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Home My WebLink About72347D - LeeLAMA / ❑ DREDGE & FILL �;.L,. ' No 72347 A B C D � ^ O GNERAL PERMIT Previous permit# 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 ❑ ules attached. Applicant Name Address 16 36 ,7aW b D XWd City _ State Nc ZIP R9134 Phone # (Ja) Authorized Agent MiV/I'Jw1))5 Affected ❑ Cw EW/�A ❑ ES ❑ PTS AEC(s): ElOEA ElHHF ElIH ❑ UBA ElN/A ❑ PWS: ORW: yes /14) PNA yes /1490 Project Location: County %V%W BWiY' Street Address/ State Road/ Lot #(s) 50 7 (44141 Df7 IV-1 Subdivision City ZIP O Phone # ( ) River Basin Adj. Wtr. Body _f ��'% (nat, m�/unkn) Closest Maj. Wtr. Body 5"'w s 64 �-- ■«T!1�l/ ' 11��l�i/!!■I■■■■■■■■■■■■®■■f■■■■1;2*'�l_�■■fir — i/.1■■■■■■■■■■■■�■�■■■■■■/may■C :f�3rw ' In :E UP Wild ME ME MERWIV ■■ Nohore ME ■■■■■■■■■■!■■■■ ■■■■■■■■®■■■■■■■■■■■■■i■ ■■■■■■■■■■■■■■■■■��®�■i■■■■■■■■■■■■ ■■■■■■■■■1■ice■■■■■■■1 �� ®I..i.l.......... ME r JEEMENIMENNNIRZ7JUKRUM -r NEEJIMMEMIN Rv ' % / F r � n//?L;1) P/"c-'- G- Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" OB ! 11A5 Application Fee(s) Check # Permit fficer's Pri ted ame �° Signatu/��% re 3 ,�l l3 Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized U 1l-ecrrihCCUwa-hm, CvM W to act on my behalf, for the purpose of applying for and obtaining all CAMA permits /( . necessary for the following proposed development: , ZIA at my property located at L' r in /L &14,1,6`6 LCounty. I furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, 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: Signature tiI r �, L Print or Type Name Title rZ Date This certification is valid through I I RECEIVED DCM WILMINGTON, NC CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Sit~!<{ Lee Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: zpc,�v. , A Mailing Address: 4�' Agent's phone #: 9-/0L % y 3.� Z- CcrQ 1. � � l3c� _ a�• y 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 drawin4 with dimensions must be provided with this letter. 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. Contact information for DCM offices is available at http •//www nccoastaimanagement.netlweb/cm/staff-listing or by calling 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.) 1 ✓ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature .1aI,.tCC LCe Print or T. -!)e Name Sa -2 C_�., L nr Mailing Address Cyr a i.►.'. 1> Gc�._ I. C r y LfJ City/State/Zip (Riparian Property Owner Information) Signature A l / /J e, K ca s-N Print or Type Name Mailing Address C ter• y. /4/.0 Z7S-,X City/StatelZip Telephone Number/Email Address Telephone Number/Email Address��- MAR 1 1. 2019 DCM WILAGTON, NC Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: i , C e 41, C e Address of Property: S U 7 C C-11, "- 1 /0r' C`,r "!�" - �e �-�•� (Lot or Street #, Street or Road, City & County) Agent's Name #: %�� ` �. %�1 �'r' `� Mailin Address: 9 O � ` r /N. s "* 1 k% �- /I L If Agent's phone #: } �� ' Z 9 S Z Cc.ra l „tea re o. r��. ✓� . C. Z- f- y 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. 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. Contact information for DCM offices is available ati7ttp://www.nccoastaimanagement.netlweblcmlstaff-listin-q or by calling 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 15from 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 requirement. (Property Owner Information) Signature Print or Type Name So -2 cz-, " a,. � /D r- - Mailing Address (Riparian Property Owner Information) //.9 C.� Signature A a scG e Tr G �--t-�- Print or Type Name Mailing Address Coro►;.. a. hc. � C.74414, CA-Ir 4&�y2 Af.C� ?-& City/State/Zip City/State/Zip G __7// 5�g 3 g� REGE WE0 Z Q k Q r ,c I-t- kIZ. et t. "S Telephone Number / Email Address MAR 1 t 'IU19 t ' -2 3,Z 9 �, 3z Telephone Number/Email Address DCM w&fNGTON, NC Date' (Revised Aug. 2014) - --. _ r -mod �J cS � o� � G 0 U Z W FO �. W � W �Q � All- -7c/ Deft Received Date ted Check From (Name Column2 Column3 Name of Permit Holder Vendor Check Number Check amount Column? Permit NumberrCommenfs Columns Receipl or Rerun.-Ilocat'd Coluni��V Columnl C./um" Columns Co... 3/18/2019 Ca Charters LLC/David Higgins Janice Lee BofA 1175! $ 200.00 GP 72347D PA rct. 7337D