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Home My WebLink About74337D - WootenXCAMA / ❑ DREDGE & FILL No. 74337 A B C <D GENERAL PERMIT Previous permit # 1+174oin " V XNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued :XL / 15/07 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 0 r7 N . 1 Z O O ff__ L n Rules attarhM Applicant Name CJ� W_11 nt- � 0 Cc s-v` Address :5 3 50uTN SNcPLE. CDR City .$okT"Pras:-r State A C ZIP ZS4i• Authorized Agent �(/KATTS N City -} �(��ti ZIP 2-9¢G Z Affected ElCW XEW �1 'PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: Project Location: County SgHj 5j lc-K Street Address/ State Road/ Lot #(s) oZ 'DGZ SW Phone # ('110) &2+0—Y4(02 E-Mail lc,-Vn«,ne woo4che4mcu1•,oAubdivision ORW: yes /� PNA yes /0 hone # (1q10) 8'C0 — 43TI River Basin I—W - Q Adj. Wtr. Body A (W W at /m /unkn) Closest Maj. Wtr. Body A I W W Pier (dock) length Fixed Platform(s) ■■■■■■■■■■■®■■■Iw■L1■■■■■■c ■1■w■�r�w�■■ a92111% c&■A■■ • — qlT■nA6 ■t•�i�ir��■!n�■■■■■«�r�za��■■ .�e��■�■�■■■■ �1■�s�w wow ■��11i�i/■�■■■■■l��V+!!■■■ ■®■■■■■■■■ ®n �� I.—.M.1 �iil1■�i■■■■■■arc R!Tiil■■■■ ■■■■■■■■■■■E mug 1 Weil ■■■■�i��■N%■■ir■■■■■■ ■■■■■■■■■■■ ►�">■■■EW■■■■"I■■■■■■■■■■ ■��!!�!!l�7r-''fir!■ ■■■ E 1■6cmE■■lm■■■■■■■■■■ iEN■■USINiai` - w c■wii �i�■■■i■iiw■ ■■■■■■■■■■■■■_ ■ ■■■`■Uw■■■:N■■■ER!i:3ECUM 10111ONEENEENE ■■■■■■■e■ ■■■■■nr�a■ ii■■w■■lrn■ ■■ra!'�1�'!!""7[�SII��S �11■■■ ■I �■■■■■■■■■■■■■■■i�iiiil■ ■NN■MEN■■■■■NIN■wn IN AE■NIMEN NwwERE " '� ■��i■pii■■■ :iwi ii ■c�■�-,��ii i■■� ■iii �ii • ■FG�'J■■■■■■■®■■■ ■� ■ir■■■■�'R1■■■■■■■■■� I■■ m ■■■■■■■■■■=��■■I■■■■■�lir■■■�1■■■'■■■11■ q l-► 'Mon Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # MC, GLA ` l y`LX�r 1}2E. Permit Officer's Printed ame C Signature z it 2 201q Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:) Mailing Address Phone Number: Email Address: 343yu+t� Shcre ��, rl he, * uj oof e-o I 6)c a'- ko I certify that I have authorized H5 Construction Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development. r e a, at my property located at in 11 j, County. I �s-fou, S U lZ I v J14 I 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: �" Signature �•� � F l� r r� � lK ��ti a E r� Print or Type Name uy etz-j Title Date This certification is valid through I i 2 ■ Complete items 1, 2, and 3. a I 4j ■ Print your name and address on tire f erse so that we can return the card to you. 1 A ■ Attach this card to the back of the mailpie6a, or on the front if space permits. 1. Arrti_cle^Addressed Cto.- alee �,A V nV S Z00 qo Sea Uj s, �'- � �)U-pj1�(Nc 3,646� lilllllllllNllliIIIIIIIINIIIIIIIIIIIIillllll 9590 9402 4454 8248 7531 87 A. Sig ature X 0 agent j T—O, ❑ Addressee B. Received by (Printed Name) C. Date of Wivery D. Is delivery address different from item 1? L7 Yes if YES, enter delivery address below. ❑ No 3. Service Type ❑ Adult Signature Priority Mail Express® ❑ Adult Signature Restricted Delivery 0 Registered Mall- q COMfied Mail® Die ered Mali Restricted d Certiried Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 5 Collect -on Delivery Restricted Delivery 0 Signature ConrmttationTm 7017 QZ9QItp�q�{�i,r'7 A1l�?!j.fMa" i r nResMctedoeWery �. WU t�frk��llQ�q`tii�l l ! rs Form 3811, July 2o15 PSN 7530-02-000-9053 Domestic Return Receipt ; DWISION OF COASTAL. MANAQEIENT ADJACENT RIPARIAN PROPERTY OWNER NOTWOIIONPN~ POW Name of Property Owner. Address of Property: 9 ` T (0 `--•' ( l (Lot or Street #, Street or Agent's Name#: 1-15 Construction (f pAddmss: Agent's phone #:..glUzVR-1381 2164 Holden Beach Rd. supply, MC 28462 I hereby certify that I own property adjacent to the above reh Irw0d property. The Individual applying for this permit has desoribed to me es t:hawn on the etched dralwktp„the development they are propo ft. I have no objections to this proposal. I have objections to this proposal. have objw tans to what is bah p within 14 days of rmmfpt of n9ton, NC, 204tlbW6. DOW 0~0rC"&WMW.ntM)tn Duld at+tt f 10 137 M0 Bch, u�t :01% 700-M . No rasp*"# IS WAIVER SECTION I understand that a pier, dock, mooring phings, breikWO*r, boathouse, Ilk or groin must be set back a minimum distance of 9 ti from my ores of riparian act unless waived by me. (If you wish to waive the setback, you must IgW the appropriate blw* slow.) I do wish to waive the t 6' setback requirement. I do not wish to waive the IV Setback requirement. (P Owner information) gnatwra /�aq_ e-r7'Qe,_--- 1 '0 4M Print or Tym News MWftAd*m 1, -�f_._; .+A4 .�= ,0 1 LC, - P� %lephone Number 513-6 Date (Adjacent Property Owner Information) Signature '7 PIN ; Tip Now 04 SLR Cr�v �i 25 3 og { r ^%fiad 1166012 USPS Tracking' FAQs > (https://www.usps.com/fags/uspstracking-fags.htm) Track Another Package + Tracking Number: 70170190000113 O Remove x Your item has been delivered the original sender at 11:26 m on June 13, 2019 in SUPPLY, NC 28462. Postal CERTIFIED MAILP) RECEIPT r-3 Domestic Mail Only G Delivered June 13, 2019 at 11:26 am n SUPp0, NC,�284b2 Delivered, To Original Sender ru certified Maid Fee a $.50 SUPPLY, NC 28462 & aes ��fea 04501 Get Updates n 0RW nFeCaAt(*jeAokj 11 $0-00 — Poster — e 4 ❑ Certified Ms11 RbaMMd D* ry s ___.� f .�. Here (PA' �1 � � o ( c, ❑A"3WstweReQWMd $ �= �� .. ❑AdWt ftnaWm R6W-ted Delhrory $ �'� • �� O Postage Q' $ $0.55 o $ ostagoan 85 05/22/2019 v Text 8t: Email Updates M sent, _ aR�W 1 o s;; � Q -,, o., §- — ,--�'�'C= ---------------' ?r ..� P.Tracking History P. S.Form 3800, April 205PSN 753aoa-ooaa2» — so., June 13, 2019, 11:26 am Delivered, To Original Sender SUPPLY, NC 28462 Your item has been delivered to the original sender at 11:26 am on June 13, 2019 in SUPPLY, NC 28462. June 12, 2019, 9:31 pm Departed USPS Regional Facility FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX June 12, 2019, 1:12 pm Arrived at USPS Regional Facility FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX PROJECT: 2846 Sea Vista Dr. CW A 4 --------- Date Received Date Da sited Check From(Name) Name of Permit Holder Vendor Check Number Check I Permit NumberlComments Receipt or Refund/Reallocated Columnl Column2 Column3 Column# Column5 Co1umn6 Co/umn7 Column6 Column9 7/3/2019 7/3/2019 H5 Construction/Matt Hon Katherine Wooten BB&T 2316 $ 200.00 GP #74337D TMc rct. 8760