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Home My WebLink About72309D Middle Sound Creek LLC 0 i'ICAMA/ ❑ DREDGE &rFILL No 72309 A B C D i GENERAL PERMIT Previous permit# 1 ><XNew ❑Modification III Complete Reissue El 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 2.0 d M i pvu . 5ouw.01 p CRF�K- , LL C ❑Rules attached. Applicant Name c/o DAV ID KAPA r Project Location: County N,'EIJ OAROVEf2 Address 3 3 48 At-L.CGNA/JV DR tv E. Street Address/State Road/Lot#(s) 3 0 5 City RAI.E1F N State WC ZIP 2''j(DO9 eIEAcF1 Rc o i4 oi.TN Phone# ( •---)"----- E-Mail el.•.Ael v., ,.;lit® ;cjawa•co.NSubdivision 'Fs Gu.zt.- E-l4BT Authorized Agent 1. Pt?p In/ City W I t-M IACironl ZIP 2 g 4-i j Affected H Cw XEW XPTA ❑ES ❑PTS `---- Phone# (4 10)4.71-24534 River Basin LI H rTIC- OAg. AEC s : ❑oEA ❑HHF ❑IH El UBA ❑N/A Adj.Wtr. Bodyat /man /unkn) ❑ Pws: Al C+1A�/�� Cs>:�le:p ORW: yes / ,o PNA / no Closest Maj.Wtr. Body �'�tc' SOu JJD A W W Type of Project/Activity COIJ 5-712.t.t-r ikE J 1)oc It/C- rAcit-ITy I (Scale:1"-1-.:2 0') • -r d• )length [D 'X 23' fixed Platfor.• s) 12' x 12'oating Platform - 8' X 24' I Finger pier s I , ,_ Groin length I 0 in number . ileNt .froliiii Bulkhead/distanprapce lofts „ • �� l...�.� N.�� , , liii avg distance offshor= max distance offshore MUU !Vj11111.IUI INIIIIIIU U I UI MIMI!111111 U®U MIMI Basin,channel •I1IiNI 11! I 1H,I I I �J 1U cubic yards ' nI iII 1�a1 !!! III!u!uiiluliBoathouse/Boatlift IIIIIIIHIIIIRI �■■P!IUUUU■"■ MENIIIM■■■■■■III Beach Bulldozing •• I Other QW= .33�I �r'T2 iiiirliiiiiiii ,i i It Shoreline Length '} l 0 O/ . �IIIIII !IE IAD .i::iuiiii SAV: not sure yes no f ' Moratorium: es no "� ' M� Photos: yes �� Ira 0` ��11.1111111111-1' �� _ i7� it I MIIIINt Waiver Attached: yes 0 A building permit may be required by: /VI✓I+J NA/IOV£,R• 0.-OLAWTY I I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions 0 i N . 12.00 gc At-I.- OT 4 L O A L/ STATE- / $c. 1 FE Dr-RAL REG1A LATi0,JS APPL'/. V ` "t \l MC-GLIIRt. Agencor Applicant Printe5l-Alame 1 Permit Officer's Prince ame ) 14AA, i'1"OP Lti- / Signature Please read compliance statement on back of permit** Signature 0204:2) -A 5170 gA ,2019 ix/ 3 /2019 Application Fee(s) Check# Issuing Date Expiration Date I. N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date S/36/1 f Name of Property Owner Applying for Permit: atia. Mailing Address: 305 1 &a4 /)f/t, , Ob, ,c¢ 2B 1 I certify that I have authorized (agent) 73---://00 /tp /1., to act on my behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct(activity) 1 U` II" noetikiek at(my property located at) ,?O S , (1 r This certification is valid thru (date) s`:� ,tf Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 'Gfi ;7 's �,�� (Name of Property Owner) property located at .(S ,gegcli AG 'r { (Address, Lot, Bio,ck, Road,.etc.) on .r`"l c—bw"' 6-' i' "f' :�`f . , in a,4.1 1 t :"d ,1', , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location Q I have no objection to this proposal?Vt ` 9CLS _ C.ief c>n ()q-1::)PQrc 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. / I do not wish to waive the 15' setback requirement. (Property Owner Informat n (Adjacent Property 0 ner I rmation) r Si ature Signature*u � Q Cni J �CVJG>� 4/, �J1i 1-� C Print or Type Name Print or Type Na e 6 S -a ci cl �/ 3 6 �v Mailing Address Mailing Address C-V/State2tp ,� City/S atelZ�ip Lto / ca(� )8 / d U✓/Cr7/C�l i CO t Q`I� Telephone Number/'email address Telephone Number/e ail address rt L Cot Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to l iiic ;/7,4; 's (Name of Property Owner) property located at 3s�_ ''Se''{, i �-- (Address, Lot, Block, Road, etc.) on t:We epAeeter , in Qii .tr~?,ile "':ts #,; , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. v- 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. X I do not wish to waive the 15' setback requirement. (Property Owner InformatyonZ (Adja e t ropecty Ovine nformation) Signature S. azure .� 'Pavia `/, ii; I11 o, �r / fit trl Pint or Type Name Print or Type Name /, �? Mailing Address Mailip AddreciAEL,t 1 City/State/Zip / City/State/Zip , d rrv�rt/�jj�t �1c/O�rl (6-2,1 E :zs�: �C -�7 Telephone NumberTemei!address Telephone Nt.m er/em i!address � 7/1 E c ti cam-, Dale Date* r7/4►l (Revised Aug. 2014) *Valid for one calendar year after signature* . i . 1 I I 1 , 174-aid. IrlA t' 1 , 1 , t 1 . 345- )43,4,4 f<a, idorsi4 . . i A . .. 4)W44.,j,N9 6>" Al: e. 1t, 1 , i 1 1 it 1 I . , . _ _ , , 1 -1-- i 1 1 i 1 11-1 , I . -1---1 1 [ 1 4 ii I I I .1, i ', , , -I -1, 1 -.•,, , I ! ..........._ . I 1 r , 1 , 1 _I I 1 i 1 i _.. . ' 1 1 1 i I I _ . ,---- - _ _ • i .. , - - - --, i , . _RI,- .' NA . _ ---, 1, , . _. , r P , AO t f, Till. , . 1 /2 K I/7 ', i 4 • ^ _ I 1 -"------1- 1 414 ', 0 I I I 1 _I I . . i 1 i ' 1 1 r'''''' • T- , _,.....J 4 i 1 , , . - -, -i- ) , .. , 1 1 ) 1 1 e--.1 : le_z0:1 ,, .......... , ,44:, _ mit, _ 1 1, 1 ,•,, , ,,i I ' ..., , - i I- 1 1 1 r , ......... ....._ l 1 I ,..._i t ' 1 I 4 i ,, • , 8 tdklie4c: , , , . _ , . _. ...._ ......_ .....: Check Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Receipt or Refund/Reallocated Column., Column2 Column3 Column/ Columns Column6 Column? Column8 Column9 _ 8/2/2019 Pbcin Marine Construction LLC Middle Sound Creek.LLC/David Knight ,Wells Farad Bank 5170 $ 200.00 OP M723090 TMc mt.9108