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HomeMy WebLinkAbout74329D - Landisr. CAMA / X DREDGE & FILL NO. 74329 A B C GENERAL PERMIT Previous permit # XNew ❑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 I SA NCAC 0 :7 H . 1100 ❑ Rules attached. Applicant Name 11 ea bc:�, La!ld :s Address 11$ Pa MAe& $(v a Project Location: County NGN %fQ/ rel - Street Address/ State Road/ Lot #(s) City Wt �hfi3�i1�Q State N( ZIP ag480 � , Phone # (-4V4) a3 0 90 E-MailSubdivision — oP'(.K • nC4 Authorized Agent CkMen-8 MAom( (t45ft( tYl INC City Affected El Cw ❑ EW ❑ PTA wts OPTS AEC(s): El OEA ❑ HHF ❑ IH ❑ USA ❑ WA ❑ PWS: ORW: yes / 0 PNA yes ZIP —" Phone# (-q fo) 6;D!95OS— River Basin W�'f<CI lc Adj. Wtr. Body L A &POP /man /unkn) Closest Maj. Wtr. Body f ��✓ M. ■■■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■■■■■■■■■■ M. ■■■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■■■■■■■■■■ - - ■■■■�■■■■■■�■■■■■■■■■yawl■■�■■■■■■■■■■■ loom . FrMl Me-. _ /_. .■"4ir■"i�`9i=■==iNM■■■■■■■■■■■ r „ Y 1 IiaAA r . •� Agent or Applicant PH Name �egriaturee Please read compliance statement on back of permit ** 9�0'= 51g5 Application Fee(s) Check # PerrmitOffcery's-PPrintedd Name IPW Signature 15 l9 12l1511 Issuing Expiration Date Letter of agent C+ 1 e retained Mark Clements DBA, Clements Marine Co coon Inc, 4a t application for any and all permits needed to start construe ott bn the work reques for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way rclieve me of any obligations to perform all work according to the building codes of North Carolina, CAMA, DWQ or any other state and or county ordinances. E --V. 0 6 4 tgna date 5 AZ / Contact in ormation RECEIVED DCM WILMINGTON, NC JbL 16 2019 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: b.Z Z�,CIP.I��► �/�%�j Address of property: or street#, street of road) (City & County) I hereby certify the 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, should be provided whit this letter. I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the 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, breakwater, boathouse, lift or sandbags 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 I do not wish to waive the 15" setback requirements RECEIVE[ TON, NO JUL 16 2019 Signature Date k e-rw : n S t,,_I It e--4 � Print Name / a - oA D k ` 3 q 9 Telephone number with area code RECEIVED DCM WILMINGTON! NC JUL 16 2019 v?a o it ie 6Lo� . RECEIVED DCM WILMINGTON, NC JUL 16 2019 CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: E.L> Address of property: / or street#, street of road) (City & n I hereby certify the 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 di 'ons, should be provided whit this letter. I e no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the 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, breakwater, boathouse, lift or sandbags 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 I do not wish to waive the 15" setback requirements XV °sILMINGTON, NO JUL 1 6 2019 f/ Signature Date /%�. n0,Z,:Z Print Name 1,5 - Z� �t - �- 7 e B Telephone number with area code RECEIVED DCM WILMINGTON, NC JUL 16 2019 Po,c-n it, [e 6Lvc� . L'ttjc tYgo F RECEIVEID DOM WILMINGTON, NC JUL 16 2019 Date Received Date Deposited Check From Nam. Name of Pwmit Holder Vendor Check Number Chack amount P.— t Numbw/Commantr Recel f or Refund/R.alloceted Columnl Co1umn2 Co1umn3 Columne Columns ColumnE Column? C.I.—S C01-9 8/15/2019 8/15/2019 8/15/2019 8/15/2019 8/15/2019 H5 Construction Michael Kelly _ BB&T_ _ Navy Federal CU First Citizens Bank 2337 1140 4070 $ 200.00 $ 200.00 GP #74700D GP #74568D _ GP #74689D IGP #74329D _ GP #74569D BB rct 9106_ JD rct 8551 PA rct. 7971 PA rct 9154__ _ JD rct 8552 _ _ Richard Penny Construction LLC Chet Willis Eric and Trace Schmidt Tracey& Eric Schmidt $ 200.00 Clements Marine Construction Elizabeth Landis First Citizens Bank Na Federal CU 5195 1141 $ 406.00 Richard Penn Construction LLC Patricia & Thomas Kaznowski 200.00