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�
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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
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Issuing Date Expiration Date
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AGENT AUTHORtZAT" FOR CAM ffSMU 4PPUCApON
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Name of Property Owner Regoesting Permit
W O c
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Main Address: > b
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Phone Number: 7D
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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•
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Print or Type Name
Titre
Dab
This certificSttion is valid through
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$ reejta-�-
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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
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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
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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
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Richard Penny ConsWction, LLC
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1156
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AMW Docks and Marine Construction LLC
Stephen Hildebrand
BBBT
5745
$ 200.00
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AMW Docks and Marine Construction LLCJamison
Austin
BUT
5746
$ 200.00
GP €/4506D
3/172020
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JerryEnnett cto Ennett Marine Constru
Bets Williams
Coastal Bank and Trust
2773
$ 200.00
GP 976268D
Ben rct. 10401
3/172020
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John & Estela Bauer
John Bauer
Bank of America
3052
$ 200.00
GP #76267D
JD rct. 10388
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First Citizens Bank
8782
200.00
GP #74864D
JD rct. 10830