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Home My WebLink About71825D - Vallas- CAMA / ❑ DREDGE & FILL No 71825 A B C D NERAL PERMIT Previous permit # Clew ❑Modification ❑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 AA O Rules attached. Applicant Name 0 L C Project Location: County �� ;UYi Address Street Address/ State Road/ Lot #(s City � � 1(� State_ ZIP �S� L' Phone # ( ) E-Mai (( Subdivision Authorized Agent City ZIP lY Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ORW: yes/7 no PNA yes(/ no Type of Project/ Activity 1 Pier Fixec Float Finge Groir BuW Basin Boat Boatl Bead Othe Shory SAV: Mora Photr Waiv A bu U Phone # ( ) River Basin IA- Adj. Wtr. Body r i n21 an unkn Closest Maj. Wtr. Body (Scale:1 =% ,ng Platform(s) ■■■■■■■■■■■■■pp■■■■I�■!l�■'L'�:I�i11t1�■■■■■■■i■�I■■ramp ■■P1■■■■■■■■ i length■ ■■■■■■■■■II■ '■■IMPHINOJ�ll■■ MEN number ■■■MOMMM ■■■■■■■■i■■iiii■iii■■■'�i�i■■■■00 ■■■NIT.i/�Q�■��■■■■■ �II��■■■■■■■■■■■■■■■■■■■■■■ ■■ �1! idud ORMON ■ ■III■■■MEN ■■■■■■■■■■■■■■■ cubic yards ■■�'�./1�■►�■■■■■N■' ■III■■■■■■■■■■■■■■■■■■■■■■ ramp ■■■R■■'JRI■■■■�J■■ ■III■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■1�■ ■Illi�'J■■■■■■■■■■■■■■■■■■■■PIN, LF 6�— El See note on back regarding River Basin rules. Agent or Appli t Pri ed lyame Signature ** Please read compliance statement on back of permit ** It An)y�37 Application Fee(s) Check # Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: S�C �t^/��%7 � ��. I- L Mailing Address: b 2 1 I` � n M tp C-4 - Phone Number: r l 9! bJ Finail Address: I certify that I have authorizedal( Ftrc Agent / Contractor to act on my behalf, for the purpose of applying for ano obtaining all LAMA permits necessary for the following Proposed �development: at my property located at in YUrLSw� COUnty. V a ! furthormore certify tnat ! em authorized to rant and do in fact rant Division of Coastal Management staff the Local Pern)if pff/cer and their agents to on the aforementioned lands in connection with ev&iudtin ipermit epp/Icallon, gents to enter g information related to this PrOPe4 Owner Information; Koo, /IQ Z ! ur ypp N', —C e)— �3/ �_ o� le - This certification is vatfd througt) Z0'd XYd IM29Y7 dH 96:OT 67150/ET n. 1•.. � • I .. .. � .... • . � ... ; ' -! ' • 1"; ' i, •' is ''"� .. � • !� � .... DIVISION OF COASTAL MANAGENENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVERFORM, Name of Individual Applying For Permit: 7—bee) D�'� �Gf� Address of Property: (Lot or Street #, Street or Road) n fsL (City and County) 1A J--,J w 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, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection U you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bck 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. ski Name J13 o��.� Print Name ll0 1'7f37�.6 Date RCDENR PAW WOUW pOM/RK.R'W (Mw110MM4ff M/O N1ryll,.y, Ai+ClM1C4 Telephone Number with Area Code S:\cama\shells\riparianproperty.frm DIVISION OF COASTAL MANAGEMENT enrer TZ\IT RTPARTAN PRnPFRTY OWNER NOTIFTCATION/WAIVERFORM Name of Individual Applying For Permit: Address of Property: '�-3 9 (Lot or Street #, Street or Road) . 0V2�V, 1�(—)q PJ-C- 3[roq , (City and County) 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, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection U. you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set bek 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 IS' setback requirement. �* I do not wish to waive the 15' setback requirement. Sign Name XA,-l/�R Print Name Date RCDENR*.. 1 G+•n11CM4Wf AMO W AU%A , AegQ AC4 Telephone Number with Area Code S:\cama\shells\riparianproperty-frm ■O■ ■mmummii sommaMo■ ■■■mmn■■ ■■mmm■m■ ■■■mm■■mar ■■m■■mm■mm■■mmm■ ■■mm■mm■Off ■■mm■MEMEN■EEMN■ ■MENNOMMEN ■ONNEMwwM■■MI ■NE■ IL ommsmommmm ■■■E■■■■■Ott■■■■■■■■��!■■ ■Ommmmmmmmm■■■■■mo■O'm■■ ■mmmmmmmmmmmmmmmmm■■Imm■ ■mm&Armmmmmmmmmm■mmMlmm■ ■mMztuum"mmmmmmmmmcQama ■M!lR7rANLtU21,2MMEM■ ■Molmm■ ■Isommumm■umm■wm■immm ■ �■mnscm�� ffamm■ MNIMM■ mwnmm ■MUMMMAJO&AMMM■l'MM■M■ iM ■mmmmwmmmmm■omm■■mmm■■■ ■■CC'4i/!■mwl)wr/pj■■ ■■■■■ ■■ ■msSim9mmmomMmdm■ ■mmmolm■ ■MmFmbmmMMMMMmammmMMM/!�a ■m■mmmmmmmmmmmm■umm�■IOM ■MMMMMMMMMMMMMM■MmmmmmmmmmmmmmmmERNA mmmmmmmmmmmmmmmu'ri '■■■■■■■■■■■■■■E E■ I ■■■■■■■■■■■■■MM ■M immmmmmmmmmmm■mM ■M SOMEONE ■omOom■ ■omm■o■ ■mmm■■n ■ommom■ ■oommus ■NNOMM■ ■mmmo■■ ■■ommm■ ■ommom■ ■ommoM■ ■EMM■M■ ME ■■ so i`r017s ■■ wf� ndmommosom momm■■■All■ rnmm■■EmNo E■■m■■mm■■ EMMMMEMONE wommm■ COMMON ■■■■m■ ■OMEN■ ■ommo■ ■mmom■ ■ ■ woman ■omM■ momm■ mo■'M■ ■OEM■ Mmom■ ■mmo■ MENEM MEMO■ ■omm■ m■■o■ ■E ■■ ■ M ■mm■ ■mmm ■mm■ ■mm■ ■■ ME ME ■■ ■ ■ ■ 0 �� e � � `� � � -i� is ~ � � � ��V ' � 8 9 2 3 3 R � � o' o'