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Home My WebLink About76252D - Davis�1 X CAMA / ❑ DREDGE & FILL GENERAL PERMIT XNew ❑Modification ❑Complete Reissue El Partial Reissue No. 76252 Previous permit # A B C O 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 o% H • 2-000 ❑ Rules attached. Applicant Name CNAuiE 4 S . CC F_) DA V 15 Project Location: County /v1;a i A,1OVETZ- Address Z-O 9 .5 . Ct1 A NA/ E t. D� . City PIZ% - cA StateLIJ C -ZIP 284J?o 1 �+ Phone # (910) 25(v - 2-4r E-Mail iA Authorized Agent Affected CW XEW )(PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IN ❑ UBA ❑ N/A ❑ PWS: ORW: yes /%� PNA yes no Street Address/ State Road/ Lot #(s) to Subdivision City ZIP Ac-,r- N-rPhone # (910 ) 2J1 - 9514 River Basin WW= OAK McrCTS C-NA.JA/F_` na Adj. Wtr. Body 'B4 n! KS man /unkn) Closest Maj. Wtr. Body A Iw w • Pier (dock) length Fixed Platform(s) Finger pier(s) Groin length ■■■■■■■■■�%■■■■■■■■■■■■■■■■ 7■■■■■■■■■■■ number ■■■■■■■■mow■a■ ®�w■■� ■■11■ ■■■■■■��■■■■■■■■■■■ Bulkhead/ Riprap length ■■■■■■■II ■■■■■ ■■ ��■■ [E� l,l i�l ��i■■■%■■■■■■■■■■■ avg distance offshore ■■■■■■■I ■■■■■ ■I ■ ■%1 E7 7■■■��■■�J�■■A■■■■ max distance offshore ■■■■■■■j■■■■■■■■■■��:��■■■■r�■■■■■■■■■■■■ Basin, channel cubic yards ■■■■■■■\�■■■■■■■ ■ ■■■■■�'■��■■■■ J■■■■■■■■■■ Boat ramp Boathouse/ Boatlift Beach Bulldozing ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Agent or Applicant Printed Name f Signature , **'Olease read compliance statement on back of permit :9200 -W- 2-3 2 4,Cs Application Fee(s) Check # W AC &,. , r'� Permit Officer's Printed ame c Signature 115 12.0 Issuing Date Expiration bate AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:-,; c ( 2AYIS, Mailing Address: Phone Number: Email Address: I certify that I have authorized qio '�2s6 - � q s I Agent / to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ocIc- at my property located at v S - �' G� c,,� ,,e. l' I` J r. , in /\J County. 1 furthermore certify that l 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: J dJ k d Signature C. f�7- F)AV(s Print or Type Name c'64�5 �e- Title — / 4- / Date This certification is valid through ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at Rd (Address, Lot, Block, Road, etc. on Il� �l s i;�C�r.: , c, i , in 0(', � 0 -' 11 e- 1 s c-A , N.C. (Waterbody) (City/Town and/or County) zr nthas described tome, 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 proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 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. (Properly Owner Information) �(e4,'O Print or Type Name l -� /c//' )ri�- -1; Ile wP. Mailing Address GJ;/M /U,0. � Y'/v awstateop Telephone Number / /2v//*X o Date (Adjacent Property Owner Information) i✓� Telep q�►�� urn r Date (Revised 611 &2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1� u c I o 5 C F YA E 4 PM i (Na a of PropertyOwner) property located at — (Address, Lot, Block, Road, etc.) on H.W s %� �� in US AQ3 N.C. (Waterbody GRAI NCEg` c�,�� (City/Town andlor County) The applicant has described tome, as shown below, the development proposed at the above location. 141 1 have no objection to this proposal_ I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 5Pr (, A-X WAIVER SECTIW4 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me_ (if you wish to waive the setback, you must initial the appropriate blank below) v' I do wish to waive the 15' setback requirement. I do not wish to waive the IS setback requirement (Property Owner Information) '� Si e_ Print or Type N e Mailing Address IU. t'_ _2 SJ6 3 city/statazp Telephone Number l Owner Information) Print or Type Name ��115 5 CrYA00f) �� a�q (Revised-611 WO12) S Sj mo if S C'6,),vC-f 3 L Ile_ /3 <--C� C 1 s Dm Rac h d Dais Check Ftwn Name of P~ Molder Vendor Chock Numbw Check aunf Permlf NumbsNCommanta Receipt ar RefundlReafbcated col —I cwumn2 COA-3 colum w C k-5 cwumne column? C01-8 columns 3/6/2020 3/6/2020 PFI Construction LLC Adam Winstead & Diane Thomas Navy Federal CU 7031 $ 200.00 GP i76102D _ _ GP #762531) _ JD rct. 10380 TMc rct. 9774 TMc rct. 9772 TMc rct. 9767 _ Logan Marine, LLC Michael & Kathleen Lashlee Coming Federal CU 6871 $ 200.00 3/6/2020 Coastal Marine Piers Bulkheads LLC Charles E Davis Wells Fa o 23246 $ 200.00 GP #76252D _ 3/6/2020 Overbeck Marine ConstJDaniel Shi Sea Diamond Pier, Inc. / Mike Cox Su�Trust 5310 $ 200.00 GP #76294D 3/62020 Triton ContractiServices, LLC E Trust Go Robert Green Branch Banki and Tnrst 1134E 600.00 GP #76120D JD rct 10381 3/62020 Overbeck Marine ConstJDaniel ShirleyJoe & Patricia Green ISunTrust 1 5312E 200.00 IGP#76254D TMc rct. 9775