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Home My WebLink AboutRivers Marina, LLC (Perrin Jones)f ®❑ CAMA / ❑ DREDGE & FILL J NO. 75962 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 NZ1QC,�/l -� /) S ❑Rules attached. i 1 f Applicant Name l i. ! : - , Project Loc$ ion: County �T <( Address _ Street Address/ State Road/ Lot #(s) City— l 'i Stat Ci � / e l( ZIP Phone # (' Authorized Agent Affected ElCW DEW AEC(s): 00EA ❑HHF ❑ PW$: ORW: yes / no PNA yes / Type of Project/ Activity Pier Fixec Float FingE Groh Build Basin Boat Boat Beac Othc Sher, SAV: Mor Phot Waiv DES ❑PTS ❑UBA ❑N/A Subdivision 1 / City � ; . 7_ `1'), j /�D't` r.-1 ZIP-_ - Phone # ,() Adj. Wtr. Body 1 Closest Maj. Wtr. Body River Basin (nat (Scale: E ri■11■■ :::::tic:::::: ■frlflflSr41■■ ■■M■■ MESON 8:..1 ■■ SEEM NONE: MEMEMEMMOMMEMEEMEMEME■E ■■EMMEMEMM■EME■E ME■■■ NEON NEWA ::'pM: ■■■■■■■■CM■M■■■■■■■■■■MMEC■M..1.!■■r.:■■■■■. ■■■■E■■MMM■e■1�■rulsr�■n�as.■r�il.■mill■�i��uruM■M■MMM MM■■E■■�M■Mrs■r�■r��jMnM■MMMErrsr�■■E�■MM■SEE M■E■■MEM29VII■■E■ ■■MNIMMEMEMEMEM��■NEME■Mr� ENEMA i10 FA cubic yards iiiiiiiiEiii iR'�vi vtil■IMMi�i �■Ali■M�M.M■ iM00 ramp EM■MM■■■■■M■■MEMw MMEME■rAIWA 'i�iiiM■l'� ;Ouse/ Boatlift' :M rMiiiiM 0 : Cii��: �I�Nunni�Ei0 M M°Mrax�� rnMMU .Ur��iv�MM C� M i Bulldozing ■■ oil�� MMEMEM`M`,,,� MMIMEMI111■ ■ IAAMEMEMEMMNMM■IUMM 14 MEMEMEMEM ML.■�I21MMM .__. NONEEMiiiB■iiiiNo M■ E■■■■E■ ■■�EM11■■ ■■MESS ■■M ■ ■ .■�■®■M■■■0 �■T:'�lYimil■■�i1■■M■■M0�■■■�■ dine Length EMS® EM■M!\M■MYMM11■■a M■■E■■MMM■M■M■■■■ ME ME e�IMMM M ■MEN MEE not sure yes MMEM �C��EEM�-®��nldin■■®�ii�vl��wr�®l�■■■=� t Hu - �ZZMEYYY YYYYYY YYrYYYSNr rr�YM ��IYrr Fs: yes MEMMEME IMELEME OMEN V A building permit may be required by: 1 j t .•C.-ti / i �f(-'t ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) 1- Notes/ Special Conditions Agent or Applicant Printed Name Signature 'a't Please read compliantes[at�Mgnt on back of permit x*" Application Fee(s) Check # Signature - Wo 1Aa Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: (01,2 ns+wzz be- d 12?2 Phone Number: Email Address: ?r O KO P) (K4 a, I certify that I 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: at my property located at , in 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. d' Date This certification is valid through I hereby certify that I own property adjacent to property located at '100 Mav-41'.a I (Address, Lo�.Orck� , on f0 one 1 s D-n in a n !/ae�u�. N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. k" I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must hill in description below or attach a site drawing) IS -L- 0 \f Wr— t A f}u ((�tDoo - U.1J}% 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. —Jk!6— I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Date Signature Print or matting Aaaress &-tcg&g N c 97609 city/state/Zlp 91 a d %) l q sa Telephone Number 1 D J 9 Date I (Revised 8/1tir2012) I hereby certify that 1 own property adjacent to N.C. VJar et.•�� _ �.. The appYbant has described to me, as shown below, the developrnent proposed at the above to 1 have no objection to this proposal. I have objections to this proP0s8l- DE8CRtPT10N ANDIOR DRAWING OF PROPOSED DCVC6vr " (Individual propoefng development must RN;n deawlP On below or attach a 840 dr8wing) C �= < o r RIC L tN�jV€!R sE 'l]OH I understand that a pier, dads, mooring pilings, breakwater, boathouse, lift, or g'�rt in MU&( got ' back a minimum distance of 16 from my area of ripariat, access unloss waived4Y me, (If Ou wish -to waive the setback you must Initial the appropriate blank below.) 1 do wish to waive the IT setback requirement. I do not wish to wetve the 1 V setback Mquirament. Infermstlon) e AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: f P/t • A "S, w S Mailing Address: Wj 1)0+"- Z by- �p r 1)i#e dL Phone Number: Email Address:("�� (� IM Get �•� I certify that I have authorized 0,-fek SIM 1/,yL, Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at 4/m akil go ilfm�- Lop 14b( �,� r in Cour'�// 1 furthermore certify that I _ _ wthorized 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 Info r ation: Sig ature w rnl,r, Z y� � �\\ o � W Ci ie (A PQ 4VA Y7 6 F / nc C /t e� Print or Type Name " Yrn Title (> I )' 1 11 Date This certification is valid through I I I a _ ,I— C,-N sit 7U /D RECEIVED DEC 0 9 20ig DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (-' C property located at `100 (Address, on .More 1 s Ir v, e m (Waterbodv) V na. � Sea l�a4 �1av-tvu 's e of Pronertv Owner) (Cityrrown and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above location. X- I have no objection to this proposal. I have objections to this proposal, DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till In description below or attach a site drawing) �rl��rA ((01000 t l ! 1 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. f/r) °� I do not wish to waive the 15' setback requirement. Property Owner Information) Print or Type Name (�td C,nfc+a,io 0� M fling Addre s ! ✓, e dL a ASS$ City/State/Zip q— Telephoge Number Date Property Signature Print or Information) c P609 City/State2ip Telephone Numberr Date (Revised 611 g64$ 9 2019 DGM-MFID CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ( I hereby certify that I own property adjacent to )e-y Y tVN :112 E'er s (Name of Property Owner) n property located at on tic.— .� in Cad In ail I (Waterbody) (city/Town and/or County) ecv�,6 (au,4 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, 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.) C 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property S ()J / Date (Adjacent Property Owner Information) Ci W -" — Jeri 0,4e1 Y}'trsrlrwo Signature i7rirve i I W Y092 En Z Print r T e Name { /K Go((2 15Y !c ( �f GD Q "1 Mailing Address Carte ipSh+ ' 1.5 03'� Telephone Number —I c�— �' — RECEIVED Date (Revised 611N I1 9 2019 DCM-MHD CITY 'w ro rt ner) I hereby certify that I own property adjacent to (Na a pe y, property located at 00 (Address, Lot, eiak, R�acL a o�J (� on 0 ��I � ;T 'in (City own and/or County) (Waterbody) v The app' ant has described to me, as shown below, the development proposed at the locatio . I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVtLurmcn 1 (Individual proposing development must fill in description below or attach a site 0 (qc or ,x lh,ovo�_ N.C. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be back a minimum distance of IV from my area of riparian access unless waived by me. (if wish to waive the setback, you must initial the appropriate blank below.) A I do wish to waive the 15' setback requirement. I do not wish to waive the IV setback requirement. Information) WHI g ddresc 4a,%b �Jtach, Iyt: ZgE7i.� City/State20 Owner