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Home My WebLink AboutTatiossian, Markosative,ft / u UKF:1JGE & FILL GENERAL PERMIT New ❑Modification [-]Complete Reissue ❑Partial Reissue 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 No. 5096 A B -0 D Previouspermit # Date previous permit issued pp scant am e — fir'✓— I _ Project Location: County_ Address_ � _ ^tP' Street Address/ State Road/ City State ! "�ie Phone # 3V4 -- -Mail .."` Subdivision Authorized Agent _ 1110.n 3�� City vb Affected 0 ePT$ Phone # AEC(S): 0 OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body 0 PWS: ORW: yes rae PNA yes ® Closest Mal. Win Body Type of project/ Activity d) VO Pier (dock) length _rV Fixed Platform(s) Floating Platform(s) Finger pier(s)_ Groin length ber _ CZlkhead/ 'pray length avg distance offshore max distance offshore Basin, channel _ _ .11 cubic yards____^ Boat ramp _ _ Beach Build in Other i Shoreline Length SAV: not sure yes n i Moratorium: n/a yes no Photos: yes no T Waiver Attached: yes _ A building permit may be required by: ( Note Local Planning Jurisdicti Notes/ Special Conditions /(V 'S± �T'n' l� 2 " i QS. r �� Sig ure ** Please read compliance sktemen� on back of t vo Fee(s) Check # (Scale: A//�' ) E See note on back regarding River Basin rules. R Permit Officer's Printed Name Signat re Ex iratioDate ❑CAMA / ❑ DREDGE & FILL NO. 75096 A B c D GENERAL PERMIT Previous permit# ❑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 ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City Phone # (—)— Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State E-Mail — ZIP ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A PNA yes / no Subdivision CityZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Fixed Platform(s) 1 Floating Platform(s) Finger pier(s) (Scale: ) Groin length number Bulkhead/ Riprap length f avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp i J ; f j '` 'i tX J i S I I - I z , i I 11 Boathouse/ Boatlift ! ' . ' /� Beach Bulldozing Other i f Shoreline Length SAV: not sure yes no Moratorium: n/a yes no Photos: yes no I � i I � i Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions i tVM y �Ni ,i ❑ See note on back regarding River Basin rules. '. Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # PermitOfficer's Printed Name Signature Issuing Date Expiration Date Co IE Ptu * (aY 4 W 13 S9S"64006 ww., 6bOk, 36 pdx344 ZONE 2-t5 C,A-t%a, Lr% s c a, t e. -- NIA-KlL / Kam--T I4 \� TAT[ A1[ o ss t A H 8 1c.1'L Moan • afaticin w -;r� s c CL YiN�I- PAut-t-, God C'aP 4.s' !z, 8' s' s� -P,-1(3r . wood. 'P%I,%"C)s %p .c.e. a +Y �> - \e,t/ Co nc..r8.tr. clec ki.,S sw-roum Is (+yP.) scp-1--�.��-tt oC.2� L .�b�-IKheQ, � came- -Fb T1 -1C eot") S ' A E.c C-O'E. D' R AGENT AUTHORIZATION FOR CAMA PERMIT.APPLICATION Name of Property Owner Requesting Permit: 11(1.4RK K,A-TM TA.T L oSSlA-N Mailing Address: C� Z- l�'t�i�� Uj ' Phone Number: 3s 2 Z 3 5 - Email Address: I certify that I have authorized A l i 9 Aaent Contriector to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: A g sZ.), wa.-Ll , I L"'tj1n5 doC_k, at my property located at ZIS in County. 1 furthermore certify that l 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 W-49K7A-Tr1 oS5lA N —Printor Ifth-lel-I Title 07i�1� Date This certification is valid through 671 ° D RECEIVED JUL 18 2019 DCM-MHD CITY �Tiwt.ZS- !g w V.' 4 f �-r is &% 6 � v s � oti.� a�.-+ram. �.l ��..+�, e.r� � • v_�..�.._�...._._._ ._. _.__ .�.��.�_.__..._... ��.._,... ___�. .V tk -Rost, (3u4LL4.i.-.� i s tn•r•S'�`r�.cftJ o (1i•ati i7ww�els � e cons p L I CERTIFIED I AIL - RETURN RECEIET REOUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPAR ' ........,. ..,.......... IAN PROPERTY O'aliNC�- NaTI�iCATIONIWAIVER FORM - -• •• •• • •• Name of property Owner: $/K �,TK1- -j A-n D %s I A W Address of Property, _ 2 7 S' C� 4 tT (Lot or Street #, Street or •Road, City a County) Agent's Name #: rA i R�`� iry e, Mailing Address: 207 &�1-fs TLy►; Agent's phone #: 2 T1. 2q-l. 3 -13 •Z_ lr�- rJCZS�%�O I hereby certify that I own proporty, adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached dMILng the development they are proposing. I have no objectiow to this proposal. I bave objections to this proposal. Ifyouhave objecflonsto what /abeingproposed, you' ustnot#ytb®Qivlsion ofcoasblmenage►neiit MR) In writing within 10 dep of receipt of this noticer. •Correspondence should be mailed io 400 Commerce Ave,, Morehead City, N4 28g57. DCM repr�agentatives �irn also be contacted at (2S2) 808- 2a0S_ Mn rneno%mm%� iA ��u ./mil - _. _ WAIVERSECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16, from my area of riparlan access unless waived by me.�#W_IVED wish to waive the setback, you MU811-11hitiall the appropriate blank below.) I do wish to waive the 15' setback -requirement. JUL 18 2019 I -do not wish to waive the 15' setback requirement, DCM-M HD CITY (Prop®rty Owner Information) �a.fi*a ssi Aw% by sire A �r Print or Type Name 207 Cam., Lam. Melling Address ,:&_A,%a w + rJ c Z&S./ Cky/6W 6Llp 2Sz-°tYr- 333 Z, Telephone Number (Adjacent Property Owner Information) Signahre Print or Type Name Mailing Address City/State2lp Telephone Number Dare Dade Revised dN&2092 Co E pt�1 � G Y 4 oc�3-SASt 4ao� V✓w.? 6oak, 36 pAT- 344 i - rt> M-O N E ^r-- g Z-1s, CA-hsOILY%. m _I ►2,69 ' 00 00 rn a `t-'IL'4y .,........... L • 3 �' C 4 r°►z� RECEIVED r JUL 18 2019 DCM-MHD CITY 3g - fv1,4RIL /KA T14`� TAT 1 ossl Afil, o gc,=.m6-c. 812. v � K CA-c are �ta-timn :E5u-L rhea I viNy_I. �Aue.ls Gap S8s-Sr- g' xr- -3 �+,6,[ 5P. 94T sr 87 tL" k �,eAj WA Li Ca %N4ad `piIi nV-)5 space.4 -}-Y P • W/ Conc-r-a--t—cleck►np� IS°AE-c JUL 18 2019 ®CM-MH® CITY 4d, First -Class Mail Postage & Fees Paid USPS Permit No, G-10 9590 9402 4859 9032 8424 53 United States • Sender: Please print your name, address, and ZIP+4® in this box* Postal Service A-(�e A J 5"}) i OR i & 2- JAIL 0 2 2.0i`j. ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse X \ so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. R' or on the front if space permits. ' (, 1. Article Addressed to: D. Is If `1 1 �l So...�1.. remote- l*\ g2 A") iJ C-i q- S C � ;C'f Agent ❑ Addressee 9 by (Printed Name) C. Date of D live dres t f ' m 1? ❑ as f�l�Ti elow: ❑ No G � G�� JUL 0 3. S rvice T pe Gam` ❑ Prio ity Mail Express@ ered Mail,. —�I I IIII'� �I��Iluallll Till II��I II I �II�II III _ __ p Adul_t Signatur estdoted Dabs ❑ Register d Mail Restricted ❑ Certifie Mail@ elivery 9590 9402 4859 9032 8424 53 ❑ Certified all acted Delive ip Return Recelpt for F 1 Merchandise ❑ Collect on Dili r'J rY Si nature ConfirmationTr^ ❑ Collect on Delive elwe p 9 2, 4r+irla Ni imhr:r (Transfer from service label) — . ..... ❑Signature Confirmation 7 018 3090 0000 6 6 41 7745 Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSK7530-02-000-9053 Domestic Return Receipt First -Class Mait u;?G # Postage &Fees Paid 1, USPS Permit No. G-10 959tSOrvicO '4859 9032 8424 91 not our name, address; .and ZIP+4® in this box• United •Sender. Please print Y Postal .e�� - Ne Z4 sr1G ■ Complete items 1, 2, and 3. A. ■ Print your name and address on the reverse X I so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. or on the front if space permits. Article Addressed to: Kkr I d gor•�10� CZreet.� i e-A �-jC. 2 ?8 3 �— D. Is deliv If YES, ❑ Agent _ 1 v ❑ Addre by (Tilled Na ) C. D to of ell l �t rom item 1? ❑ Yes ss below: ❑ No JUL 18 2019 3. Service Type D Priority Mail Expresso II I IIIIII ll IIII III I IIIII IIIIII III II II I IIII I II III ❑Adult Signature ❑ Adult Signature Restricted Delivery ❑Registered MaiITM ❑ Registered Mail Restricted 9590 9402 4859 9032 8424 91 ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for 2. Article Numho, M--r - 0 6 6 41 000 Delivery 7 7 7 6 Delivery Restricted Delivery Merchandise El Signature GonfirrnationTm 7 0 1, 8 3090 _ ❑ Signature Confirmation I O Insured Mail Restricted Delivery Restrioted Delivery .— —_- (over $500) PS Form 3811, July 2015 PSIy 7530-0$000-9053 Domestic Return Receipt Page # of pages LawranCO & S On Marine Construction 153 Diamond City Hrkers island® NC 28531 252-1-946-7781 PROPOSAL SUBMITTE4T: JOB NAME ADDRESS JOB LOCATION -6 �) DATE Cc �� PHONE # FAX # JOB # DATE OF PLANS ARCHITECT re ro ose hereby to furnish material and labor — complete in accordance with the above specifications for the sum of: yO�' ' on $ with payments to be made as follows',dD ' Any alteration or deviation from above specifications involving extra costs Respectfully will be executed only upon written order, and will become an extra charge submitted over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. Note — this proposal may be withdrawn by us if not accepted within Mcceptance of PrOP0..5al The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature ---- - Date of Acceptance Signature Dollars days. A-NC3819 / T-3850 09-11 L_