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Home My WebLink About73526D - Ketnerj!%CAMA / ?� DREDGE & FILL NO. 73526 A B C GENERAL PERMIT Previous permit # `KNew :]Modification ❑Complete Reissue ❑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 15A NCAC H • �,�0 ❑ Rules attached. Applicant Name LOVISC KETM&O, M%LMEL 5TONCL Address 49. �061$ &H61E rMLY ¢O City4W SAL IS Su" State_NG ZIP 2 1q(D Project Location: County d2�HSw�C4<. Street Address/ State Road/ Lot #(s) I q W U ml mwrw i S T Phone # (14) 7 02, *H2 E-Mail 4A Subdivision N fA Authorized Agent (-Aloe GpS7uv(,T1oAJ WWhA 69%U City()[EA).1 151,E (3EhGN ZIP 2Byt91 Affected ❑eW IKEW APTA AES IrPTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ORW: yes /(§P� PNA yes �1' Phone # (M) S79 905 River Basin Lvr•QEQ Adj. Wtr. Body CANAL (nat Ln /unkn) Closest Maj. Wtr. Body A %YAM% — ■.®...■.C:■:::■: . ■:■:■■EE :■■■.......�.............. ■■■■■■■■■_•��...........■............ ■■■■■■ ■. ...q....q..■............ �■■■�Q■■sue■■■�■■■■�■■�■ees■■■■e■■ v/■A■iiiil■■■q■■■■q■■■■■�ii/■■�.■■■ ■■■■�1■■■11■I►�!■■■■■■■■■�■■�■■■■■■■■■■■ -M. ■■Ir�0�111■ifs■■■■■■■■■��■�■■■AJ■■■L�/■■ ■■■■■■■1■ram :'�7�!■■■Ai■■■�■�i■■■■■�i■■/ I1■■ r q211mawammir arAVA M BE MEN LQ h Gri(. ent or Applic t Printed e kSJ an✓ 04. Signature Please read compliance statement on back of permit" 1 400 'D 12-9 l 3 Application Fee(s) Check # y>z M C_1LA1%M?_:r Permit Officer's Print Name Signature 1013 /9 Issuing Date Expiration Date Pat McCrory Governor 4, Mr� WNW North Carolina Department of Environment and Natural Resources Division of Coastal Management Braxton C. Davis John E. Skvarla, III Director Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM Date: Name of Property Owner Applying for Permit: Teresa and Michael Stoner Owner's Mailing Address: 4565 Bringle Ferry Road Salisbury Nc 28146 Phone Number (704-202-9442 ) Name of Authorized Agent for this project: Agent's Mailing Address: Phone Number t q � k� f.$ - S-�q - gQgS I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): �_a-cl- � � For my property located at 19 Wilmington Street Ocean Isle. NC This certification is vali thru (date) T r' Property Own r ure Dat 127 Cardinal Drive Ext., Wilmington, NC 28405 Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.nccoastalmanagF net An Equal Opportunity t Affirmlive Action Employer CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT % L4�RIPARIAN PROPERTY OW�NER NOTTIFICATTIONIWAIV�E\R FORM Name of Property Owner:�4�r Er` b 1 ► , i �-t t �I `S , UPtk r Address of Property: n n0 .� (Lot or Strebt`#, Street or Road, City & County) 1 Agent's Name #G, r- Cif `Ut1S�� 1C��%!1 Mailing Address: wb Agent's phone #: �t�\'�G ( '� lF � t �' ,( 2'c&%7 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. X_ I 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, 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.) I do wish to waive the 15' setback requirement. X I do not wish to waive the 15' setback requirement. —if needed, please contact and we will agree to allow the access in this area. ,(Property Ow r Information) (Adjacent Property Owner Information) �Uk SignaKff,,�( nature 'MIA 1 ► IA(6 1 5�NrKEVIN PAGLIARI Print or Type Name Print or Type Name �A S(D5 �� trrq � Mailing Address " City/State/Zip `1UA -2-39 25 5� Telephone 1 Number l _ -1_\ b Date PO BOX 2251 Mailing Address GREENVILLE, NC 27836 City/State/Zip 2524128046 Telephone Number April 10, 2019 Date Revised 611812012 c - - I' Domestic Mail Only CO `D RO%MrF If Certified Mail Fee $3• 45 0470 f` $ i5 Extra Services & Fees (check bar, add lee pp. gpq�le) ❑ Return Receipt Ouvdcopy) $ 7 V l�U � r-3 ❑ Return Receipt (electronic) $ 90 . 00 Postmark C3 1-3 ❑ Certified Mall Restricted Delivery $-�y-.-yµ-- Here ❑ Adult Signature Required $ [:3 ❑ Adult Signature Restricted Delivery $ Postage �Q �Q -0 .1] C3 $ 12/07/201 3 Total Postage and Fees $6.70 r` $ s r To rd:,lNo. o�O B o - _�-- - -----�h---� ----------------- IP+4 �---- --� � " .► t'Vt�cl�yr lei ( 7 fS �7V ■ 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: �0.fg-P's Sh6n y- 33� V-- G 1\[( z V3zti A. Signature X by . l ❑ Agent ❑ Addre, is%Celivery address different from item f? Q Ye; If YES, enter delivery address below: ❑ No II I II� IIII II I II II I II I I III'I I I II II II I III 3. Service Type ❑ Adult Signature ❑Priority Mail Express® ❑ Registered MaiITM 9590 9402 2219 6193 1035 19 ❑ Adult Signature Restricted Delivery ertified Mail® ❑ Registered Mail Restricted Cf Certified Mail Restricted Delivery Delivery ❑ Return Receipt for 2. Article Number (transfer from service /abe/) ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise 0 Signature Confirmation— 7 017 0660 0000 7486 8648 Restricted Delivery ❑ Signature Confirmation Restricted Delivery Ps Form 3811, July2015 PSN 7530-02-000-9053 Domestic Return Receipt ill c� w�ck l V-so(34 bk4�d CsC Date Received Date Deposited Check Fmm /Name) Name of Permit Hokfer Vendor Number Check amount Pemrit Numb- Comments _ _ Receipt or Refund/Reafl—ted Columnl Co/umn2 Column3 Column/ Columns ±C.I:um�nl Column? Column8 Column9 01 —:::i_ nc Const, c ,n of Bruns k C n I se Ketner Go Mk�ael Ion r 8T ' 1 0.00 P a73 TM r