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HomeMy WebLinkAbout76244D - Montesano&AMA / DREDGE & FILL ENERAL PERMIT Previous permit# A B C / New 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 15A NCAC _ Q 12 0 ® _ Rules attached. Applicant Name �, V T tZa$cti Men c$0.✓1a _ Project Location: County 1�r.,�S_.— Address (� 5�(t �+��4 F+�i�_��h_ _ Street Address/ State Road/ Lot #(s) City C� ✓ t7TG State NJ C ZIP 2 $ �- - - — l— Phone # (701) Wl ! 0 31— E-Mail Subdivision Authorized Agent City 1 1vtL-,x Gcz,-ck ZIP 2 h 62_ Affected --i CW � EW PTA ES PTS Phone # (. _ -__ ) _ River Basin - _OEA HHF IH UBA N/A AEC(s): Adj. Wtr. Body__ (nat_gLW nl<n) _ PWS: ORW: yes / P PNA yes 1,V , Closest Maj. Wtr. Body Type of Project/Activity (,ASkt It t) Gd`"ji 1-:L A--t- S;Ae _ al- cl,ock tn4.- 't�lC, tk," (Scale: ) Pier (dock) length___ _ _ _ Fixed Platform(s) Floating Platform(s) Finger pier(s) _ L Groin length ---- �� C ^� Q"i C0'/\0—k �--� number Bulkhead/ Riprap length avg distance offshore DVTki max distance offshor C Basin, channel cubic yards �a 4 Boat ramp Ftk t Boathous Boadift �--s" to v A,k l't Beach Bulldozing Other .78 Shoreline Length(i- P- SAv: not sure yes Moratorium: ri/a yes Q 1 Photos: yes L -� A `V L1 Waiver Attached: es no A building permit may be required by: �jOt•- .` o o` �, .� r,¢GcG� See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditionsg`��� Agent o icant Printed Name Signature "" Please read compliance statemert n back of permit" 20 o °o ZT e....r.�... ., c....,.� r-1_3. ra _ r-se"4111 — "-'� - - - Permit0 s Printed Name Signature rcc 6— F niratiott Date CAMA / -J DREDGE & FILL No. 76244 A B C Q GENERAL PERMIT Previous permit# IANew uModification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality '� Jf and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ��n • ' ZOO ❑ Rules attached. Applicant Name Address h, 5 2 City C.1,1' 4+4C State_ NJC ZIP 2 B z}g Phone # (]oj) L)9 ( U -4( E-Mail Authorized Agent Affected ❑ CW N EW Q PTA ❑ ES ❑ PTS AEC(s): EJ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / K � PNA yes Project Location: County 1, f„n S,, , L1L Street Address/ State Road/ Lot #(s) Q '� - 1 1/. Subdivision City F I,1 J_c r C k zip 2 h L,2 Phone # ( ) River Basin ID, ✓ Adj. Wtr. Bod(natdnJ=)/unkn) Closest Maj. Wtr. Body Type of Project/ Activity (,i ; f , l I /1 c w Lei c,+ If J- T n m h d . { S , ,\ O + cA Oc. k � nrTS Pier Fixe Float Fing Groi Bulk Basin Boat Boat Beac Oth Shor SAV: Moff Phot n■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■� ng Platform(s) 11■■■■■■■■■■■■i■■■■■■■■■■■■■■■■■■■■■■\■■■ r pier(s) 1 ■■�■■■■■■■■■■■!!■■■ ■■■■■■■■■■■■■■■■■■■ , length number �1 10 ■■■■■■■■■■■!�■r���■r�a�■■■..��■■■■■■■■■■■■ ■■■■■■■rill■`7■irr■i■■■■■■■■■■■■■■■■■■■■■ 1 ■■■■■■■■■■■r�■1�►�i■■■■■■■■•■■■■■■■■■■■■■■ 11 ■■■■■■■■■■■L■UMMIMME■■r'OA Fib ■■■■■■■■ii■■■ 1 ■■■■■■■■■■■!A ■■■■■■■ ■.1� ■■■■■■■■■■■■■■■ cubic yards Gam.■■■■����■��■1��■■■�.�.�. ■■■■■■■■■■■■■■■ ramp ■.■■■■■■■�■■■■■H■■■�r■■■■■■■■■■■■■■■■■■ 11R � ■liar■■ ■■■ ■■■■■■■■■l� ■�\■ \i■�■■■� ■lil�■ ■■■■■■■■■■■�■■■■■■■■■■ I :Bulld:ozing—' not sure i H�■�lf�� ■■■■■■��11� +1■■■�■■■ ■■i� ■■■■c■■■MEN yes ■■■■■■■■■■■■i■■■■■■■■■■■■■■■■11■■■!�■■■■■ yes Waiv !V! —� A building permit mayZrequired by: I <>u'f o� d,c .� \� C1(� ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions r z E "A l , (1 �" . \ � � �•�� � o L 1 n, � � �� � � \ , � _' re�� /-)-774r6LQ-_P Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** „ U Applicati n Fee(s) Check # Permk�s Printed Name l \ , L_ ::Z— L_ Signature li(662D C-) Issuingbal E pira on Date ),Qry ZY��, � LM � 4 �l I a � -��I -ll iT/1Nr/ -D ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L Js l (Name of Property Owner oraperty located atAO �-� 1 6� on ��� CZ (Address, Lot, Block, Road, etc.) in —u o U tM C5 =0 11 (' V AIS WIC N.G. (Waterbody) (City/Town dfoa r County) The applicant has described to me, 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 understand `hat a pier, dock, 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 :he setback you must initial the appropriate blank below. ✓ I do wish to waive. the 15' setback requirement. do not wish to waive the 15' setback requirement. (Pr n Owner Information) (Adjacent Prope Owner Information) lure Si nature 0r�r� or Type Name Print or Type hkame ,1 �b53aL fVjitsoC�F,9, -r''� IC� [uNA �URlue_ti4C`6r)\. Lfilm�gr4ddr o ��•J eA Cdwstatelz' cityiStatelzllp ?dC1 eoQ t�'I ?3-At qaS -0oo9 9iagq- oc�Ljol Telephone Number Telephone ,'Vumber Date -safe (Rewsed 6118/2012) ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mallpiece, or on the front if space permits. 1. Article Addressed to: Q4/-�-fit cs�cv'/f t��'lJ �� u1lo VG A. Sig re Agent X ❑ Addressee BY. Received by (Printed Name)%valeof Dell-�Iy D. Is dellvery address different from itan 1?0 Yes If YES, enter delivery address below. ❑ No 7c/, 23 3. Service Type O Priority Mai 6cpressZ 111111111111111111111111111UI I111111111111111 . Adult Signature ❑ Adult Signature Restricted Delivery Ei Registered Mail ❑RRegistered Mail estrictec 9590 9402 5224 9122 8250 28 ❑ Certified Mail® ❑ Certified Mai Restricted Delivery Delivery ❑ Return Receipt for Merchandise — - ❑ Collect on Delivery n Delivery Restricted Delivery Signature Con&matlonTM _. �.... ... -- —.-.❑ �„- 7 019 2970 0001 2871 5863 Aail ail Restricted Delivery Signature Confrrnatio m Restricted Delivery (overy500) PS Form 3811, July 2015 PSN 7530-024)00-9053 Domestic Return Receipt Dab RacNv d Deb Check From Name Name o7 P.n ft Holder Vend- Check Number Check ount Permit Number/Comment Receipt w RO—Weellocated C*k—i Cohmuk2 Cohm n3 ColumM Columm6 CokumM Cqk m 7 CoNmrM Cok~9 3/13/2020 Luigi Montesano ---same Wells Fargo _ 2287 $ 200.00 GP #76244D BB rct 11470 3/13/2020 Southern NC Marine LLC Jonathan Burkley First Bank 1272 $ 200.00 GP #74809D PA rot 9739