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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