HomeMy WebLinkAbout76246D - BlakeCAMA / ❑ DREDGE & FILL
" GENERAL PERMIT
New' Modification ❑Complete Reissue ❑Partial Reissue
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 I SA
No. 76246 A B C
Previous permit #
Date previous permit issued
Applicant Name ° S-tDh kSI ", Lo . Project Location: County
1106
Rules attached.
Address ' S 5 ./ ti f & Street Address/ State Road/ Lot #(s)
�r IP
City 1 S State_ Z
Phone # 0 u ? E_ it Subdivision
Authorized Agent c.� �� s City LJ (1L a� Ie- hZIP 2-? (yQ
❑ CW
❑ EW ❑ PTA ES ElPTS
Affected
❑ OEA
II
ElHHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS:
ORW: yes /
PNA yes IQ
Type of Project/ Activity
Pier
Fixes
Float
Fingi
Groi
Basir
Boat
Boat
Beac
Oth4
Shor
SAV
Mor
Phot
Wai\
Phone # ( ) �Ri/ver Basin L w`+6e-
Adj. Wtr. Body zel /lit /, dn-oman /unkn)
Closest Maj. Wtr. Body 41 `t0 ' 1) c C.6.-^
(Scale: �J T S )
:ng Platform(s)
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r pier(s)
i length
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Riprap length
avg distance offshore
max distance offshore
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cubic: yards
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ramp
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EMINPROPIK."1111M.M.E.ME
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A building permit may btr€gquired by: (/[ a tlLc
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
or
Si ture '. Pie= read compliance statement on back of permit*
Ap lication Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Nam
Signature
Z 1ZoZO
Issuing D e I Ex rati n Date
Name of Property Owner Requesting Permit:
II S' i'AP/A`�
Mailing Address:
q
Phone Number:
Email Address: \
I certify that I have authorized `�1�16k 5 Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development:
at my property located at 2!�
in ` dJr' u to its 1� �- ounty.
OV 6
1 furthermore certify that I 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
permit application.
Property owner Information:
signature
J�5�P�1 0. 'BL-A -t.-
Print or Type Name
OW�� -
Trtle
C9,/ 0
Date
This certification is valid through/_► ��
�,:2 21L)
CERPF-liQ 91L - RETURN RECEIPT Rr_-QUESMV
WYLSION OF COASTAL MY AM AGEMEN7
ADJACENT RIPARIAN PROPF-R—, OWNER NOTIFICAMOMMAIVER FOR-M.
:parr
AddreS'_O
&CAN 1, mtr
Addle5a:
o --wy ceevy tnz: ti awn prope.:.y zzareL i, C a-bClve -elate---_cd propeTty. The
appiyxv for LhM Cer7',jt,t' �ag d*3C_— :bed tr
shmsr an the n-Macbed _4mWng_lhe daveiq�-. cr !
&ggMMgkp or dramna. !6'ct3't � m mwg t�2.7=Md wdh V-t,
-War-
>kiccuonm ul thLs S?pos :s. have
to wha:ts Sty. scsaas s7Yw MUM notify tft a&�n of,:OaLmvawgemwn
wr!WV wftAtm 10 days of roceipt of th's now. contmo k*mw-kor. for Wu omim; ;m,-
3,/44 at h
&Zmmmlne Of OY MtHng T-SW-4RCOA 3 T
mr.-On'" is Conskftrwd 0- same 'VV(l W bsifl �-660a 4T CGr=ed.UW1,
WAP/ER SECTION
d Vh= a r.,'Ock r-, _V 00ft- P*r7,• boat breakwaX-r, ,xw,-,0u5e,,
5p t tmc� a ftnumom fttartce of 15 r,.rcm "t.., ww 0, twgT =mw =jew welved by me. (ff
zo, !iFn—Mawluve You Must in-ftint trw appmPriatt bjar-,<
do mot W,-,ive 1 jp
j'PLM,rQ_,_*,V OW
Of Type Na,-v
mtv:t-
XWafl PrOPerty qwner inforbTtmtzoni
"FY
7�
tj 'D
CERTIFIED MAIL • R U RECEIPT RE UESTE
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. T�S�P�\ !�
Address of Property: (Lot or S eet #, Stret
Agent's Name #:`9'k�� '�'""'I�s�
Agent's phone #: 7 --13- 666 ri'
or Road, City & County)
Mailing Address:
/uC -
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
a
mng. A deskxi ti or drawi with dimensions must be rovided with this letter.
ave no objections to this proposal. I have objections to this proposal.
jections to what is being proposed, you must nOMY the Division Of Coastal Alanagement
(DCAP in writing within 10 days of receipt of this notice. Cwmd information for DCM Oft" is
available at h ;/Avww.nccoastalmana enLnet�rveWcrNstaS-l/sU or by calling 1488-4RCOAST.
No response is considered the same as no objection if you have been notified by Cerditd Mail.
WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of IS from my area of riparian access unless waived by me. (if
you the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement
I do not wish to waive the IS setback requirement.
(Property Owner information) (Ripe Property Information)
X—S-it—tau—r�
Print or Type Name
Mailing Address
5A1� L l u tiC- --)
Qty/StatWzP 1
ii j� FJ
Telephone Number / Email Address
a(L��zZ
Date
Signal
P►irrt or T Name
Lt�fS I�EI N
Address
iMal7ing
I.�i 1f�vAN:S
ZiUU
G
tsrunswicK county Rio uata viewer
561
3/2/2020, 12:50:55 PM 1:
0 0 0.011
0.01 n
County Boundary ■ Belville City Bolivia City 0 Calabash City Carolina Shores City 0 0.01 0.01 0.02 km
Municipalities
Bolling Spring Lakes City Bolivia ETJ Calabash ETJ Carolina Shores ETJ
Bald Head Island City
arunswick
EegleVow, Inc. I arunswkck C
Data Received
Date
Check Fmm (Name)
Name of Permit Holder
Vendor
Check Number
Check
ount
Perm/t Number/Comm—ft _
Recel t or Retund/Reallocated
Col —I
Cokunn2
Column3
Column4
Columns
C*fm"
Cdumn l
Calum"
Colu-9
t a AMW Docks and Marine Consction LL
Jos Blake
BBBT _
BBBT _
5738
$ 400.00
$ 400.00
GP i76246D _ _ _
GP /74898D
BB rct. 11471
=020
3/J2 026
AMW Docks and Marine Construction LLC
AMW Docks and Marine Construction LLC
Richard Penny Construction LLC
_
Joseph Blake
5736
BB rct. 11473
VM020
Len Preslar Jr.
BBBT
5735
$ 400.00
GP 074899D _
IGP#76242D
BB reL 11472
MM0201
TT—ammy Yarborough
Navy Federal CU
1163
S 400.00
ITMc rct. 9764