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
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Authorized Agent �k, Cp,,STRvc i on1 ! City 5vAJ - ( tit M ZIP 2B%OR
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Affected ❑ CW [�,EW XPTA ®ES VPTS Phone,. `t10) fl'L"} tom%& River Basin Lu^.. � rz
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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:
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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
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CONSTRUCTION
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PROJECT: 1410 Inlet St., Sunset Beach
Sunset Bea CANAL
60'
1410 Inlet St. - Travers
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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