Loading...
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 At; TAINTAW; 104A 1 10 %021%, N - AQ, oil AM Ann. - Ap a boom 10 WwK f wwdc�jw in" 1 A-41 1p!f 0� or 0 w 'a on, 0 Wno WS., oil- -coo' R §j! 4n Mv MONON 2340 van PALO, S,�: �r to sy"r, van"" vl it. .47 E E G 8888888888888' U 01- "'A 6.1 a 0 f ;t 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