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Home My WebLink About74258D - Calhounr 1 G_ CAMA / . DREDGE &FILL No. 74258 A B C GENERAL PERMIT Previous permit# 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 01H . moo tt'' ❑Rules attached Applicant Name _?AC,1,Aice. Ca`�rtvy� Address �5'�r�nc,etCl��• CitycwuA atAfH State t� ZIP As%gR Phone # ($0) 575 E-Mail fCOx 6wvtiA,eG. Ar, cv— Authorized Agent R% f& (�, S� Project Location: County 3v.,nSw ;t.IC... Street Address/ State `Road/ i Lot #(s)y S Subdivision 1jl(A City 0U4, \sk'. Ge". ' ZIP IM(DQ Affected ❑CW QiW [APTA El ES ❑PTS Aft Phone # (10t) 3(P3 OW8 River Basin t_,,,, ",,, AEC(s) : ❑ OEA ❑ HHF ElIH ElUBA ElN/A Adj. Wtr. BodyA El PWS. I a(nat /ni 0 /unkn) � ORW: yes /� PNA yes / Closest Maj. Wtr. Body \W W Type of Project/ Activity k DIA p_ �ST]nu SVJMnQ Gd►o�}-er,v% teQA.,f posh na P's r, (Scale: �a = 20 ) Pier ( Y Fixes FIoa, Fingi Gros Bulk Base a" Bent Beac Oth( Shor SAV Mor, Phot Wain ■nr�w■■■■■■■A■■■p■■r�■�■■■■■■■■■■■■■■■■� �n Platform(s) i ■■■■■■■■■■■� ■■■■��■ram■ � ■r�■■■■�■■■■■■■■■■ cubic yards ■■■■■■■■■■■q■■■■■■6�■� ■ ■■■■■■[:�■■■■■■■■■ ■■■■■■■■■■■■■■■■■gin■■■■■■■■■■■■■■■■■■■■ �-. i�■��i■■■■Fit■■■■t�� . ■■■► /■■■■.�►�■/■��1 Bulldozingdine i�■■■■■�■■�!■ram■ � ■1 �� C•IA■■r■A■■�■�■■1%■■ Length notsure yes ■■wow■■■►a■■ ■■■■■�■r■■�+■■■■i �■■�•■■■■■■ • ■■■■■■■■■■■.■■■■■■■■■■■■■■N■I I■■■■■■■■■■ •s: yes l.T.l ■■■■■■■■■ ■■ ��■■�■■■■ ■■■■■�,■■■■■■■■■ ■ A building permit maybe required by: or Ilan `4t_ �, �� ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) l 1 \ 1 i Notes/ Special Conditions 1Q\ 'r IT on S of n� . Iwo j OG41� SlAFc., and dtxa►' OWU�A 0" S gai Name Signature ** Please read compliance statement on back of permit t ;2,00 5�;b Application Fee(s) Check # \Lr_w_ M c �lu.trz Permit Officer's Printed c Signature G ki 1201 0/17 1Z019 Issuing r'4 Expiration Date Name of Property owner Requesting it: Perm ► t-:S lT I � 1)a-► l Mailing Address: Phone Number: Email Address: I certify that I have authorized 57— I=-cu nt 5- . �, C' Y' Cam. I h ✓► r' `�' Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA per necessary for the following proposed development: V'S at my property located at F O_irmonfi in l>Y1,t-V►S iG( County. authorized to grant, and do in fact grant permission to 1 furthermore certify that I am Division of Coastal Management staff, the Local Permit Officer and their agents to on the aforementioned lands in connection with evaluating information related to this permit application. property owner Information: 4 signature / �Ts H.rint or Type Name Title Date This certification is valid through HAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) r I hereby certify that I own property adjacent to 1.i ' (- (Name of Property caner) property located at -'S rLC.i r^ rne) nt ST (Lot, Block, Road, etc.) I on 0-6- Y-L1 , in &Pj'l5 ��. h , N.C. (Waterbody) (Town and/or County) Applicant's phone Q16 05-al • Mailing Address: 1516 Fatry,10 n r !�V' r-- s r)--ean 1-fr B 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 (IS') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank w.) I do not wish to waive I do wish to waive that setback requirement. ------------------------------------------- —---------- 7--- ----------------------------- —--- -------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------ (Information for Property Owner Applying (Riparian Property Owny�r Information) for Permit) -J — ,,' -2 , // Mailing Address . f oc ea V, a-S I le- _6ECkc,� City/State/Zip Tel one Num r Signature / ' 5-_,S _ jc� Date Signature Print or Type Name 0St-3 Telephone Number Date X46? NAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTIBOATHOUSE) 1 I hereby certify that I own property adjacent (Name of Property Owner) property located at 5 tJ (Lot, Block, Road, etc.) �...�. N.C. on in (Waterbody) (Town and/or County) Applicant's phone/L) YTS k6-r2 Mailing Address:�`J �` r �� G ✓1� 5 r 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 (I5') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below..ZI ydonot wish to waive I do wish to waive that setback requirement. --------------------------------------- ------------ -------------------------------------- ----------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ----------------------------------- ---------- (Information for Property Owner Applying for Permit) Mailing Address (C f cti.n -Ls I e i� k City/State/Zip%�(�y Tel `o ne Number. _ / i " i.� � Signatur �?--IC Date i (Riparian Property Owner Information) Signature Print or Type Name s-atQ-�1 Telephone Number Date � g Xt0 �r rd'" r U � F ,�___ _ j Date Received Date Deposited Check From Name Name of Permit Holder Vendor Check Number Chock amount Permit Number/Comments Receipt or Refund/Reallocated Column! Column2 Column3 Column{ Column5 Column8 Column? Co1umn8 Column9 / 19 'AMW Dticks and Marine C—twbon Inc. Patsy H Calhoun 200,00 !GP 074 T C rt 8400