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Home My WebLink About74595D - MitchellV,CAMA / ❑ DREDGE A FILL NO. 74595 A B C GENERAL PERMIT Previous permit# Iwew El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality �� I j J and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �1 El Rules attached. '/�^ Applicant Name h� 1 t' " ` � � � � e I' Project Location: County 1�11>t � �— R� Address 05 Lr C +� b - Street Address/ State Road/ Lot #(s) Ci\fN l . lM StateNG ZIP Phone # (( �j V7- Z' t E-Mail �� rn I Subdivision Authorized Agent �► A (Sd j/U !%%1 E-� . City \NI L W, I hJlr7 0tJ ZIP Zt�. � f ElCW �EW IXPTA [-IES❑ PTS /'�^ Phone # ( ` ""j--�' River Basin VU O A. UL. Affected ❑ OEA ❑ HHF ❑ ❑ El UBA N/A AEC(s): Adj. Wtr. Body V4 { an /unkn ElPWS: ORW: yes /�o PNA � / no Closest Maj. Wtr. Body u A I u y - dINN". - - _ ■■■■■■■■■■ter■■■��■■■rs, ��7■■■■■■■`=-■ NONE MEMEMIMMAN MEE IN W1979MOMMEMEMIMMEM ■■■�■■/�LY�1'L�II i/ii■■ ■■��■■®■ .U■■GM/MYMM■■■ME■■■■■ ■■�■■■■�■ ■■■■■■■ram �■■■■■■■■■■■■■ ■■■�■■!�� ■■■ I■■ ■■ewO■WsME■■■■■ R1■ ■i■■ ■■�IM■■ Yi 1:0L% ■■■■■■ ■■ •�' ■ ■ ■mac■■��■■■i■�■■■�i■■■■■ ■ ■ 16010111MIEN1 N:�■■■s • - ■� ■■�l�i'ii�" �� ■ Girls Ylrr■i�Y■■ ■■■■ ■■ ■�■■��iti�r��■� ■■■■EA■■■■■■■E ■■IMMEI&M ME ...mail 14jA Agent o plicant Printed Name Signature F Please read compliance statement on back of permit Application Fee(s) Check # Issuing Date Printed Name + 1 "'26 Expiration Date f Z"-) 6) -- �6pek AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: I N )e 1i(_ke-11 Mailing Address: ((opS Tu r_k Creek U l�yi ly�i�h JAI c Phone Number: q10 • S) a 1 Email Address: I . NU�cke tl m eat .ard:phPs . COwx I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in County I furthermore certify that 1 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: Sig ature 6(e I rkQd Print or Type Name Title _J l °t 1 ao !� Date This certification is valid through 1 I OVt-A ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA M#NORPERMITS I hereby certify that I own property adjacent to K,�L-- L o4<,, M 4cke � � I (Name of Property Owner) property located at i6 05; TcAo, Cx r-eL Q-A Address, Lot, Block, Road, etc.) on �y-�CK C(-fe t , in WLl n 4 N.C. (Waterbody) (Town an or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) MOO I soo �v t'-- t30 —t FU-"5c1 o"WC ( \(cA & &R �-- Signature T.c/c-y yDele Print or Type Name 1 /v 232 V Telephone Number Date t CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner. k-e.-q I(-4y Address of Property: / 6 (-,) <> T�-� (Lot or Street #, Street or Road, City & County) Agent's Name #: Mailing Address: Agent's phone #: 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 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) SigWiture L L �� Print or Type Name _1k,4S LLL G e?=c ailing Address City/State2i# gQ;�-s 1 a - ► Telephone Number Date (Adjacent Property Owner Information) Signature Print or Type Narne Mailing Address City/State2ip 9/0 Telephone Number 11ce 2`,,,'2vi r Date Revised 611812012 Uk/tA ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMAiH'O PERMITS I hereby certify that I own property adjacent to t tc J PAV+c'k, `k Is (Name of Property Owner) property located at l(oOS C Y ee>~ al Address, Lot, Block, Road, etc.) on Tc4c�\ C`rQe �. , in Vk � , N.C. (Waterbody) (Town and or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) `4 51rC,E-F- ZD6"t" Signatu e 'tZefJ VAv M Print or Type Name Qlv - - 13 14 Telephone Number -2-11,,2 Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: 16 d 5 �v ��11 �z oF1Y_ �V l6l vig� A k. Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & County) Mailing Address: 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. 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. / I do not wish to waive the 15' setback requirement. (Property Owner 1 formation) *nature / i�el�I� Print br Type Name Mailing Address �Wwl k*-44 k S-_ City/Statelrip Oro ,50- Z,o J Telephone Number q`3-M Date (Ad jace rop ner nformation) Signature v FLtaA-'e� Vpw g-k Print or Type Name wo l R'Mc,j� C ey-- P--b Mailing Address W 1Lmo1 rya to I arc' 2.<814--1 City/State/Zip 1110 -2zS - L Aso Telephone Number -3Vzg119 Date Revised 6/18/2012 Date Received Date Deposited Check From Name Name of Permit Holder Vendor Check Number Check amount Permit Number/Comments Receipt or Refund/ReallocetW Columnf Column3 Cohmans ColumM un.ri5 Iw%rgc, Bank PNC Bank Wells Faro Bank BUT Co/umna �w r Column? Cahums Co1umn9 9/9/2019 9/9/2019 9/10/2019 9/10/2019 Valerie and Michael Pflum Michael Pflum 3398 1615 5185 $ 200.00 GP 974585D JD rct. 8748 $ 200.60 GP #74595D JD rct. 8661 $ 400.00 GP #72311 D TMc rct. 9147 _ $ 200.00 GP #72311 D TMc rct. 9145 $ 200.00 GP #74531 D TMc rct. 9143 Kyle Mitchell Kyle Mitchell 9/9/2019 9/10/2019 Dean G Slier 1 of 2 Sunset Lakes HOA Sunset Lakes HOA Deese 9/9/2019 9/10/2019 Siler's 2 of 2 First Bank 1164 9/9/2019 9/10/2019 TRA COM Services IlEarl BB&T 52111