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Home My WebLink About72349D - BlankCAMA / ❑ DREDGE & FILL GENERAL PERM ITUWA-71161°1`fyf ❑New ❑Modification [-]Complete Reissue ❑Partial Reissue No 72349 Previous permit #_ Date previous permit issued A B C (1 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 I SA NCAC 0 �(. 1100 T �, * �L �� `❑ Rules attached. Applicant Name J ON H4N &L AI Wes. Project Location: County N GV HANI W ET2. Address l7KI (J\KWO, Street Address/ State Road/ Lot #(s) City -State ZIP , l j Phone # ( 1 ) / ` E-Mail ,� 17A1(�l,�l` L® JU • � V Subdivision RIAP. ran 1 04 tN+ S Authorized Agent ~ S le 1 City ZIP Affected ❑ CW XEW XPTA ❑ ES ❑ PTS Phone # ( ) River Basin huh { ! AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body i Cyr Q - k (nat /man /unkn) ❑ PWS: - �J}�� .0 �► . 1 t" f3L— Agent or licant Printed Name Signature � ** Please read compliance statement on of permit 2-00 — 9 f Application Fee(s) Check # �S S \X� OLAIN Permit icer's Print?ame Sig a ure /t Issuing date Expiration 15ate ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -JON \/V RI-ANL— 's --�� A�'1 Nam of Pr perty Owner) property located at 7 b 1. C IV��Iv 1. t� ! & Kn Al) on PAG�� 'C Z - (Address, Lot Block, Road, etc.) in L (y N.C. (Waterbody) (City/Town and/or County) The a licant has described to me, as shown below, the development proposed at the above location. 11I 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.) I do wish to waive the 15' setback requirement. _ I do not wish to waive the 15' setback requirement. (Property /Owner Inform ion) �V Signalure �bhl hf ISLA W- Print or Type Name 9,Lf 10cy pRlVF- 'a �A� N N t Z?6 O$ "tkf"rz, _ '7 Telephone Number _ 10 OCT- r 2016 Information) Srgnal;rr-e T0W 8r-0AQF0Q i Print or T pe Name 190 (3Uf�VA Vi S Mailing Address tnr i il'r<l�T� No 2-84 (l U Cily tatelZ ip 1 �3Sz-6�39 Z Z Telephone Number o U Date 02 w J a---§ (Revised 611812012) v 0 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: 761 V IVA S� LAN U) N tom% 2 jJ , tLQVV t or treat�. 1L 1V t wj rJ ' 1p Vount�f g t I Agent's Name #: Mailing Address: Agent's phone #: I hereby certify that I own property adjacent to the above referenced property. The individual applying for s permit has described to me as shown on the attached drawing the development they are p posing. A description or drawing with dimensions, must be provided with this letter. 7I 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. 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. —0- 1 do not wish to waive the 15' setback requirement. (Prope O ner ly�fo ation) v t� Signature Q VIV Print or Type Name Mailing Address (�q(Q. t cl h C- 9ity1Stqte1-7ipI 1-833--7 6 Telephone Number 10 0c,T 2-0 13 Date (Adja ,rope w � Information) gnature T011-1 BRJCY i�R)OT Print or Type Name 190� BUGRA V (sue Mailing Address (NGTON NC/ Ci y/State/Zip 6039 0� o Telephone Number >� N _z 7p w� o Date o� Revised 6/18/2012 p CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 30 W NK - Address of Property: `761 1" 30 M [AN D)1V � W I iM IN 6T(YV ,N(,-Yv Agent's Name #: Agent's phone #: i (Lot or Street #, Street or Road, City &County) N�VJa/f� c� Mailing Address: 9ZI HOL T lazl V R.ALQ 6� N L 2-760 8 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. 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. Correspondence should be mailed to 127 Cardinal Drive Ext, Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail 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. I do not wish to waive the 15' setback requirement. (Prop Own e nform tion) J _ Signature Print or Type Name 5V HOL:� 02JVC7 Mailing Address City/State/Zip 0 ig) 833 -=7 4 Telephone Number �0 0C Z0)A Date (Adjace operty Owner Information) Signature LAlms\( CLINE Print or Type Name �O6 W►L-W SPAiN C, R� Mailing Address CRFGKs �01L0 tic, 2-7 City/State/Zip Z z 336 ��f6c�l �� 00 W ~ fV Telephone Number c W J Date Z UD Revised 611812012 C APOppK S' L--- MF V1�nr� vjW GAa►6 IN RAM CAW-) ell, 1146 j 61Aw, OC -54444 I` l� `- �s� 4 ` � f�i.Ast��dN► N6C-5 CM�, NN HNNW—cWAy t For �Oc - S pj&p_ 7610 p44sUA) j (ANT 61 W)L-M)N6T-d J,1 NC - I 1 J— p�J5711vG i_ _►_ :FATii �) ✓nfJC1^`�ISU f RECEIVED DCM WILMINGTON, NC � ^� v ' NOV 0 2 2018 y DabCherJc Oats ReteNed From Name Name o/ Pemdt Holder lhrWsr ♦ Check Number Check amount Permit Number/Comments RacN for Refund/Reallocated Columnl 11f92018 CoM M2 CoMam3 Jon and Lane Blank Cok mn/ Jon Blank Cokr S First Citizens Bank CokNn S 9912 Column7 $ 200.00 Column8 _ GP #72349D _ GP #71745D _ _ Cahn!) BS rcL 7405 11/92018 Grover Soesbee Grover Soesbee — - - - _ BB&T 187 $ 400.00 TMc rcL 7303 11/92018 Eastem NC Home Builders LL Mike Turco DBA Eastem NC Home Build,Cm United Cmun' Bank 2068 200.00 P #72300D rcL 6122 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to —s.� 01\% \A/_i3--ML- 's Name of Property Owner) property located at q0 10 MA S J D IN & (Address, Lot, Block, Road, tc. on PAGC5 (� �- = in iLM)fy �'�or� dPw J1AI�J N.C. (Waterbody) (City/TowrY and/or County) The applic t 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Prim or Type Name Y �2iH,Tof) Y MailipgPfl /prss }u NC 2-76rlcl t6l, 11)) 1) 0 -6 Telephone Numb evvl � Date (Ad ace rope Oner Information) Signature 'ring QNTIN SA21N 6� Mailip LA dr N G 2"�4i o City" ateMI) . ip 7, / --b / V� Telephoo Number z5 0 c (C —2 Date (Revised 611812012)