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Home My WebLink AboutCooper, Harriet�. LAMA/ ❑DREDGE & FILL I\ +, j l -i 'f Nd. 75711 A B C D ®7'Tv�'ffoALPERMIT a^ ' Previous permit# dification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authed by the State of North Carolina, Department of Environmental Quality 1 " and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC itl I ' ules a ache , Applicant Name ! Ul ��J i _ � �.'�� ( �rojelocation: County Address j Street Addres State Road/ Lot #(s) ) City r State ZIP Phone # () E-Mail Subdivision /� i Authorized Agent �y� l City f l f l:'-IP Affected ❑cw �Ew PTA ❑Esc 0P75 Phone# ( ) tRive�Basin AEC s : ❑[IOEA HHF I ❑ I. Wtr. UBA ❑N/A Ad'Bodyf (/ (nat /man /unkn) r( �" ❑ Pws: � r ORW: yes / (Of"", PNA yes / n Closest Maj. Wtr Body ■■WINSOMENESS ■■ ■■■■■■■■■■■■!�■■I�■®■■MEMO ■■G■■^,■■■■■IN ■■■■[/�.�M■■MEWS■WME■■■E■■ ■ ■Wi�11►/EUMM■■WINIMME,EE�M■■�arA■®WM■■MEM■INW■!�■■■■■■1■ KEWIFIENFAME M MEMO SEE ■■■■ M ■I■■E■■E■■■IN■■ M■■M■N EM■MEME W■■■■■■ ■■I� ■ EMISSION IN H M■ M■IEIN■■■■■■■ ■■ ■■MIN■. MIMME ION ■ ■MUMEMEMEM ■■■ ■■■■IN■ ■■E■■■■WIN■ MOo■■■■■M■ ■■■■ ■■■■■■■■■■E■E■ININE■EIN■■W■ME■■■■M■■ MEMEMP MOMMMINIMMEEM Now MEN MEMEMEMMOM NOME ME INM■■M■W MEN E■E■ M■M■■■MME■ EE ME MESSIMMEME ■■MI�c1 INS■■ME E■■■IN as so W■OM■■■ON ■M■1M1TJIi■EE■■■■■r��,E■WEE®EEWE■IN■■�■■WEEnM ■MEMUMM■MEMEM■■ ME ■■u■ E■■■■■M■M■i ■■■■IE1111®I■■11I1■■■EW� M■INS■WW ■ ■■MEME■ WEE.■I e�I IMME■■MSC ■■■■ E . E■ M■■EW 11 E NONECM N MMENE�m • ■■■■■■■��WOMIINME® EN ■■■EMEM■■ ■■INS■ IIC 1�1'I....E■■ ■ NM■ME ■■MWME IIIIIIMEMEMMN EM MEM0:: ME ::NoCI IIIIIIIIIIIIC�M11M IM IICICIIIa1111111 ::IIIII�C�IaE11::11 :MEME IMMOMME..MEMO� ■■■■■ MN■■■E■■ ®■■■■IN■■■■■ . NONE...... - 11 Agent or Applicant Printed Name Signature ** Please read compli pc scat entottb ckofpermif'"'" ,err ��_ ",,1)( Application Fee(s) Check # PermitOfficer's ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to Harriet Cooper Etal Broughton s (Name of Property Owner) property located at 3311 Evans St (Addre on Bogue Sound (Waterbody) ss, Lot, Block, Road, etc.) in Morehead City N.C. (City/Town and/or County) The applicant escribed to me, as shown below, the development proposed at the above l 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) *SEE DRAWING. ATTACHED WAIVER SECTION 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 Info ation) Sig Fure .IP.SSICa Dowty Print or Type Name PO Box 650 Mailing Address Morehead City, NC 28667 City/statelzip 252-728-4191 Telephone Nu bar/email address q1 r� I FROM *Valid for one calendar year after signature* acent Property Ow r rmation) r Sig tre UarVGaskins PdmKor Type Name 505 Chesapeake Place Mailing Address Greenville, NC 27858 City/state2ip 252-714-6103 Telephone umb r/email address q c) - Date* (Revised Aug. 2014) N 9�E M � �«v p O�� U o f COO, y o W o w�� CC o,p `o N ril d F C p Vi q ro g..E W 0 LO BE rn o o v� m� 0100 Lon, h E 1�1 p x � 3 Ri M O C u7 O N ,y 5 8 r Ep O oa O Z m a' A ro V Z •a p" to A e ei p \ m o a �US ro .. a a 8 x go U zzcdro d ro ro ti E° in 9' 1 a M � a, a U" C4 F F A a Pa F A P A Pa AGENT AMIOR14ATK>bLt9B LAMA P RMI _PPt,ICATION Name of PrCapevty (),yrw;r Requesting Permit Narrnot C?a pe EIaI ttroughton� Ma&ty Address 213 8Gth Avenue North tttfa Reach. SC 29aI2 Ve _ Phone Number: 252.241.5362 Email Address: I certify that I have authout.ed Tq Eure Marine Construction, LLC to tact on my behalf. for the purpose of applying for and o0aining all CAMA pormts necessary kw the (atiewrng proposed development ROPW4 V x 135' wa*"v Connected to ig x 19' platform at my property locntfA at 3311 Fvzans St ,n Carteret County I fulthernwo Certify that I am autho"Zott eta grant, wKI ru 1n fort grant pormtsewn to Orwwon of Cotrstal Mumuovnwir siriff Inc, Local po mss vincer mxr rnrrrr nootas to tarts, W,.; ! N±TTportitir (OWS in CplDlaCGiHafr miff trvnhr€+t+IY�i ,nrornxaren la}tatou tv /C3 r This Celtif.-Cation is valid through