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Home My WebLink About72798D - McConnellYCAMA / ❑ DREDGE & FILL GENERAL PERMIT [(New ❑Modification ❑Complete Reissue ❑Partial Reissue A B C <ZJ Previous permit # Date previous permit issued No. 72798 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 O '7 N j 2 O Q O Rules attached. Applicant NameFREDER►CK & CNA(Zt�OT`TG M,c64�4*ect Location: County �It k,,,.1SI.., 1 C 1c Address 10$'f CepLix-To/J WAV ___ Street Address/ State Road/ Lot #(s) 1 3 City ENT Poaos State ZIP 29'5V 2 MA 0121V � Phone # (252)6,70- 7113 E-Mail Authorized Agent _R10NA19DSoN CcW-STRvc-na Affected ❑ CW XEW X_PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes no PNA yes no Subdivision City A0LJPe_',,* QrAr-A ZIP Z8462- A c,r ^rr Phone # (�110 )3G.7- 03*55 River Basin 1_.e-K(SV.rt Adj. Wtr. Body CANAL (nat�) Closest Maj. Wtr. Body —Al W W le Pie (deele) 4,th '■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■w■ ating �•: OL,;n length ■■■■■■■■■■■■ ■1 i�� i ■■■■1 ��■■■n■■■■■■■��■ max di��!;nce offshore ■■■■■■■■■■■■■1.— —r -_ Ism ■I L ■■■■■■■■■■ in, channerll� OMNI • ■■■■1l161.2■■■■■ ■1 h s M■. TMIT IM FUMN_!1►]■ 1■■■■fi�;rd7■■■ ■■�i�*L'ii'i�»■■■I:�J■■■Iill■i�■■■■■■■l:�!■C�i�il,'/�»■ . IN.. ent or Applicant Printed Name e Signature Please read compliance statement on back of permit" t200 4f 734. s Application Fee(s) Check # v� M c G "mg- PermitOfficer's Printed N All - Signature 3 7 AM9 1 Albollq Issuing Date7 Expiration Date A%2=FV ! AU i MVK14 ► t lvnt ruK 1..AJIHA MKMI I A!'rL.tLA I WN Fr.�, A,14e-N - �- Name of Property Owner Requesting Permit Lee McConnell Mailing Address: 1643 Buck Mountain Rd. Purlear NC 28665 Phone Number: 252-670-7I99 Email Aftess: l certify that I have authorized Will Richardson Agent i Cnt wor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development Replacement of docking facility at my properly located at 132 Marlin Drive Bolden Beach NC; in Brunswick County. I furthermore certify that I am authorized to gram and do in fact rant Division of Coastal Man cer _ 9 permission to on time aforementioned lands In connectionWiith evaluating information related to this enter their agents to Permit application. $ Property Owner infornVWn: .......... Signature Print or Type Nance rive Date This Phis certification is valid through -i ,?/ i -,, , Y, .77 htiCM ob**m to UO ril NNW I I WONOMME gto~ =77ZT, —fi,771 Repi-amment of docking fac My I undwutwW #W a pier, do* mocrina MUMS Fosimor- h 4*0Imm,ftil. log of IV *op my ann I V1 _. 09MMUSO, hit, or gre4n mtw, be sel back a ft Ot Andw Mam wow Woved toy me (W you tvish to wamve M.* VOU Must fiAW ft aPprooftia b1W* below.) 1d0WVhtOWs1Wthe 1Vset mckr9q*wnm* I do nft*dsh to viakie me 15! adbm* raq*MW*, i_fWWfdsOWAuth*rhmd Ave Slip! Addvw NC2W2 =ajQQjrN ipowism f,,--0kzw, 2g ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Lee McConnell 's property located at 132 Marlin Drive (Name of Property Owner) on Canal (Address, Lot, ggIo k, RQQad, etc.) in Holden each (Waterbody) N-C. (City/Town andior County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must flit in description below or attach a site drawing) Replacement of docking facility 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 ck, you must initial the appropriate blank below.) J��--- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjace roperty er Information) Signature Will Richardson: Authorized Agent St ature Print or Type Name . � \ ) 3235 Seacrest Ave SW Print or Type Name ,2 Mailing Address Supply NC 28462 Mailing Address 910-367-0335 Q /Stat ip Telephone Number Q 4qz l (� - y 3-5-19 t erep one umber �� Date (Revised 611812012) Adjacent 134 Marlin Drive Jennifer Simmons 3109 Whitehart LN Apex NC 21539 N �—Q CANAL van-- I7L mail in Ynve Lee & Charlotte McConnell 1643 Buck Mountain Rd Purlear NC 28665 252 610-1 199 Adjacent 130 marlin Drive Johnathan Hart 2603 Olive Branch Rd. Durham NC 21103 Dafe Received Date Deposited Check From Name Name of Permit Holder Vendor Check Number Check amount A —If NumbenComments Recei t or Refund/Reallocated Columnt Column2 I Column3 ColumM Column5 Columns Column? C.1-8 column illie Clarence Richardson 'Freder k nd ChadoR WC —ell 'BBB 7 5 00 P 972798D T 746