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Home My WebLink About71798D - Swing!XCAMA / ❑ DREDGE & FILL NO 71798 A B C GENERAL PERMIT Previous permit# New 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 07H. i 20 o ❑ Rules attached. Applicant Name �� E FF y? W 1 nI G Address 60 11 -DeAs i7Rrv>: City1311: t-M on/T Stated ZIP 2 8 o 1 2 Project Location: County V12 u N.sw t C.K Street Address/ State Road/ Lot #(s) 55 L-AU911VQU9C, STREET Phone # (7A), 74 7 - V421 E-Mail Swina i%G' cAr olr�a.r..�aMSubdivision Authorized Agent Mt c ►NA F_ Pa p4-r v City0 C F �s trc_ tie,A, ZIP 2?4 (r 9 Affected ❑ CW XEW JXPTA ❑ ES ❑ PTS �' Phone # (3 04 ) 838 - 21 Co L, River Basin Lu MaE rz ElOEA ElHHF ElIH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body C'AHi1 L (nat nnunkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body A I w w Type of Project/ Activity RCP6AcE 'DoCK►NG EAct,uTY I /J -k I ST 1'4 -, r ->u T P (t , ,J T (Scale: l �� = Z o ) Fixer oai Fingr Groi Bulk Basir Boat Beac Othr Shor SAV Mon Phot Wain ■■■■■■■■■■■■■■.�/1Af11�■■■■■■■■■■■ ■■■■ NEI ONE number ■■■�■■■�I■■■■■ ■■�■■1�■■■■■■■■■■■■■■■■■■ avg distance offshore ■■■■■■■■■■■■■■� ■G:7■1■■■■�■■■■■■■■■N■ max distance offshore ■■■■■■■■■I ■■■■■ ■.� ■I!!JIl■■■■ ■■■■■■■■■■■■■■ ■■■■■■■■■■■w■■■■I ■�■■►�■■■■�■■■■■■■■■■ EVE I AWN, 0 0 NOME cubic yards ■■■■■■0 ■■■I.■■■■l.■■I �� ■rNIW Wi�ii■■■■■■....■■i !�'*...•...�.....� ■.� �:y�1■......• :�: :sir. [A, Bulldozing ■�■■■■■■■■r�■■■■w■i ■� i■�■�■■ i a:..■■ ■w■■K,■■■■i ■notsure ■■....�..pl...■�u■■■■■■■■■■■ ■■■■■■■■■I■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■ ■■!:�A■■■I ■■■■■lr��Z!td■■■■■■■ ■■■!■�■■■■■■' yes no ■■ t•!�■■■■I■■■ram ■�■■■■■c■■■■■■■�►�■■■■■■' Fs: yes • ■■:NU■■■■I ■■■M�Ti1i11�L'ii�aii`lili■■■■ ■■■■E•71��■■■■N■ _.. , . ^ I ■■■■■■■■I■■■■■■■■■■■�■■■■■■■■■■■■■W■i i-I %, N'r A building permit may be required by: Oc CAM FAC N ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions D`%' H . L-.-) gr A LL. 0TNE R_ Lo c A L STATE A/4O FED SAL_ PEc,Ltr<-ATtQA/s APPLY, - -,I B- 1/ 1 y��fz c G 1 iz Ageilt oOAppl' r t Pr' ted Name Permit Officer's Printed Name Signatu lease mpliance statement on back of ermit Signature re co a (� 5 S A0 2019 9/10 2019 Application Fee(s) Check # Issuin Date Expiration Date AGENT AUTHORIZATION FOR CAM PERMIT APPLICATION B Name of Property Owner Requesting Permit: ,.1�— Mailing Address: Phone Number: I VA) 7A)l R'2 Z/7 Email Address: 82 i I certify that I have authorized Agent !Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits II 4 necessary for the following proposed development: 1 ' c��c�Dd�r� '70va at my property located at in i�d�. p yaounty. 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: Signature Printlor Type Name Title Date This certification is valid through /so/� faw,� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FOR Name of Property Owner. to s -- Address of Property: 12iz (Lot or Street #, Street or Roeb, City & CountY) Agent's Name #: 1 , t5� �" Mailing Address:.) Agent's phone #: t�k>q P—W 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 proposat. N you have objections to what is being proposed, you must notify the Division of Coastal Management (DCH) in writing within 10 days of receipt of this notice. Correspondence should be marled to 127 Cardinal Drive Fart., Wilmington, NC, 2W5-3W. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if ou have been notified bi Certified Mail. 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. (Property Owner Information) '7_��;�: rem.. Pant O:' 'Type ;V3 ,e Ata ling Address ity: tarep ' Te;�ph0n'70ber Date (Adja operty Owner Information) Signature j�— print or Type Nance M.aifing Address CitylStatelbp lephone Nu,nGAr / V Revised &1 &,,20" 1 k ajnleuBIS 0 asipulepievq ,o; IdL p6oki ujnj9H Cl fq 1 0 P d 0 ON 0 SPA 0 �ian!la{3 10 of jua6v C906-000-M-089L NSd 9 Loa Alnr AAGA118(3 P91011�---Gtj AJ9AI,Iaa UO 1091100 `C3 . , ... �- j d.�rry s ww# eyr + +ll" ►sty AJOAllbO UO 1091100 Ej A19AII913 P010111S9b J!eVj POUIP90 0 LO 099?,, ZT06 906t7ZO176 0696 WWI Pouipe -0 CJI f,AOAIIZ(] PeJ01,4Sad 044ftft JjnPV [3 ainliauSig jjnpV 0 qdA.L aot/ugs 'le r S- t LUqV Ujojl jUaIGWIP SS9JPPV fJeAl,10P Sl 'a .off Passe-1ppv 910111 V *1 -slluuad eoedsq ju04 9(41 uo Jo PLUUMON POA1909H *9 'eoc)idi!ew ot4i 10 Novq eta 01 PJVO SM 4, *0 'noA of pmo et4 wnlei upo ern ;vL4 X esjaAeu GL14 uo ssisuppe pue ewou jnoA ;upd' 8 pue -Z sweep a;e1dwoo ejnjiau6ic,3 -V I I'll- N � F, I it / /J,)� ` 1 i 9 1 ) 11 Ar Fk) I