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HomeMy WebLinkAboutBryan, Steve & KayeLAMA / ❑ DREDGE & FILL GENERAL PERMIT New ❑Modification ❑❑ Complete Reissue Partial Reissue As autltlrNewized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to Applicant Nam _ I'' �, /��1 n .'�;. ` L.��/P je No. 75041 Previous permit #_ Date previous permit A B C D I SA NCAC Rules attached :tLocation: County - i,-/--- Address t_ Street Address/ State Road/ Lot #(s) % City /' I State ZIP Phone # ( " Y �sMail Subdivision _ Authorized Agent / City ZIP Affected ❑CW ❑EW ❑PTA ` ES ❑PTS Phone # ( f' i)_ _ River Basin Affected ❑OEA ❑HHF ❑IH /1❑�t1BA ❑N/A I ❑ PwS: ORW: yes / no PNA yes / no - Adl. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body � ■■■E......... CC.C■C■■E■■■■E■■■..■■MCMINE M. s■i■■wiiiiiiiiiiiuiii■@N�� igs■'i■�iiommoii■iii EN MENEM NESSEEMEMMMEM Moloommmmomm ■■■lo[f rril��Tiloil4r�■�■■■1� IPR�■A�IO■ITII�r■� �■■■I1 ■■■■■ ■■■■EL!E■■M■M■■E■E MEN No ■■�w■0 ■■■blww wwimilmm■■•ww■■■■M. ■ ■.■•w ■ i■■■■ � a �1 I IN i' iii ri■ 1iliie E=i® ■■■■■■■■■ ■ ■■■■■■■■■Era s1 wbi■■■■■■■■ 0 MEMO MINE lM e=MEI: �s�si��ELNE=mmis=EE 0 'won sommiumomomms EmommoiEwlow■nw oiiiiiiiiiiiiiiis®lmli=mi ■■■■■■■■■■ .���.■l■■■■i.■l_ ■loi ■■■■■■■M■■ C I Rollo MEMO.. mo:: IN ® ® so Agent or Applicant Printed Name Signature "!Please read compliance statement on back of permit" Application Fee(s) Check# Permit Officer's Printed Name Signat re i'IiAI`J Ili, 7i' Issuin Date 1 Expration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: STEVE & KAYE BRYAN 104 DEERBORN DRIVE Mailing Address: GOLDSBORO, NC 27534 Phone Number: 919-288-9975 Email Address: I certify that I have authorized DENNIS & SONS MARINE CONST. LLC Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: INSTALLATION OF 52' OF VINYL BULKHEAD at my property located at 2701 EVANS STREET In CARTERET County. 1 furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature Steve 93 -VAN Print or Type Narne 'ownmv Title Kam/ I'B /2ol Date This certification is valid through 12 / 31 / 2019 RECEIVED JUL 0 2 2019 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to S�E.V 1= e kZ N E 'B" NQ s (Name of Property Owner) property located at art U 1 5TI? EE'T (Address, Lot, Block, Road, etc.) on '3b(" ur SCx z k:� p in . MOUJAEHiJ Q-ry /cfl�TER ET N.C. (Waterbody) (City/Town and/or County) T cant has described to me, as shown below, the development proposed at the above on. 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) ac nt Pr perry Owner Information) Signature S%\Jf p VAYE 13RYAt-3 P�4r Tpm Qµrnx'weave Mailing Address L-/- A 3cw, , N c X7534 City/State/Zip Zq abp) -gC?1-7 Telephone Number/email address Date f9 rir i1 i A�LX_re(ti IY C Ci /tat /_Z_ipp 2 � lid Telephone Number/email address . ` RECEIVED Date* *Valid for one calendar year after signature* (Revised Augl(L010)2 2019 DCM-10HD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to STEVE & KAYE BRYAN 's (Name of Property Owner) property located at 2701 EVANS STREET (Address, Lot, Block, Road, etc.) on ROGUE SOUND in MOREHEAD CITY/CARTERET N.C. (Waterbody) (City/Town 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signalu•e STEVE & KAYE BRYAN Print or Type Name 104 DEERRORN DRIVE Mailing Address GOLDSBORO, NC 27534 Cit /State2t Jq Telephone Manber/email address "Valid for one calendar year after signature' (Adjacent Property Owner Information) S1 t hue# -- k. Y-Yi lnut�v hL Print or Type Name Qelephone Number/email address //ni RECEIVED (Revised Aug. 2014) JUL 0 2 2019 DCN1-IAHD CITY