Loading...
HomeMy WebLinkAbout74504D - Kramer;.dAMA / ❑iDR�[GE &FILL NO. 74504 A B C D GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue 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 I SA NCAC 1 A. %LO0 ❑ Rules attached. Applicant Name a(;L\c. _ 4 my K & A— e ,L � Address r '2 p l. E N.) I , -A 1 i�. City �A*kAvJ State_ J (, ZIP Project Location: County ' \!1 V N Street Address/ State Road/ Lot #(s) (? r-KEENS \3020 ST Phone # �1Uy) S}�} �a�$ E-Mail GVOW TSk2AmatltcAe Subdivision Authorized Agent H c1 CuN S T'4'1C_ 1 ' uN City H (k-pCw1 EACH ZIP 2. s i lDZ Affected ❑ Cw )tEW ETA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A ❑ PWS: ORW: yes /� PNA yes / Q Phone # (�2041 S73 !?QW River Basin (--f (L Adj. Wtr. Body C4 "J'n L (nat :n� /unkn) Closest Maj. Wtr. Body A%%,Jw ■�■■■■■■■ ■■■ ■ ■■■■■■■■■■■■ ■M■■■■■■■■ ®■■ ■■■■ ■ME■ENNNi ,l;�E■ONIEN .: ■in MEN■■■■■■ ■MENEE E ■■■■■E■■N ■■■■■■■■■r����.c�■■�rmom ■®■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■\`'�■■ .. ■■■■■■�■�■■■■■■■■■■■�■■► a■■ NEE -*Tam■■■ ■■■ ■■■■ ■E�i l l�f� ��ail■ IRME■ ■■■■■■■ ■E■�■■■■■■■C�II■i■�i�l ■E�11■■!��■■■■■■■■■■■■ ■■■■■■■■ ■■NiL■�ir'ii�,■■■■■■Ir'�■OMEN ■■■■ ■■■ ■■ ��■■■ MEN ■NVo IN E■ ■■■■■■ no■ ■ • mmom■■ ■ No M■ENNEEL ®WPM ME0017"M ■ ■■ I�i �■its■■■■ESM■■ ■■■■ ■ ON mr ENNINIMISOMMaNEEME ■■■M■■E■■M NI NINEE1�NIMEMMEMEMMON■E■NE■■E■ OMEN■■■■ wm 4� Agent or Applicant Printed w+e--r+•�,�__ Signature ** Please read compliance statement on back of permit Application Fee(s) Check # "_Rele ^-A (A CIK Permit Officer's rinted Name Signature 3 11 q 111312.0 Issuing Date I Edratfbn Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY-0—w—MER NOTIFTC rrON/WAIVER FORM Name of Property Owner: r Ck r-� � , ) t." � ± ri-I C.K Address of Property: I SO lrr2�n5 Lcoro - � z1 � �� 2-d 7� (Lot or Street #, Street or Road, City & County) Agent's Name #: H5 Construction Agent's phone #: 910-880-4381 Mailing Address: 2164 Holden Beach Rd. Supply, NC 28462 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. P-1— I have no objections to this proposal. i have objections to this proposal. tf you have objections to what is being proposed, you must notify the Division of Coastal Management (DC* in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at:Ihvww. ocoaorbycalling 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.) � A `�-,7 _ 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Property Owner Inf mation) Signature W(J r--k A rmt -- Print or Type Name Mailing Address W O'X u ") NC. City/State2ip If _ldy - S1'7 — 90sy Telephone Number/Email Address A Date (Riparian Property Owner Information) t Sigrt tune 2f Print or pe NeFniel Mailing Address City/State2ip 503-7-7,�-Wg' Telephone Number/Email Address Date (Revised Aug. 2014) FWARW ow abovo ruiWOM" lot kv H5CONSTRUCTION, LLC =H5= COMMON 0 L Q N Qi L N Ln 1--I ---------------------------------------------- Greensboro St. ----------------------------------------------- Not to scale Dete Re 1-c! Date De sited Check From Name Name o1 Permit Holder Vendor Check Number Check amount Permit NumbedComments Rece/ f or Re/und/ResHocated Columnl Co1umn3 Column3 Columrw Co1umn5 Columns Col-7 ColumnS C.1-9 9/1 W2019 9/16/2019 H5 Construction, LLC Allied Marine Contractors LLC Mark and Judy Kramer BUT 2361 $ 200.00 GP #74504D GP #74817D GP #74558D BB rct. 9111 rct. 8538 �Tyomc rct. 9149 9/1 2019 9/16/2019 Robert Spell iWayne _ First Citizens Bank 7898 $ 200.00 9/18/2019 9/16/2619 Wi ne's Backhoe Service Inc. Smith First Bank 3341 600.00