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HomeMy WebLinkAbout74529D - TaylorLAMA / DREDGE & FILL L�JGENERAL PERMIT New 'Modification El Complete Reissue El Partial Reissue No. 74529 A B CO Previous permit # 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 �'' El Rules attached. Applicant Name CA POW �G (AyLL- u Project Location: County � _W OANaVAAL Address ;?— NO STV—V�T 5 MOATS SQ Street Address/ State Road/ Lot #(s) Z City-aMCA/SRdiZu State ZIP_;Z_7I" ',,�A� KFI N Phone # E-Mail Gaol a+ay Ior1041w%m.•cokbdivision 4 11gm ell r� Authorized Agent '1 OF City WtLpl lit/CaTGN ZIP ;Zg4 Affected ❑Cw XE XPTA ❑ES ❑PTS Phone # (qI O) Z9%-07// River Basin �H �•� Ckg AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body CANA4 (na ) ❑ PWS: m� n ORW: fi3e / no PNA yes / Closest Maj. Wtr. Body -A 114 W r • • '-EWA WOVA ■■■■■ ■■■■■ ►mow■r��E■■■■■■■■■■►��■■■ UMMMMM MEN • . max ffshore■■■■■■■■■■■■■■■■■� in, chan cubic yards ■■■■■■■■■■■■■rl�I■■■■■■■■■■■■■■■■■■■►�■■ ■■■■■■■w�a�l�lw�•■r���■�r�!�■�■■■■■■■■■r. ■■ ■■■■■!l�lf�LZLirL•tL'��L:,�■ai.�v�iilli■■■!■■■■■�i!■ ■■■MM■MEM■■IEM■■MMf MMET Miinim 7MM■■■MOM■E■■ �: �: �: I ■■■■■I p■■�►7■�■■■■■■■ i■ I Mrs MIN ►■r�ilL'il :�::>■■■■■ ■■■■■■■■■■■■■M. /�ii■■L■III.��i■■■■■■■■■■■■ ■■■■■■■■■■■■■■O�1■■®N■■�■■■�■■■■■■■ MEMO ■■■ ■■E■■■■EEri..i/IIIIEO���®E■M���O ■■■■HMO■�IIIIEME■■ ONE■■■E■M ME ■ ■ ■■ - ■■���Ei�■■■■■Eui■■Ei�iii ■�����r�l.���� �+ - ■/�tr!i73�'!��■1 ii ��■iaw,w■i�i���� �� r�rM OEM =ME Mom rid■■ PROEM �■EME■■ti1�IVl��■EE EM■E■1 Mliiii�:i Agent or Suture ** Please read compliance statement on back of permit ** Fee(s) Check # PermitOfficer's Printed N e G Signature 8/1;Z A 1 17- IZ !9 Issui g Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: ��- _.) % %i ► ,>��' Phone Number: Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 'l at my property located at in .� i i �`r�'�'! County. C�1 r✓ C- lti . Tz �- -Y- '' � � �'Yl ! /t L--Pr l 1 furthermore certify that 1 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: ``' � igature r . j L0�tCj9r S Print or Type Name Title Date This certification is valid through CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner:y ro ; ✓� e �i Address of Property: '/p1,w j tc`% �4A 0d-e.t- (Lot or Street #, Street or Road, 'City & County) Agents Name #: i' it f Mailing Address: q G 9, v Agents phone Cf 7 tvp,�. VAC .0 57 �- 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 proposal. M 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. Correspondence should be mailed to 127 Cardinal Drive Ext,, Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-72f5, No response is considered the some as no Weation If you have been notified by 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 16frorrCm-y-a-r4p 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 I Print or Type Name 3 .� •S 1 -) C!l Mailing Address/ City/State/Zip Telephone Number Date (Adjacent Property Owner Information) Signature Print or Type Name /� /3,t"- Leh , Mailing Address City/State/Zip do's -6 9er'y Telephone Number -7 Date Revised 6118 2012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: •{ C! /r, �9 f '�, / c1� y 1v f Address of Property: -42 , %wa '.aV—./ (Lot or Street #, Street or Road, City & County) Agent's Name Mailing Address: 41� Z 6 Ar{r*- Pr- /4 Agents phone #: �i i 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 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. Correspondence should be mailed to 127 Cardinal Drive Ext, Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 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) Signature Print or Type Name Mailing Address City/state/Zip L 7-> tom % S--? Telephone Number Date (Adj�cent Pro�erty ner Information) Signature Print or Type Name �►� R�d�tti.,oa� �� Mailing Address " NC- City/State/Zip Telephone Number 71a� Date Revised 611812012 inns romommumm IMMUSINrVI NN■ lommmoom ■■m INSIVISIONINIONE INNNIONESEME Inififr'mmmomi INOWNC!R NWIS 101hosoms ■i lm 1NENIO1 N ININ11M 1MEMO Alamo■ _,. Is Date Received Date Deposited Check From Name Name & Permit Holder Vendor Check Number Check amount Permit Numbe XC .enta Receipt or Retund/R--located Columnl Column3 Column] Columrw Columns Columns Wumn7 Columns ColYmna 8/12/2019 _ TRW Construction_ Co, Inc._ _ Permit Pals Grice Construction Grice Construction Caroline Taylor Patricia Wright Charles Rush Paul Heffemaw Bank of America _ _ _ CresCom Bank BUT BB&T 2061 $ 200.00 GP #74529D GP #74578D GP #74579D _ 1 GP #74581 D TMc rct. 9139 BB rct. 9104 BB rot. 9103 BB rct. 9102 8/12/2019 2610 13211 13210 $ 200.00 8/12/2919 $ 200.00 8/12/2019 $ 400.00