HomeMy WebLinkAbout74387D - CorvineQCAMA / ❑ DREDGE &FILL NO. 74387 A B C
GENERAL PERMIT Previous permit #
�[V,New ❑Modification El 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 I SA NCAC
❑ Rulds attached.
Applicant Name � 0'--4 0" sit 4 e-2
Address / ot-/ ?j G e� h Uy r c, Dr
City ��, State[ ZIP `6 t 5
Phone # J_(�) cv 6 E-Mail
Authorized Agent F%C-k u C -�:'
Affected ❑ CW gPTA XES [;"S
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
ORW: yes / no) PNA yes
Type of Project/ Activity lr7
Jr
�A s.,
Project Location: County J
Street Address/ State Road/ Lot #(s) lc
Subdivision
City 5� , t Q �^ ZIP b 5s
Phone # ( ) 363 cx0(,�< River Basin t —bc /
Adj. Wtr. Body (na1Gm_ /unkn)
Closest Maj. Wtr. Body
(Scale:
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Finge
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Waiv_ __ _
A building permit may a required by: To_J'% J S',k1 IZ�c e- t L ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions e'.j �� o� r 7o - , o L
�t,G)(- w"sue
Agent gr Applicant Printed Name
Signat re * Please read compliance statement on back of permit
S
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Appli tionFee(s) Check#
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
nTA-r�Aoa-{ (!C)9-Vr,Z-Z
Mailing Address: 1 s� 1(0 R CVCg CaC D(L
`j u .Se- i' n1 e-
Phone Number: r% g - Z c:) c2> - cD 1 io
Email Address: -70t`/ y C t'7 Q E a r),7/'4 i L C C;) rV,
I certify that I have authorized R t c: K t"i E S -T
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: _S'eA GJ14 LL
at my property located at /,2 1
in`ct r4.-34.>, k r11L County.
I 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.
Propert ner Information:
Signature
nfr"r-�yry-1 C o,qy= N o
Print or Type Name
Title
Date
This certification is valid through
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: / 0 . v �ar7fZyt,•�c�
Address of Property: 1,21
(Lot or Street #, Street or Road, City & County)
Agent's Name #` 1� �c k� �Pr�Mt�{�ocBLS Mailing Address: / % U �ncc� Cc�:�2`!
Agent's phone #:
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.
A<
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 http://www.nccoastaimanagement.nettweb/cm/staff-listing or by calling 1-888-4RCOAST.
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, 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.
U 1 do not wish to waive the 15' setback requirement.
(ProperbLOwner Info ation)
/ l
Signature
Uie-
Print or type Name
IC 3 Lce..:J &)z,• r ! s -A r
Mailing Address
)- t_` L is 1 i (
City/State/Zip
Telephone Number / Email Address
Date
(Rip0an Property Owner Information)
Signature]
Print or Type Name
Lt".I 2..1 C�, ()
Mailing Address
t/
� / ("? 1 2- �
� V �', / r��%.. I �f'ciC, "1 1, '�
City/State/Zip
Telephone Number / Email Address
A
Date
�ic,L`�' (Revised Aug. 2014)
i L �—
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: / 0.,v
Address of Property: % IL (W' "5�'
(Lot or Street #, Street or Road, City & County)
Agent's Name #" �c i�C.�es ��"N ���c /� S Mailing Address: / % U �23A A C— .,aJ
Agent's phone #: U`>` - 50 _ C &6 e �5�' C,7 fi
1 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.
"' )`"n,� I have no objections to this proposal. I have objections to this proposal.
omk-
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 http://www.nccoastalmana_aement.nedweb/cm/staff-listin_g or by calling 1-888-4RCOAST.
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, 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.
1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature 'Zi its, (.ctcST
C ry C' 0 AC 11 1 /v c:
Print or type Name
Mailing Address
City/State/Zip
',/ ?- 4&9 va3
Telephone Number / Email Address
Date
(Riparian Prope wner Information)
zzq
Si afore
Print or Type Name
Mailing Address
City/Statey ip
C,'I9--7-))--SOS _5
elephone Number/Email Address
Date
(Revised Aug. 2014)
• A_ S 0 Agent
I 1 �13 Addressee
+ late items 1, 2, and 3. '
■ comp C. Date of Delivery
■ Print your name and address on the reverse B.
so that we can return the card to you. t� ❑ Yes
■ Attach this card to the back Of the mail piece
ace p D
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ress diff t13
No
s IV address bel ,
or on the front if space tfy enter delivery
1, Article Addressed to:
�,wtilf. SEP 0 2019
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❑ cdlect on Delivery ❑ S gnature Conf rmat lo
9590 9402 3923 8060 298 Restricted Delivery signature Conrrmation
p Collect on Delivery Restricted Delivery
d Mail � Trans r from i Mail Restricted Delivery
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7U]�8 �680 Domestic Return Receipt
f P5 Fora► 3811, jUly.2015 PSN 7530-02-�
■ Complete items 1, 2, and 3. - ON '
■ Print your name and address on the reverse A Signature
so that we can return the card to you. x
■ Attach this card to the b ck of the mailpiece, Agent
or on the front ff s ce 13. Receiv y (pry„ C1 Addressee
1. Article Addressed to:Pa P its. Name) C. Date of Delivery
4 PKC7ZT_
9590 9402 3923 8060 298161
7018 0360 0 1 611 60 6
PS Form 3811, July 2015 PSN 7530.02-000-9m
D. Is delivery address different fron,If YES, enter delivery addressss b item 1? ❑Yes
below: ❑ No
3. Service Type
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flail Restricted Delivery
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To whom it may concern:
Tony is asking for your help in getting his floating dock and boat lift approved.
We are asking for wall repair as well
He needs you to approve the Cama Riparian paperwork.
We have sent you a drawing of what he wants to do, please look it over.
Date 8-25-19
If there are any question on the layout of the dock please call Rick at AMW Docks 704-363-0668.
1 am Tony's agent and will be glade to help.
Tyler of coastal management is Cama's agent if you have any questions please call him at
910-796-7424.
Please fill in all areas that are high -lighted
Also, no check marks please in the waver section Cama will only accept initials
Thank you
1
Rick West 704-363-0668 �,
11/6/2019 11/7/2019 Overbeck Marine Const./Daniel Shirley John AnangnosV
11/6/2019� 11l7/2019 AMW Docks and Marine Construction L_LC,Anthony Corvino
Backwater Marine Construction David Cain
11AMO19 11/7/2019 Rvan D Cooper Rvan Cooper
Check
5253 $ ,200,,,QQ, ' GP #74777D
I�5678 $ 600.00 GP #74387D
S 200�#74712D