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Home My WebLink About74537D - Blount-.CFE / DREDGE & FILL NO. 74537 A B C Q RAL PERMIT Previous permit # ?1 NModification ❑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 NCAC a H O -00 )� ❑ Rules attached Applicant Name I_��s_ Ll,� Address J' 5 Sik ^X s � Ad L S\ J City Stated ZIP Q 0 (DZ. Phone # ( ) ' E-Mail Authorized Agent f c Oa- 5-0.1 Affected ❑ CW JQEW *PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / & PNA yes 19, Project Location: CountyI / 0 n \C— Street Address/ State Road/ Lot #(s) Subdivision City____ , 'EA ME ZIP Phone # ( River Basin LU,n,U-_i_ Adj. Wtr. Body t an unkn Closest Maj. Wtr. Body ■■■■■■■■■■■■■ ■■■■■■i■■ �� ■■� IEEE ■■■ ■■■■■■■■■■■■■■■■■li ■C: ice: �■■■■■■■■■■■■■■■ M. ■■■■■■■■■WERE X T3■ ■M I■1 N■■■■/rnMENE■■■ ■!!■■■1■■■■■■■■■ ■■■1■ �■1 �■■■■■■■■■■■!!1■■■■ ■i■i■�■■�i■■c!i■ ■■i■i■ I� i■i i■■ad■■■r■im■■mi■■®i■ ■■ ■■■■■ ■■■■ I ■ ■ ■■■ ■■ - ■� ■■■■1■■■■■ ■■■■! 1l1 - — IMMME ■■■■■■■■t�■■■■■■■■■■ Er■■m■-_ mew agent Applicant Printed Name Signature ••Please ad compliance statement on back of permit •• Applicatio ee(s)v , Check # �� r � PermitOfficer's Pnn�ted Name Signatu Q I 6 1 Issuing Date Expi ion ate 4-4 11 Ull I 71 I 'yx I i ( I I � AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: r iL.; ` _ F �� J. Mailing Address: i a y t�' Phone Number: Email Address: I certify that I have authorized La UJIMMIM" ci f"i 5 t.- Agent I 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 c45 F��C,•� S �,� a in County. I furthermore certify that 1 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: y Signature S-TCt he Iq -�E- l0;( nt Print or Type Name Title q/ /- -/ I Date This certification is valid through f f / /1 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby cerhiy that I own property adjacent to � 'Gl'l i .tilo i prope4 located at (Nance of Property Owner) on �" .� (Address, Lot, Block, Road, etc.) n S (Waberb°dYs ( 1Town andlor County) The applicant has described to rne, as sho+&-n below, the deveiapment proposed at the above logation. L -� _ i have no obiecbW to this proposal_ have objections to this proposal. DESCRIPTION ANDIOR DRAWWG OF PROPOSED DEVELOPMENT {/ndividual Proposing devsloPment must fill In descripbon below or attach a site drawl - I understand that a WAIVER SECTION I Fier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be minimum distance of tset back a 5 from my area of riparian access unless waived by me. (h you wish to j aive the setback, you must initial the appropriate blank below.) Z l do w*h to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement_ (ProPOTty Owner Information)_ (A `acetit Property Owner infortnatic�nj 41 -! sig)2l1lmle vla F a►rnt or Type Hama �1 Wlifn9 Address Cli}1"�faie•7113 Twephone Narrlber Bale ACIgTss Telephone hiurn(x`r Dole� ADJACENT MPARAIJ DonogPTy OWNER ,GiL�oerfifl thatl�Tlei itFJ11T tiwi2 pmp'{I "d3 (iS3 rice- i arOPerty located at 3.2 ` �`~ uL,� � s- " `� a L�" of PmPerty Owr> on } llddl�eSS, Lot, Block, Road, eft.) ��"? in , N. G_ a rc ) own asdkw County) The apPiicant has described to me, as shown below, :he developsrlerlt PrWosed at the above lobation. 42i have no O*citiort t0 this prcposa. i have objections to this proposal. DESCRIPTION AN DXOR DRAWING OF PROPOSED DEVELOPMENT Is or itfaiaf PrOposIng development `t11 in descripffon helow or attach a she draw, J7c'3'lt a' ¢ I k q-3 WANMR SEClQ I understand that a pier, dock, mooring pings, breakwater, boathouse, lift, or groin must be set back a mini mum distance of Is, from my area of ririar€ access unless waived by me. (if you wish ft�waive the setback, you i'Y.iisi irr5itia[ ttie aPP`apnate blank below.) — -z—f 1 do wish to Waive the 15 setback requirement. I ____.,.1 tits not wish to waive the 16 setbadc requirement. (Property ¢ iarre�alt#on} (Adjacent Property Owner lnfommtion) F� l �= �Signa(we - :SFgrnrl Pli?# or Type Prtt3r or i pe Name .i! ice. Mailu� Ad&ass AAaiftr Addrr�� l, Cityt+, C, --- 416* Telephorm NuffibwTsfip� Nurrt Y i3aioe - note (Revised 61TWO.12) :.. - Date Received Date Deposited Check From !Name Name of Permit Holder Vendor Chack Number Check mp.mt Permit Number/Comments Receipt or Rerund/Raallocated Columnl Column2 Co1umn3 Column/ Columns Columns Co/umn7 _—_ Co/umna ColumnD 9/17/2019 Jonathan Riley Jonathan Riley B & J Construction of NC, LLC G 8 W Industrial Properties, LLC _ H5 Construction, LLC LeeAnne Danford Larry and Patricia McNeill La ny McNeill - Will Richardson/Richardson Construction Erskine Blount Will Richardson/Richardson Construction Jim Fisher American Marine Construction Inc Jose h Yoder BEST BUT BUT BBBT BB&T -613-- BBBT First Citizens Bank 3226 2087 $ 200.00 $ 200.00 $ 400.00 GP #74718D GP #743827D GP #74520D GP #74706D GP #74537D GP #74536D GP #74707D JD rct. 8568 TMc rct. 9114 BB rct. 9112 BB rct. 9115 --- 9/17/2019 9/17/2019 2362 9/17/2019 - 9/17/2019 9/17/2019 9/17/2019 1046 $ 200.00 7530 $ 200.00 $ 200.00 400.00 rct. 9116 7529 TMc rct. 9150 Tmac rct 9192 88781