HomeMy WebLinkAbout74594D - Durham�KCAMA / DI DREDGE & FILL NO. 74594 A B C
GENERAL PERMIT Previous permit#
New --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 09
/ L�
❑ Rules attached.
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Applicant Name �C F� UQI+�t Project Location: County /' c .i
Address �CA 1S w ► h1 C-r CIJ �J Street Address/ State jjRoad/ Lot #(s)
City 4!` �"` PiTC-'P'` > State N c- ZIP 2 � ►4i3 `"2 -, �-w C.
Phone # +4 E-Mail
Authorized Agent j� yG a NAx
❑ CW
,N EW
.Q PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes no
PNA
y no
Subdivision
City IT AVU (STtt4v zip " �'YV3
Phone # ( ) River Basin ryp 7 f 4� 4-
Adj. Wtr. Bod(na m unkn
Closest Maj. Wtr. Body
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,AJe r Applicant Printed Name
Printed Name
,9ignatur a **please read compliance statement on back of p r .t
Application Fee(s) F Check #
,igntGl /7
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
2/0 - 6"
%7
Email Address:
/ e' 11414 �
I certify that I have authorized
Agent/
/C /� l`/V -2�2-/3/%
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
—.
.17
at my property located at
in r County.
c
l 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:
Title
Z6-
Date
This certification is valid through I I
RECEIVED
SEP 03 'C'"
DCM WILMINGTON) NC
XATUETU
certify that I cwn property ad]ace! t to
properly located w
DU
(Waterbody)
me of Property Owner)
dock, Roo,
IN C
(City,rTowr ,wd/cir County)
The applicant has described to me, as shown below, the development proposed at the above location,
V00' I have no objection to this proposal,
I have objections to this proposal.
DESCRIPTION AND,'OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill 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 Information)
LPrin(or Type Nance
Maih 4 Addiess
J
01 taltelpo
Nepll
Tel000no Number
(Adjacen I —
'!,Yroye4yA4W1A-f0—rrnation)
Y" Name
If
or M in 19 Mal A
1779 U019-5s
V-A.LG?hrf , �)
CitylStatal2ip I
y'1 REqg1VED
I
(RevisedW0Q)
SEP 03
ON, NC
I hereby certify that I own property adjacent to �✓-'hcv�� s
property located at
on
(Waterbody)
The applicant 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)
�/'�/�G) �' r
Z n/ �l-/c
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.
JL3 I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Print or Type Name
/ —
Mailing ddress��
City/ tate _ip
Telephone Number
Dale
( jacent Property Owner Information)
Signature
t4t/L-T 9.
Print or Type Name / f�
-?O y3 Ll�,rstk7✓6Ti�iJ ik.c�S /1�
M i 'ng Address
CA -P
City/State/Zip
Te/e�one%Number.
Date
(Revised 6/18/2012)
I hereby certify that I own property adjacent to
property located at
on
(Waterbody)
's
The applicant has described to me, as shown below, the development proposed at the above location.
c�c I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
X .�
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 Information)
Print or Type Name
%9 9) 4"/6 3
Mailing ddre ss /1'r IJ
City/ tate ip J
_,91C�l - Z6
Telephone Number
Date
( iacent Property Owner Information)
Signature
i",W&T 66 t [czS
Print or Type Name / D
-?O YJ i,l�Asfitm6To ik,c /1
M i 'ng Address
p n/C 28yy3
City/State/Zip
Tele one umber.
8 9 i
Date
(Revised 611812012)
I hereby certify that I own property adjacent to
property located at
on , in
(Waterbody)
I
The applicant 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 descrlptlon below or attach a site drawing)
`l-rcfe 1
Z 61A/fir I
6x &- 3 /'. ,r
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.
ci t� I do not wish to waive the 15' setback requirement.
(Property Owner Information)
SIg
1 �r
Print or Type Name /
Mailing 4ddress
Cityl9tatelZip
Telephone Number
Date
( jacent Property Owner Information)
Signature
C,W&-Z Y LtzS
Print or Type Name / p
.?O tf 3 l,U.rshW6/&i"/
M it �ng Address
A p n/L 23Yg3
City/State/Zip --T
Tele%%hone umber,
Date
(Revised 611812012)
/�1 7.50 O
15' OAK 7.89 / 8 55 12"OAK
15" OAK
72 / 20"OA �\ f
12'`OAK i 7.65
K
�9721
\ 18"oAK g - 4 / /)
i e ? _ _ $ Ui Lot 29
? n ro Long Point Estates
r� 2. pq 85"OAK 8.71 m
12 / 24"OAK N W MB 36 Pg 47
7.
8"oAK/ 9G t85'0 K O
\ 8.57 O
/ ' 7.67 \ "OAK
( 7.92 20"OAK — _ i l
\20 0 K 7.92 8 98' OAK �. [' elo \ 20"OAK
O \
\ Note:
6.77 24""OAK \ \ l —7 — i 1) Vertical Datum referenced to
1 i NAVD 88.
6.79 2) Any and all developmental
1 20" oAK i restrictions (Federal, State,
Local, P.O.A., H.O.A., Deed, Etc.)
\ 6.03 must be verified with the
\ 20"OA 1 parties responsible for enforcing
those restrictions prior to any
24"OAK\ desi n or construction
/ 1 co CA Wooden Wall � � Jill Ln
00 & Walkwo
o0
Scale: 1 "= 40'
40' 20' 0' 40,
Y
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25.7
04.
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4!� ,e- l 6 y
RECEIVED
SEP 0 3 2019
DCM WILMINGTON, NC
Date Received
Date Da ostted
Chock From Name
Name of Permit Holder
Vendor
Check Number
Chock
amount
Permit Numb.1Comments
Rwai t or RefunNReallocand
Column
Cclumn3
columnd
calum
kr n7
Column➢
Ww1
9/13/2019
Jeff and Kristine Durham _ _
Dock and Boat Lift _
Allied Marine Contractors LLC
Jeff Durham
Triple J Properties, LLC
First Citizens Bank_
First Citizens Bank
_ 7864
$ 200.00
GP #74594D _ _ _
GP #74563D
GP #74619D
JD rct 8567
DW rct. 8604
JD rat. 8535
9H3I2019
8817
S 200.00
9/13/2019
_ _Delta
Johannes and Pieter Sikkel
First Citizens Bank
7671
200.00