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Home My WebLink AboutStewart, Phillis❑CAMA / ]YrOREDGE & FILL No. 74945 GENERAL PERMIT A B Previous permit# C D ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality /( k f and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ! / o Applicant Name {V! 't 1 /•J ,,) i -' , {: -I Project Location: Rules attached. County C.....- ❑ �-%Y I ey r I. Addressi / �U T(iYl !. ✓i c: !Y Street Address/ State Road/ Lot #(s) City � (.�,� J State��ZIP / � �t'7 � S j 1 � .�7f �/t ;,� /,'c- ✓/ Phone # ( �" k>1� E-Mail Subdivision Authorized AAQnt r .�t% c < `1 % / -� City f Y I _f✓ /aY . ZIP_ 1 V& f P A 2d ❑M Affected •4� i❑ Phone# ( ) River Basin / %t _/ ' HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body !� Y � (nat /m_an unkn ❑ PWS ORW: yes /)no PNA yes //no . Closest Mal. Wtr. Body ( f - - - Type of Project/ Activity Pier ( Fixed Floati Finge Groff Bulkl- Basin Boat Boad Bead Othe Shore SAV: Mora Photc Waivi ar v ✓/t'^ A r , (Scale:/,tTf - ) length .■ .............j:::::::� :�:::: .........C....C..�l�::■1. .............. iumber ■■■■■■■■■�■■■■■■ .iE�1111I.�r■■■■■■■■■N■■lll�lii/ ■■■o■■■■ NOON■■ ■■■■■■■■■■■■■Mse■■ MOWN ■■N■ SOMMEMEMMURWAIM■■■■■■■■■■■■■■■�■■■■■■■■■�1�11:'/ MENEM channel .N■■■■■■■■■MMMMMIN� ®......n.�.......... ■■■■■■■■■■■■MEME .., ..■..�...�.■..■■. cubic yards_iii■■iiiNiiiiiiiii�■�iins�iiiiii■■iiiiii .■■■■■■■■■.■■■.■...C..�.■......■..■..... iiiiiiiiiiiiiiiiiiimMAN,MOVEMMEiiiiiiMEN ■■■■■■■■■■■■■■■■■■■■■� ■■■i'r■�■1111�■■■�■O■■ ■■■■■■■■■■■■■■■■■■■■/■�I:•!�!■■IS11111�■■ NONE ■■ ■■■■E■■■■■E�71■■■A■ %�(\E■ E■■■■■■ MEMO EEcf��{.�►�.�E■■ii■■■■■■■ line Length iiiii Iss�wr KA rMerr,� aNF1R 00MME000■■■■■■u■■■ C■E■ ■■■ notsure • yes ■ CMOMMEMEMEMEMEEMEME iD011■ME ■iii■ ■E■■■■■■■■■■■■■■. ■r■�■r��nr�■■�C■■E■oEE s: yes no MOMMEMME M■MM■MEMEMEM■M uuNUMMEMMEMEMEM M■MMEMEMME A building permit mayYe required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions or ADDlicant Printed Name _/ Signa# re •° Please read compliance statement on back of permit" Ap lication Fee(s) Check# ❑ See note on back regarding River Basin rules. I WU/r' Permit0 facer' rjnted Nae__, Signature f Issuing f h, lll"s 5 r-2-lexA- Nolk5l ,4-'9aMuVe- 6Rrs tatiA IA') 5A . 7UU sg Fr. /26 MAY 2 3 2019 DCM-MHD CITY CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIIOWWAIVER FORM Name of Property Owner: ;;4etQ0114 Address of Property: S �' 'T )cIrad wr/s (Lot or Street #, Street or Road, City & County) ~ Meryl 0-0� Agent's Name #: All, f �S Agent's phone #: 05`3' a Y f 7 o g Mailing Address: SbJJ7 4") .��rili�etS ,.�5 lQt�� N•�. �,1't I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are sing. A description or drawing,with dimensions must be provided with this letter. I have no objections to this proposal. _ I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at;-r'_, �. .reorbycalling 9-888-4RCOAST. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. Mailing Add ass —�— T-o/ 64 . C. City/state/Zip , Telephone Number /Email Address Date — (Riparian P 'Owner I mation) -- Si_g.,na'n�e w Print or Type Name >6o � s-.-o,07 T� Mailing Address 1lt�10 I<CAll c_4,1? city/state/Zip % 2�2-3V2-555�' TLI hone Num er / Ema)'l Addree s� I L-�� r-LI YI 'r\`64 r Date - — — RMEIVED (Rovised Aug. 2014) MAY 2 3 2019 DCM-MHD CITY CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT Name of Property Address of Proper Agents Name M ! a s Mailing Address: �56f t k fj or, yu Agenfs phone # a5'a, a Y t 70 q.�. k t�(��rs �$ \Qrd�{,S C- OZY I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing_the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. 1 have no objections to this proposal. f have objections to this proposal. !f you have objections to what is being proposes, you must nobly the Division of coastal Management (DC" in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at httnlAvww.nccoastalmanagement.nethveb/cm/staff-Iistlng or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. WAIVER SECTION 1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 do not wish to waive the 15' setback requirement. Owner I11%/I,s /Z a-rerkkkr-r ('rant or Type Name Name Zdnt/ 4r��Mailing Ass Ctry�tseardzp % '/��S{ulasf �`%fila9/ G7?�l � q•�:/ con-. i eiepnone rvumaerr rmaa aoaross DWc G04h (Riparian Property Owner nformatlon) Signature�� Fri Tose klo�4 Arv��c�. (a k10 Print or Type Name Mailing Address�� City/Sfate2ip Telephone Number/EmailAddres Cep^ DateRECEIVED (Revised Aug. 2014) MAY 2 3 2019 DCM-MWD CITY AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: _)Ih�( t` S ^-)fetja( Mailing Address: "l g I '� C't ry r C,' 40'x rclw Cg[t S0 kJ �. a?If Phone Number: 1Cf[j ) C2 (/- 6,7 7 Email Address: /11y//,5. c#4k/'4¢-n.cat t 60 !�Zsrla'(. 1 certify that I have authorized PSasl f9u UP b 13K-'N Agent t Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits n r .. necessary for the (following proposed de/velopm/PL ent:/" e- �/KJ" = t( i4utli chic''r �drehct'. ��(�cG.(KlcTCJ 1. 1�9 QIA /eT.$7 vCc. at my property located at l� S(ard� diVA (�_ rkcrS 3-54011 in 0004!1— County. �k t5eakn(1'dSf.<.< TT,7a.Ff; 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: A Skeeja� Print or Type Name Title 1 1,26Z�'� Date This certification is valid through I I RECEIVED MAY 2 3 2019 DCM-MHD CITY