HomeMy WebLinkAbout74531D - Deese'XCAIVIA / DREDGE & FILL
GENERAL PERMIT
XNew []Modification ❑Complete Reissue ❑Partial Reissue
No. 74531 A B Co
Previous permit #
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 07 14, 2.O O
❑ Rules attached.
Applicant Name
Address && 841 KITOAll—rAV SryL��T
City � oW t_AA) Stated ZIP 91 �'V fa
Phone # (" ZVI - .0�37-0 E-Mail Al 1A
Authorized Agent 1 F•-ALy '�FAy_pAr R
❑ Cw
XEW
)(PTA
❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH
❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no
PNA
yes /
io
Project Location: County S%tA w l"
Street Address/ State Road/ Lot #(s)
Subdivision
city OCEAN ,J .St,� �fJ�CN zIP Z S 4(c 9
AyEA0'Phone # ( 10 )443—Qr193 River Basin LtwMewQ
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Agent Wr licant nted Name
Jgnature ** Please ad co pliance statement on back of permit **
ZOco
Application Fee(s) Check #
Iyl�ifL N�c Gu►,«
Permit Officer's Printed Name ,
Signature
Aoao
Issuing Date Expiration Date
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: e___l--_1__,L_
Namf P�rty Owner Applying --for Permit: Name of hortzed Agent for this ct:
W
a/lln )Ad fts.s,
�(!�
tg
Phone Number i�M off—% 7— 0 3�
Agent's Mailing Address:
2�5�
off- S �l
Phone Number f �n 7
773
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtain'ng all CAMA Permits necessary to install or cc
C-e__ & r� _
i. _ /
For my property located at
This certification is valid thru (date)
Property Owner Owner Signature
Z/
Date
127 Cardinal Unve Ext., Wilmington, NC 28405
Phone: 910.796.72151 FAX: 910.395.3964 Internet: www.nccoastaimanagement.net
An Equal Oppodunity %Allumabve Action Employe+
the followij`g (activity): /
(�
wr.�y1v Gf�
On
e
NCarolina
DIVISION OF COASTAL iy NI AGEIyiE
ADJACENT RIPARIAN PROPMTY OWNER NOTIFICATION/WAIVER l' O%M
Name of Individual Applying For hermit: Lt�Z2)
A ddress of Propertv: 0j,Ur
(Lot or Street #, Street or Road)
(City and County)
J
sere y certiry that I own property a jacent to t e' a ove-re erence property. e in tvi uat
applying for this permit has described tome as sho«,•n on the a_rtached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this lettzr.
I have no objections to this proposal.
If You have objections to what is being proposed, please write the Division of Coastal
Management, 127 'Cardinal Drive Extension, VVilrnington, NC 28405 or call 910-796-7215
Within 10 days of receipt of this notice. 'No response is considered the same as nc objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breaks- ,ater,�boat house or boat lift must beset
bck- a minimum distance of 15' from niy area of riparian access - unless waived' by me. Jfvou
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the i 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
Sign Name
/ Paint Name - J
Telephone Number with Area Code
to
NCDENK
�I.MRCM.. (art FND NALaN aUCU�C[]
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OiVNER NOTIFICATIONI A.IVER FORM
Name of Individual Applying For Permit:
Address of Property: q�—
(Lot or Street #, Street or Road
(City and County)
ere y certtzy that I own property a jacertt to t e a ove-re erence property, e iin-C'ividual
applying forthis permit has described tome as shown. on the attached dra,,vin¢ the developmentthey
are proposing. A description or drawing, with dimensions, should be provided with this letter,
f t 1` vo 1 /_ ' I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days-of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
r. understand that a pier, dock-, mooring pilings, breakm'ater, boat house or boat lift must beset
bck a minimum distance of 15' from my area of riparian access - unless Nvaived by me. (If}.ou
wish to waive the setback, you must initial the appropriate blank~ below.)
I do wish to waive the 15' setback require merit.
l v1 I✓ 1 I do not wish to waive the 15' setback requirement.
� l
�
Sign Name
Date ,'
/4fint NameNCDENR
i Telephone Number with Area Code
�+a+m. GA6lir.. :PNr. tuc ap
M.M,� Resew-CLS
Cz)v+WII 1(—q
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-------------
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Date Received
Date Deposited
Chock From (Name)
Neme o/Prmit Holds
Vendor
Check Numb-
Check
amount
Permit Numbr/Commente
Recoi t or Refund/Reallocated
Columnl
Colu
Column?
Column4
Column3
Columns
Column
Columns
ColumnY
9/9/2019
9/9/2019
9/9/2019
9/10/2019
Valerie and Michael Pflum
Michael Pflum
PNC Bank
3398
$ 200.00
GP #74585D _
GP #74595D
_
#72311 U
1 GP #74531 D
JD Mt. 8748
9/10/2019
Kyle Mitchell
K le Mitchell
Sunset Lakes HOA
Wells Fargo Bank
IBB&T
1815
1 5185
$ 200.00
$ 400.00 IGP#72311D
JD rct. 8561
9H 0/2019
9/10/2019
Dean G Siler 1 of 2
TMc rct. 9147
9/9/2019
9/9/2019
Silees 2 of 2
Sunset Lakes_ _HO_A
I Earl Deese
I First Bank
1 1184
$ 200.00 JGP
TMc rct. 9145
9/10/2019
1 TRA COM Services
IBB&T
1 52111$
200.00
TMc rct. 9143