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Home My WebLink AboutMasonboro Yacht Club 73549D CAMA/ ❑DREDGE &.sFILL No 72309 A B C D GENERAL PERMIT Previous permit# )G)(New El Modification ❑Complete Reissue III 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 I 5A NCAC 07A . 1 2 a a . M 1 pvt,>` Boast t' GRF - , LL C ❑Rules attached. Applicant Name a/0 .YAK/10 K All AHi- Project Location: County N)c 1. NA Ai oVE-TL Address .33 48 Ai-L.EGN`WY -PRw 1E Street Address/State Road/Lot#(s) 3 0 5 City R40.E1at 41 Statep/C ZIP 2'](009 ECAcr-k Rcao AoRTN Phone#( --^)-- E-Mail day►d.4 kr.;1*0 icia..d.cor+Subdivision Ff eita.cz.s -t4HT Authorized Agent r rr 1}. J Pip p 1, City W 1&—M fX CI TO Ai ZIP 2 g Q-1 j Affected ❑CW XEW 4 XPTA ❑ES ❑PTS ``--...."->. Phone# (410) 471—2034 River Basin tNi H►Tr... OAK AEC(s): ❑OEA ❑HHF ❑IH ❑UBA El N/A Adj.Wtr. Body All i(O,NS CNANNV(, Ct-.K.e/man /unkn) ❑ PWS: ORW: yes //�i'o PNA CD/ no Closest Maj.Wtr. Body M toot-ot- SouJ 0 1 A 1 w W Type of Project/Activity GOI.i 5-r �.-r , ft-'.4 Doc ir1G FAc it-'Ty I (Scale:j". 2.0') - -r d. )length (D 1 X 2 3 fixed Platfor.• s) 12' s 12' Aarg8' x 24i Finger piers• /i A. •. , 1 I. Groin lengthIji ' Mad& iLii fl I 1111 number M M �_EFF'UiEZ 1�_ MILALI1W i2 7.01M� Bulkhead/Riprap lengt •••�•■■••■■ avg distance offshor „hiiIU1,,,i...i..iIH,1i.uiI, ,lki,,, max distance offshore 11�� l�rr 511■ 111�•11��••mru i IN=ME� 1• uuu . Basin,channel k fljjj` 11111R7D11111111111/111111111iIINNII cubic yards / ♦ : 0� 11.11111111111111111.10 Iii _P!♦.iiuir Boathouse/Boadift I , I ,!- !!!Ili ' PIi1 \ .... .1111111 ` 1 Beach Bulldozing Other 0 W- 3 3( -C+Z j Shoreline Length ± I O O _ *' Ito - qi SAV: not sure yes no . , , 1 Moratorium: n/a yes no "Ili lt l ,'', Photos: yes r . . �_ • " r1 _ gm NI GT.ii Waiver Attached: yes 0 A building permit may be required by: nlg,w 1-1A/1I0vC-R. C01/ ny . I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions 0'7 N . 1200 gc Alt- OT145-R Lo c.^L/ STA-TE / $c Fr DS-tzA4 R cc,U LA-rlo,Js APPLY.. l } C v 5 r -D )► 1,--- Mc GLA1R>E. Agenkor Applicant Printe5l-Name 1 Permit Officer's Prince ,Name 7k V.l 91 -,.--- �— ./4( Signature **Please read corn1liance statement on back of permit** Signature it 70C) 4 5170 gA 201 q 1213 /2.o lq Application Fee(s) Check# Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date S h OI f Name of Property Owner Applying for Permit: Z .uic l n Mailing Address: 305 %cae-4 M, �c1: 10,1444 f A4 C4, a Rif I certify that I have authorized (agent) / e, `e /A to act on my behalf,for the purpose of applying for and obtainingnoetiko‘ all CAMA Permits necessary to install or construct(activity) ! 'U` �" at(my property located at) ,?O 5 64 a AO' ` " This certification is valid thru(date) /.2/3/// • Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1 ffi dl,r 9 ,S _ 4 �� (Name of Property Owner) 1 property located at 3.D /"e+1'1 A,41r +. . (Address, Lot, Biopic, Road,:etc.) on .r`�, G1//' ' .-'. 'eeirj , in a.�d,1 1:i‘�y ,�'d 44, , N.C. (Waterbody) (CitylTown and/or County) I The applicant has described to me, as shown below, the development proposed at the above locations X r c)lQC25� center- c'n Q'�pQ 14-c I/ 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 drawing) I I 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. V I do not wish to waive the 15' setback requirement. (Property Ownerformal n (Adjacent Property 0 ner I rmation) S5nature , - Si.'"E ilre* 6 Ct r Pynt or Type Name Print or Type Name 6 S UP'G,t'h cf Ai 3 d Ajez cSA o 1►�lai in Address C // Mailing Address , \C_ i 1, j� i�iYl.Irh iip) l��vv..,, /V C� t CCi /State/Zip, City/Sta�2 i k t( Q Ca�� 2;.8 ' `/ d U�/ / )4 (-63/C/Cw/(Gp1 TelephoneLj Number/e ail address101 L tvCy" Telepho a Number email address c/ 6-)//q 1/it tai Date Date* (Revised Aug. 2014) 4 *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ct/ , " ,+ f 's (Name of Property Owner) property located at 3o5" t)e4c l /Tr? • (Address, Lot, Blopk, Road, etc.) on A Glee t° t'e' , in 7,�,�.,• :f•v; , N.C. ° (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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 drawing) 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. V- I do not wish to waive the 15' setback requirement. (Property Owner Informat o (Adja e t ropty Ov a nformation) &nature S azure i /)L7vid j/, .I P' - 211\1 P'nt or Type Name Print or Type N me S R/ .-30 i .7 13 ti/1 4\/ Mailing Address Mailipn Addres,�� City/State/Zip• City/S t ip 1 ✓/ d(Avier)/l]4 ( /C/Oi1(.)1 351� - <D 3- -Cf c j Telepho a Number/email address Telephone Number/email address Date Date* ! (Revised Aug. 2014) *valid for one calendar year after signature* I I 1 � I � raid 't 1 3_ ,,..d s. ,t3,4,41 , .. , , .. i . . , /tior-p-'4. , 1 J�9 ( b ,414 I r e• ft i 1 i -- t ii 1 i i r s k , 1 • i } , } t i i 1 1 , , _. 1, , 17. -:4-772'4: ..,_ ,_ , , ,t _ �( 'Z _�_ _--7-- -. t i I i / _ ._ t.il 1 -A- j I ' i i t i 1 1 1 . , Check Dare Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Racelpt or Re/und/RNllocatsd Column? Column2 Column3 Column/ I Columns Column(' Column7 Column) Column9 8/2/2019 Pboln Marine Construction LLC Middle Sound Creek LLC/David Kniohl Wells Feroo Bank 5170 S 200.00 GP 8723090 7Mc rot,9138 •