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Home My WebLink About74396D - Pope-.LAMA / ❑DREDGE &FILL No. 74396 A B c K 53 ENERAL PERMIT Previous permit# New Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As au orized by the State of North Carolina, Department of Environmental Quality and a Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name -A N n \ Project Location: County ) S-w, 6 Address u A tom! \� City6/'q�u State zip Phone # O Ir ,1 ( (f E-Mail Authorized W Agent � A V l ( V\a -, � S4J ^ Affected ❑ CW 4 EW KPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / W PNA yes ®- Type of Project/ Activity Pier Fixei Float Fing, Groi Bulk Bash Boat Boat Beac Othi Shor SAV Mon Phot Wain Street Address/ State Road/ Lot #(s) CS, 3 "A S4 . Subdivision City rl6 ��r--- �r� �" ZIP Phone # ( ) River Basin L.), ✓ Adj. Wtr. Bod(nat unkn Closest Maj. Wtr. Body A t Qw (Scale: ■■■��I�Is�lfi�.�/■1■■■■■■■■■■■■■■■■ R. ��l■■■■ i length number ■■■■■■■■■■■■11■■■■ ■ ■■li 1■1■■■■■■ ■■■■■■■■■■■ avg distance offshore ■■■■■■■■■■■■�I'l■■■ ■ ■■Y■mil■■■■ ■■■■■■■■■■■ max distance offshore ■■■■■■■■■■■■■V■■■■■■■■■■■■■■■■■■■■■■■■■■ — ■■■■■■■■■■■■■■■■�t�■■■�■■■■■■■■�■■■■■■■■■■ ■■■■■■■■■■■■■■■■emu■■■■■■■■■■�,1�■■■■■■■■■■ cubic yards ■■■■■■■■■■■■■■■■■■■■Y■■■■■■■■■■■■■■■■■■■ ramp ■i■■■■■■■■■M■ii ■■■■■■■■■■■■■■■■■■■■■■■ -iBulldozing__ ME MEN memo dine Len h�-T -��nn�n�n�,ii iii■Yl11■■■■■■ C:��.'Jl■.A.■■■■�■I ■■'R!S�■3;■■►"lip ��■■ ■■■■w��■��n■■��■i■■r-zim�lwrra��_�■■ - -� i�iiiii■■■■■�iii �'■�iiiiiii■i■ice ��'ii■i■■■ D A building permit may Be required by: o\ 4 L-j See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) (� \ Notes/ Special Conditions At7CCAAe � '� xr �4 d Agent or Applicant Printed Name Signatur Pleaseread compliance statement on back cif .---- a� Applicatio ee(s) Check # K- PermitOfficer's Printqkd Name Signature 142jrk 3z(oi0 Issuing a e I lfpiratiln Date v AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Tommy Pope Mailing Address: 16222 Pioneer Rd York SC 29745 Phone Number: 803-984-6616 Email Address: I certify that I have authorized Will Richardson Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Installation of boat lift at my property located at 153 Highpoint St Holden Beach NC , in Brunswick County. I furthermore certify that I 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: Signatur Tommy Pope Print or Type Name Owner Title 11 / 16 / 19 Date This certification is valid through 01 / 31 1 20 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Thomas Pope ,s property located at 153 Highpoint St (Name of Property Owner) (Address, Lot, ggI k, R ad, etc.) on Canal in Holden�Beac�i , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. initial here � 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 descripdon below or attach a site drawing) Installation of boat lift 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.) Initial here TL-L I do wish to waive the 15' setback requirement. l do not wish to waive the 15' setback requirement. (Property Owner Information) ( Prropertlr Ova W Irefonne#lon) Wkirctiardsonl Authorized agent Jrqture _ s Lavvj s er~ Print or Type Name P 'nt or T pe Name 3235 Seatrest Ave SW 3 � � �e A.L__. Mailing Add�ress M '�� \ �.i' / D Supply NC 28462 ' � c p CitylSfate2�p Cit /&ate2ip j � 910-367-0335 1 I b �Q `41� Teiephone Number Telephone Number November 1 Sth, 2019 Mal alJ Date _ Date (Revised 61f812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Thomas Pope �1? property located at 153 Hi oint St (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Canal in Holden Beach , N.C. (Waterbody) (Clty/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. initial here 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 descripdon below or attach a site drawing) Installation of boat lift WAIVER SECTION 1 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.) Initial here 4D I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) S* tur Si Lure Will Richardson/ Authorized agent 'CG ,V Print or Type Name Print orJ pe a e . 3235 Seacrest Ave SW ,,1 Mailing Address Marhrlg Adllr ss �— Supply NC 28462 - ✓ r'Lc City/State/Zip' C ty State2ip 910-367-0335 �' p 76) Telephone Number Telepho a ber // November 18th, 2019 /� / 9 Date Da (Revised 6118/2012) TOMMY POPE 153 HIGHPOINT ST HOLDEN BEACH NC 25462 803-q84-6616 CELL - -CARNAL Check Recelwd Date Deposited Check From Name) Name o/Permit Holder Vendor - — Check Number amount Permit Numbcr/Comments Receipt or Relund/Reallocared Columnl Co/umnl Column3 Colunm/ _ Co/umn5 Column8 Column? Columne Column9 11/27/2019 11/27/2019 Will Richardson Construction TommyPo BB&T 7583 $ 200.00 GP 74396D BB rct. 9455D