The URL can be used to link to this page

Home My WebLink AboutCrows Nest Marina/ ❑ DREDGE & FILL No. 74467 B /C iD ®❑CAMA GENERAL PERMIT Previous permit# A 71�levv ❑Modification ❑Complete Reissue QPartial.Rel*ue +. .' Date prev ous ermit issued As authorillzed 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 County ' Yes attached. Applicant Name' l' )( -Project Location: -•-i . 4 a�__ AddresIs �. Street Address/ State Road/ Lot #(s) City t �('. I 'i Statee- zIP l�� - Phone # Subdivision { Authorized Agent / 7 �tL. City 11 I ) 1( ('(r zip r ) /f// Affected 7CW DEW IIPTA DES ❑PTS Phone# ( �Jl) River Basin AEC(s): ❑OEA f7 HHF ❑IH ❑UBA ❑N/A Adj. Wtr. Body nat /man /unkn) ❑ PWS ORW: yes / no PNA yes / he Closest Maj. Wtr. Body- Type of Project/ Activity (Scale: P' er Fixed Float! Finge Groff Bulkl Basir Boat Boatl Beac OthE She SAV: Morai Phot Waiv MEN ■■■■■■■ N■E■NE■■■ ■■■■■■■■■■■■■■■■■■ NEON■ ®■■ ■■■NOON ■Im NOON■ E■■ i■■ is MEM■■■■■. E ...nE■w■■ .■:C�,�■■� ■■■ MEN .■■■■■EENNEEEE■E:iNNaNN■ NEE•.■■ MEMEMEMEMEMMOMMEMEMp� NMII■ ■■.■■.:. :::■::::::::�::::I'I N:i`�O■��■■■■■ ■■■ ■■■■■■■■■■■■ENV/.G■■ELiE■■■■■■■■■■■■■■■ MEN ■E■■■■■ENN MIN—w'�"EON■■■■NONE■■■■■■■■■ E■■: E■■ENE■■NN■■■��■■O■■■■■NEE■■NO■■■OMEN E■■NO■■■NONE MEME MENNEN :11:::11:■■::OME ME s E■■■ONNEE■■■■■N►!��HI1�■■NNE■■■■■■N ■■■NNE EN M ONE OMEN No ■■■■■IN:ENE■■■■N■■■E011■:NEB■■■■■■ NONE ■N:■■ NEE■ ■■■■■■:::A�1t�T'11J:.■.■m...■Bulldozing 0�....�.. ■■ ■■■NEE■ ME ...■ .... .. ■EMEMEME■NEE■E■E�s■��uj■■■■NE■■■NN■■ N■■■■N■ ■■■■■EN NEE■EME ��■■■ISEEE III ME ■■■NNE ■®■■■■:■■■■■■:�N■EI MEN �::■■■�■■■N:■■■■■■ ■■■■NEE EEEE '"'=Z �.CCEEE� ... pMENEE■■■■ ■ ■ line Length =■■N■■■i■■■■■ECNEE■■■ECG■■NEC■■■■N■■■■ ■■ENE■ ■NONE■■ ■N■■■■■■N■■■■N■■■■■■■■ONE not sure yes EMEMEM:®CEMME CC:::�C:C::E::::C:::: ■■■■■E■E■■NE■■■■■E■N ■EaE■■o:■■■■ ■■■■ s; yes no Lrtorhed ::N:::::::C:C::�7�J::.:::::::C:::�C� A building permit may be required by ( Note Local Planning Jurisdiction) Notes/ Special Conditions ) Agent or Applicant Fnnmd Nanw Signature x" Please read compliance statement on back of permit" Application Fee(s) Check# ❑ See note on back regarding River Basin rules. r /1 1 / / (uz/ Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR_ CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: L- t^) k`- j P') i) C i 1"j uJ Mailing Address: C. Phone Number: Email Address: GC�Jc't�yl/�U/� e/�✓C'l�u�s:c y/f<<,:z��n. certify that 1 have authorized_. Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 5� ,•, UJ -' at my property located at _ 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: /7�1 / Signature Print or Type Name Title l � l Date This certification is valid through RECEIVED MAY 03 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to C— Qoy.►;; i--t 1 n 0 9-1 X/ 9 s n (Name of Pr�rty Owner) property located at 0- .Box Zc7 f* ± L /j,..4,'c I' n 1 (Address, LRt, Block, Road etc) on 1ti��v r1 �1� �A W , in ITZ) �.'r-r�. K:VLc-t�) N.C. (Waterbody) 7 (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiop. 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) El a S l I P -� b f W4 J� �I ZrL `-N-16qo WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. (Pro pgrty Owner InfoTation) Signature,, Print or Type Name _ MaJng Address City/State/Zip Ci e) Telephone Number ` Date (Adjacent Property Owner Information) Signature f Fit 4 T7 t� Y l� Print or Type Name 14s Matting Agdres$ CitylSt llpnnll ySv '3° i %�/% Telepho e N ber Date I RECEIVED MAY 0 3 Z019 (Revised 6/IW012) DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to t~ Fo �r `� C I,Y) 116 J V 9 s (Name of Property Owner) property located at ?C37 tL j ,'� 15E n /I tit ( Z"-;! L- (Address, LftRt,tBlock, Roadc�,,etc.) on T»� 1 + �y }- �A'-✓ in j�y'Lnv�,c t5L--0eJn N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiop. 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) 0 vn 1��j+CI4t l u'> iy — zrL.'"I'slrj,v;> WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. (Pr o�rty Owner Info on) Signature /% r-7) t // Print or Type Name �?c�cy ,'G% M ng Address � V % L/fNl7G /.'?,, /UC' 2,k5—;% City/State/Zip Telephone Number _� 'v-lc) ..i/ Date Information) P ' or Type lyarvie Mailing +A+d/d'n (J ^ �• I.i`�(y Telephone Number s-- 1- 19 Date RECEDED MAY 0 3 2019 (Revised 6/1tt2012) DCM.MHD CITY