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Home My WebLink About73525D - Carter^_ YCAYA / ❑ DREDGE & FILL NO. 73525 GENERAL PERMIT Previous permit # A B C xNew ❑Modification ❑Complete Reissue El 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 ❑ Rules attached. Applicant Name a0 SCM CA RTIE Address 101 ' KOCKU/<NAM KD City CVESNVILLX_ State SC ZIP ,2q&07 Phone # (�404) 979 - 11L 3 E-Mail ' IO'J. C' Authorized Agent VJAADA CR�cE r j Affected ❑ CW KEW XPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ORW: yes / no PNA yes no Project Location: County 17, T; IM15t..11 C_K Street Address/ State Road/ Lot #(s) 12061 - - C "-A L- DP-,V l- Subdivision --- ✓� City .5L AJs c-r 'C3FSA cK zip 219469 A&r.wr Phone # (1O) 57 q - 9 Oq 5 River Basin LIA Nlar m Adj. Wtr. Body CAA/AL, (natAna /unkn) Closest Maj. Wtr. 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U), gent or Applicant Printe ame DVV-1 dtf J AK-0 Signature ** Please read compliance statement on back of permit 4200 129a Application Fee(s) Check # 1 Y%�TZ M-C 6,KIM1T— Permit Officer's Printed Nye Signature or */(s �19 8Az A Issuing Date Expiration Date t AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner- Requesting Permit. 1 D < P. f� LIU e6Lc (- . _ 4, Mailing Address:— k4se- / W Phone Number: Email Address: ZL ,�QGJ -2 n I certify that I have authorized 6r), e- e- C-Oh .�T1��✓\ Agent / 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 / O br J l�e-- in Lcni LkCounty. 1 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: Signature - -- -- , /4-3 P1� 1. A�-- Pnnt or Type Name -- / Title Date This certification is valid through/ MPug, VAIQ �i: •uL i- -i i • • DIVISION OF 1A8'FAi. MANAGEMENT ADJACENT RIPA`Rj1AN PROP OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: �J �Q � C a (-A--e, ,,- Address of Property: 12,U� Qc� ac t 1 V),- , �U� n5S2� 4-Dcjlch (Lot or Street #, Street/or Road, City & County) — Agent's Name #: V r ICI �'uc,��l Mailing Address:06M Agent's phone #: %C- 57c1-qug's ?) t N( 1 hereby certify that I own property adjacent to the above referenced property. The individual applying for thisgerrigit as described to me as shown on the attached drawing —the development they are proposing. 7 e!77,ections to this proposal. I have objections to this proposal. + �. if you have objections to what is being proposed, you must notll y the DI of Coastal r Management (DCM) In writing within 10 days of receipt of this notice. Gorres o should bo -t�- - - mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28403-3846. DCM represe also be •C contacted at (910) 796-7215. No response Is considered the some as no objection 1 notified by Certified Mail.�� q� WAIVER SECTION V1 I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back w minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you mugt Initi I the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ,(,Property Owner Information) Mture �J , C a r Print or type Name 5 �J4e�Ra, Rid N� Mailing Address Z&r�p, CrR City/State/Zip ��L�1979 -�10 Telephone Number Date kdja ent Property Owner Info ation) b ;nature S P�✓�tcl��e� ebb Print or Type Name ( C-Ieim�►�� l� �� Mailing Address City/ tate%Zip Telephone Number to Zc) D e Revised ti I WO12 Ir. O ,m O N 0 I` m :ertified Mail Fee- $2.80 0472 :xtra Services & Fees (check box, add fee a ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ Postmark ❑ Certified Mall Restricted Delivery S —Tom' • '-,' ='— Here ❑ Adult Signature Required $ ilr.11l! EAdutt Signature R 'glad DelNeryr $ age il2/20/2019 btal Postage and F4s!: ,1'1� �kchde ----- - -- ---------------------------------------------- acd ran ��. or X o. ------------------------------------------ �'�iP� -C- `N -3 - 30-2, ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: (Y}�6�ae I,JeVO 0C-1 N A. Signatur, X ❑ Age n Aar' B. Received by (Printed Name) D. N delivery address different from item 1? Ze If YES, enter delivery address below: ❑ No it I II�II III II I II II I II I I III II I i i II II I I it I I37. ❑ dullSignature ❑ Registered edlMailllm Ss� 9590 9402 2219 6193 1035 71 ❑ AdultSignature Mail® Restricted Delivery ❑ Delivery e iveryed Mall Restricted Delivery ❑ Certified Mail Restricted Delivery -N3teturn Receipt for ❑ Collect on Delivery Merchandise 9 Arfinlc Niimhpr Crran.�fpr frnm tprvirp lahpll ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM 7017 0 6 6 0 0000 7487 2133 Rail Restricted Delivery ❑ RestrictedSignature Delivery lion 10) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt CERTIFIED MAIL. • RETURN RECEIPT REQUESTED - DIVISION OF COASTAL MANAGE -VENT ADJACENT RIPARIAN PROPERTY -OWNER NOTIFICATIONANAIVER-FORM Name of Property Owner: `- Address of Property: 14 - Q ` `emu' (Lot or Street #,,-W48et� Agent's Name #: Gr 1Ct �hS�ruC,�iv�1 Agent's phone #: `n0 - COA ar Road, City & County) --- Mailing Address:U7��1 ` l� -- C,aStQ �c I hereby certify that I own property ddjacent 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 dssd(I0 ton gr-Aravltlrla wit - irn nolone m st be nrovldedl th; i WitiW,.lette - ------- I have no objeotiova to this propos-aT.I have objections to this proposal. — - Cr 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.-C)rrespOINVO�e should be mailed to 127 Cardinal Drive--Ext, VWming ton, NC. 28405-3845. DCM re resenf U can also _be -- -- contacted at (910) 796-7215. No response is considered the same as no objection7Pp been — notified by Certified Mail. - 11 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 doAvW4-t4o-wai wAheA 5' setback requirement: I do not wish to waive the 15' setback requirement. A -lPrroperty Owner Information) "-f-�& ,gnah,re Print or type Name NV Mailing Address -- -- '&r�,k GR 3� Ic�S City/SrtatttelZipq �y Telephone Number --1q-1q_ Date ( dj c P pert Owner Information) a .y►�s � �ct sst 4 � r - Print or pe Nam 'n 7C��CS �L Mailing Address City/State/Zip Telephon Num er --- Dat Revised 611812012 "ostal Service'" TIFIEn Mali ® pi=rmc A Domestic Mail Only I For delivery information. visit our website at www.usps.com r,- r O C3 O O O ..D O r-� O r%- ! a CompleN items 1, 2, and 3. ■ Print your name and address on the reverse so that w6 can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �s�5�5 �Gc1c1;�F U 5 Z 16 L%_7 A. Signatu ❑ Agent ( !/ Addressee B. Receiv d by (printed Name) C. D of Delivery to i 3 �. D. Is delivery address different from item 1? Lj Yes If YES, enter delivery address below: ❑ No I I I�I II IIII II I II I I II I I II I I I II I I I I I I I 3. Service Type ❑ Priority Mail Express(D ❑ Adult Signature ❑ Registered MailTm 9590 9402 2219 6193 1035 88 ❑ Adult Signature Restricted Delivery RXertified Mail® ❑ Registered Mail Restricted Delivery ❑ Certified Mail Restricted Delivery 0"'teturn Receipt for ❑ Collect on Delivery rwerchandise 2. Article Number (Transfer from service lahph ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM 7 017 0660 0000 7487 2140 testricted Delivery ❑ Signature Confirmation testricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Canal Drive, SB Riparian Lines ; �ay d e ..y Wool1 } w it fi I14 r . r 00 f ... RecL osro rod Cheom ck FNeme Name o1 P—dt Holder Vendor Check Number .Cheucmount I P—W Numbrr—tts Receipt or Rtlun&Ifts0 ated Columni Column2 Column3 ColumM Columns Column➢ Column? columns Col mm9 . 14%,