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HomeMy WebLinkAbout74397D - Koon*1CAMA / DREDGE & FILL No. 74397 A B C Q GENERAL PERMIT Previous permit # ANew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 1, '' `` and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �� M - I to V Rules attached. Applicant Name c)^ Project Location: County Address o `` Street Address/ State Road/ Lot #(s) L o V � City I � State.`C ZIP o� ,(y J—I Phone # ( ( E-(Mail tt Subdivision Authorized Agent Uhtt./r fL ,—, City R ok d,.. Q Cam.. in ZIP Affected ❑ Cw ❑ EW ❑ PTA ?QES )6 PTS A, --Phone # ff l RiverBasin (-.A,. b AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Bodil�man /unkn) ❑ PWS:\k/ W �-, � Closest Maj. Win Body ORW: yes k PNA yes /I ■��■■■■■■■■■�.���■■■■■■■ a ■■■ ONE; ■■N ■�' �■■■■■■■f V/fir ■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■r�lanlilFi�i�/�■ilk■ ■■.��l2�� ■■■■w■■■■■■■■■■ ■�w■■�r 1 e•■■�■ ■■■■w■w■■ ■■■■■■■■■■■■■■■ ■■iim ■o &MMO■N ■■■■■■■■■ ■■■■■■■■■■■■■■■ ■MEMO mom ■■■■ ■■■ ■■■■■■■■■■■■■ Agent or Applicant Printea ivame Sight "Please read compliance statement on back of permit * � "a Applica n Fee(s) Check # TC�Jyi1CV11� C�1� 11 C �� Signature )LV1 6nFL6 2 azo Issuing Dat ExAirabon Date -Ilzeail Zawel"C,� ro nj Ln Ln U.S. Postal Service'M CERTIFIED MAIL° RECEIPT Domestic Mail Only HUWSVILLE, MD 24.1637 ified Mail Fee $3. II I ❑ Retum Receipt C3 ❑ Retum ReceiPt (electronic) $ ':3 ❑ Certified Mall Restricted Delivery $ ,tit i r i i [:3 ❑ Adult Signature Required ❑Adult Signature Restricted Delivery $ Postmark Here C3 Postage IO $ -0 Total Postage and Fees i i j /2i j (jy( j O a0.8. Se 0 S r-q ------------ O N , 0 0 Box No. ----------------------- � �eei�_ rr DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED 1 hereby certify that I own property adjacent to , K.D o s (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on ��z in P N.C. (Waterbody) (City/Town and/or County) Agent's Name #: A. g, no 40 Mailing Address: 20 ! I -�F7 k Agent's phone #: Q/ 0 0 8 7 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) VL S A I Cos 7Lr__'Yl0�-�eC,r-e— If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http://www.nccoastaimana_qement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. opert w ation) st=ature zi�w7. /0*1 /-� t-- Print or Type Name Mailing Address 'T City//S t Ziip {� IDcY Telephone Number/ Email Address an Property Owner Information) ) 0AJ/,,,-> C b✓11 or Type Name Mailing Address s fF , xv. C. 71!�5 tf2-J6 City/State/Zip Telephone Number/Em it Address I,. Date Date (Revised: Aug. 2014) AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Marne -of Property Owner Requesting Permit: 0 Mailing Address: Phone Number: Email Address: I certify that I have authorized Agent / Contractor to act on my behalf; for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:jS I I e, I v►-. e �,, 0 -� yn v Cop CyrJks at my property located at Q 1 L4 J „ . 1 � I inru Vow�CCounty. l 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: Signature Faso ►� Koo ►-.. Print or Type Name Title I / ;' o /& C)_ Date This certification is valid through ( / A 0 / &a A l U.S. Postal Servic�'M CERTIFIED i41A1L° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com �1 "l7Y ao a i�4`_r9 fL Certified Mail Fee $3 .51I qq Q0,V' ) Ate -)a► d 1"1 "S-V" it "1 r` Extra Services&Fees(cnecxbox, add reeesJ. � Retum Receipt ltrardcopfA $ 7�1 111 Postmark d'acent Pr ert Owner i3 ❑ Return Receipt(electrmic) <il larl Here I U 1 Cc+ Do k2, O Cw�ed M t m Required Del very $ 0 O �Adutt Signature Required $ t1—�,!. �!� =Vill-e-lmt) p Adult Signature Restricted DalWery $o?olp3 7 C3 Postage $1.15 iil/ii2/2020 City, Ate, Zip Code O Total Postageand FgesbS s cE) Sent To at andpt -------- p $treANo., or i' Box No. ---------------------------------------- Dear Adjacent Property: cdi s�ia, ziP+a• This letter is to inform you that Ibsoyi 'r f SYA have applied for a CAMA Minor 'Property Owner I,1 Permit on my property at 67 �vD� (-(�-h� w d in Brunswick County Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at q (d - M a, - coq 1 3 C ,or by Ill at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit them to: Rhonda Wooten Local Permit Officer for Town of Holden Beach 110 Rothschild Street Holden Beach, NC 28462 Sincerely, (1111mo i l Mkjsso , kook, Property Owner -70�1 Srno1 1J1V,0J V Mailing Address cm ococ f City, State, Zip Code Postal Service'" 4TIFIFn MAIL° RE.CEIF iaao toflfj�yi t"Co Dik IY)L Adjacent Property 0 ner IP�O�c 3 AVA dress ir, City, State, Zip Code Dear Adjacent Property: This letter is to inform you that I Domestic For =deliveryMail Only For delivery information, visit our website at www.usps.com`. fl_I Certified Mail Fee s �SrI i 1459 o $ a.• - 99 i` Extra Services & Fees (check box, add /eelp?PPgrp�etel ❑ Retum Reeelpt OwdcoPY) $ �1 • .•• ❑ Retum RWWPt (electronic) s I I ►11 I Postmark 0 ❑Certified Mail Restricted Delivery $ $11 .00 Here ED ❑ Adult Signature Required ❑ Adult Signature Restricted DelNeri $ cc (Postage $1.15 g Ili /02/2020 Total Postage and f4es6c ■S Sent To ----------------------------------- ----------------------------------------------------------------- PS Form 3800 April 2015 PSN 7530-0241 04� See Reverse for Instruction! ` 'Property Owner Permit on my property at V —1 w d in Brunswick County Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or )ail comments about my proposed project, please contact me at &I 10 A`� a` • �q I 3 ,or by at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit them to: Rhonda Wooten Local Permit Officer for Town of Holden Beach 110 Rothschild Street Hoiden Beach, NC 28462 Sincerely, 1\11c6oyi I MIL Q issue kook Property Owner 7 D� S MCI) W ku—t V W-0 Mailing Address City, Stale, Zip Code Date Recefv d Date Deposited Check From Name Name of Pe —It Holler Verrdw Check Akw*w Check amount Permit N—b—rommanta Receipt or Ref— R oallocated Columnt Colomnl CoMm3 coke,.# Cok—B CokNww CaMam7 CW_u_m_n_a_ 001pmn9 7/42GX0 . _ _ 2:{%A2D 7/d/N2B Caro - Cnfln_ h- ;Jaam Koon _ � HS Comtrrxoon, LLC _ _ _ 'Loos Patrrlb - ��T ura Marirro �WilliamP B%T BBIT _. - �36 �OO.QO (aP I%�%D y' BB tcl. 881 _ OP p�.9B80 _ _ ;BB rc1 BBt3 'JD rc[ 10957 _ _ iMt 100.00