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Home My WebLink About73520D - Eckert_ CAMA / DREDGE & FILL GENERAL PERMIT XNew OModification ❑Complete Reissue ❑Partial Reissue No. 73520 A B C 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 15A NCAC d 7 N . 1200 ...� pp ❑ Rules attached. Applicant Name I I'MOWY YG W1901f✓ CKC-iZT Address !C�� City State ZIP Phone # (�/O) 515-• 34q 9 E-Mail N/A Authorized Agent _TQ AC ey FA "15 F. ❑ cW XEW ){PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes no PNA yes /( ° Project Location: County gR µ,VS I,J1C 1L Street Address/ State Road/ Lot #(s) 34 COL D 5 1709-4.1:> S-TRz ET Subdivision /J/A city Oc-r-AN _7JL5LF UrAc.4c ZIP 2 8 4G 9 kc-7rtjr Phone # ( fo) 443 - 774 3 River Basin L AKoa {Z Adj. Wtr. Body G.A,4A (,. (nat mf/�/unkn) Closest Maj. Wtr. Body A I W 1 max distance -,�shore -in, channel ■■■w■��r�■•�I■■i�irii��w■►::.■mow-■■■■■■■■■■■ ■■■■■■■■r■ ��■�'= ====" 1■■■I1■■■■■r■■■■■■ ■�■■■■■■■G�®I■■ ■■■■■■I ��■tom■■■■■■■■■■■■ M. ■�■■■■■■■■�■ \l ��1111■■��■■��■■■■■■■■■■■ M. # � w.�rr.+w..urw�.�•.�.rww.� r.l�yw �r�. _��.��.�1r�w.111��w�l1YM�Nw.11111� - � ■�Ci:■■■■■■ ■E�i��:��t��■Gib■■ ■■■■��■■■ �-1101 • a # it Agent oP4 licant Prin d Name - Signature Please read compliance statement on back of permit" 4.51 S Application Fee(s) Check # Permit Officer's Printed Nine � t Signature '3 2 o 2 7 Z0! Issuing Date Ex iration 6ate Ad Am- NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 'at McCrory Braxton C. Davis John E. Skvarla, III Governor Director Secretary AGENT AUTHORIZATION FORM Date: ime operty Owne Applying for Permit: NameVof uthorized AWt for this project: Nner's MaUM Address: `k o S ZD no 00-e" k S UE f N r 0 G tone Number (11 O) 5 Ag�a/ll Address: Phone Number ( ,%9 ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaining all CAMA Permits necessary to install or construct the ►r my property lo6ated at is certif' is valid thru (date) Property Owner Signature � -/-)"/ 5 Date 127 Cardinal Drive Ext., Wilmington, NC 28405 Phone: 910-796-72151 FAX: 910395-3964 Internet: www nccoastalmanagement. net f 7-- (activity): o e NhCarohna atmall An Equal Opportunity 1 Affirmative Action Employer iplete items 1, 2, and 3. : 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. I. Article Addressed to: U��yCwoo6� C,7— II 111111111111111111111111111111111111111111 9590 9402 4036 8079 7368 38 2. Article Number (Transfer from service label) 7018 0680 0001 4663 8097 PS Form 3811, July 2015 PSN 7530-02-000-9053 ,omplete items 1, 2, and 3. 'rint your name and address on the reverse o that we can return the card to you. attach this card to the back of the mailpiece, )r on the front if space permits. lrticle Addressed to: j I IM V'k C� "CyW 1 p� o0 �w� %� lt�- �✓ A. Signature /% /� ❑ Agent "` `L ❑ Addressee B. Received by (Printed Name) C. Date of Delivery 3 /i Z/i I D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type 0 Priority Mail Express(b ❑ Adult Signature ❑ Registered Mail`r ^ ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail& Delivery ❑ Certified Mail Restricted Delivery ❑ ReturnReceipt for 0 Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery El Signature ConfrmationM M In gyred Mail ❑ Signature Confirmation d Mail Restricted Delivery Restricted Delivery >soo) Domestic Return Receipt ❑ Agent ❑ Addressee (Printed Name) D. Is delivery address different from item 1? u Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑Registered Mail IIII III III I II I I I I III II III ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery )590 9402 4036 8079 7368 21 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise Number(Transfer from service label ❑ Collect on Delivery Restricted Delivery 111 Signature ConfirmationTM ❑ Signature Confirmation 7 018 0680 0001 4 6 6 3 ❑ Insured Mail 8 0 8 0 ,• � "estricted Delivery Restricted Delivery 61511, July 2015 PSN 7530-02-0 - Domestic Return Receipt DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual Applying For Permit: 4-- Address of Property: 41� (Lot or Street #, Street or Road) (City and County) CU. hereby certify that own property adjacent to the a ove-re erenced property. The individual apply -in g for this permit has described to. me as shown on the attached drawing the development thev Are proposing. A description' or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If N ou 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 I understand that a pier, dock, mooring pilings, break-wa ter, boat house orboat lift must beset bck a minimum distance of 15 from my area of riparian access- unless waived by me. (Ifyou wish to waive the.setback,'you must initial the appropriate blank below.) Telep I do wish to waive the 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. b - ame l�`. one Number with Area Code Date I r;A' NCDENR r.A"CX-CW µD 1i4oA' ALsruflc i DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual Applying For Permit: Yv� JP-►? Address of Property:(70l� S rj(Srd ,S j (Lot or Street #, Street or Road) 6-0�� (City and County) hereby certify that I own property adjacent to the above-rffi6renced property. The individual applying for this permit has described to.me as shown on the attached drawing the development thev Are proposing. A description or drawing, with dimensions, should be provided with this letter. ��( ��te►N 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 I understand that a pier, dock, mooring pilings, breaknvater,�boat house or boat lift must beset bck a minimum distance of 15' from niy 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 1 5' setback requirement. Print LNa Telephone Number with Area Code 2-7 ,F';,�' r NCDENR No". C. ft r. CauYrewr or G.��OMw(jiT NW N4WK AtlaU�CG7 ��9qS(plaI—) o�° �(�/��y� l- LAG/� ✓�� O H9v�- s L, a a 1-39 �i yng o<L Date Reeelved Date Deposited Check From Name Name o/ Pemr/t Holder Vendor Check m.nt Permit Number/Comments Revel t or Re/und/Resibcated Cobmnl Cotumnt Column3 Co..M C.1-1 Column. Coltrmn7 Column8 Column9 4=019 T d eWc Eckort BS&T 5181