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Home My WebLink About74869D - Pigeon1CAMA /-7 DREDGE & FILL NO. 74869 A B C GENERAL PERMIT Previous permit # XNevv 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 Q 7 H . 2c O U p I [,Ic V i pR0 Rf R IC_5 i. L C `' El Rules attached. Applicant Name c/,, I NoN^� A&L'10SJN 1Aacigr-s Project Location: County /v E�1 0A .-Juy-f 1;_> Address ;Z0I(o fZEANrV RD City LAY r L_ A tJq State F L zIP7$O3 Phone #(?b7) (D¢o- 2-913 E-Mail{neIser , hLA tine_5_B k"I / cam . Authorized Agent 5 I N N1Y ORTA ❑ CW )(EW )(PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /� PNA yes / Street Address/ State Road/ Lot #(s) V"Z AVAI 1 c K 9 I,vn Subdivision 4 /A City W R-t <1V--tTSV ILLX 13-F,6cEI ZIP 2 g4-90 Phone # (JL0_) Z 7 I - Ysf 4 River Basin G41l i -w GA K Adj. Wtr. Body 9�,i KS C NA,4 FL nat nkn) Closest Maj. Wtr. Body A I W W UR ■■■■■■■■■� ■■■ Ci■�■■■■■■■■■■■■■■■ ` ■ �� =11 ■■■ ■I ■TWME■■■■■■ ■■■■E■■■ ■ N■■■■■■■■� ■■■■■■■■■. _� = =' ■■■ �I: i ��,■li.■■■■■■■!ems/■■■ ■■■■■!:7!!l. VMM1■■11I ■■■ i�1:nr1<J■■■■■■■■■■■■ILA■■■ 000 ■ son IMMEMEMMOREMEMMUME ME ■■■■■■■■■■■■■■■■i� ■ ail■■■■!■■■■■■■■■■■■■ ■■■■■■■■■■■ 'm IMMEMOMME MENIMEN ME ■■■■■■■■■■■■■�■■■■■■EMS■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■ ■■■■■■■■■��■■■■■■■■■■■■■■■ IMMOMME■■■■� IN ■P-.pA-0 ■■■■OBE■■ :EE ■.■■■■■ ■.■■■_®■■ ■■■■■■ ■■■■■■■■.■■ OMEN■■■ ■■■�._:::■■■ ■ME Agent or Applicant Printed Na&ne ^ Signature "Please read compliance statement on back of permit . Z oo :F� Z32-1 8 Application Fee(s) Check # '\t_ Mc G(A1e� PermitOfcer's Prin Name Signature 2-lI - /ZO C��I Z �Zo Issuing Date Expiration Date � O C -b I joy A.34ry L OH Name of Property Owner Requesting Permit: ,` - o wa s, L LC r4Iw.a s e Cso i4L..d.sltiW. . Mailing Address: 4eA- hone Number: b 3 - {� K a "5,- C3 CL 338,:53 l- a - C.- 8 13 E Email Address: - vie 1 s a,� �.4,,` kt 5Z & " I certify that I have authorized r +C,, Agent 1 Contra,:_ inina all 1 oc---;wo�k at my property located at a- ° a S , Lv.w:. vN a- ve- in eQ ko-ooy+tr County. l furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to ente on the aforementioned lands in connection with evaluating information related to this permit application. Property owner Information: Ige- 4- Signature a-1-14u �-1 i,t S �'; �j a� PiapQr-�-: L Print or Type Name Title Date This certification is valid through o t ! r3-`t I a 0 £/£ " LLV9988-Jt/£%e-6sw=ldwlsR"OAfgg"Mp ll( 91ATZB=M!i0/n/I!ew/woo-a16006.1!ew//:sdpy I hereby certify that I own property adjacent to O 2 me 5 / " . L �R 's Naof Property Owner) Property located at . 0 :2- n , c- L (Address, Lot, Block, Road, etc.) _ on I �g � �� t �� H �..z_ l , in 1,-a, , � s�� lit %'�� , . N.G. (Wady) (CitylTown andlor County) The apqficant has 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 aifach a site drawing) sew 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. (Property Owner Information) (Adjacent Properly Owner information) Si a Signcthve c-,.-7) �� r/� Print or we Name . . Print or TypeAame Marling Address 73 cftyllstataop Telephone Number �0 ., Marling N fj�„� dl P Guyl&awzipLj�' LAA(1,,11 Date .(Pbvised 61&20f2) . � . — •F. PeegMln4 - pwE) r OZOZ/L L/ L ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to � 0 2 's (Name of Prooertv Owner) property located at on t. )a N �<< - Ci: (Waterbody) L ress, Lot, Block, Road, etc.) , : lit s ;'le l� N.C. (City/Town and/or County) 7n� =on me, as shown below, the development proposed at the above location. noto 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, dodo, 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 rWrnuatinitial the appropriate blank below.) I do wish to waive the 15' setback requirement. b r'` - do not wish to waive the 16 setback requirement. (Property Owner Information) (/� / � � �� V— Print or Tvpe Name Mailing Address /,J �y / Av� ��.� f n� Ci0stata0p �/D= .�3/- Telephone Number Date (Adjacent Property Owner information) Si \�• Print or�yp^e Nantes Maging,Aodrms CityMata0p v° k o Telephoryg Number Date (Revised 6✓1 tt2012) D.ft R-O d DO. DOW~ Check From amo Name or Permit Holder Vendor Cho* kkntlr nlllofnR Pennif Numbw1comments R or Rerund/Realloeatd cm. ml Cok~2 Column) CW-4 Column6 cok m7 columns Cokrmn9 2/13/2020 Christopher Connaway Jane Davis James Summey, III Pigeon Properties, LLC PNC Bank First Citizens Bank Wells Fargo 2094 $ 400.00 GP 973575D GP #74879D JD rct 10962 2/13/2020 Allied Marine Contractors LLC 8697 S 400.00 JD rot 10828 2/13/2020 _ Coastal Marine Piers Bulkheads LLC 23218 200.00 GP #74869D TMc rct. 9757