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
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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
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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
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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
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$ 400.00