HomeMy WebLinkAbout71859D - Gray4 CAMA / : DREDGE A FILL No 7 1859
NERAL PERMIT Previous permit # A B c ( D
c �/
New Modification LComplete Reissue EPartial Reissue 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 I SA NCACRlA
Applicant Name �} t �j, ,� , � �/ a attached.
K.a`��1 4 - Project Location: County
Address_ �6MI Street Address/ State Road/ Lot #(s)
C*kk%-�1,1_ State ZIPv— -- ----
Phone A G )_ —ail Subdivision
Authorized Agent q P--
- City__- _ ZIP
Affected ❑ CW r� y A DES O PTS Phone # (_) _ River Basin
AEC(s): C OEA C HF C IN ❑ USA O WA Ad.. Wtr. Bodt unkn
C PINS: i y��, _1 _
ORW: yes no PNA es no Closest Maj. Wtr. Body
Type of Proj Activiq fit f
Pier (dock) n \t >« e n, /i (Scale: ► �wt All
Fix,
Flat
Fir,
Cum
Bull
Basi
Boas
Born
Beek
Otb
Shor
SAV
Mar;
Phot
Wah
r
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0
MON
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A building permit may be mM,,d by: C �►rJ �;t In �l ��_.
( Note Local Planning Jurisdiction)
Notes/ Special Conditiora
&rpea rn t
or
"Please read compliance statement on back of permit
% 1iy
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Printed
7"&-,,)
Expiratio Date
' CA / 1-1DREDGE & FILL To 71859 A B COD
N ERAL PERMIT Previous permit #
New —Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality —1 �k `
y
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC V v
❑ Rul attached.
Applicant Name Project Location: County�w
Address ,� -<i\�,vvi (Q 1 6�'.Jj Street Address/ State Road/ Lot #(s)
State ZI P i
Phone ) E�Dlail
Authorized Agent_
Affected ❑ CW *,W ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ElN/A
❑ PWS:
ORW: yes ro) PNA Yyes Y no
Type of
Pier (dock) leng h�� t lea
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshor
Basin, channel
cubic yards_
Boat
Boatl
Beacl
Othe
Shoreline leength ' I Lo' IV
S": not sure yes no --
Moratorium: n/a yes
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
or Applicant Printed Name
Subdivision
City ZIP
Phone # ( ) River Basin ��
Adj. Wtr. Body O.tOQ _Xn _\ an /unkn)
Closest Mai. Wtr. Body la�N V\ i
1 17 r.
(Scale:
❑ See note on back regarding River Basin rules.
Printed
ature ** Please read compliance statement on back of permit **
It I0I 0
Application Fee(s) Check # lAuing
re
Date
DocuSign Envelope ID: 6FB29C88-5BC8-4234-8607-6F150B56FA55
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. Wes and Tiffany Gray
Mailing Address:
Phone Number:
Email Address:
158 Spring Creek Lane Wilmington, NC 28411
919-418-9695
wesgray83@gmail.com
I certify that I have authorized Sea Dog Marine Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development
Pier and Dock Construction
at my property located at 158 Spring Creek Lane Wilmington, NC 28411
in New Hanover
County.
I furthermore certify that I am authorized to grant, and do in fact grant petnussion 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:
IDocuSigned by:
ks GY'ar1
A�SAFGF7E09444FR
Signature
Wes Gray
Print or Type Name
Wes gray
Title
3/10/2020
I /
Date
This certification is valid through I )l
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DE-SCIRIPPON ANDIM DRAW NG OF PROPCi'SED UEVELOPMENT
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