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Home My WebLink About74503D - Rosenblatt5�CAMA / [?REDGE & FILL No. 74503 A B C �► GENERAL PERMIT Previous permit# KNew ]'Modification ❑Complete 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 �� • `2 0 ❑ Rules attached. Applicant Name (L v�nl�Lfi Z T Project Location: County J AJ Address 20 ,X -N p77-2 Street Address/ State Road/ Lot #(s) �o city_( (-1Al2 LU i TE State_[_ ZIP "ZblZ`1 Phone # (may) 904 HM E-Mail JAoe-& Jt E Ayc •CaM Authorized Agent kr 1 l 1 E-)7 Affected ❑ CW MEW X PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / p6> PNA yes / Subdivision city. OCEAN ISt•E BtkcH ZIP 2-e `ILP9 Phone # OPI -? (v 3 0(0(-8 River Basin t,,—,5E2 Adj. Wtr. Body C'/lw y ` (nat / nkn) Closest Maj. Wtr. Body A t w w Type of Project/ Activity Co N s -t a,.) r mac cv -A c c z Y (Scale: 1 ZO r ) Pier Fixe< Float Fing< Groi Bulk Basir "a Bea Beac Othe Shor SAV Mor, Phot WaiN ■■■ ■■■■■■■■■�■■■■■■■■■■■■■■■■■■■■■N ., Erik, lam number max distance offsho ■■■■■■■■■■�v■■■�■��■■■■■■■ �i■■■■■■■■■■ channel ■■ ■■■■■�■■■■■■ ■■III■l�ii■■■■■■■■■■■■■■ cubic yards_ ■t!■■■■■■■!!■■■ ■■■� I I I■I �1■■■E7■■■■■■■■■■i ramp ■■■■■■■■■!�1■■■■■■�! ■�lii�� i■■■ C�■■®■■■■■■■ ME■■■■■■�1■■■N■■■■�■■■■■®■�■■■�■ ■■■ ■■■■■■■��■■■■■■■■■WM■■ME■■■■■■■ ■■■ ■■■■■■■11■■■■■■ ■■■ ■ is not sure yes .Yrs ■■■ :sue■■■■■�1■■■■I'��i�ai■■■ ■■■�:■n■■■■ ■SE ■ii�iMEN i■■111M■■ ■■■■■■■■■■1■ ■1 ■■ ■■■■■■■ ' �, r&*rac�ed- .-Z-twp TV M111MEI100M11M ME ■■■■■■ 1100M A building permit may tie required by: T w N v F CXCN n, I Cl{ ( Note Local Planning Jurisdiction) Notes/ Special Conditions A l c ruN o- o v ti S o f o "7 I- t, t 2o0 C6vtAi.uivs AWL � �'4k- <T—cd Agent 9 App►i ant Ponteo Name Sig ure ** Please read compliance statement on back of permit* *55-7:.q Applicati Fee(s) Check# ❑ See note on back regarding River Basin rules. ucAc,5TJAU,A-o F-CL L Printed Name oc SignatT/11 il1go Issuing latVEdpirakion Date f '{� 's i.'�, a .�. tit-Z'?•?'-' ,�: _ }'c.. -�y �a ��$ r'� -yl .,'s �l �'�.:! � r � i1 � it � � `�s� �• +• K.fi Y' ro� a s !►,.. 1't�° '�'.'�. f :Y J �or 1 WiW- ..........d . � • r. • iir� ` P Ilk 'J ti x �,. fYygtiF - - _ _ _ ., . r• •.. �.I • I ,.s• :. •. _ :J.!_1 �t • lii� I �s:.�s...€�,'�., �:1.�� fi-aii To whom it may concern: Date 8-8-19 Jack is asking for your help in getting his floating dock and boat lift approved. He needs you to approve the Cama Riparian paperwork, which would give him another 5 feet to build If you approve his 5 feet exemption, he has to stay at least 10' from your property line. We have sent you a drawing of what he wants to do, please look it over. If there are any question on the layout of the dock please call Rick at AMW Docks 704-363-0668. 1 am lacks agent and will be glade to help. Tyler of coastal management is Cama's agent if you have any questions please call him at 910-796-7424. Please fill in all areas that are high -lighted Also, no check marks please in the waver section Cama will only accept initials Thank you Rick West IMMC Ip-T UESTED ERTIFIED I • R D ISION OF COASTAL E OTIFICA NTIONIWAIVER FORM ADJACENT RIPARIAN pROPERTY �I-- Name of Property C)Wner. � Street or Roa Address of Propert)l d, CitY & County) (Lot or Street #, Mailing Address: Agent's Name #�� Agent's phone The individual that 1 own property adjacent to the above referenced attached dra drawing -the development I hereby certify on the attached th tier. applying for this Perm it has described to me shown s. m v" or wi th di they are proposing• ro sa1. I have objections to this proposal. QA_I have no objections to this p po Y� must now ttm Dlvi� of �stal Uwt if you have obf ecdo+� t0 what Is bdn>Q pia notice ces is Contact radon few OASt. (DC" in writing w bin 10 days of readpt . _ `�-llsti�► $ a by calling available at.`.:"` 1011. r ncc.. _stalm been no~ by CoriCor No is cortskWed the same as no WAIVER SECTION or lift must Pier, , mooring pilings, boat ramp, breakwater, boathouse,. If I understand that a p' area of riparian access unless waived by � be set back a minimum distance of 15 from my appropriate blank below.) you sh to waive the setback, you l do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement • (P r Information) ignaturfe Q t T Nam SA Add Mailing/ress � h 46z-10 C#y1state�m Telephone Number/ Ernall Address Date (Riparian property Owner Information) Si atu Print a Types Nam , re Number / Email Address 0-i (Revised Aug. 2014) RTIFIED IWIDU "I ETU , cCEIPT 'R E�1 STE� p gION OF COASTAL NOTIFICA► MANAGEMENT FORM ADJACENT RIPARIAN PROPERTY / �_ Name of Property Owner hh j� �% Address of Properly: (Lot or Street #. Street or Road, City & County) � L.x��°;'�S Nleflui9'4ddress: Agent's Name #: , �%L Agent's acent tosho the above referenced proPertY- The individual I hereby certify that I own Prosy wn on the attached drawing_the development applying for this permit has describedadjto me as �^Q must be tx"' ^' witfi they are proposing-�-�,�t,.-�n or drar�uh? with dig _t—'—I have no objections to this proposal. I have objections to this proposal- t tf►e Division of Coastal Usne t !Y you have ob} to what is bekq PoPo� You t � information for DCU of� is _ of this rWce in wddm wtWn 10 days of r"*W s _.,y.,�.0c*- sConNstin� or by caltlr�y i avaNabI at bier !/�VI nccoastainaana��...�,... a been nottAvd Mal No Is c"Ide vd the sanw as no t' WAIVER SECTM boathouse, or lift must I understand that a pier, dock, mooring Pilings, boat ramp, breakwater, area of riparian access unless waived by me. Of be set back a minimum distance of 16 from my IB"the appropriate blank below.) you wish to waive the setback, You � f f'ti I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15, setback requirement. Information) (Property pwner. information) Signature. �N� ,,x- � Print or Type Name MaAing Address C-- Telephone Number / Email Address Date (Riparian Props Signature Print Y Name �r Maikng Address 2 ( Z of -4Z_1 L c;ryistereizip ' Telephone Number / E pM Address sZZ Date (Revised Aug. 2014) Cr rn MC 28 �BRU1�S certified Merl Fee $3.50 A�• 04?ip S�k -0 $ �• kee Fees (cnecx box red roo q! �j� ❑Return Reulpt 11�d�P� 7 % fq ❑ R.WM Receipt (abc tonic1 S (.��y y-7 C C3❑ ce* Bd ea, Rest etd oet.err s•�UtC, 0 ❑ Ad'_tt Sl�atun Reposed S f . ❑Adult signature R-wctd Ow--Y S p Postage 0.5 5 2131 Tote) Postage and `t � fC 44 b CO C3 - $free '-- Ab., arPO'Hoz .�` " r�"---------------------------- ■■ complete �M=S 1, f, Md & ■ Print your name and addnM on the reverse so that we car► return the card to yOu- ■ Attach this card to the back of the mailpieoer or on the front If space psi- 1. ArOdO ttx —Y6� t— Ln N C3 _a C3 O O C1 CO _a O CO t-q G N X B. Recetved by � �1 c. rises of Davery ee d CKFm nt from Poem 1? ❑ Yes D. is d*A9rY eddies H YFS, enter def vmwY address below: 0 No -N 3. Service Type ° RO,sd Mail" I►'`,. N 1 ° R.eblciadDeYwry a 1eHaatrbbd II'�I'1'1I'llI'I'NIIIIINIIIII'IIIIIIIl�l 9402 4859 9032 1736 18 ❑ Grtlsed 1Aai Restricted De/verY coaacttx,D~ PAWMPo ° Mare 9590 a a CoBac?on DeRWY wea4tcted Dewar ° — . e ptbe4 7018 0680 0001 4660 3859 'FAWt W0ef"°"' Don>estic Raton P00W ' PS Form 3811, Juty 2015 P-9N 75301-0004053 ■ Corrtpiete items 1, 2, aw :s. ■ Prot yow n MM and address on the reveres so that"can rehrn the card to You- ■ Attach this card to the track of the maik)exk or on the front if t3paoe P - address t�ei--9210 v g ervice ijrP. — a Prioft Mai evees* 3. Spagwow III�I�IINInitill1111111i111111 °� B o,.o ° Ra'"Cid D~a Fietum 9590 9402 4859 93736 ❑ cooed on DY aMwvh9- ° Co1eon DdMY%stdctad DweY geeCp""Oo"T" a s1g<waure CoMtrn>evon �r -s- horn seMC6 ist�0 _ q�yy�d paiverY 2' 7018 0680 0001 4660 4757 R°°t`idDe'VefJ' n.�.neSAr• tenon RSOW "`^ -,---- � ---- -- COr-c- 5��.1L.�� aS� ✓ �Lr• fir" 0 c7 Deere Received Date De osited Check From(Name) Name of Permit Holder V.ndor Check Number Check amount Permit Numbr/Comments Rocco for Refund/Reallocated _ Column) Co1umn3 Column3 Column) Columns Column! Column7 Col-9 Column➢ 9/12/2019 Charles Fox Homes, LTD AMW Docks & Marine Const./Rick WE AMW Docks & Marine Const./Rick W Wayne Smith and Son Inc Jamie and Carle Austin_ Branch Banking and Trust 26001 $ 200.00 GP #74597D GP #74503D __ GP #74357D GP #71838D BB nat. 9109 BB rct. 9107 TMc rct 9148 Tmac rct 9190 9/12/2019 _ Jack Rosenblat BUT 5572 $ 200.00 9/12/2919 _ Mark Koruda BUT 5592 $ 200.00 9/12/2019 Wa a Everhart BBBT 19828 400.00