HomeMy WebLinkAboutHughes, CharlesCAMA / ❑ DREDGE & FILL N9 78911 A B C D
MENERAL 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 I
and the Coastal Resources'Commissi h in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name <<'t (Z i �(� L f ' Project Location: County — —
Phone #,fir)- 1 ell E�/M/ I
Authorized Agent t,iv (����{ i�f \
Affected \ACW]EW PTA DES ❑PTS
AEC(s): ❑ OEA ' ❑ HHF PTA
❑ UBA ❑ WA
❑ PWS: /
ORW: yes / no PNA yes / nog
Street Address/ State Road/ Lot #(s)
i,
Subdivision
City ZIP
Phone # ( ) __. _ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Mal. Wtr. Body - -
Agent or Applicant Printed Name PermitOfficer's Printed Name
Signature
Issuing Date Expiration Date
Signature "Please read compliance stateme ton backof permit"
I41
Application Fee(s) Check#
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 61MAW3 !I kyt lg s
(Name of Property Owner)
property located at
on Pi>&06 ' 'VVAM ,
(Waterbody)
ss, Lot, Block, Road, etc.)
in CAR C Go�eNT�1 N.C.
(City/Town and/or County)
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)
Aofl O be 1 >, D&c*- '-�'
sac- A 17AGHe-01
��-1,5?W� �EC'^6nrlN►b 1...1�1 �V
C>X4 ,o L .J /c
ffW5C &E WL'CIAlL"v9 WAIVER SECTION
y� I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
J{^ must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If y uu1 wish to waive the setback, you must initial the appropriate blank below.)
wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
IAJ4'L0A/ W,
or Type Name
v
Telephone Number/email address
)e-zl�vDtti
Dnte
*Valid for one calendar year after signature*
Signature"
Print or Type Name
//2Z OB�ZGI N ,QDa o
Mailing Address
ty/St
`l61zip
I- WL9-E'&3Z
Telephone NymbeJi`/email address
Date" RECEIVED
(Revised Aug. 2014)
FEB 10 2020
DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STALEMkNT
I 'hereby certify that I own property adjacent to j Ak" 4i RV616'd s
(Name of Property Owner)
property located at '7O, �)KTJr-4 PIA4 LIP`p !�D(fl 64 56AT15
(Address, Lot, Block, Road, etc.)
on °bocio S'DVAAJ) in 4v xrll , N.C.
(Waterbody) (City/Town and/or County)
The appl' nt has described to me, as shown below, the development proposed at the above
I catio
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)
ADO Dbcevl �ativa DC, - Ta 1' 60LIJ 'lb LJA ",
SCE A-o 4C V1 W`O P/LA-'/ L'J &'
ffWl,,(" &C- k0i'CIA. '-OV-"' 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.)
G M P I do wish to waive the 15' setback requirement.
7
I do not wish to waive the 15' setback requirement.
Owner Info
vW,
Name
Teleohone Number/email address
10
Date
'Vakd for one calendar'ear after sig`a'a e'
(Adjacent Property OM-'y"T
ntoation)
--
Sig alure'
RadAm Al.P2a rr
Print or Type Name
114 ®pbr✓000 GOaGf
Mailing Address
/ mod) 'o I S.G.
City/State/Zip
Telephone Number/email address
Date"
RECEIURD
FEB 10 ZO
DCM.MHD CITY
(Revised Aug. 2014;
r
fU
Domestic
I
O
LIUVIFIVIAL
ul
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Certified Mall Fee
$3.50
05$ 4
m$
Extra SONIM& Feas(cn..,,add lees te)
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tU
p
❑ Relum Receipt mardwph $ • .
❑Ratum Recalpt(ele nk) $ [1.00
Postmark
p
❑Cenreetl Mall ResWctetl Delivery E 'Ef.�4i ill
Here
p
❑Pdult Slgn.W.R"ulred $ $_ 0.00
Mug Signature ReeWcted Del" $
E3
m
Postage
$Q.70
r`
12/23/2019
Total Postage and'ff. UU
$
117
p
Sent
--- -PA%n M $ 2E► ..............................
ry
SLeeirndA�--f. y�r ox No_
n -
Postal
P CERTIFIED MAIL@ RECEIPT
m DOMOstic Mail Only
PO
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Clartigad Mell Fee
Ln
m $ $3.5u (1584
Emre emlces&Feas(cneckewx,eft 0) {I5
ru ❑Ratum Receipt (h ,,) $ 1 11
p ❑RM-RecelPt(.Ie nlc) E $U Orl Postmark
p ❑ Cenlfed Melt R.wosd Nw, E_ ,a- `i Hem
1-3Q&dult Signature Regueed $' -
C] ❑PduX5lgneNre RasWcted DelNeryE
m Postage
t` $ $0.70
r-9 Total Postage and Fees 12/23/2019
u7 $ $7.00
Sent
TO
pam----------------------------M1 x(✓o--
�^- •N_c. 27Io0
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Req
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
ci�r dill
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
3
in
I 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
L��r ,��
Print or Typ Name
OGtl�
Title
Date
This certification is valid through —ZZ—i 7 r 2D20
RECEIVED
DEC W2019
DCM-MHD CITY
Receipts for
Certified
Mail
(Staple Here)
t_
t01211 �d
Date
. LAmP6Ew 06vEt�vPMtuT� L•� �.
�Adjacent Property Owner
..1.2!?_._ds'�G'3.ti,.i �--
M sling Address
�`l.daklruL Z%60S
City, Shrp, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, _��a��� __ have applied for a LAMA Minor
Property Owner
CATLx l-
Permit on my property at Q _D%*'��w� �1 �� _, in COUNTY
Property Address
County, As required by LAMA regulations, I have enclosed a copy of my permit application and project
Pr.EA � ba i r. i e wawM L• 4wureq.j i
drawing(s) as notification of my proposed proect( a rer you may sign and refinn
IN14Vgjjet,o oO ;eWj46PA6 5W4 SzarPeo 01WO.
the enclosed no objection fonnklf you have any questions or comments about my proposed project, please
contact me at _,_ 9?,-3 43 - LIZA 6A6¢ 01,or by mail at the ad.iressted below. if you wish to
Applicant's Telephone ) -
s listed
file tiwritten comments or objections vilth the LOCAL, GOVERNMENT CAMA Minor Permit Program, you May submit
them to:
Lf}0 NAME KEATNeh. 5'f4o.-1
Lucas Permit Officer for LOCAL GOVERNngENT WL&rnti4'
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE Moll>~Ilri�D Gum , NG r g5ra7
Sincerely, Wei -
Property
opOwner
'9ViVJ,6,ACLtA.z-
Mailing Address
City, State: Zip Cote
DECEIVED
0)
DEC2019
CGM-MMD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 6IM&U8 kJ A116115 6 s
Name of Property Owner)
property located at �03 o)Lr014 �AC9 10i Name
GA o�56ATie
( ddress, Lot, Block, Road, etc.)
on boGJp' SVy" in CAfi'CNC-:r N.C.
(Waterbody) (City/Town and/or County)
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)
ADD 00`. Tz'
SaC- A TJACi te-0
04'11�5TIN(. r�6�AL.-J60 b t,J2(vt..
1P(?-4 i L,J /o
fvW6f bE k0i'CtA- "9 WAIVER SECTION
y I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
r{^ 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)
Telephone Number/email address
►e-Zl-znt�
Date
*Valid for one calendar year after signature*
(Adjacent Property owner mrormauonl
Signature'
C�P6eoM�',wr;lNc.
Print or Type Name
112,& 08021dN ACA4
Mailing Address
LEG '�4 C- 2 S_
ity/State/Zip
Telephone Number/email address
Date " RECEIVED
(Revised Aug. 201 4)
DEC23
DCM-M+jD CITY
Receipts for
Certified 'Rail
(Staple Here)
Cate
_NAM P2eTT—___---_____
Adjacent Property Owner
-. 4.49Ab jaJ —o �j
rdailing Address
�iiy, State, Zip Code
Dear Adjacent Property
This letter is to inform you that t, 4&— 1i%�1� _____._- have applied for a CAMA Abner
Properly Owner
CA1L'rWf
Penmt on my property at In COUNTY
Property Address
County, As required by LAMA regulations, have enctosod a copy of my pem7it appticaEon and project
4Fdl�G iN li (l}� fNe wowmt� ee nq-, i
draWng(s) as notification of my proposed protect(' a ye�iyou may sigrl aiut return
IN?H6 ENG&,oieo Sr.WA69A4jeo erArPeo eWJ-
tile enr!osed no ozsection form kit Vol] have any (Iu0stions or comments about my proposed protect, please
c Ontact me a; Z52 3 43 zlZq Wo r •r) ,or by rail at the address listed below. if voa imsh to
rppvt,an"t's Telephone
file written comments or objection3 with the LOCAL GOVERNMFNT GAfAA Fdinn€ Pemrit Program, you may submit
them m.
LPa rtAN,E: HEAtt+eh. 5-r40�+
Local Permit Officer for L`,OCAL GOVERNMENT" NL14Anwh'
LOCAL GOVERNMIENT ADDRESS �o(o n.NAce�E
CITY, STATE, ZIP CODE MO LZW6,k0 Gc-1-r, , 1�4G --g55,7
�rince'rely,
Property Owner
Ma'ring Address
c C (i`F L �V U 11'
cr
RECEIVED
DEC 2 3 2019
[)CM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent tos
(Name df Property Owner)
property located at
on bC>&J6 SDvAA9
(Waterbody)
;s, Lot, Block, Road, etc.)
in CAAia2Ei 624NCr1 , N.C.
(City/Town and/or County)
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 DEVELU1JMEry I
(Individual proposing development must fill in description below or attach a site drawing)
ADD 00"' Ta e'_-1,5Tt"
50AYTAGH00 VX4 L&J6
�NI�IA�.�
�5f �e WAIVER-SECTION-
y 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)
Telephone Number/email address
10�Pt tiOl
Date
`Valid for one calendar year after signature`
(Adjacent Property Owner Information)
Sig ature
? bJQ,i, Al. Ptta rT
Print or Type Name
/It/ DOdrrouO 440&'(.f
Mailing Address
/L�/AlI?AM
City/State2ip
Telephone Number/email address
Date" RECEIVED
(Revised Aug. 2014)
DEC 2 3 2o19
DCM-MHD CITY