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Home My WebLink About19786D - Martin ,. CAMA AND DREDGE AND FILL • + ' GENERAL v 119786 -4) PERMIT as authorized by the State of North Carolina 0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 A. / cD Applicant Name ff\ I O /ft) (A r-4 I A Phone Number Address ((\� / i'"".c,Tr"c r X d 1.f r1 City i1-�A+a State f,v/ Zip a 3� Proje�i Location (County, Sta Road, Water Bod ,etc.) /ii �' Do l Q ry /^ X ; A �� (eir'.. J3,4' 4Iv4 1, /Orman yLAlIc k Coy". 0i A.u-n-rK.. 4.( C'u A 1 I Type of Proje t Activity j l� On S T -,,,_. — /Af r r\- i , L 8',4'/�-/i F'� (VA L0 vereci) _ �au'(1 St'e /1t ( .A boy-- IL ( LVc4 i ✓[A / 6j �' co, T .i6 i /`'. PROJECT DESCRIPTION SKETCH (SCALE: No/ r Sti(� ) Pier(dock) length Groin length <� CI ( l (4hG / 2 number Bulkhead length * max.distance offshore e-xis Is..17 v Basin,channel dimensions cubic yards 1Ht Pr-3pc)5-0 /5,1 E-x1S1,ny g, f 4,Ft- Boat ramp dimensions • 0 'Other � g 4iC--1 - /e- /id ' X / y/ ( in - This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any %/14/ violation of these terms may subject the permittee to a fine, applicant's signature imprisonment or civil action; and may cause the permit to be- come null and void. 41--k — 4 This permit must be on the project site and accessible to the permit ficer's signature permit officer when the project is inspected for compliance. ` / r lqj o 1 /b q9 The applicant certifies by signing this permit that 1) this pro- ject is consistent with the local land use plan and all local issuing date expiration date ordinances, and 2) a written statement has been obtained from �� J adjacent riparian landowners certifying that they have no objections to the proposed work. attachments I CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. Applicant Name 3 , •.J , 1K h ` n ( Phone Number '7 9 32 Address d . 5 j Jo ;, Fa re, I City ( ' (,:,,h ,.:,, State 4,-_ Zip 2 9..1 - Project Location (County, State Road, Water Body, etc.). / o( S S,-,4 r ClC-1 'a^ r)1 alp . m u ci C r. '•_ ;r, /5 r A S rti / L is (c ' a=-t Type Dime ions of Project K ?o .G,h. I ,' h •{►r a ci h ` f 4 6• +, /' r-r p/ot/n. t 'iu ;,- -e s y �'''t� 1 1, -r-i er c .t, nn_ VI . 1 p`, 1I t-.') . N. ( eu! r � S/,, ,I !1 - {' r 'rCl 0 °�., 4 h" .4It-mac < ,--r The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration, quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary CAMA permit requirements does not alleviate the necessity of to continue this certification. your obtaining any other State, Federal,or Local authorization. SKETCH ¢= yy jj / (SCALE: , VL 4 ) �"" -, � t l L' /11 WA ., C C..,-�ui 4 k :t 1 ^-t • - f ii\i 11 So ' .___________....,„ 1 f 5 ,--> fh r ` - - /9/9 /; � ;i Any p erson who proceeds with a development without the con- /// /1 C) //,1 sent of a CAMA official under the mistaken assumption that the Applicant's signature t\,..._ development is exempted,will be in violation of the CAMA if there }-' is a subsequent determination that a permit was required for the 'J ( ' A ( -` ! CA.'{.l development. CAMA Officials signature — 1 ; 17 s The applicant certifies by signing this exemption that (1)the ap- Issuing date plicant has read and will abide by the conditions of this exemp- f ; tion,and(2)a written statement has been obtained from adjacent 0 —/D GENERAL PERMIT - COMPUTER FORM - . . FIELD.REP: rCl,r�. (��-' APP FEE: • 5 O- • • PERMIT NO: D I `"I (7 - - COUNTY: r' AEC DESIG: • WATER BODY: I u n Y Ct N''' .. • f �` ti APPL NAM: 1UI�6 • MA/-•. / ADDITIONAL NAME(S) : MAILING ADDRESS: •I. T S - • T, . w . / d., PHONE: CITY: - _ ;- '{--0A S TE: ;I� ,6. ZIP: •17 ..: y PROJECT LOCATION: ,--'� ' ij / - n � ,`.: It]CLUDINC CITY sit ZnC.,LITY (WHEN DIFFERENT FROM MAILING ADDRESS) DE'V AREA: _ . 'PROJECT DESC: - . LAT (X) • LONG Y • WORK: ( _ ) _ . CODE LENGTH _ - - _ : • .,. - WIDTH DEPTH CODE • LENGTH WIDTH DEPTH ; CODS LENGTH WIDTH .2 DEPTH ; CODE LENGTH _ .. . - .� WIDTH DEPTH- - 1 -7) _ . CODE SQUARE FEET CODE SQUARE FEET ( CODE SQUARE FEET • ACTION EXPIRATION DREDGE AND FILL REQUIRED: U 7 l 'I , CANA MAJOR DEVELOPMENT REQUIRED: **x*********** -*********4*******4************* ********** ******************i - CODES_ FOR. AEC DESIGNATIONS::. .- -"OH" Ocean Hazard "CW" — Coastal Wetlgrids "£ir1" Esguarine Waters _ a ._- ri FC": *Fragile:,Coastal-Natural/Cultural ,- ES-. E stuarine_Shoreline Public_ Water: Supply "PT" a Public Trust • _-"OR" Outstanding Resource Water CODES FOIL PROJECT_ _ - - . __ __-- "P"; P ivate, istias1 f an individual - "F" Federal : "C". Cennarcial- " ": Y1t�l�;ty L Local Government "Sn . "H"_ Housing Development = Other ._ L CODES-FOR DESCRIPTION -nll". Bulkheads,- Riprap ; "15'.' IItility_Lines _"12".Piers, Docks, Boathouses - Ln17n_Emergency: Repairs . "13" Boat Rasps "18"- Beach Bulldozing "14" Wooden Groins: "19", Temporary Structures "15" Y onLen aloe.`.of Basins, Channels, Ditches DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit: ffialC'(1rn mQ '11 Address Of Property: I y'c IJclph 5t Ao Wan s ( t 1;h (Lot or Street 4e , Street or Road, City & County) 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, should be provided with this letter. I have no objections to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management , 127 Cardinal Drive Extension. Wilmington, North Carolina , 28405 or call 910 395-3900 within 10 days of receipt of this notice . No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understan ( that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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. `7`---Thl / 9 Si na ure A Date46117 • e 611. Print Name 4746 7 c C y` QEHNR Telephone Number With Are's Code - ADJACENT RIPARIAN PROPERTY OWNER STATEMENT PIER/FLOATING DOCK I herebycertify y that I own property adjacent to f,�I( 2(rn 's, property located at LI ( lot , block, road, etc. ) on Q ' (water body) on Holden Beach North Carolina. He Has described to me as shown below the development he is proposing at that location and I have no objections to his proposal . I understand that a pier must be set back a minimum distance o f 15 feet from my area of riparian access unless waived by me. I do do not wish t (circ waive that setback requirement . • Description and/or drawing of proposed development : (to be filled in by individual propsing development ) Ex is 1'Cq DocK ek-tt ;45 : � D i 1570 odoin I mo „ce Signature &_ S.} 4irf�e R76(.4-2 Name Phone Number • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name Of Individual Applying For Permit : i lJct(m ff lar n Address Of Property: ILI 14-662i r -A al. (Lot or Street # , Street or Road, City & County) 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, should be provided with this letter. I have no objections to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management . 127 Cardinal Drive Extension. Wilmington, North Carolina, 28405 or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understanA( that a pier, dock, mooring pilings, breakwater, boat house, lift br sandbags 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. ) X I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 1799 signature ' at/ • ii /2�I- ST2v4�NING f�/2L)lz i A Print Name ..�•� ( C'L/ ) 75-5-- ss5 /6 Na, EDEHNFR Telephone Number With Ar Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT PIER/FLOATING DOCK I hereby certify that I own property adjacent to property located at ( lot , block, road, etc. ) on lY1n,� �vlr; � CC(v1n (water body) on Holden Beach North Carolina . He Has described to me as shown below the development he is proposing at that location and I have no objections to his proposal . I understand that a pier must be set back a minimum distance o f 15 feet from my area of riparian access unless waived by me. I do/ J` wish to cl'e one) waive that setback requirement . Description and/or drawing of proposed development ; (to be filled in by individual propsing development ) DocK 4N TIT 11 Ex fso Signature C/7T. jL. S74 II.J,I �RJ) r7t; Name ? /) Phone Number jli VARNAM'S DOCKS & BULKHEADS 2 93 4 86 VARNAM TOWN RD. I SUPPLY, NC 28462 66-112/531 ti PAY n DATE "Il/ ,_TO THE lL Fr-iv/C. - /� /Z ` ORDER OF f / V/\ _ • I $ Sp4 ez�oi B■�Y�n�[/—T DOLLARS 0 �„.. (I ennncn e�r�K�H ooMn�..r r� A.114 //3228/HOLDEN BEACH ROAD SW FOR /7 q A.11 ,�PPLY,N 28462 rd ill 00002934ii' i' "� :05310LL2Lo. 521767GO7L11' �s"'.tFs Psr P Q �/� +w '•:'.3n_ _:aa4xnr-1,..r',IR � cT,1 sr_-,rct °psa*, Stt flhl.—� _ �• I •� �V -u,`1ll[QgYtiDllr:�2��tt4FY+�//l7".•,a.,,y _s I zI