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HomeMy WebLinkAbout74327D - HildebrandICAMA / ❑ DREDGE & FILL No. 74327 A B C GENERAL PERMIT Previous permit # 0New "Modification El Complete Reissue [-]Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality D7 I J , 1+ 2 C) o and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC j' ❑ Rules attached. Applicant Name S �tt O hI �� "� �� Project Location: County_ 91-^ f < <, t<— Address R2 U 6cyo-% S h •'C 1r, Street Address/ State Road/ L t #(s) 1 (Qj 5 City 4A,,6�L, sy ,\fie Stater ZIP 'ZqO qg9 ,�,•� 5 . Phone #) ` Mail h CdkWity, Subdivision Authorized Agent I'- lNe S 9�"; l— ❑ Cw Y%W A ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / fo PNA yes / Phone # zip 2- River Basin Lv %- 6-q- -- Adj. Wtr. Body l a ^ 11. t (na (rip /unkn) Closest Maj. Wtr. Body Q ( w� WA • y MIRE AN ■■■ ■■■■■■■■■ ■■■■■■■■■�■■■ - IMMEMMIEL IEEE■�I■MMMi�.�■■r��l■��■■■■■■■■■■■■■■■■■■■ RIVULWOKIKERMKRIUM M. ■■■■■■■ Ir�iia��IrL■■■■■■■■ ■■■■M■■■■■■■■ ■■■■■■■■MILMM■LE KI ■■MMEMMM■M■M■■E■EME■ ■�ME■MEM M ii�MN ■MIM1'T.WU■■■■■■■■■■■■■■■ ■■■■■■■■■■M1' QEE W ■■ENNM■■■■■.WMME■■■■■■■ MOM■WEMM■M ■■MEMO■■■ MOM■EMM■■MM ■■M■■OMMEMEMM■■■M■■■■■OM mmmm■■■■■■■■NIM■■m■M■■■■■■■■O■■■■■■ffWMjMM1 JJ111111W2,%JJEJJMW0PJwAJXM MEN WFOIDWUMMU ■■■■■■■■■■■�■■MEMO■■■■■■■MM■■M■■■■■■O s■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■O■■ MM■■ ■■■■■ M■■ M MWV M M A���sr Agent pv p scan me l,Name Signature* Please read compliance statement on back of permit Application Fee(s) Check # Permit9f+ce s N me Signature ')-0-aoao Issuing Date Expiration Date I . a 613 ".0 C-O( Z/Zb/ZUZU I/"1yWl/ZOV90/b/MeZl/JP9 AGENT AUTHORtZAT" FOR CAM ffSMU 4PPUCApON U Name of Property Owner Regoesting Permit W O c N g 26a3 t� vo�6��rt� r H M Main Address: > b a€0Y' w Z o Phone Number: 7D �i � a Emil Address: A6 Lc/c , hr`o9,d tw L,SSAdt.�C"�a,'t.cw+r cc S- l A.'W.ocX5 / 1 0 mortify that i have authorize cY �-U to act on my behalf, for the purpose of applying for and obtaining all CAMcAAper_mitts necessary for the following proposed devebpment: at my property located at / in�County. i furthermore certify that / am authorized to grant, arad do in tad grant permission to Civrsion of Coastal Management staff, the Local Permit Ofiaer and their agents to enter on the aforementioned lands in connection with evaluating information related to this pannit application. Property Ownu Information: —Z- �4nat" re z• B Print or Type Name Titre Dab This certificSttion is valid through hMnr/lm�il nnnnlc nnm/mail/u In/4Einhnv9nrnior4nr_'I 4N 1 U/1fi/1U1 y USNS.cornig, UsP S I rackingO Kesults CERTIFIED I7.A'.!-*RECEIPT 0 Doll7estic Mail • U1 site !• ® M1 information.� .. •. . � � • sue' USPS Tracking Certified Mal Fec _ [xtra Sorvic�e 1k Foes (chock tw.r, Qud $ reejta-�- re) Rc urn Ruccipt (hadcopy)_�r'l ❑ Return Roeoipt (electronic) ii C3 Certified Mali RG,%tricted Delivery $ t - OU PoHstemrea Adult 8ignaturc Requiod $ti4:z A } 0 Adult Sbrwturo Rastnctod Delivery $VO p Postage W.$5 ti OT Postage andgRsevC 1�9.'S11I20� 9/ Track Another Package -cc $soV 9 O�� C3 WA;-- �- ra B'O1 ^.0 ---------------------------------------------- ryfi 11 CD CD a a Tracking Number: 70180680000146627459 Remove >9- Your item was delivered to an individual at the address at 10:22 am on October 4, 2019 in MORGANTON, NC 28655. GV Delivered October 4, 2019 at 10:22 am Delivered, Left with Individual MORGANTON. NC; ,98655 -------------------- U GERTIFIEO MAI • ETUR ECE T E ESTED DIVISION OF COAST/►LE NTIONANA�R FORM ADJACENT RIPARIAN PROPERTY OWN NOT FICA Name of Property Owner: ti CIE-i4 07 Address of Property: & County) ' (lot of Street #. Street or Road. City j�' Agent's Name Mailing Address: �•/ Agent's phone #: �/ .3 •�Y�� ate' The individual 1 own property adjacent to the above referenced property.development I hereby certify that permit has described to me as shown on the attached drawMg_ applying for this b i di they are pr sing. A A I have no objections to this proposal. I have objections to this proposal. the Dlvlsionofl �negement �� if you have objscdo" to what is being posed, ; must r Conotffy ation for DCIA offices is (DC" in writing within 10 days of reoW of this notice- ta tact infonrt caUing '14ge.4RCOAST. t.netl+ve a istino Mail. avalkwe at ✓ • ' n ' s m's"- n H u have been notfAed b Ce p No res nse is considered the same as no ob echo WAIVER SECTION boathouse, or lift must 1 understand that a pier, dock' mooring pilings, boat ramp, breakwater, b me. (if be set back a minimum distance of 15' from my area of riparian access unless waived y you wish t waive the setback, you musunW the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 16 setback requirement. �r Lcr'C6rA� or Type Name v3 , vv ��� � w Mailing Address 0 �� City/StateIZV Telephone Number/ Ema# Address Dare (Riparian Property Owner Information) l� Signature Print or Type ame y - &0- A 6/ Mailing Address City/State/Zlp y Tele hone Number! Email Address Date (RlDvtaec4 ►dg? 20140 DCPv1'!V1L1V1NGTON, NC MAR 0 9 2020 Date Received Dafe fed Cheek F Name of P.n if Holder Vend- Check Number Check ounf P—If NumbwlCommenfe R f a Refund/Reell—fed' Col —I Co9umn2 C."..3 ColumM Column5 Column6 _ coke r Colum"8 Cdumn9 3/17/2020 3/17/2020 3/17/2020 Carolina Marine Construction, Inc. ' Debbie Gasser Henry and Paula Paula HenryPaula_ First Bank _. Wells Fargo Na Federal Cu 12534 $ 600.00 8549 $ 200.00 GP 074754D GP 07626M GP $76125D GP #743271) _ ___ PA rct. 9734 JD rct. 10402 PA mt. 9738 BB rct. 10913 _ BB rct. 10912 3/172020 3/172020 3/172020 Richard Penny ConsWction, LLC Stephen Edgerton_ 1156 $ 200.00 3/172020 3/172020 AMW Docks and Marine Construction LLC Stephen Hildebrand BBBT 5745 $ 200.00 3/17/2020 3/172020 AMW Docks and Marine Construction LLCJamison Austin BUT 5746 $ 200.00 GP €/4506D 3/172020 3/172020 JerryEnnett cto Ennett Marine Constru Bets Williams Coastal Bank and Trust 2773 $ 200.00 GP 976268D Ben rct. 10401 3/172020 3/172020 John & Estela Bauer John Bauer Bank of America 3052 $ 200.00 GP #76267D JD rct. 10388 3/172020 3/17/2020 Allied Marine Contractors LLC Larry Melton First Citizens Bank 8782 200.00 GP #74864D JD rct. 10830