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Home My WebLink About72790D - Rumbold-YCAMA / ❑ DREDGE & FILL GENERAL PERMIT C dgew --]Modification ❑Complete Reissue ❑Partial Reissue No. 72790 Previous permit # A B C C) 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 C % N 1 2 ) Q ❑ Rules attached. Applicant Name _P-�C"AP_D-LAt.M.0Vp Address ,35 $ 2 A10 F 1&A,, DR -IV e City _'5r u P PLC[ State dC ZIP .2- K 46 2 Phone # (33i.,) `I ISO - 4 553 E-Mail A//A Authorized Agent _R %C RA R9S(3N C 0NST1Xuc T10-4 Project Location: County -0 R v. nl 5 w t c IL Street Address/ State Road/ Lot #(s) Subdivision —5 City _ ZIP Affected ❑ CW )dEW E)(PTA ❑ ES ❑ PTS nUEi Phone # (_110) -561-033S River Basin LU N P F_tz ❑ OEA ❑ HHF ElIH ❑ USA ❑ N/A AEC(s): Adj. Wtr. Body L l -r-r i e ,S•N A Liosre RIVER._( at_ m�� ❑ PWS: ORW: yes / D PNA es no Closest Maj. Wtr. Body SHAu- o-rrr- R IV F R cubic yards ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■ ■■■N■■!I'■iii!■ I:::I I �lAit� I■iiii■■■■■�ii■■i■ - i�_I!� :�liiL�1�1:iIG�I! Wu'1!n!lIN_■....■■..�■■■■•■� ■■■■■I■■■+ilii■■�■II■■� 111►�■�illi�■��■■1�■■I ■■i■� ■■■■I ■■l��liii■■■L�■I II IEEI■t�■il ■■■■■■tlt�■i ■il�.i■ ■!"■■iti■■■■I�■WiiI111I�■�%■■I ■■ii■■■�■■■i�.i■ . • �'' t* r� Agent or Applicant Printed Name L"J- Signatu \ �`ree ** Please read compliance statement on back of permit � � �y Application Fee(s) Check # ZDV � l-34 Permit Officer's Printed me c Signature � rJ Zo 0�9 Issuing Da a Expi tion ate ArAA HCDEHR North Carolina Department of Environment and Natural Resources Division of Coasts! Management Beverly Eaves Perdue Jaies H. Gmgson Dee Freeman Govemor IkeelDr Secretaiy AGENT AUTHORIZATION FORM Date: 1-22-19 Name of Property Owner Applying for Permit_ Name of Authorized Agent for this projecL Richard Rumbold Will Richardson Owner's Mailing Address: 3582 Norman Dr SW Supply NC 28462 Phone Number (33"980- 4553 Agent's Mailing Address: 3235 Seacrest Ave. SW Supply NC 28462 Phone k=ber (91 Q) 367-0335 I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct the following (activity) Installation of boat lift (my property located) at 3582 Norman Dr SW Supply NC 2W2 This certification is valid thru (date) 3-19 Property Owner Signature Date 127 Cardirtai Grim End., Wkrw glan. W 2RC5 0M o+, ..o• cxn_7oe-7')i% i FAX- 41ti i95,i9o4 intiert t wwu . NCi�' Carolina 1 I* PxJkkej CERTIFEED f AIL—RETL'R`ti RECEIPT REOLF:STED DIVISION OF COASTAL KkNAGEMENT ADJACENT RIPARTAsN PROPERTY Obi IER STATLN EN-T I hereby cm-dIy that I Dun property adjacent to Richard Rumbold property located at 3582 Norman Dr. SW {-Name of Property Owner) I Shalbtte River tLo# Block, Road, etc) an in Sujyy NC 28462 N.C. {Waterbody) (Town andior County) Applicant's phone #: 336- 8Q-4553 Mailing Address: 3582 Norman Dr. SW _ Supply, NC 28462 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal_ DESCRIPTIO.N AND/OR DRAWLYG OF PROPOSED DEVELOPIVTI w; Individual proposin; development must fill in description below or attach a site drawing) Installation of boatlift on south side of docking facility. (Please see attached drawing.) If you have objections to what is bein; proposed, you must notify the Division of Coast'It MaaaEement (DCM) in writing within 10 days of receipt of this notice- Correspondence should be mailed to 17.7 Cardinal Drive Ezt Wilmington, tiC DCM representatives can also be contacted at (910) 796-7315. Ho response is considered the same as rco obien it vou have been notified by Certifcd N1ai1 (Property Owner Information) �Rjpanan Property OwneInformation) Authorized Agent i^ Signature Si r Will Richardson Print or Type Name 3235 Seacrest Ave SW Mailing Address Supply NC 28462 Citq / State / Zip Telephone Number 910--367-0335 Date / —Aq — ( 1 Robert & Wanda Scott Print or Type Marne 1225 Hidden Shores Dr. Mailing Address Shallotte, NC 28470 City / State J Zip Telephone N,rnbeer 9�10- 477-054() Date ! - e� / -7 127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845 Phone: 910-796-72151FAX:91o395-396411ntemet r.nowastlrnana9ement.net M Equal Op{xxhffl ty 1 A%M2bw Action Effooyw - SD% RecycleC t t0% Post Comurw raper U 121 MUM 3 Al a 5XIVInvis V 5� l F COASTALM. Pmperh` located at 3582 Norman Dr. SW (,`Tame of Property Owner) Shallotte River (Lot, Block, Road, etc.) on m__ Sl$1�?ly 1�'• 28462 N.C. (Waterbo ) (Town and/or County) Applic ares phone #: 80-4553 Mmling Address: 3582 Norman Dr. SW Supply, NC 28462 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVILOPMLNT: (7ndbufmal proposing deveiopment must fdI in descrlpiion below or attack a site drawing) Installation of boatlift on south side of docking facility. (Please see attached drawing.) If you have objections to what is being proposed, you must notify the Division of Coastal l; umgement (DCM) in Writing within 10 days of receipt of this notice. Correspondence should be malted to 127 Cardinal Drive Sit Wilmington, KC DCM representatives can also be contacted at (910) 796-7215_ & resoonse is considered the same as no obieaYon i1 You have been not`notiaed b9 Certified Mail �-�CD �*lon) (Riparian Property Owner information) Authonzed n; Sigaatc4re . Will Richardson Clifton & Virginia Stone Print or Type Name Print or Type Name 3235 Seacrest Ave SW 1868 Windy Bluff Lane SW Ming Address Mailing Address Suppty NC 28462 Supply, NC 28462 City / State / Zip City / State / Zip Telephone Number 910-367-0335 Telephone N unbe'r 704-654-5676 Date Date 1-2 -� G 127 Cardinal Drive EA, Wilmington, North Carolina 28405-3845 Phone: 910-796-7215 t FAX: 910-395-3964 \ Internet www.nccoastalmanagementnet An EagW Opp tin* 1 Aftma ve Action Employer - 50% Recy \ 10% Post Gonsww Paper G#�NNEi. -- PROPSED '21R --116 BDAT LIFT i --- EXI5TIN6 STRUCTURES I i i i F I SCOPE OF WORK: INSTALLATION OF BOAT LIFT PROPERTY OWNER SOUTH; OWNER: PROPERTY OWNER NORTH: BOB SCOTT RICHARD RUMBOLO CLIFF STONE 1225 HIDDEN SHORES OR 3582 NORMAN DRIVE 5W 1868 WINDY BLUFF LANE SW SHALLOTTE NC 28410 SUPPLY NC 28462 SUPPLY NG 284b2 910-411-0540 336-W-4553 CELL MR DaE.—el,�- Date De sited Check From (Name Name of Permit Molder Vendor Check Number Check atPermit Number/Comments 4 Receipt or Refund/Reallocated Columnl Column3 ColumM Columns Column6 Column? Column8 Column8 2120191 Richardson Cons—toMNAlie Clarem, R&ardson Richard Rumbold B8T 7J471 2000 Pal 790D ''T- d 7740