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Home My WebLink About71854D - Crook❑CAMA / ❑ DREDGE & FILL No 71 854 GENERAL PERMIT Previous permit# 6;�DNew A B ❑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 NCACI0 e I J JK�' Rules attached. Applicant NameProject Location: County �' _ (NVp/� _ Address `V 1 ` Street Address/ State Road/ Lot #(s) City Uk I 1r`-,{� _r% State I ZIP �` LI �Q`"� 1 ` _1 lPhone #�) l SE -Mail Subdivision " Authorized Agent 6L Q City ZIP OIL l Y Affected ❑ CW LAW 'kPTA �S ❑ PTS Phone #� 1 D) S3� i River B in L Affecte ❑ OIIcA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body 1 U l ❑ PWS. a m unkn ORW: yes /. no PNA yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier i Fixec Float Finge Groh Bulkl Basin Boat Boatl Beac Othe Shore SAV: Mora Phoo waiv 1---L. U q (Scale: I ) =. _ ��■■■■■■■■■■■■�!■■�■■its■■■■■■■■■■�nr�z■■■■■ea ■■■■■■■■■■■■■If�i'I�r■■■■■■■■■■■■■■■■■■■■■■ avg distance offshore— ■■■■■■■■■■■■■■I��■■■■■■■■■■■■■■■■■■■■■■■■ max distance offshore :M■■■■■i■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■cubic ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ yards ■■■■■■■■■r�,■■■rr■■■■■■■■■■■■■■■■■■■■■■■■■ ram ■■■■■■1�1��1!!!1■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■@�t�■■�I■iits�!■fi:►�■■■■■■■■■■■■ilk= ■■■■■■■■ iBulldozing A' a ! ii��i�i0 iawIaIIwCA M��■/!!■■Y■\■■■PERgMr■ ■Y� ■■■■■■■■■■Ili■■�11G■■■��■■■�iY■ I�ltiil■■■■■■■ -line Length �- not sure s��■■■■■■■■■■�■■■■tc■■■■��■■■■n�tn■■■■■■■■■I �:■� n■■■■■■■■w■■■■■■■■■■■■■■■■■�wi■■■■■■■■ yes torium: n/a yes ell M MEMMIllIEFIUMEW".1 ■■■■■■■■■■■ FIS: yes INIMENN ■► ■■I■S, MANE MEMO A building permit maybe required ed by:� ► )L.," 041 C�A y— ( Note Local Planning jurisdiction) Notes/ Special Conditions _ f h Y �� \� .►i� _1 - Sw t� '(� Micant Printed Name _ fU 1 n( ❑ See note on back regarding River Basin rules. ** P, a read compliance stateme Application Fee(s) on back f permit ** Signp re `- 1-1� UU 13yI f /5-��5A92 Check# Issui gDate EApiration 6ate o arr=,rrser� ; fuolIL' 1jolulaauMOAvadoid) ua z a,rnbar )jDegjas ,5 L j�uj GATAA U} CjSLAR }ou OP # qua ua�inbaf aeglas , Cage anren� o; gSjAll op # _e• _-__ _.._. #i our h { r&a{aq :#ue#q a:eudordde 2yt #6r#!Lq Xsnu`t na t PC-AIL-14 ssa#un ssaaOe Uetradg jo eare jcu LjoJ+ `e4#as ago aAfeAA Oj gSIM noX ;Snw 7:�## -ra 'asnpg,eog `la e eazq `d�uer b , ea�,��srp n zaur€u e hoeq }es ate p 'sfur ,d 6€��r" aut `�}aop laid n #eul pue3saap�rn ; N01103s 89AI M 1S�C)2f#�-888^ttf/E� sfq ra bu isr-114 "vn jt uarlaaigaou se "uses a J f �}ers,ura,q�h�tair'rcr ura @ueut( #344pajaptF . o f sr saor p �1t�O f inuUoiro�us �eluoo a�i,�ou sryldo Ictra,ar o s,te of c�rtleajgvp'AjZ L t, Tuawa eFre�r f seo� c, olsurq ay; (f au xsnru fao�S ° as i W!m bug"m u A oclurd �ur�q s'r ler�na o� �•vot �a ! %ice iQo aney nGof i!ypap#AOJ q #snur soars€tawr 1uauzd0#an9p at4 6U#MEjp pagae�, p g 'M a#rue p Jo Ezt�r; r.rasap V 6d?sodojd ale �eql yen rn� ur ae E .:E' SLP Uo umof#s Se au,j o] Paclirasa S 1aadoad n€a uaja a� aAa e a o r p g jtfkzjad rg..�a4 6urnpdde # itJBe, e .��zadOtd um() iegj +�431Jao 4QalaE: i W euogd S.;Uobv il-? .ss9Jpptl6ur#Jt A 9WRN s,;Ua6v funo� 8i `Pec 10 4a24'101) 1 i! :rtiradard}o ssarppV l-...:.r"UMO A;J adn.rcl ja aweN MOd NaA1V1WNO1ivO#:j{ION N3NMO AiN3dO�fd APt1IUVe#lN iN3ov av 1NRWBJVNVW ' VI bOO AO NOISIAICi CIJ1 sJn 32 E P30-kI NZIrl—LifU • 'i a�XPJ a P P� 2 0 J 0 is proposal. I have objections to this proposal. 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 ://www.nccoastalmana ement.net/web/cm/staff-listin or bycatlingl-888-4RCOAST. No response /s considered the same as no objection ifYou have been notified py Certified Mail_ IVER I understand that a pier, dock, mooring AoatCramOp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If YOU wish to waive the setback, you mus_ t� Initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Ci�J Signature Print or Type Name 0 Mailing Address City/State/Zip 7/q Telephone Number/Email Address Date U (Ri n Property Owner I or ation) ignature Print or Type Name Mailrn ddress sZ IV City/State ip Telephone Number/Email Address / C L p Dal RETURN RECEIPT RE UE P STED (i COASTALDIVISION OF ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: GGG (Lot or Street #' Street or Road, City & County) Agent's Name #: h t V -/'%cr�L,�� Agent's phone #: Mailing Address: CLJ 14,-,/,.) tL �3 -ram. •, avJq VCiIL to ine above re erence grope y, a wi ua applying for this permit has described to me as shown on the attached non m drawingthroposing.Acriptioodawim the development the r i t I have no objections to th' (Revised Aug. 2014) Mi AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ,� /'lC' ZCi Mailing Address: � 33 9 o 4 N Phone Number: Email Address: certify that I have authorized (e Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development 11 n)^ `j— r a J at my property located at in '!N>1s I JS County. 1 furthermore certify that I 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: �.(,,JL lgnature Print or Type Name f INi,!L Title (G / (� �— Date This certification is valid through _,� /U / - Qom' rr;;x;z 0 G� 1 �4 sid ay'= r i. j oldJ 1 (POI o f- (? e w Il/ 0� of 51=r<, r �'J ----- — . ---�� a III �Ufl Lrl 1115 Sw CDO Deft Racef-d Dan sd Cheek From Name Norm W Permit holder Vendor Chock Number check ount Permit Numbs lComments Receipt or Rerund/Reellxatod columnl Column2 Column3 Calumnl Columns Column! 7 Column8 Cdumn9 123/2020 1232020 Gdce Construction Kenneth Goff Steven Huel BBBT 13551 $ 200.00 GP f74806D GP €/1897D __- GP71854D BB rct. 8807 Tmae rct. 10980 Tmac rot 10976 _ American Marine Construction, Inc Fist Citizens Bank 88917 $ 200.00 123/2020. LFP North Carolina LLC Josh Crook Banc of America 1341 $ 600.00