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Home My WebLink AboutBell, John Jr.FJ CAMA / ❑ DREDGE & FILL �. / No. 75761 A B ( C,, D GPNERAL PERMIT Previous permit# G ew ❑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 ire of environmental concern pursuant to 15A NCAC / / !/a T"'U /!"� (✓ '.� 1 / - ; ❑Rules attached. A I' t Name !s. ( i � I Project Location County i PP Ican a e Address L. f 1 r Street Address/ State Road/ Lot #(s)_ 5 rl ( State � Z IPil f' 7 /L < �ress Phone # 1 i Y' ',E-Mail / Subdivision Authorized Agent i t' " ' City J`� l ZIP ❑CW QEW" EfiTA DES ❑PTS Phone# (_)_ram River Basin Affected DOEA ❑HHF AEC(s): ❑IH ❑UBA ❑N/A / Adj. Wtr. Body r foal /man /unkn) El PWS: Closest Maj. Mr. Body - ORW: yes / no. PNA yes / no Type of Project/ Activity (Scale:, ) Pier Fixe Float Fling Groff Bulk Basit Boat Boat Beac Oth, Sher SAV Mor Phoi Wai" ■■■■■■■■■■■M■■■::■i:■■o:M :::::s:::: Oa■■■ ME■■■■ ■w■■■■N�■■E■■■:■■E■■::■■.■:..: ■.■.MEMO ■■EEMEMEMI■E■■E■ OEM ■■■MEN ■■■■■■■■■■■NONE ■0■■■■■■ ■E■■■wM■E■■■ MEN ■M■■■■■■■■■MEMO ■N■■■■■■■■■NNE■O■■NN■E■■■w■■ww■■■■EMENEM E■■IN I�■■ �0N■MINE■ : : ::::�II�:NNa:N E N/ ,........:....... ■■■E■■1lMwI/N/dl/ ■N CIO■ ■■■MMEMIN EEEN■■E= J■NMNEEKI IC'll 0NEG�7'L■ MENEM N■w■■■MNI, ■■w■■■■NM■■■■MO■E■■■■■■■■■■■■M EMMM■■rm■ ■E■■M■■II■■■■ ■MONO ■ ■■■IJ■■■■ ■N■■■I■MM�WINEN■ ■N■:N MEN ■�.:.M EEO■ ■a■■■NNE.■O■N■1i ME.■■N mom ■MNE■MIN MEMO ■®■■NV■■■ ■E■■MNONin■■■MM■■NM■■w■N■■■■■ ■■■■■■■■■N■■MM■N■■■ME MOVIE Nn.■ewr.■■■MEMO ME ::::ENNNN:i::::::::::a::i..::I�::::MEMO :MilMM■■MAHE■■[i■'a�M■■M NONE NEW Nf(/N■®�Tirii■NEON MEMENEEMIN NONE Emom MEN OMEN MEMO MEN =00 ON NEON so EMEN EON■ ■ENE■■ ■■■■■■N■■■■■■■■ ■ . ■■■ :®::N::: ::::� E N ::::'.:ME EOININ •�• •:••••• IN ••• •• NINE ■■■■. NEE:EEN:E. E N:..::.MINE l:E::::'N:ENOMONE MEN E':�:::::::::: E :�■E■■N■NN■■■■N■■E■■N■■■NE■M■■■■■■■■■■■ 1 A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions ❑ See note on back regarding River Basin rules. i Agent or Applicant Printed Name Permit Offct gPr)ntedName,,.__.. Signpture '* Please read compliance statement on back of permit•at Signature Application Fee(s) Check# Issuin Date /C' / Ixpifatio % " c' Date ✓", J AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ':�' 1"36-Lt-- Mailing Address: �TEGGr4, /� C• Z SS�� Phone Number: as°z ��— 3(o�4 Email Address: 3o(a a4 rr CcAt— certify that I have authorized 4,UTAI C W5i 1-Y-77,nA1 Agent 1 Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ge-00CAC$-70&`A/ AF Zi)fM 6,615 Al' 4-YL A/&W Rooms at my property located at /tea Lv,/{iTG 64/c /3LUC-F &b. ! r&UA, in bkltw�% ^ County. 1 furthermore certify that I 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 --1/OfinJ S' 7�y7 � Print or Type Name 12 Date This certification is valid through John Bell 881 (III III Gazebo Roof 10' x 10' IIIIII III Harber Contracting Inc. PO Box 4562 Emerald Isle, NC 28594 John Bell www.harbercontracting.com 140 White Oak Bluff Rd. (252) 342-9987 Stella, NC 28582 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to John Bell 's (Name of Property Owner) property located at 140 White Oak Bluff Road (Address, Lot, Block, Road, etc.) on White Rivar , in Stella , N.C. (Waterbody) (City/Town and/or County) The appt ant has described to me, as shown below, the development proposed at the above locatio . 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) (Adja9pnt,,Pr90erty Owner Signature Print or Type Name Mailing Address City/statelLip Telephone Number/email address atyisaOV 39 3 - r195-Z� Telephone Number/email address 9) 2 tF 11 I Date* Rb v (Revised Aug. 2014) `Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Bell ,s I hereby certify that I own property adjacent to John (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on tnmitP terb in Stella N.C. (Waterbody) (City/Town and/or County) The appliqpfli 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 m Ml to waive the setback, you must initial the appropriate blank below.) o wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. / (Property Owner Information) Signature Print or Type Name Mailing Address City/State/Zip Telephone Number/email address Date *Valid for one calendar year after signature` Information) ame /nn htor Print or Type�Ta;�Y' Mailin Address 2 fi -9'7 City/ tate/Zip pia-a1,s-Na' 9 Telephone Number/email address Date* (Revised Aug. 2014)