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Home My WebLink About71781D - Miskew`G'�CAMA / ❑ DREDGE & FILL N2 71781 A B C GENERAL PERMIT Previous permit# ew ❑Modification ❑Compfete 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 Applicant Name iv IJ(,- / V (S ;!F 1xJ Address— o((G / wood �w , City V l �� State N� ZIP Z75 6 Phone # Ut ► )'! Z,7 E-Mail Authorized Agent �•' Affected ❑ Cw l`1?"' )� PTA ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes Cn.?_� PNA yes no Type of Project/ Activity Pier (dock) length Fixed�Platform(s) C Floatin Platform(s) Finger er(s) Groin len) th num6pr Bulkhead/ Riprap length_ avg distaInce offshore max distaipce offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other /, Shoreline Length SAV: not sure yes no, Moratorium: n/a yes ?no -lb Photos: yes o�i /l-L Waiver Attached: y no A building permit ma be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or AFplicant Pr ted Name Signature ** Please read compliance sta ement on back of permit"' ❑Rules attached. Project Location: County N ; &,e - Street Address/ State Road/ Lot #(s) I � t lr r c . Subdivision ^ City ` ZIP Phone # ('"f8 „- River Basin -��- Adj. Wtr. Body A an unkn Closest Maj. Wtr. Body (Scale: 1 a` Z 0 ) ❑ See note on back regarding River Basin rules. Printed Application Fee(s) Check # L- Date Date �� CAMA / ❑ DREDGE & FILL TO 71781 A B C , GENERAL PERMIT Previous permit # ew ❑Modification ❑Com ete 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 r c Applicant Name J / s Address r✓ r Lt10Q City, Stated:-* ZIP Z7S 6 b Phone # Z7 - SZGI/ E-Mail Authorized Agent Affected ❑ Cw ? " 11 PTA XIES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes no' PNA yes no Type of Project/ Activity Pier (dock I >? Fix Float Fing Groi Bulk Basin Boat Boat Benc Oth Shor SAV: Mo Phot r^ ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) I; Subdivision City "�'v ` ZIP G Phone # River Basin -�'► !'• Adj. Wtr. Body A an unkn Closest Maj. Wtr. Body 4!/ W (Scak: EIMMw � ■■■■■■■■■■■■■■■■■■■■i■■■■■■■■■■■■■■■�■■'', in� Platform(s) ■■■■■■■■■■■■■■■■■■■■■■i■■C!■■■■■■■/�/1■■ number ■■■■■`i�1rL'iii7riii■i�■r■■�■■■■■■■ff■■1!■■■■■■■ avg distance offshore ■■■■!1f■■■■■■■■■�■■■■■t,<��■■■�■��■■■■■ cubic yards ■��i!■■ ■■■■■R1�1■■■■■■�1■■■1�■■�■■■■!■■■■■■It■■■■■■i ■■ICE■��!i■■i!i'��::::��:■■■■ ramp Enj2jr�W. rA FREEMEN ■■■■■■■iM mono iiiuiN�iliiiifiiiiiuii►■■■■■ ■■L7Ji'Jiii■■■■■t`i ■■■■■!�■��■I�■■■� 1■■■wi■/'l!Ilri■ ■■fr■■■■■■■■■■■■■■■lil►�1� �JPi!1■■■f I■■■I. rLLiii■■ ■■ kline Length not sure ■■■■■■■■■■■■■■■■■■!i■®■■■■■■■■■■Lfl■■■■■11■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I • a �■■■■��■■■■■■■■■■■■®■■■■■■■■■■■■■■■■■■ Waiv A building permit maybe required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or ❑ See note on back regarding River Basin rules. Printed Signature *s Please read compliance sta}ement on back of permit'' Signaijre Y Application Fee(s) Check # Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: b ($ k Mailing Address: ] C)5 I'40rroc V< lI- A)C E_15&O Phone Number: Email Address: ( m f S lie ') 4.1l tom I certify that I have authorized L('�kou-:sc- Mo-#-W c. Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: P-- at my property located at 1 (y 3 4 �4<1 4LSoj:) OC , in -PL,4IQt.i' County. I furthermore certify that l 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: 001 Y Signature . Tint or Type !Name h0^-.'-0"kj4r Title l 1 3 l Date This certification is valid through Scanned by CarnScanner CAMA / ❑ DREDGE & FILL VT� 71781 A B C If. PERMIT Previous permit # ew ❑Modification ❑Comppfe`te 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 1 SA NCAC_ I Applicant Name [ /, () ;' 11A f Address C, Qv I 0)00 f city r � (Ec- C t state AKA zip 2,7560 Phone # /1) Z Z - SZ d/ E-Mail Authorized Agent pa., Affected ❑ Cw /2tFw � PTA ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ❑ URA ❑ WA ❑ PWWS:: ORW: yes O! nd PNA yes no Type of Project/ Activity Pier dock len Fixec Float Finge Groii Bulkr Basin Boat Boatl Bead Othe Shore SAV: Mora Photo Waiv -❑ Rules attached. Project Location: County N r>e,4— - Street Address/ State Road/ Lot #(s) Subdiv!0on City. --7-V `'" �/i zip Phone # (""j!�} " River Basin Adj. Wtr. Bo!Wtr: i an unkn Closest Maj. . Body (Se : / '*— Z 0 ) � ■■■■■■■■■■■■■■■■■■■■ MEN ■■■■■■■■■■■■■■■■■n ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■i�i■ Platform(s) ■■■■■■■■■■■■■■�1■■■■�■■i■■�!■■■■■■■/�/1■■ ■■■■■N WAMAJ AW509,11111IM-90 WA MW l■rliar■■■N■■■■AM■ ■■■■■��■■:�"■i■■■■■■■■■■s■■■■■■■■■■■■■ ■■■■■■■L�■■■■■■■■■■■■■■■■■■■l7A■■■■■■■■ ■■■■■■■■�n■■■■■■■■■■■u■■■■■■�rr■++■■`r,``�I■I��■■■■. max dis*ce offshore_ ■■■■f■■■■■■■■■■■■■■■s■■■.■.■■■rs■■■■■■■■ ■■■■■■■■\'�5=■SIC :��:p ::�: ��:�'�' :fir■■ii■■■ ■■■■■■■i�ii:i liianiiiiillliui■i�i�i�i►■■■■i ■■L'�v'JI■i■■■■ilfii ■■■■■1�1■��■I�■■■� 1 ■■■!r■■'l�Il r!■ dine Length notsure yes .'■■■■■■■■■■■■■■■■■■■!■■■■■■■■■N■■■■■■■ ■■■■■■■■■■■■■■■■■■i�■■■■■■■■■■■■LY■■■■■It■ • i■■!■■■■■■■■■■■■■■!■■■■■■■■■�■■■■■■■ ■■■■■■■■■■ tr Attached: 111�'W� no A building permit maybe required by: 4�_ i ( Note Local Planning jurisdiction) Notes/ Special Conditions ❑ See note on back regarding River Basin rules. or Applicant Printed Name /) / er *Officer's Printed Signature ** Please read compliance statement on back of permit Signa*re Application Fee(s) Check # Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ou9 t Tr"y A4 esktL&) 's (Na a of Property Owner) property located at 163 A-t-kwopj Ro..�( (Address, Lot, Block, Koad, etc.) on in City/or Conty) N.C. (Waterbody) (Cityf?own ndu 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 fill in descripSon below or attach a site drawing) 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. (1`12perty Uwner Information) S Print or T�' Name Mailing Address AlerrisVi ,AJ 27562p City/ tate2ip rq- 52-Z-47ol Telephone umper Date (Adjacent Property Owner Information) Signaturt Print or Type Namo orai �r Mailing Address (2� VV r. vG4C \ L z 5'L/�-o city p Telephone Number Date (Revised 611812012) Scanned by CamScanner ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to iL1tSke o 's property located at 14 3'�C p� --No a of Property Owner) on C"a.1 (Address, Lot, Block, osd, etc.) In SwF City N.C. (Wate►body) (City/Town nd/or 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 Rll in description below or attach a site drawing) 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 19 setback requirement. (Pro rterty y Owner Information) (Adjacent PropOwner Information) Si lure Signal 1l Print or VIM Nam? _ Print or Type Neme M,u,l1ling Address �tclsViliZ N 27S(Q D city tatelzip �l9- 52-L-S1.ol Telephone um er Sir v�i 8' Dote Date (Revised fi/ W012) a, V--s 1, �TAII IN �S 5 o' 1 t� 3 AtkaSo� lZ.o� - EA so- - of M LrS Date Received Date Depos/fad Check From Name Name of Perm/t Holder Vendw Check Number Check amount Permit Number/Comments Receipt or RsfundReallocated ColumnI 1 COIutM2 Colurm9 Colum 4 Columns r-h—f Column? Column8 CDI~9 1/8/2019 Darrell Em /Li hthouse Marine Construction Doua Miskew Coastal Bank & Trust 2486200.00 GP #71781D _ JD rct. 6965D