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
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Agent or Applicant Printea ivame
Sight "Please read compliance statement on back of permit * �
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Applica n Fee(s) Check #
TC�Jyi1CV11� C�1� 11 C ��
Signature
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Issuing Dat ExAirabon Date
-Ilzeail Zawel"C,�
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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
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O N , 0 0 Box No. -----------------------
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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.
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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
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cE) Sent To
at andpt
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p $treANo., or i' Box No.
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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
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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
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