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Home My WebLink About71747D - NortonTIC CAMA / DREDGE &FILL Mov11F� GENERAL PERMIT 1/3/2019 ,VNew XModification El Complete Reissue El Partial Reissue A B C OD Previous permit # Date previous permit issued No71747 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 1 2 O O ❑ Rules attached. Applicant Name R+✓OA/1_ y ALV-1: onl -,C:712 . Address 53R lDc czwo--o RoAr, City i,+ M r• e R T, Ai State t C ZIP 2 8 3 5 Project Location: County 'Pip u Al s w i c- K Street Address/ State Road/ Lot #(s) 2 FAIJ2JA0A17 5 RCEj Phone# (9lo )74y- i,,c Subdivision Authorized Agent P%c K Wr- <_ - A M W 11'�cK< Affected ❑ CW YEW X PTA ❑ ES ❑ PTS Mr NT AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / Coy, PNA yes / no City Or r Am J.-'cr_ Br AC A ZIP 2 F4 & q Phone # (!o4)3& 3 - 0& (,9 F River Basin 1 i kM rzr e Adj. Wtr. BodyC /tl/1 L (nat man /unkn) Closest Maj. Wtr. Body A 1 W W Re Pt Ate. 4 1't'� INftS Type of Project/ Activity MooiFyl�/C, FLoA-ritin D�cK I REPAIR CAT L_is - A AJn L Al -'5'T ALL r n/G �\ AI C w QR r/C - 11A/ 3C ; SKI DOCKS (Scale: 1 " = 3 O' ) Pier (dock) length i Fixed PUrfnrm(cl -- Boathous Boatli ± 1-5')( 13' Pl� Shoreline Length t q 5 yes yes A building permit may be required by: d <r AN Z 5Lrr FT- Ac.N ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions C�;'7 A 12 o D AA/r> ALL OTI-IE rz LcC Al _ t /A , F r- Dr tz At kT= (a,(LAT,)MS APPLY Agent or inted ame Signature "Please read compliance statement on back of permit" $,2o0 45114 Application Fee(s) Check # 77� rig Mc 61A Permit Officer's Printed Name /''%/, 1 XC Signature 11 114 A2016 3 �1 4I�o19 IssuiingDafe MCDIFIV D 11311, Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �od� �a'1�' Mailing Address: 53% Phone Number: 910--T40, �S'79 Email Address: 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:_ 14�1 10,C - at my property located at 2 �Ai c �n u n C-e �+� =�.5 �2 t� C. , in r'w6wkc L 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: Signature � , 0v,4r,, Print or Type Name Ifte ! ! ?>- �g Date This certification is valid through ! ! CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: - 1 U, ,, (Lot or Street #, Street or Road, City & County) f� Mailing Address: l ,�7�ccs��xtc.(—I Agent's Name #� � 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. 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 nccoastalmanagement.net/web/cm/stafi- listing or by calling 1-88& 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 7igna�ture wrier Information) �Q C-k Print or Type Name ,-3 E i '- Mailing Address u /-? h N c= City/State/2ip y/o— 7y6— <%�� Telephone Number/Email Address /D --ev- /F, Date erty Owner Information) Signature Print or Type Name / `✓14r� �.vd, k Mailing Address 13 L-'4 c n>c City/State/Zip .41D- q83-/49-' Telephone Number / Email Address Date /m - rS", /B (Revised Aug. 2014) CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, City 8 County) �— Mailing Address: / %D� Agent's Name _ n 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. ✓► % 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 h " //www nccoastalmanaQement net/web/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection If you have been notified by CerBrred Mail. WAIVER SECTION 1 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 pwalLJOW11he appropriate blank below.) ! I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (p ner Information) tgnature < wia Print or Type Name S3 E � ,4'-► ^ Mailing Address City/State/Zip Telephone Number / Email Address Date (Riparian Property Owner Information) Signature Print or Type Name 3L P��necrc�'tt_j� Mailing Address 'T1....,.. kir 28334 City/state/Zip 9'i.0 - 385-(099 (� ! a ibr u�c62 n!t's .wet Telephone Number/Email Address Alp lcw 6&r- -A 2 Date (Revised Aug. 2014) K 7z -7 j i �fF s' Mn-i N ��'°v w Date R-W—d Dare D o~ Check From afm Name of Permit Holder Vendor Cheek Number Cheek amount Pemdt Number/Comments Rocelpf or Refund/Reallocated Columnl CoWmh2 column3 Cokmww Color s Columne Column? Cokmm9 Column9 11/20/2018 Willie Clarence Richardson/Richardson Construc Sam Sakwa BB&T 7170 $ 600.00 GP #71770D BS rct. 7407 11/20/2018 Richard Penny Construction Charles M and Paige J Smith AMW Docks & Marine Construction LLC Richard Penny Chades_Smith Rodney Norton Sr. First Citizens Bank 1150 $ 600.00 GP #70564D _ _ SS rct. 6124 11/20120181 State Employees Credit Union _ 1041 1014 $ 200.00 GP #70707D PA rct. 6824 TMc rct. 7304 16 BB&T 200.00 1 GP 971747D