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HomeMy WebLinkAbout74505D - TraversICAMA / JJDREDGE & FILL NO. 74505 A B C GENERAL PERMIT Previous permit # ;INew JModification _-]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 C'>—PA .\\w cryNk ;l_00 ❑ Rules attached. Applicant Name MA,&,( T(LA'4U-''(4S Project Location: County Z„P uNS%ni c IC — Address C g (-L. E Street Address/ State Road/ Lot #(s) City LA\J&N N,&uttV stateN(_ ZIP 2 B3 S Phone # (W) Z0� )4C0 E-Mail Subdivision . 9nv,,,►.cu�... Authorized Agent �k, Cp,,STRvc i on1 ! City 5vAJ - ( tit M ZIP 2B%OR 7 Affected ❑ CW [�,EW XPTA ®ES VPTS Phone,. `t10) fl'L"} tom%& River Basin Lu^.. � rz AEC(s): ❑ OEA ElHHF ElIH t❑ UBA ❑ N/A Mi. Wtr. Body C NN q (natC�■;;_p?/unkn) El PWS: ORW: yes knoPNA no /Closest Maj. Wtr. Body Type of Project/ Activity i?-A-)I t.p no( vy4 ( fA c 1 L l 1 y Pr+y*�' Ja=-(ZC-" _t%A 1`kV\'U jN'w",lt_F Q 1J (Scale: Pier ' Fixe Float Fing Groi Bulk Basi Boat Boat Beac Oth Shor SAV: mol. Phot ���■■■■■■iC■i■!■1!■.'�■■N■■■■■■■■■�■■■�■! r pier(s) length number ■■■■■■u■■■■■■■ ■■■ L�■■■■■■■■■■■�■■m■■ ■■■■■■�f■■■■■■■■L`■■■Il■■■■■�■i■■■■■■■■■■■■ channel cubic yards ■■■■■in■■■■■■■■ i ■■ii■■■■�■i■■■■�■■ ramp ■■■■■!l■■■■■■■■ ■11■I,■■■■■■■■■■■■■■■ ■■■■■E7■■■■■■■■■Illli/■■■■■■■■■®■■■■■■■ ■■■■■��■■�■■■■■■Ill• "�'r'�`��i . ■■■■■■■■■■ ■ � 11�� .. h Bulldozing IN NO Ol OEM ■■■■■■ ■ ■, HOC:■®�1��■■�i■I�■N■■■�1�■�■ �■■■�■■■H■� ■■■■:■��;■■■■■■■■■■■■®■■■■AIL:!■■■�■■■�■� Aine Length r not sure yes ■■■■■■II�1■■■■■■■■■■■■■■■■�■■■■■®_■■■�■■. in mill MEMO 70r.- K9.7,TU MEME EM, No orium: yes no a ME WIRISFwNN1■■■■■■■■ ■■ Mi■■ Waiv —'-- _ A building permit mayxbetrequired by: r4 s1 tJ Or C otj Ce T Cf-gLti C See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditionsl� At-t- C", c car (S"} 1 ZDc_-,) .? l ocAu � S11 161 R Nt� 1--E pFitAL V.i � u �• S APPLY _ ?' 3QW GOA i A,N ASirxA c\ QNr- P K.,ST 13E rRu.t^ WC -ILA uteS ASAP YA A, I A43 �EJL4EA.JOII V Agent or Applicant Printed Name Permit Officer' Printed Name Signature* lease read compliance statement on back of permit *� Signatu�//O vo/ Application Fe(s) Check # Issues to 4, ,,1,oa0 t1don Date =H5= CONSTRUCTION c c 0 Cc LA 4- _v c N �i r-1 PROJECT: 1410 Inlet St., Sunset Beach Sunset Bea CANAL 60' 1410 Inlet St. - Travers f v c 00 Not to scale AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: HAM c "- -'VeWS Mailing Address: t245;t PohLNegoSP, C-I&LL& -tJauRlh�g�R.G � Nc_ Z`a352 Phone Number: a 1 o) Z-77 - $'Lla Email Address: a relcInein�rv e r-, Z.o ly e- 0 iv? a I cows I certify that I have authorized 1A 5 `-c rvIA- rVi o n U-C . , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: c o,; r at my property located at i A i v in Rr un,U; i cAL County. 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 �'4c,r�l �C-fal/�rS Print or Type Name Title C7l 1:0 Date This certification is valid through I I CERTIFIED MAiL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM Name of Property Owner: P� c1rtTrciyers Address of Property: i `-1 i o r2 f e+ 5+ 5 idea c L! B s or (Lot or Street #, Street or Road, City & County) Agent's Name #: H 5 t o ns� LAchi o t1 Agent's phone #: 9 ty -!; 8 o -- ' 4 3 ,Fy i Mailing Address: z 16 y Ho iletL nc- PA. 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. T I have objections to this proposal. if you have objections to what is being proposed, you must notffy 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.Ilwvrw.nccoastalmanaaement.netAveb/cm/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.) ( lti I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature H AR'! T2Ay!FP,S Print or Type Name 125FI pn t� RASA C1P�. Mailing Address LALtR-I &I R UffG nt C City/State/Zip (Riparian Property Owner Information) Sl' ature Print or Type Name 414 att I!e i U f�c e6o. Mailing Address J16, �A-.Xi 3 2.v City/State/Zip �q tot z�7-� z._io�ar �-�-G�.��-b-cL�u-s Zc�ty � ����l�l�-�5`� 3 �6���✓jti��nccail. corms Telephone Numberl E it ddia Tess 9�„t:,; R , cotn. Telephone Number /Em it Address Date Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAiVER FORM Name of Property Owner: f"A lary Tr-Gver's Address of Property: f �-i i o l h.l a 5# 5IArL t B .n�c ol'c (Lot or Street #, Street or Road, City & County) Agent's Name #: I-1 S co UAi0V, Agent's phone #: g 1 o-!; 2 c -- g 3 at Mailing Address: z 14 y ���nt r 28Yt�2 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. 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:/IwNvi.nccoastalmana-gement.net1web/cm!staff-Ustina or by calling 9-888-4RCOAST. 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature/ Print or Type Name 12SEI i nc.lt�E"5F� CtlZ . Mailing Address lAu21W RU&G� I.J c_ 48-�SZ (Riparian Property Owner Information) Signature / Print or Type Name �1 Mailing Address rty/St a e2rp City/1-1tate/Zip ((� q l0 Z-7i" Z 1b c Jc'r S ZDIN e 7,7--1'Jzz // 2Qr7 Y/'r2 Telephone Number/E it Address �, ;; l , coc,2 Telephone Number/Email Address 71111.3�z 22- Date Date (Revised Aug. 2014) Date Received Data De slfad Check Fmm Name me Naor Parmlt HokNr Vendor Chock Number Check . P—It Numbr/Commants Receipt or Refund/Reallocated Col mn1 Colum.2 QcIuMO ColunlM 1umn5 Col-6 CGkNpn7 ColumnO Columno 9/11/2019 9/11 /2019 9/11/20191 Clements Marine Construction Carolyn and John Floyd Jam Properties / Dan Smith First Citizens Bank 5230 BB&T 8585 I BB&T 2345 $ 400.00 GP #7437213 GP #74534D GP #7450513 PA rct. 9168 John Floyd $ 200.00 $ 200.00 TMc rct. 9146 TP rct. 8749 H5 Construction LLC I Mary Travers