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Home My WebLink About73532D Tangeri -. XCAMA /DREDGE & FILL " NO. 73532 A B C GENERAL PERMIT 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 L9 7 H . 1 (c) Q ❑ Rules attached. Applicant Name AN Project Location: County Quln/ S W 1 C-K 71 Address 12941 1) N c 0 9- y C1AAsIL Street Address/ State Road/ Lot #(s) /� City C IAA R1-0-VrE State ZIP;?-?L 77 6 REex:Qo JTR� ET Phone # (TO*) 307— 5 SCa E E-Mail i�'d�cr �u(nAC+Yeua 1C+ Subdivision rll4 Authorized Agent 1c-1GK�/ D 1rWF -rT City ot,� Ems/ f 1F/� «a ZIP �g �2 ❑ CW ❑ EW ❑ PTA )'ES �Jk k\ Ac-wN-r Phone# ( Imo)231-7425 River Basin LuxB�y— Affected ❑ OEA ❑ HHF AEC(s): ElIH ❑ USA Adj. Wtr. Body CAM A L (nat� ) W ❑ PWS: ,1 Closest Maj. Wtr. Body -A (�% W ORW: yes / PNA yes / no Type of Project/ Activity REPi, A c C. ZN LIL.14 PFA D i N Lk i in NG Al CzAim En) T (Scale:_•"_ '3V/ Pier Fixec Float Finge Groii Basin Boat Boatl Bead Othe Shore SAV: Mora Phott . ' i ■ NOON NOON ■■■ ■■■ NOON■■ ■■� I' ng Platform(s) ■■ NEON ■■■■®■NONE ■NONE ■■■■■■■■■■■N■r pier(s) number MEN ■BE\li■�` :a�'7O■rf�i�illlir■�'�'ill`G■ :a■■■■■! ■■■ ■E■E■■NEE■NEE■■■■E■■■■■■■■NEE■■■■■■■�■■■ lengthoffshore■a■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■�■■■ avg distance offshore -max distance c\rel ■■EEO■E■■■ENE■�■]■`E`N■■■■■E_■■NEE■_■■■■■E■�� ME �� !■■�/�■O■O ■1'L'i JNKAIIII■■UMM"El:%■■i%NN �..:.�■■■�...■� lirl �2 , ��s��NE■■■NNE■■nE■E� r uWNNUNi■NNNaN NOON■■■ iN ■LW 7N■ :.MMMI MMMMMMMM IN ■E■■=■11■\ M.1% + �l► ■■■■■■■■■■■■■ EN&I■■■■■■■■■■1 ■■■■■■■■■■■■■ ■■■■■■■■■■1 INN E■=I 11■ 1H■■■11 ■ ■E■■E■■■E■I IE■ ■E j S■Ni §■■■■■■ ■E■E■E■E■E■E■ RPM BAR OENI i■■wE■■ 10 ■ENN■E■E■■E■N ■■!IEEE■■■■I Ulikildllllm N■��ITMU21■■ in ■NEE■■■■■■■■■ not sure yesm ■n►,1W,0P1fflAR■11!M.AN NMI NO► SO■E■ ! ■■1"WI PIR"'NO■■N lu"agwo�ii�ii ii�iii► ■i 1I■iW■■i i ■■iin�ri■■■ m yes no 0■■t§AJ6i■■■■1101I6; IV4MM Mini INES !■■■ 10 ■E■■UUL'JO■■ENO MIS: yes m E■■E■E■ENEI INMEN■ EMI IEEE ■■■ in ■■■■E■E■E■E■E . NOON■EEO■ill!■■■l�e::�=:. �NGNMN■EEE■■■E■ Waiv- R 1 r 1 .p A building permit maybe required by: f AOL DEN h"CIA ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) pp Notes/ Special Conditions Q 1 n , O O pC ALI, 17T141:R LaCAL, , SriATr—, ,, AND 91.cl' HLot-kr Agent gin pplicant Print Signature "Please read compliance statement on back of permit" 9400 4�467g Application Fee(s) Check # -- rz" MGG�1�� Permit Officer's Printed Name ' L Signature 5%1 9 /1 '2o1y Issuing Date Exp tra icon Date L AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: .S,,vr 0. Mailing Address: l �q 7 C.6 e �tr 4 Phone Number: 7 Email Address: ^ I 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: i 01 �Cz e jt w at my property located at I a t in ; CC k County. 5t I' 6idel�,, 11-119e1, 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: Print or Type Na►, Title Date This certification is valid through 5 f % l ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to I,„,_�� y"'L s property located at (� +�~ FCnje of Pro erty Owner) �3 �;:<' ., � � 1, (Address, Lot, Block Road etc.) . on �. L �. f) ez Vi Iin Of, f" F' f-)c' N.C. (Waterb��y) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location.: I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual praposing development must fill in description below or attach a site drawing) �c�Ilae Exi- X! A QL;;; I understand that a ier, dock, WAIVER SECTION p mooring pilings, boat ramp, 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.) t' _I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) t ` (Adjacent Prop" Owner Information) / email address Signature* ._ Print or Type Name Ma►lipp r/c SS City/State/Zip Telephone Number / email address Date * *Valid for one calendar year after signature` (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �1 G �1�{ame of Pr erty Owner) s Property located at t ;� (: J t on L L (�� ` r�ti i (Address, Lot, Block, Road, etc.) (Waterbody) in Ho lei (7 �� i t? f:�- h . N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual praposing development must rill in description below or attach a site drawing) pc PlAc understand that a WAIVER SECTION pier, dock, mooring pilings, boat ramp, 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 151 setback requirement. (Property Owner Information) (Adjac Prop rty nor l formation) ratrcre 4:1 S PrirZt or T pe ame Print or ype me Mailing Addr�s / �� c: G �_ . Z '7 r M i ng Addre City/Sta ipJ ? J City/Sta e/Zi Telephone u er / email address— �► > 1 4 , y 5' / c Telephone Numberj email address Datc �X r 1% -1 Date * `Valid for one calendar year after signature" (Revised Aug. 2014) I GR1F- �`�5 75' ERB I2��ocAp- 2.06 WEST 1 2 2'22"E LOT 208 6.12 331MC011 TIE LINES 0 7.58' O in O N `- co w O E.BENT a IRON �o 0 O z MHW+ N88'22'00"E GRID S87 35'00" E MAP -7A 7' 1 72.81' EAST 1 /21 a, LOT 208 � N 06 � N in I in O O M -9 1 G'OPEN PORCH r7 COVERED'O if. 00' 0 9.10' PORCH 0 PORCH 14.00'`` I - OPEN 5.0 1.S.F. o ON %INGS00 u; NO. 2 3' 0Ln 7.08 N I OPEN i c PORCHO 32.00', 0 1 74.87' N87'35'00"W CANAL IS: /EYED BY USING MAP BOOK 6, PAGE 132 EXISTING PHYSICAL CONDITIONS 3ERTY IS IN A FLOOD HAZARD AREA INFORMATION NUNITY NO. 375352 /PANEL NO. 3720201600K (8/28/18) AE EL. 12.0 FH rn 0 LOT 209 28.14' HAC ERB 1 0 O 0 26.40' o �o 0 � o WOOD BULKHEAD 75.00' N87'35'00"W 50.94' E.IRON - 75' AEC SETBACK LOT 210 231 M C008 30' CAMA SETBACK LINE MHW+- ��` >✓%iFf(jt�', P �� FeSS10 ° 2s' � x L1250 �� i uw��o 4 ,-' P S JAN K. DALE MAP OF SURVEY FOR JAMES R. TANGER LOT 209 do EAST 1/2 LOT 206 HOLDEN BEACH EAST MAP BOOK 6, PAGE 132 DB. 4141, PG. 259 TAX PARCEL 231MC009 SCALE 1" = 20' TOWNSHIP LOCKWOOD FOLLY COUNTY BRUNSWICK STATE N.C. TOWN HOLDEN BEACH DATE 3/16/2019 JAN K. DALE N.C. REG_ NO. L— 1250 891 COPAS RD. - SHALLOTTE, N.C. 910-754-4477 FIELD BOOK 14 DRAWN BY JKD DWG. NO. FEB22 C. REG. NO. L-1250 Dale Received Date Deposited Check From Nam) Name of Permit Holder Vendor Check Number Check amount Permit Numbe lComments Recei t or Relund/Reallocated Columnl Column2 Column3 Column! Columns Co1umn6 Column? Co/umn8 Column8 5rMO19 R.k Hewett Co es Tan er T 4678 S 40000 GP 073532D Tm 818