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HomeMy WebLinkAbout74536D - Fisher,�', CAIKIA / DREDGE & FILL GENERAL PERMIT XNew ❑Modification El Complete Reissue ❑Partial Reissue No. 74536 A 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 ❑ Rules attached. Applicant Name J 1 PA F71,5 NE R Address V 091)c 17 24 City KAAWARCI -IS StateIVC ZIP 0 SOX Phone # (_o ) 305- 1111 E-Mail 4J/A Authorized Agent 0I1.4, 9%CV%Ait05oN Project Location: County 99,u►.-/ 5 w ICK Co Street Address/ State Road/ Lot #(s) 3 & 39 gwr,c Vista Ln/ Subdivision W I. -Joy Pot mT_ City Swpp" ztp 2 S 4 G ;7- Affected ❑CW )4,EW )(PTA ❑ES OPTS A gtoffhone # ( %0) 3I07- 0335 River Basin 1"µ/EIL ElOEA ElHHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body `i 1 WA W (na /man /unkn El) PWS: �! , W W ORW: yes / no PNA yes / Q Closest Maj. Wtr. Body Type of Project/ Activity REP L ^C r- 13oA—, l� t FT T_ r_X 1STI tk, Docwt M V�'A C L Vr-i o /J A % W Ind (Scale: I." s 20 ) Pi%[ (dock) length Finger pier'k1 Groin length number Bulkhead/ Riprap 14 avg distance i max distance Basin. channel cubic yards Boat ramp ■��i�:,,wr ■■■■■�acv■■ ■■■■■■■■■■■■■■i iNEI ■ Other ■■■■��w■■■� ■ ■■■■� S�EitLL�iliiGs Shoreline Length ■■iifii■rYrr■■■■il► J■■I ■■■■■■■■■■■■■■l IN ■■■I SAV: not sure yes INq �■■■-i■I j■■■� IN I■ ■OMoratorium: n/a yes n IN MOM yes Waiver Attached: Qom-® no A building permit May be required by: *t1.AKW ICX CO� NTV ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions o 1 R . I ;Z o c�- AND A L-d. oTaMV_R W CA L STATr, AiV 0 F�Ez.i1.. RIECkwUATI0AlS APPUY, Agent oirAppkant Printed Name Signature Please read compliant statement on back of permit ** S 2on A '15 2 9 Application Fee(s) Check # C Gutar_ Permit Officer's P Name C Signature 9 A& %2u19 Issuing Date Expiration Date NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverty Eaves Perdue Janes K Grepm Dee Freeman Gmemor Di+e b Secretary AGENT AUTHORIZATION FORM Date: September 1 st, 2019 Name of Property Owner Applying for Permit Name of Authorized Agent for this project Jim Fisher Will richardson Owner's Mailing Address: PO Banc 1224 Kannapolis NC 28082 Agent's Mailing Address: 3235 Seacrest Ave. SW Supply NC 28462 Phone Number( 910 ) 367-0335 I certify that I have authorized the agent listed above to ad cn my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install cr construct the following (activity): Installation of boat lift in same location (my property located) at 3639 River View Lane Supply NC 28462 This certfy 'on svali0fru ) 1 0 -1 9 ------ _ Property Signature Date 127 Cicmai Drive Exl, Y{f&*gIm, NC 28405 un= - orn744l7?A1 FAX- i110�i-�64 k*emet www. Noy` Caro a -,6�_..._�.in. i�{3.IACENT RIPARIAN PROPERTY OWNER STATEUM ' eres�y R ta's 1 ci5 ps � y Ce-t !s� Jim Fisher (Name Otprop" Owner) pmpe y iocated aR 3639 Rivem-ie% Lane SA' Mcldress, Lot, Black, Road, etc.) on Al',NTN f Bruns Alck iWaterb y) ptyfrown ancuar Countyil I T e apa(cant has qescnbed to rne. as sharer: 6elow. the development propos at :ne ;move lc cation;. initial hrreWrl ; have no o*ctw to this pcoposai. i have -objections to this pr cposai. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT Ondividuai Proposing dowelopment mast fig ir, description beta v or attach a s & drawingi Installation of boat tilt in same location WAIVER SFCYION t understand that a pier, cock, mooring pilings, breakwater, boathouse, lift, ar groin must he set hack a minimum distance of 16 from m} area of riparian access uniess waivea by fne iklf you wzsh to wrai�e the setback, you must initial the approprialte blank below_) iitiat here Wri - $ wish tG waime r; .#, seat+aac equi+er?�ent. l do t is to vaai%,e� he Imo nasetback, requ.irement a"c'I rty Owner information) (Adjacent Property Owner Information) M1 Richardsorat Authorizea Agent pr'w ' - ; a 3235 Seeacc rest Ave Ski Supply NC 28462 $10-M7-0335 l/R t.ope Mxnt&r .JJ@qLqMber i st; 2019 Div Wlliam Laney P"-w LW Type Name William Lan" 27 Clyde Laney Lane Cheraw SC 29520 Sep 3, 2019 _-- '17"Ir ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Jim Fisher 's property located at 3539 Riverview Lane SW an AIWW (Waterbody) (Name of Property Owner) (Address, Lot, Block, Road, etc.) in Brunsuick (Chy/Town and/or County) N-C. The applicant has described to me. as shcAn beinw the development proposed at the above location. Initial hereW KS I have no oNection to this proposal. I have objections to this proposal DESCRIPTION AND/OR DRAWING; OF PROPOSED DEVELOPMENT (individual proposing development must ftil in description below or attach a site drawing) Installation of boat lift in same location 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.) Initial here WKS I do wish to waive the 15' setback requirement. i do not wish to waive the 15' setback requirement (lroperty Owner Information) Signature Will Richardson/ Authorized Agent Aunt or Type Name -- 3235 Seacrest Ave SW Retailing Address Supply NC; 28462 Ci4lState21p 91D-367-0335 Teiep hone VLrnt)&r __ a tember 1st. 2019 (Adjacent Property Owner Information) �Iu)idli`Ili' — Kim Steers Pnnt or TiTe Name William Kim Styers RAathn( .Adaress 2825 Roseland Road ,-,VStat&-Zip -- Aberdeen, NC 28315 �elephGM- Alu bee SeD 11. 2019 .nine (Revisers 611812012) —b1 ft r==-it===il existing structures II II II Ilcovered II II II II Owner: -- — - - - _ _ = J area I II Jim Fisher 363q Riverview Ln 5W <<� NT5 5uppy I NG28462 104-505-1111 cell II Scope of Nork; II II existing boat lift Replace existing boat lift----I�—- in same location II II __-=jt=� I I ur ( I existing structres AlY4N Date Received Date Deposited Check From (Name) Name or Permit Holder Vendor Check Number Check ... rf Permit Numbedcommeres Receipt or Re/unNRwllocatod Column! Column2 Co1umn3 Colu-4 Column3 Column6 Column? Column8 Cok-9 9/17/2019 9/17/2019 9/17/2019 9/17/2019 9N7/2019 _ Jonathan Riley Jonathan Riley B & J Construction of NC, LLC G & W Industrial Properties,LLC H5 Construction, LLC LeeAnne Danford -- - I Larry and Patricia McNeill Larry McNeill ;Will Richardson/Richardson Construction Erskine Blount _ Will Richardson/Richardson Construction Jim Fisher _ !Amencan Manne Construction Inc Jose Yoder BB&T BB&T BUT - -- BB&T BB&T 3226 2087 2362 $ 200.00 $ 200.00 S 400.00 GP #74718D GP #74382D GP #74520D GP #74706D GP #74537D GP #74536D #7 GP 4707D JD rct. 8568 TMo rct. 9114 B9 rct. 9112 BB rd. 9115 1046 - $ 200.00 7530 S 200.00 BB rct. 9116 9/17/2019 BUT _ _ _ First Citizens Bank 7629 $ 200.00 TMc rct. 9150 9/17/2019 88781 400.00 Tmac mt. 9192