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Home My WebLink About74235D - Applegate1CAMA / ❑ DREDGE &FILL No.• . -235 r -•. A B C. GENERAL',-— "PERMIT Previous perrnit New Modification. ❑Complet'Reis-,-_- sul]Partial Reissue - Date previous permit.issued - -As authorized by"the State of North Carolina, Department of EnvironmentaLQuality and the:Coastal ,Resource�Commission in warea of environmental concern pursuant to I SA NCAC O rl N E Rules.attached Applicant Narhe KARA _AP PLF_taATT Project Location: County f39t k N.5`WXC-K Street Address/ State Road/ Lot.# s Address: .%' O'� City State ZIP l t,N41 AM, . 6n! S � A e-ra Phone #,E-Mail �11�` Subdivision' IlIA n . (iG �- Fac.i!' Authorized Agent •' f`�t eK �.�-,�' � � .� , l�sia>r.: Affected'.-. Cw j Ew PTA ES. ❑ PTS ��^ Phone # ('1o4) 36'S ®(oG River Basini ` h . ❑OEA � ❑NHF' ❑IH ❑UBA ❑N/A AEC(s): Adj. Wtr. Body �.AAJAL, (na /ma�/unkn) El PWs: ORW: yes / no PNA yes / no Closest Maj: Wtr. Body . A j W W ` Type of Project/ Activity nEe IPL A c-r �iGts-rawr� �oct`f,vt FAC11_4Ty Fixec lost Finge Groir Bulkf ^Basin ITO-1 Boatl Beacl Othe Shon SAM Mor, Phot, (Scale: -LA 1-tin A < If '?A Y• - - - - .ors. ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■ i length number ■�■■ten■■■■�w■■■�■■■■■■■■�■■■■■■■■ ■■■■■ read/• ... lengthfl�l1■I#fIB�■r'L]■ = . �'■t" ,.,iGrL■■■■■■■.p■ ■■r■■i■®■®■■■■�mwii::71�r■■illr�lltl■i■i I1�i distancemax ■■■■■■■■■■■■■�� iw,r�■■■��■■■■■■■■■■■■ ■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■i■a r �_.. cubic yards . . � R /f:■ii■I�■■■!■■■ r■N"'".rIritr�■■■I'�'!'d"rl ■■■_■■■■ ■DJ■■■■■■■ ai!■■►!■�■�■®■■■■■■■ IIN■louse/ Boatlift- ■■ """"'��"■1°""■isiiiiiiii o -SEEN notsure yes torium: CA) yes no FIS: Yes• ■■■Ly, ■■■■■■�i■■■■■■■yam■■■■■■I!■i��■■■ A building permit maybe required by: 6cr A-n/ _3L:sLr_ OF_.Ae-M ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions ® 714, (2 O 0 AoJV AU., Q1 rt 0 CAC , S TATF , A.-A)b (i 4_ inted Name Srgna� ** Please read compliance statement on back of permit 2 4.54&4 Application Fee(s) Check# Permit Officer's PH ted Name ,(ice f Signature /Z.11 ` Issuing Date Expiratior( Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 111 q /1B 1 Name of Property Owner Applying for Permit: Mailing Address: 0C9& W\, S< 1 rK_.a.! I certify that I have authorized (agent) �l GAG I/�C4 to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at){ W 11rv.►hc �ti S-� + D �pa.�. Z'�l c /�t�v�. /l�� This certification is valid thru (date) /d l Q12a 11 XVP �• � Property Owner Signature v v Date RECEIVED 0CM WILMINGTON, NO APR 2 4 2019 WAND DELIVER ADJACENT RIPARIAN PROPTRTY OWNER STATEMENT (FOR A PIERIMOOIiING PILINGSIBOATLIFTIBOATIIOUSE) I hereby certify that I own property adjacent to i_�\ ,few(Name of Property U vner) - 's property located at (Lot, Block, Road, etc.) in %�. -., :1—C►t•��r:�Y�rssv;cJ�� LJ. ,N.C. on.\w, �.r - rs►� r c.ti C'c► r,� _ (Town and/or County) (Waterbody) ' C �J :� Applicants phone It: S Id '� Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive ; , '` Brio wish to waive that setbac requirement. ---------------------------------------------- ---------------------------- DESCRIPTION AND/OR DRAWING* OF PROPOSED D �'CLOPiVI1 N'I`: (To be filled in by individual proposirrh development) ------------------------ (Information for Property Owner Applying (Riparian Property Owner Informiol)— for Permit) Mailing Address 1 ... ti '-� cv.; i : signature City/State/'Lip Telephone Number '�,,.,-.-.� ;�.% - v �•? - -'- j''Signature r C. Date Print or T�pe Name rr 1 Telephone Number Date RECEIVED t)CM WILMINGTON, NP APR 242019 HAND DELIVER ADJACENT RIPARIAN PItQPERTY OWNER STATEMENT (FORA PIEB1ff00RINGPIZYN'GS/,lir0.4T1-.i'rF'T/BOAT,i9''OUSE) I hereby certify that I own property adjacent to M' Lc AA". M 's (Name -of Property • ivner) property located at c -q W ` + t si- (Lot, Block, Road, etc.) on iiJ•Ca_(r�,�_. in i "gAaTCIr L'I?,�iiSi •ic�. . N.C. (Waterbody) (Town and/or�County) Applicant's phone #: 910 •-$Sa�g7�i Mailing Address: Sil W i l i h*JLa S�• He has described to me, as shown below, the developmenthe is proposing at that location, and,.I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (I T) from my area of riparian access unless waived by me. (If you wish to -waive the setback, you must initial the appropriate blank below.) go* - I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING b# 0I0V69 D 1)J&9M0I "]C' XT (To befilled in by indivlduai propnsireg developmeau) See. a �- prmww yv -------...... --... _......... ........... _.... __. (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) (� Mailing Address Signature 0Ce6%r,.T_?1?- &qL11" Nr � City/State/Zip !jlv -9so -947q Telephone Number D °n� ate g4- v. Ql�e,r A . 1 yr V%& S Print or Type Name Telephone Number 4 �td�2n1C - RECEIVED DCM WILMINGTON, NO APR 2 4.2019 Date FU Ij r's Tk N D7LIFDA r\ Flee eo "A RECEIVED DCM WILMINGTON, NC APR 2 4 2019 bit IrAkr'"' Y"- Dc'/ OKI Dafo Received Date De osited Check From Name Name of Penult Holder Vendor Check Number Check amount Permit Number/Comments Re I for Refund/Realiocated Columnl Co1umn2 Column3 Co1umn4 Co1umn5 Columns Column7 Columns Column9 5/32019 AMW Doeks and Marine ConsWebon Inc Mkhael end Tamara A le ate f3D8T 5484 200.00 GP #74235D TMc .8186