HomeMy WebLinkAbout75812D - WilliamsCAMA / 0 DREDGE & FILL No. 75812 A B C G
ENERAL PERMIT Previous permit
New ;Modcation Complete Reissue Partial Reissue Date previous permit issued
�s aut 7orized by the State of North Carolina, Department of Environmental Quality %/� /-�
nd the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 .1TJ_ _.�1Wa a mdwd
applicant Name_- Da V`'/t I t0111�r-
S Project Location: County
kddress �, 3pj� SkkE. Street Address/ State Road/ Lot #(S) _ _
State_ JP _ _._ SD �/! �l'-ICA+�t
'hone # (3&)_(40 E-Mail { j t Af``i Subdivision
�"`'� 0" zip
wthot'ized Agent 9 � City _.Uak-ssl uYl
Iffeaed
JCW XEW APTA ES PTS Phone # ( � River Basin _CF .
1-_
❑OEA HHF IH UBA N/A rdtn
�EC(s): Adj. Wtr. Body o o
)RW: yes !� PNA yes _� )
r PWS:
/�r��o Closest Maj. Wtr. Body_-- -- — --W__ --
/ttrro, —
Type of Project/Activity Ci&`\AJt 1 '140,4jn4 Li D Ik
(Scale:
Pier (dock) length
l—
F xed Platform(s) _.� .,_�t .�/� �✓ u� \,
Floaang FUtform(s)
Fingerpier(s)
Groin length _
number._. _.__. _ _
Bulkhead! Rapnp length / 1
avg distance offshore Sit
max distance off sham.
Basin, channel _ I X
' c
t - v� • 1
cubic yards
Boad"Use/ 802dik
VIA_ -_ 1 •fr ,n$` C N1� Qom.
Bedss Bulldamrtg
Z_
1
Shoreline Leingth— h
SAV: not sure yes no t� t - N ) -
Moratonum: rJa yes no Z� P v �A1 t {'' 4✓s {
Photos: Y't' l.... f W 4 eel, (A✓A
WarverAtmched: yes) n`o
A building permit may be required by: TQ i ` v\ uE f�
( Note Local PlanningJunsdiaion) lN^ �/ 1 (/
Notes/ Special Conditions _ All _ru 16 � %fi • 1200 IQ CAI . ) 6L
Ll
L►"iA'u4''f
See note on back regarding River Basin rules.
.,CAMA / ❑ DREDGE & FILL
'hE.NERAL PERMIT
New 'Modification [:]Complete
Complete Reissue Partial Reissue
No. 75812 A B
Previous permit # /
Date previous permit issued
,ized by the State of North Carolina, Department of Environmental Quality �,�
;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
l❑ Rules attached.
Name { I I a1M S Project Location: County 6 ru n S w IGJC
3, 5l ShlKr Street Address/ State/Road/ Lot #(s)
� 01kq\. Y\Z' State ZIP H 3 87 s� W
QQll,,,, �
( D—) E-Mail M qs Subdivision
ed Agent 9"'A� C City S51ZIP aSYI
❑ CW �EW (PTA ❑ ES ❑ PTS Phone # ( _wwo� River Basin C F
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body Mo ou na r
❑ PWS: A
yes / no PNA yes / no Closest Maj. Wtr. Body J�
Project/ Activity
(Scale:
_0 length
igth
■■■!��►■■■■■■■■■■■■■■■■■■■!fir\\■■■■■■■■
nber
■■■■■■■■■■■■■■■■■■■■■■■■!�■�7■■■■■■■
■C�1./■■■■■■■■■■■����■■■�■■■■■■■■■
distance offshore
■�■y■■■■■■■�I�III
�7!!�1i:��1�■■�:■■■■■■■■
ic ..
■■■■■■■■■■■■i�■■IR�G"s■■1�■■F�\■■■■■■■■
I
■■■Chi■■■■■■■■■■L■!r.''�.'+�'�7■RSl■■■■■■■■■
k yards
■■■■■■■■■■■■■■■rli�l`�1/I�:�/�■■R��i■■■■■■■
■■■��■■■■■■■�
''■L'
��ii�
1st`■■■■■■■�■
Aldozing
- Length
not sure yes
urn: 6) yes no
iri:�il1�■■■■■■■■■�L1ii�ir■i■;■�■■■■■�1'Tt'i■■
yes .
:�.�■■■
■■■■■■■c���s�w�
■■■■■rawa��r�■■
`= Z t-
ig permit may be required by:
Local Planning jurisdiction) n I I
r ._n ._ ►- . I -I
❑ See note on back regarding River Basin ri
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: A36 V� . A415
Phone Number:
Email Address:
I certify that I have authorized
of0, G,10- 542q0
8 C' Aw)at 5
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
e d+h rA 80de, W 4 4 I `' x Ra' A0 a-k '
RC a tact MGyt�' OkTwk
at my property located at 215 O(o W . Pe(&�CQ-" by,V2, Qak T-i �QutC�� c1c
in V3VUA*i County. 2W4
l 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:
w
Signature
.Qo �a WiLCi awls
Print or Type Name
AaA,%�✓
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ J>M(A VJ (5
property located at 254fo W, QG(ic" Name of Property Owner)
Q4-&.TSWA4d, NG 28946
(Address, Lot, Block, Road, etc.)
on Mon+aawwrviS (O in f3ak 15k0 Ad , N. C
(Wate ody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above Ic
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site draw
4 lacemeok 4 t(o' x 2' i4od+t clod-, WA a (C )c IG
-�Caa'41Y�q dock-• A CLV�i�q
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish t,
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.
(property Owner Information)
tDignature
I(( -['It
(Adjacent Property Owner Information)
Signature
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 1)aug 6t.t,t ams
Address of Property:
Agent's Name #:
Agent's phone #:
(Lot or Street #, Street or Road' City & County)
Mailing Address:
rJG 284tas
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, must be provided with this letter. -Ff
:�! I have no objections to this proposal. I have objections to this proposal.
If you have objections 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.,
Wilmington, NC, 28405-3845. 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 Certified 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.
(Property Owner Information) (Adjacent Property Owner Information
ignat -e Signatur
11(,l. Ow 5
Print cj Type Name
� Oki rJ Y 14c leco.,.i
Print or Type Name
.%- - . r 1 . .I _i
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to T>004 W snMS _'s
Name of Property Owner)
property located at 250tp IJ1j. pe Coto Dr{ Q4W- TsiG► AA. NG 281446
(Address, Lot, Block, Road, etc.)
on Or�f aMt S i O Lt. in Oak Mzt yA N.C.
(Wate ody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above loc
�. d I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site draw
4 trace yIeOk 4 t (o' )C g' �d'b' CIO&- w A
'4ocu- A Jam; Al i5 c 00 cteAd.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be se
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish t
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.
(Property Owner Information) (Adjacent Property Owner Information),
tgnature ignat e
Do t C Q &-lards i�1a,- .�
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Own
Address of Property:
Agent's Name #:
Agent's phone #:
�1-01 or street *, street or Road, city & uounty)
Mailing Address:
ra
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, must be provided with this letter. R�
I have no objections to this proposal. I have objections to this proposal.
If you have objections 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.,
Wilmington, NC, 28405-3845. 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 Certified ,'Nail.
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.
(Pro erty Owner Infor ation)
ignatu e
zo un Wkd, a wt 5
Pnnt cj Type Name
(Adjacent Property Owner Information)
Signature
Print or Type Name