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Home My WebLink About71109A_Steve & Connie Johnson_20180829V CAMA / _- DREDGE & FILL No 71109 B C ° GENERAL PERMIT Previous permit# 'LYNew ❑Modification [-]Complete Reissue [-]Partial 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 15A NCAC :4 a U V Rules attached. Applicant Name s}cv4_ , C,, c Address 1 1 a, E. Cu.n vc hs c K Or City C,&y,V,,(k State rvL ZIP ��y>5 Phone # (}�}) -+d-+--431 4 E-Mail Authorized Agent lvkrl 0 Mc sS."., Affected ❑ CW t(EW WPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: ORW: yes /`n PNA yes Project Location: County C, ,', . i , I(, Street Address/ State Road/ Lot #(s) I I � L= C o o ue t hGL E Oe 5k it, �O\Cl Subdivision I i t T City ZIP a_+'a10 Phone # ( ) River Basin Pa uu h k Adj. Wtr. Bodc' �t>/man /unkn) Closest Maj. Wtr. Body — MEN NM. ■■■■■■■■■■■■■■■■■■■■®■■■■■■■■■�iirY■rYi■ �'1J ; f-' Agent or Ap licant rimed Name Signac re ..7PIeread compliance statement on back of permit 2J Application Fee(s) Check # Permit Officer's Prin Signa e ed/ag/au� I� jl��►J�i� Issuing Da et Expiration Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: S7 E Address of Property: ( a F C rgl-VeSAA(- k 02 C R��U (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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. 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 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. 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, boat ramp, 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. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Signature c3?T-v L- A-) Print or Type Name I i Z E, e4 ubf 5 Cg Mailing Address C L P 121 t c9C('� 1 LV C Z% �'2 CitylState/Zip ?5 *7 -7 27- -2 7/ 41 Telephone Number Email Address Date *Valid for one calendar year after signature" (Adjacent Prope Owner Inform 'on) "ature * s �J td, YZ e.-42f Print or Type Name Mailing Address Cu rY i CtI c City State/Zip r ff s3 / �i6-447, �l Te ephone Number I. Email Address '4'44 - Icy 20 /ey Date* 0 / Revised Jan. 2017 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: (li EA) u SG ,v Address of Property: I� -�- F - Fl N,, 5 e.4 C k b iL U ►Zp- I ToC K (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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. I have no objections to this proposal. I have objections to this proposal. N 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 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. 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, boat ramp, breakwater, boathouse, lift, or groin r 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) Signature ``. i F- U F--ti �� tfll/ sa ev Print or Type Name Mailing Address c v t� (? I T 00- City/State2ip /kJ C 2-7 Telephone Number/ Email Address 7 s 7 --2)-7- 771�=K Date ;Valid for one calendar year after signature* (Adjacent Property Owner Info n) Signature* Print or Type Name Mailing Address lke�k�N � Z7,Fzs City/State/Zip ZSZ 7-32-3sSS� Telephone Number/Email Address y A S-/ Date* Revised Jan. 2017 �CAMA / ❑ DREDGE & FILL NO 71488 �,MERAL PERMIT Previous permit # B C D .'New ❑Modification '__Complete Reissue Partial 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 15A NCAC i H , I4t;o Rules attached. Applicant Name �� (',,., ��'�r,5,u, - - Project Location: County (1111, r A.'(_ /t Address City_ ()t�F4 ,k_,, k State �vt. ZIP Phone # (_4") 74,,E E-Mail _ Authorized Agent Affected ❑ Cw I)�EW APTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF C IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / YC31 l-F Street Address/ State Road/ Lot #(s) ,, CG r vc i,ac k D /- 5 61 d� )-c, �t L-o t Subdivision die ll c City `vtr,}ut k __-- ZIP a�Gd4 Phone # O - River Basin Adj. Wtr. Bod(aft /man /unkn) Closest Maj. Wtr. Body- - cuY,r . � u c K ` C\ ti i ....I�.iilr■�li■�k7■■■■ ME • ■■■■■■■■■■■■■■■E■■■■■■■■■■■■■■■■■■■■G=■■ MEMO ■■■■■■■■■■■■W■■■■1IM■■■■■■■■■■■■C iL'ra■■ ■■■■■■'■■■■■li■■■■i�rr■■■■■■■■■■■■N■■■■■ - ■!!:?�IJ■■■■■►WW1■■■l1■■■■►!�I■■■\�■■■■�■■■■■ ■■■■■!■�■�r■■■`SI■■■■■�iJ■■■■■ll■■■Cif■■■r■ Agent or ** Please read compliance statement on back of permit ** Application Fee(s) Check # Permit0fricer's Sig .5/19 Issuing Date(Expiration Date