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Home My WebLink About74203D - Smith1T J CAMA / ❑DREDGE &FILL (�l `� NO. 74203 A B C O° EN ERAL PERMIT x. Previous permit # New ❑Modification El 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 I SA NCAC �/ V ❑ Rules attached. Applicant Name I I ' � ( C I�Y ` Project Location: County Y (Q,, a C Phone State4 ZIP 61 Authorized Agent Affected ❑ CW )4aV tWfTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: ORW: yes //no ; PNA yes(/ no Type of Project/ Activity Street Address/ State Road/ Lot #(s) Subdiyision City Phone # () River Basin Adj. Wtr. Body > a man unkn Closest Maj. Wtr. Body rc�mlo• I �_'_�i/l Pier (dock) length Fixed Platform(s) vs wonZ! I,��J��-r-_NwM C ■■■■v 1J1►;[�J■I■■/I■i■Ir11/J�Rnalil■■!■i■■■■a■'i�!■■■1� ■■■■■il■■■I■■I■■■■I■1■1!!yr■■�1■■\■\■■� 5 H.•!-0 I,� T♦Mm��II.III111,i■� H■■■ Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshor■■■■■■■■■I■■ Basin, channel ■■■■■■■■■I■■I ■■!� �� !r 1 ■■ ■■■■■■■■■■� ■■■■■i■■11■ J■■1■■■■■■■■■■■■■■■■■ ■■■■■■■■■■>AI ■■■■■■■11i ■i■■■ loom■■/I■■■■■■■■1■■■ ■■■■■■■��:,�■■■■■■■■■■■■■ gloom ■■■■■■■■■I■:•7 ■■■■■■■■■■�1■■■■■►�■■■■■r�■■�■■■ ■■■�■m■■■I■F� ■■■moo■■■■�1■■0■0■■■■■rr,►�moo■o■ cubic yards ■■■■■■■■■I■� ■■■■■■■■■ ■� loom■ u■■■1Ri5�"lfi/■■■■■■ ■mom■■■■■Im■ rl■■■m■■■■ ■� loom■ [I■■�J' riN�'YI■■■■■ ■■■■■■■■■■r %■■■■m■■m ■� Im■■■I■■■■!1�lr■■■■m ■■■■■■■■■m■ ■■■■■■■■■ no 1/■■■I■■1■■p.11MI ii'■GZME ■■■■■ Beach Bull,NINON■ .. ■■■■■■■■`& 7timm■■■■■■�■■■�NONE ■■■■■■■I■■■■■■■■■■%;'ill■■■■\■■■■■■■■■■■■■ �■■■■■■■�■\ ��■■■■■■■f ■I loom■!/�■■■�■■■■■■■■ Moratorium:10 Shoreline Length 'ZI SAV: not sure Ys i . ,.. ,-.■■■��■■■■fir ■■■■■m■■■I■■■■■■■■■■■■III■■■11■■■m■�[!�,1■m■■■ ■■■!■■■■■I■■■■■ ■■■■■■!■■■11■■■�1lAI!Ih�UY■■■■■', ■■■1■1�1.1■■■ I■■■G1�1�7■fl■■■AI■■■■11■!1■�Illl!rilis■■■■■m! ■■1■Iti 11!1000I■■■;A'MLK' 'LVMITALVA 4L J11■■►�.1'�■■■■■■■■■'' ■■�■■■■NCI' A building permit may be required by: ( Note Local Planning Jurisdiction(I' _ 4 1 ` r4 Notes/ Special Conditions ON ¢- �h ( V,J & 1IX Ul VV\ L� r Agent oApplicant Prin Nam j l e � SS ure*- Pleaseread compliance sta�te�meent on back of rmitro 0t3 ►��y Application Fee(s) Check # ❑ See note on back regarding River Basin rules., Printed AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: &A ad ' lM Mailing Address: Phone Number: Email Address: I certify that I have authorized 1'hv 4:," chT Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits/1 necessary for the following proposed development: f at my property located at ,� in �� County. 1 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 cd 'S14 Print or Type Name 0� Title Date This certification is valid through �l 3� IoL� CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: —&�i /i%a�,� � �,r� Mailing Address: „n j Agent's phone ere y certi tat own property adjacent tote a ove referenced property. The indi ua applying for this permit has described to me as shown on the attached drawing the development they are posing. A description or drawino with dimensions must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http://www.nccoastalmanaaement net/webfcm/staff listing orby calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Ac,{,g i 1 oe Print or TypeName Mailing Address 1-0, City/State/Zip q15 - a2l Telephone Number/Email Address Dale *(Riparian Property Owner Information) Signature Print or Type Name -S Ll � -) Z, & /A Mailing Address S Lei fi 1� r-,rJ a� City/State/Zip'1 3 Telephone Number/Email Address 62 o Date (Revised Aug. 2014) CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION (,<11F COASTAL MANAGEMENT ADJACENT RaPARIAN PRO�IERT`i( OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: Address of Property: a c�L_ � r' 1 ^ r✓� alk 7'5� (Lot or 'l.reat #, Street or Road, City & County) Aoent's Name #: �I �t2ci r '- 64)-r--C4 Mailing Address: glyzld Agent's phone #: M hereby certify that I own properly adjacent to the above re erence property. The in ivr ua applying for this permit has described to me as shown on the attached drawing the development they are proposing. A descriptiuii ur uTi;v it , with dimensions. must be Provided with this letter- 1 have no objections to telis proposal. 1 have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCIVI) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at litA? ,`tit^.fw.nccoastaimar :2aement net/web/cm/staff-lisring or by calling 1-888-4RCOAST. No response is considered the same as no option if you have been notified by Certified Mail. W AiVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse. or lift must be set back a minimum distance of i 5' from my area of riparian access unless waived by me. (if you wish to waive the setback, you mast initial the appropriate blank below.) 6PI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (property Owner Information) Signaltrre P16 torType Name , '5� C+ubUW Mailing Address fit' S NL ;LI C� City/State/Zrp Q__i 91-, Zg I Teleohone Nulnber/F-marf Address -C g (Ripgrian Property Owner Information) -e OR IIZ Print r Tvpe Name 4111-11 i0aifing Address 'ity/gStote zip Telephone number/Email Address i)a (Revised Aug. 2014) ` . Y ■ gomplete items 1, 2, and 3. ■ Print your name and address on the reverse so thairwe can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Gr P �r #I,,,- agsa7 IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII I'IIII''IIIIII 9590 9402 3542 7305 631915 2. Article Number (Transfer from service label) 7017 3380 0000 8627 PS Form 3811, July 2015 PSN 7530-02-000-9053 ■ Complete items 4, 2, and 3. ■ Print your name and address on the reverse -o that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Q + l ViJl'�o in. 5450 t� Oe- y II I IIiIII IIII 1111Ii I Illl I II i I I II I I I IIII IIII III 9590 9402 3542 7305 6318 92 2. Article Number {Transfer from service label) 7017 3380 0000 8627 A. Signature ❑ Agent Aepived by (Printed Name) f;�j C. Date of Delivery gril-Aky or, s delivery address different from Item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Adult Signature ult Signature Restricted Delivery �j certified WHO ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery • Collect on Delivery Restricted Delivery n rt,QttYarr hall 6446 ail Restricted Delivery A. Signature • Priority Mail Express® • Registered MailT" ❑ Registered Mail Restrictei Delivery ❑ Return Receipt for Merchandise • Signature ConfirmationTO • Signature Confirmation Restricted Delivery Domestic Return Receipt ❑ Addressee B. Receive by ri d ame C. Date, ) enie D. Is delivery address differe from item 1?`/� l_❑��GYe.`s If YES, enter delivery address below: ❑ No 3. Service Type ❑ Adult Signature W❑ adult Signature Restricted Delivery ertified Mall® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery 6477 Restricted Delivery ❑ Priority Mail Express® ❑ Registered MailTM ❑ Registered Mail Restrictei Delivery ❑ Return Receipt for Merchandise ❑ Signature ConfirmationTm ❑ Signature Confirmation Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 9 Domestic Return Receipt IF, w I(VI er 115 C4CAMA COMMA I � f 1 C CAMA , 1 . � 1 Ii M a1to vv.-s4 P QJ c. , w -l- 4 ,11 �, W.ec,+ c.� we.s-� PeA + � \niln'I 4v � \nJ y 1 -elnc. -NiA Date R—.1. Date De sited Check From Name Name o/ Permit Holder Vendor Check Number Chxk amount Permit N—b—Comments Rece/ t or Refund/Reallocated Columnl Columnl Column3 Column! Co1umn5 Column6 ColUIM17 Column8 Column9 4/4 1 Med Marine oMectorsLLC Whael SmM Frst Cm — Bank QP874203D iTmw rd. 0243