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Home My WebLink About73530D - Tew;Y�CAMA / ❑ DREDGE & FILL NO. 73530 AI B C GENERAL PERMIT Previous permit# xNew :]Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality r� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC o / H . 1 20 O I-1 Rules attached. Applicant Name pAgWF Jj� Address 4-910 NrjycovE- Ayr City 5ILIA1A,0r rr- StateAJC- ZIP 2-147,> Phone # (6I10 ) 447 - 41119 E-Mail irpAAUcQalr+�•v►c� Authorized Agent Affected ❑ CW )(EW P(PTA ❑ ES ❑ PTS AEC(s): D OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /�t,D PNA (2) / no oTypeof . .. •all INNNEENIN Project Location: County 9R- JJ-.5u1cVc Street Address/ State Road/ Lot #(s) ?,50K—r=-"rA F-PA4 SL.1 Subdivision AJ//A City0GCAJ^I ::175LF. E7rAC-ta ZIP Z84(,4 Phone # ( 5 1� MC River Basin Lea r_z Adj. Wtr. Body A I W O nat /m /unkn) Closest Maj. Wtr. Body A W All distance shoreNEON max distance o re Basin, channel ■�i/■Gir■i`�■!�i■■■■■■■li■Ir®■■■� ONEEMEEMNM1_q Irm ■■■��iv1��W ME= �■�■�■��■�■■■■i VGavg ■ I OMEN SENSE! I OWN ■t■■ ■■■■1 N I =11 cubic yards Boathous oat' iiY� ■ ■■■■■■■] ■ 01 I ■■■ ■■■■ ■ ■ ■1 ■®■■■■■■■� ■■■■ ■■■■■■ Isdlal 11■■■■■1 j�■�I�iil7�iina■■rlli■■ ■1 I■1lit■■■ I■ �!�M ■■■■�■■■■■I Beach Bulldozing Other ■■ �■ �� I�Mt■■S 04A■■ ■■'f■■■■■I 11 I■IM■■■!Fi■■ 01i■■ ■■,�■■■■I 11■M■■■■■■■ Shoreline Length I Op SAV: not sure yes no Moratorium: n/a yes no Photos: yes ® _ Waiver Attached: y61'M rfpl A building permit maybe required by: OC-VK.J =S L.E KVAC-µ ( Note Local Planning Jurisdiction) ❑ See note on back regarding River Basin rules. Notes/ Special Conditions O'er% 1--1 Zo`'::1 1, A" O TNrR LOCAL . S TA-m , A .Vt 1CV—D£7RAL- Arr!=y. Agent or Applicant Printe ame Signature ** Please read compliance statement on back of permit ** i'-zc)o # 38G9 Application Fee(s) Check # 'T�'d.cr IMC CUIILd-- PermitOfflcer's Pr' ted Name C Signature 4/24 2o19 6 29 -lig Issuing Date Expiration l5ate CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Own Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: ri 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 I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) Idof�wish to waive the 15' setback requirement. v I duo not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information Signature Sig ature T Le -von O'T Print or Type Name Print or Type Name w rna.ri,a h DZ Mailing Address Mailing Address Fnt-_r City/State2ip City/State/Zip 01 19- C031 (Pow Telephone Number Telephone Number 3-�-�q Date Date Revised 611812012 III II IIIIIn�.. r ■ Complete Items 1, 2, and 3. A. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. or on the front if space permits. Article Addressed to: Ai rpr) Levu McLGrn% ) 1 1 /\1gri'Gh �sr F&�ur 0(-11C� , NC .2j ;�y-21-133 111111111111111111111111111111111111111111111 9590 9402 4454 8248 7477 35 2. Article Number (Transfer from service label) PS Form 3811, July 2015 PSN 7530-02-000-9053 D. Is delivery address different from item 1? If YES, enter delivery address below: o'U Addressee Date of Delivery / ✓', ❑ Yes p No 3. Service Type ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered MaIlTm ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery El Signature Confirmation"' ❑ Insured Mail ❑ Signature Confirmation ❑ Insured Mail Restricted Delivery Restricted Delivery Domestic Return Receipt ADJACENT RIPARIAN PROPERTY OWN ER NER STATEMENT I hereby certify that I own property adjacent to Erne-5 n es property located at �/1� L 4edg 5 r_ /(Nam f Property Owner) _ (Address,LlleC�k, ggtc on CW ,CpN.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) ad c) ih o at I I`f'+ -� �x i s�- i C ,U L b1 lZ f' �� i 1��L� 0�1` WAIVER SECTION I 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 Ov�r Information) Sig ature a ne T� l-7 e n aM n! ling�10TS3(', .►UC City/st� ' q � 3 C) �3 � Tel ph re Number 39 Dale (Adjacent Property Owner Information) /h.S Print or Typ Va e .,. Mat ng Address City/state/Zi 9/d -575? -sa Telephone Number - 3 ,-//I Date (Revised 611812012) I c vJ lot e7roA�sC� Ty�s Yoe„�- d �P� c✓l 1 Date R-.1-d Date Deposited Check From Nama Name of Permit Holder Vendor Check Number Check amount Permit NumbenComments Receipt or Retund/Reall—ted Col—1 Column2 Column3 I',A Column) Column5 ColumM Column? Columns Col-9 1 I .bin T— 'Fir