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HomeMy WebLinkAbout71806D - EvansCAMA/DREDGE &FILL N2 71806 A B C TENERAL PERMIT Previous permit # New —Modification -Complete Reissue L1 Partial Reissue Kauth Date previous permit issued As riz by the State of North Carolina, Department of Environmental Quality ,z and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC %Rules attach Applicant Name Project Location: County Address v Street Address/ State Road/ Lot #(s) City i-Ak JA -,k CA State ZIP 0 Nd, Phone # E-Mail Subdivision Authorized Agent fo\- Q d K �w " City ZIP Affected L- CW ­EW ).ETA El ES EJ PTS Phone # lir\ River Basin i A VU AEC(s): L OEA HHF 0 1H El USA 0 N/A Adj. Wtr. Body IA-vr- t (nat man unkn) 1-1 PWS: OIRW: yes 4 no PNA yes// "no Closest Maj. Wtr. Body Type of Pier 1—th Fixe Float Finge Groi-i Bulk Basin Boat Boat Beac Othe Shor SAV Mor. Phot Wain 0 (J( <f (Scale: k\y� ) ii Platform(s) ng Platform(s) WMIN r pier(s length IMMUNE WMEMINEW, number ead/ Riprap length avg distance offsh e max distance o ore — an ff ,channel MEIN NONNI PZ VIMMM %d IMMEN, MR 5i —I= rwal Z I&MEMS 0 OEM cubic yards_ ramp NONE Will W IMMEMMEMEMEN "UNION IN P-111TSA11 Bulldozing -line Length (-0 U notsure yes torium: n/a yes Fs: Br Attached:, X 2e 1-\ f A building permit may`Ge reqLAred by: ( Note Local Planning jurisdiction) _ Agent or Appli4t Printed e 0 See note on back regarding River BasiK rules. (A,VA, � Permit Officer's Printed Siature ** N!w-M cAmpliance statement on back of permit -<F �6 7- :7N 1 CL Application Fee(s) (,heck# bignat re [ I U i!:� /7 !" 1411) - lb s,_____-- 1 �� ��,� fir. 6�O/ 1oco 7 ■ 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: \ �` �� J iJ� n 4-J " 11111111111111111111111111111111 IN 111111111 9590 9402 4820 9032 6586 32 2. Article Number (Transfer from carving ration L9�0160 0000 99?3 528? pS Form 3811, July 2015 PSN 7530-02-000-9053 ■ Complete items 'i, 2, and 3. ■ Print your nameet daddress h ercard to youeverse so that we ca in Attach this card to the back of the mailpiece. or on the front if space permits. 1. Article Addressed to: � +,_ _ � ��~• S eC Z't 2q 14 e C.. Zg3' i o IIIIIIIIIIIIIIIIII!IIIIIPIIIIIIII IIIIIIIIIIII 9590 9602 4219 8121 8975 81 2. Article Number (Transfer from service label) ?019 0160 0000 9973 5270 ❑ Agent ❑ Addressee C. Date of Delivery D. is deliveryaaoress un iti+cs, n ll v. . . - - If YES, enter delivery address below: 3. Service Type ❑ Adult Signature ❑ dult Signature Restricted Delivery Certified Mail® Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery ❑ Insured Mail ❑ Insured Mail Restricted Delivery ❑ Priority Mail Express® ❑ Registered MaJITM ❑ Registered Mail Restricted Delivery • Return Receipt for Merchandise ❑ Signature ConfirmationTm ❑ Signature Confirmation Restricted Delivery A. Signatur ❑ Agent X ❑ Addressee B. Re eiv d by (Printed Name) C. Date of Delivery �ae.Je- Yes( D. Is delivery address different from item 1? if YES, enter delivery address below: ❑ No 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery I ifled MailG Ztlfled Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery n insured Mail ured Mail Restricted Delivery Br $500} ❑ Priority Mail Express® ❑ Registered MaIITM ❑ Reeggistered Mail Restricted Delivery ❑ Return Receipt for Merchandise ❑ Signature ConfirmationTM ❑ Signature Confirmation Restricted Delivery nO Cnrm .qAi i . ii iiv 2n15 PSN 7530-02-000-9053 Domestic Return Receipt 9590 9402'N-2"b''9032 6586 32 United States Postal Service First -Class Mail Postage & Fees Paid USPS Permit No. G-10 ' Sender: Please print your name, address, and ZIP+4® in this box* `iLO b VE: v or�S USPS TRACKING # 9590 9402 4219 8121 8975 87 United States Postal Service First -Class Mail Postage & Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4® in this box• Ro bc'4 Sv c 106 tr I�III�I�ll�ylll��+�j��lllill�lilt����t��1��11�f>>I��Ilillllil��ll AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Flame of Property Owner Requesting Permit: Ro i�Cr � Mailing Address: jb(p We f4 ) ok 2� , 'te' a3yl Phone Number: Email Address: I certify that I have authorizedill L1,G Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Aw— tl'cA. 4 J Q12e at my property located at b6 UktI - -�s 1 ✓ in &ter (County. l furthermore certify that I 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: &4- )�w Signature Tint or Type Name dW r� Title Date This certification is valid through l--c CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: J ei}e + C Address of Property: p (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: N.0 Mailing Address: Z-)Zc 01 : VC( C�►��c,}, Zd fo,�- c n,o C�, N C, Z i33 q u 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 deveio ment theare `10 ,�L�.� - > . �,- y p posing. A descrTpfion or d�awina wi{F� dimensions' tritasie provided with this letter. CI 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 ava/table at http:llwww. nccoastalmanaaement neUweblcm/staff listing or by calling 1-888-4RCOA S T. 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. I do not wish to waive the 15' setback requirement. I (Property Owner Informatian) (Riparian Property Owner Information) t If ignature Signature or A or;17—vpetame Print or Type Name aI b6 W CS-� �s low pr - Mailing ddr-ss Mailing Address CitylStatelZip CitylStatelZip .q ID r 0 _704 Z39-- OpSs Te ephone Number Email Address Telephone Numberl Email Address o"`4- 1 Date Date (Revised Aug. 2014) Date DSPO~ Check From Netne or Pennit Holder Vendor Check Number Check amount Pe—H Numher/Comments R-4 t or Relund?teallocated Cokm 2 Coksms Cok.M4 cokrtnb Cokwoo Column7 Co1umn8 Column9 Allied Marine Contractors LLC Curtis Corder First Citizens Bank 7815 $ 200.00 $ 600.00 $ 400.00 S 200.00 GP #74763D GP #74380D _ _ _ _ GP #74780D _ Tmac rct. 9081 H5 Con*UCtion, LLC Jeanette Spear BBBT 2407 BB rct. 7942 _ Warren Fischer Warren Fischer luSAA Federal Savings Bank 1039I TP Mt. 9495 Allied Marine Contractors LLC Richard Rose First Citizens Bank 7728 GP #71842D Tmac rot. 9076 Allied Marine Contractors LLC Dan Taylor First Citizens Bank 7809 $ 200.00 GP #71844D _ Tmac rd. 8077 Allied Marine Contractors LLC Robert Evans First Citizens Bank 7814 $ 200.00 IGP#71806D Tmac rct. 9080 F and S Marine Contractors Inc. Amy DeVenoge I PNC Bank 8170 200.00 GP #74548D TMc rct. 8296