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Home My WebLink About74294D - StilleriCAMA /-5(DREDGE & FILL . GENERAL PERMIT )('Kkw ❑Modification ❑Complete Reissue ❑Partial Reissue No. 74294 A B C Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality nn and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC U7H,1300 ❑ Rules attached. Applicant Name E nlj., x 1I er Address,flCl8 -SA�si YacH D/4e City Oakastalla State NC ZIP 65 Phone # ( (V) - ail Authorized Agent d 6 k &(b . t Affected ❑ Cw ElEW ❑ PTA IaeS ENPTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA 40 /no Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulk Riprap length avg distance offshore — 0 max distance offshore—_ Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other ,%A 2o2,5 96 .9;00 SF Project Location: County Street Address/ State Road/ Lot #(s) .SCAAI , Subdivision — City ZIP Pho4nge�# (1/0 ) MO- QA3 River Basin L y4ce Adj. Wtr. Body W RI41 (nat J /unkn) Closest Maj. Wtr. Body (— �9�(�� (Scale: 1 S 30 ) - .>,rEWEN its■■■■■■■■■■■■■■■■■■■■■■■Y■ • � Agent or Applicant P Intel Name \� Suture Please read compliance statement on back of permit" Application Fee(s) C eck # cf. Permit Officer's Printed Name Signature 'h Lq cl h Isswn D expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: G''1 Mailing Address: Phone Number: Email Address: certify that I have authorized 9 C)f? C— i) �u �S Lea � M aY6S ,V, ee Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development 1. 1�1 W at my property located at d� 1 Q,C�-{- in rUnrShss � County. / 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. Prope Owner Information: Signature �&A)AJk L-E- Print or Type Name ( w)�,2- Title Date " I This certification is valid through / / Fa'" �'"� .., ,. _�,: `� - - }^t. t.: •�.. .�.. ;7 .,�. •c -t�•., ,i•:: a -f: :i''d'• ... In DIVISION OF COASTAL M NAGENENr ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVERFORM Name of Individual Applying For Permit: ' 0 r- Address of Pro e : P rtY �S (Lot or Street #, Street or Road) • r o, ILS L,gu C. oonso (City and County) 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, should be provided with this letter, I J have no objections t • o this proposal. . If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection U you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck 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 IS' setback requirement. I do not wish to waive the 15' setback requirement. 1�i dw Print Name Telephone Number with Area Code S:\cama\shells\riparianproperty.frm .�mom r l� NCDENR o W Uv010H~ mG HArMy, RCAUyACV DIVISION OF COASTAL MANAGE NT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: _RU Address of Property; (Lot or Street #, Street or Road) AV Tscq nptiJC: -(J fd (City and County) 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, should be provided with this letter, I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. 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, breakwater, boat Douse or boat lift must be set bck 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. Sign Name &73� ��wa�ois Print Name co -,901 -dv5_z Telephone Number with Area Code S:lcamalshellslriparianproperty.frm Date ,�' z6-1S NC,DIENR N01" GROUW L+�N110MMNff w+a N�twK, �V CCA OMMOMFORM Date Received Date Deposited Check From (Name2 ame o/ Permit Holder Vendor Check Numher Check um Permit Numher/Comments Recelpt or Refund/Reallocated Columnt Column2 Column? Column4 Columns Column6 Column? C.1-8 Column!) 5/N2019' Bonner Stiller Bome, Stiller State Em toes Cedd Urnon 1117 S 40000 GP#74294D PA,PA,d 7966