \
'0.1'
7 141r20'
LINE AS PER
MB 14 PG 3 RAMP
'` PR0P05F-D PIER
LI
\\ 01- T) 13"0 �e � �s S o� \�\\ PIER
\\ o`o
z, \
\\ I MEAN HIGH WATER k 5 EMERGED \\\\
\ 15 AT FACE OF ND5 \
\\�1 WOODEN BULKHEAD �2 L3 L4 \�
CHISELED "X" ON
I � LI
CONCRETE FLUME\� I
LINE TABLE
IE
LENGTH
BEARING
ZN O
I
G4.48
N84002'27"E
14.92
NGG058' 1 2"E
3
29.OG
58301 0'52"E
p
1
10.25
N89°4&0 I "E
N/F GEORGE TAYLOR UPLAND IMPROVEMENTS
LOT 183 OD?j NOT SHOWN
DB 1 182 PG 15,52 p
Q
O
�G
OR LINES * PIERHEAD LINE SHOWN A5 PER
:OVIDED BY DCM REP TARA MACPHER50N
J
CORNER FALLS ON
FIRE HYDRANT
BEACH ROAD 50UTH
G9 PRIVATE M
N87034'44"W
/ESTERN TERMINUS - CURVE 12
MAP BOOK 14 PAGE 3
N79 RAD,
°40'23��w 490.0,
CH. �g7
88
Ct1. = 207, 10l
RIPARIAN SURVEY FOR
TH15 LOT 15 SUBJECT TC
EASEMENTS, RESTRICTI(
COVENANTS OF RECORE
of �'hti1�J 2S Lt<
N/F EMW
W� ROAD 5C
LOT
-� DB 5517
/ I q r3)2s
NOTE: TH15 L(
IN ZONE f
MAP # 372
COMMUNITt
DATED: AUGL
N78°
CH' S2 29'
co/0 RAD _390 O
N NAIL IN C(
OF ELECTRI
5TEPI-1EN P. SHUF
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owneer. ` C Sri J°N W W
L91
#bW
�� " pKIV�
%
Address of Property:
(Lot or Street #. Street or Road, City & Countyj)�
Agent's Name #: � -124 Mailing Address:/ �ns �
Agent's phone #: l�� �sy, iifi ILA I`��L► �y
�11�10 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 attachedevelopment
they are proposing A=description or' in4=�ntrthirttefi�sions, must be pray�dad sn►ith=litsltter;�
I have no objections to this proposal _ I have objections to this proposal.
if you haveI
ctuns to what is being proposed, you must notify the Division of Coastal Management(DCM) in
writing within 10 days of receipt of this notice. Correspondence should be malted to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no otyection if you have been notified by Certftd Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boa le, lift, or groin must be set
back a minimum distance of 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 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro ppAy-Owne r4nformati
Signature
Print or Type Name
1 Rqp Shmd)nm 114
Mailing Address
/76
(mitt y(,a VAC)
City/Stat ip
Telephone Number
1�1-
Dare
(Adjacent Property Owner Information
Si atut•e /;
Print or Type Narne P/,
a ,psi
Mailing Address
1AA)AJ4tb-h,1,J,&
City/state/Zip
Telephone Number
aVJ,,
Date
Revised 611812012
518,
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own/er. / `L' WY1 A'iUJ1149
Address of Property: ` 9t '" �pu�i lvG�kjo�l
j% �(Lot or Street #, Street or Road, City & County)
-d ` L Agent's Name #: ' a Mailing Address:/ nAJ ��j,61
Agent's phone #: 6Gby �5 ` ���� 4b# At!rj�14� aft
1 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 descnptian- or_di"— rc with=d�rhensions rriust be p oni ed rxith =tht§=lette�,�
have no objections to this proposal- I have objections to this proposal,
1 � JW lk
If you have jecfions to what is being proposed, you must notify the Division of Coastal Management(DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
1Nimington, NC, 28405-38.45. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no objection if you have been notified by Certfed Mail.
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 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 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
(ProppAy-OwnerAnformati
Signature
Print or Type Name
lggp Shm )rM 1011-,
ailin g Address
�tnn-lam V6 GagaGl
city/Stat ip
%nq"Gt99- �9 5'11
Telephone Number
07l �An' �7t1
Date
(Adjacent Property Owner Information},/
-44 vk , V" 19— L 15%,
Signature )
L-mb)
Print or Type Name
(1, zq?&
Mailing Address
Vt- A� , N-le a70
city/statezz
Telephone Number
Date
Revised 61IW2012
51m
PAIKU(;. bKbIUW
N.C. Pt5 No. L-4 148
BOAT BA51N
FLOATING
DOCK LOCAL PtERHEAD LINE
` 583041 '02"E
— --, 49.20' — _
t 1 2.9
LOATIN(
ZAP r1` p i ' DOCK �
-``._ .L,5 ==R t
PG 3 RAMP
�• _�_ L-4148 Off`
�g
58G025' 14•E LOCAL PIERHEAD LINE
28.G7' FLOATING
DOCK
RAMP •
•
PIER BOAT
�= LIFT
APIER
\\ i MEAN HIGH WATER SUBMERGED\� \\\
15 AT FACE Of LANDS \\
WOODEN BULKHEAD L4 A
CH15ELED "r ON L 1
CONCRETE FLUME
LINE TABLE
LINE
LENGTH
BEARING
L I
G4.48
N84002'27"E
12
14.92
NGG°58' 1 2"E
t I_4 10.25 1 N6504801 'E
N/F GEORGE TAYLOR
LOT 183
DB 1 182 PG 1 582
CORNER FALLS ON
FIRE HYDRANT
BEACh ROAD 50UTh
GO MVATE eJW
N8734'44"W
WESTERN TERMINU5 - CURVE 12
MAP BOOK 14 -AGE 3
S�p6e� Sk��
/81 AILS
UPLAND tMPROVEMENT5
NOT SHOWN
N79°4Q,�3rw RAO. =4gp O,
Ch.
207. ! O'
TH
€A
cc
Date Received
Date Deposited Check Horn
Name of P—If Holder
V—d— Check Number
Check
ount
Permif Number/Cwnmenfs
Recd t or Refun&R—llxaled
Columnf
Cdumn2
CdumnJ
Cdumnl
Cdumn6 Cdumn6
Cdumn7
Cdpmna
Colum"
2/19/2020'
F and S Marine Contractors Inc. Stephen Shuford
PNC Bank 8426 $ 200.00
IGP #74871D
ITMc rct. 9758