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