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Home My WebLink About72337D - Hansonj 1 LJ CA A / /DREDGE & FILL left, NERAL PERMIT tVV- New C'Modification ❑Complete Reissue Partial Reissue No 72337 A Previous permit # Date previous permit issued B Co 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 �i /h5i0 '�PP Rules attached. Applicant Namez� l Project Location: County %UPt'f/f1kk rp r 110 Address/ �a� T�p�1-( tro/'V Street Address/ State Road/ Lot #(s)_ City YVI�/il�f'lG{f State /`G ZIP Phone # (�) E-Mail // u Subdivision Authorized Agent Cat�l� At C�71N(- EKG rD�r/ City ZIP Affected ❑ CW ❑ EW ❑ PTA XES XPTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: ORW: yes / n> PNA es no Type of Project/ Activity VW(/ fib Pier dock) len¢th� Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhea Riprap length / /0 avg distance offshore 0 max distance offshore_ Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing s Other A/A; L Shoreline Length` _10i SAV: not sure yes Moratorium: n/a yes Photos: yes Waiver Attached: 69) no Phone # ( River Basin i+ Adj. Wtr. Bod19i.Sl'Afnatrjman /unkn) Closest Maj. Wtr. Body A /WW - - - A building permit may be required by: Ne►✓ & VYz Ca ( Note Local Planning Jurisdiction) /nr p Notes/ Special Conditions _ ��r}tU/[��►y or 10tS.1 i nat-j € **Please read compliant. atement on back of permit ** 400 00 Application Fee(s) Check # ❑ See note on back regarding River Basin rules. 7y';�d - Perm2zrW--"-' itOf icer's Printed Name Signature 4 "14 Issuing 6ate Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:11gy,t�(bl tviaiiing Address: V Phone Number: 91c) (/cj _ /1 S� Email Address: aII%SCtJ�eUA/CUL). EC16( 1 certify that I have authorized Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining � all CAUiA permits necessary for the following proposed development: co6�r: � r QC;Hd a U-� at my proper i located at � -7-= 15 in RW k t � Yt � b AY County. 1 furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management stag 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: rar�t� Signature Gt Nd V # 0 N Prit or Type Name Title 3 Date This certification is valid through 1 I CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 'Wy, 4 M6 handq Om-opn Address of Property: (Lot or Street #, Street or Road, City & Agent's Name #: MlLhael amid Agent's phone #: 91D-47Li--(n l D Mailing Address: &LI00-�8 cor'dimYa dcjll 1 *9la , �s�Akin Inc aniz 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 development they are,proposing. A description or drawing, with dimensions, must be provided with this letter. V/ I have no objections to this proposal. I have objections to this proposal. If you have objections to w. _at is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is availableathttp.-Ilwww.nccoastalmanagement.net/web/cm/staff-listin_g orbycalling 1-888-4RCOAST. 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.) V I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inform i n) Signature Print or Type Name ` t�4ob-� d1� rolt 3ckRd Mailing Address �uilrk.l� Inc, as q lu City/State/Zb- q 1O-LI-7O-CoU 10 Corohnamra ini, Telephone Number / Email Address L on--x�Wehcn e ChavUr .ret Date (Riparian Pr caner Info mat14 Signatur Print or Type Name Mailin j Address City/State/Zip Telephone Number/ Email AddressI�ON, NC I t� JAN 3 0 2019 Date (Revised Aug. 2014) ■ Complete items 1, 2, and 3. A. Signature ■ Prin' your. ne and address on the reverse X I so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. Receive or on the front if space permits. 1. Article Addressed to: �CA 9�c�os G� D. Is delivery address different from If YES, enter 7-address b ■ Complete items 1, 2, and 3. A. Sign�re ❑ Ager ■ Print your name and address on the reverse X ❑ Agent ❑ Addrr, so that we can return the card to you. Addressee C. Date of De ■ Attach this card to the back of the mailpiece, 13, eceived by (Printed N me) C. Date of Delivery ZJ or on the front if space permits. _ 1? ❑Yes 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes No __ n If YES, enter delivery address below: ❑ No l�C Ll / Service�di ❑ Priority Mail 3. Service Type ❑ Pdority Mau Epress®Se II I IIIII IIII III I II I IIIII I I I I I II I II IIII III El Adult Signature ❑Registered Mail" El Adult Signature ❑Registered MaiITM ❑ Adult Signature Restricted Delivery ❑Registered Mail Re= I I I i l III II I IIII I I I I I I I I I I I ❑ Adult Signature Restricted Delivery ❑Registered Mail Restrict( 9590 9402 2848 7069 2821 98 ❑ Certified Mail@ ❑ Certified Mail Restricted Delivery Delivery ❑Return Receipt for 9590 9402 3072 7124 3892 84 ❑ Certified WHO ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label ❑ Collect on Delivery Restricted Delivery❑ --red Signature Confirmal 2. Article Number (Transfer from service label) ❑ Collect on Delive Restricted Delivery — . ry ❑ Signature ConfirmationT' ❑ Signature Confirmation 7 017 1000 0000 0082 6088 Mail red Mail Restricted Delivery ❑ Signature Confirrr Restricted Deliver 7017 1000 0000 0082 6057 � Mail 'd Mail Restricted Delivery Restricted Delivery r $500) 5500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Req PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 9909 2900 0000 D00'I z2Dl' +1909 290D ODGO HOT I' L Z509 2900 0000 000T t 10' ■ Complete items 1, 2, and 3. ■ Print your rare and address reverse so that we can return the ce �. "pis card to the b?r piece, t r,,n M_ .. U,_Xw�py A ignature Brr Receid6d by (PrintV.d game) C. l:1 tZAt::,e't4, `,>JrnM D. Is delivery address different from ' lon 11 If YES, enter delivery address below: ❑ Agent ❑ Addressee ate.of Delivery b 2 i b, Yes p No 3. Service Type ❑ Priority Mail Express® I I I III I �I II I II I I i i II I I I I I IIII I (I ❑ Adult signature ❑ Registered Mail I ❑ s Adult Signature Restricted Delivery ❑Registered MailR Restricted 9590 9402 3072 7124 3892 91 ❑ Certified Mail(b ❑ Certified Mail Restricted Delivery Delivery 0 Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation- ' ' Tail 7 017 1000 000 0 0082 6 0 64 'fail Restricted Delivery ❑ Signature Confirmation Restricted Delivery PS Form Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Rety rn Receipt I ttnm nut n.s II.v M... �aocx �. wvw..sa., UW M ar M-IGIIOtn.(6 w.< M revell°OIOIlf nwt=geluamz 6 • ' • .. MTIORM � % Uy l TAME `7 Y �/ NaG"Dp OS U! 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N.C. RECEIVED WCM WiLmiNGTON, NO 0 3 , - f) tA? y �d� i ---- -- - r Cep -by mrst z fly `G it &C'Aj e itG �; ••� J Y N 56, U y x' 6lens -f3 fe_,C4oe.} -r N � f F46.CEIVED UCM WiLMINGTON, NO JAN302019 Dete Received Date Deposited Check From Name Name of Pennn Holder Vendor Check Number Check mount Permit NumberlComments Rec.,l or Retund/Realbcated Column! Column2 Co1umn3 C.1-4 Column5 Column8 Column? Column8 Columns a I'n Manne Construction _ Rand, Hanson Fi t 0. P a7