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HomeMy WebLinkAbout76270D - Jessup❑CAMA / ❑ DREDGE & FILL NO. 76270 11�B C GENERAL PERMIT Previous permit# I New ❑ lModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality �ZDd and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 6 les attached. Applicant Name � �'y/' Project Location: County �- /" Pew Address City y,F Ct'Tr StatePC- ZIP Z ��1q 5 Phone # (��/�O) I IC �E-Mail Authorized Agent N lC Affected ❑ CW kEW A ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /ono; PNA yes /'n ,) Street Address/ State Road/ Lot #(s) 4 �-Yt.c F Subdivision City > U r2 F L t l Phone # Adj. Wtr ZIP 2 ( }— River Basin IA-1 . Body /eq/�'41(- SegcWo fn"at /man /unkn) Closest Maj. Wtr. Body -L—U f SD j r ONION ■■IN NO •■■■■■■■■■■■■■■■19Cl�tl�li■■■■■■Ir im■ ■C�iYiifiY■■■■■■■■■■■■■■■■■■■■■■1f■Y■■; LIN _ M. ME �,� IMMOMM it��11�'!1.1!■1111■■li■■■■'�■li■ ■■■���i��n•:�.!!!��■■� ■��iiA�l:� 1.■��.iRli■:a�ii■MEENESMiwo�:&i�ivdz■■■ ■■■�i■■■■■tl■11��■el■■■■Y■�1■■■■■■■■�!M■■■■ hilt•Sidi■■■N■■!�■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■ ONE ■I■■=■■■n■■■■M■■■M■■■■B■ _ �■■■ n pp icant Printed Name rmitOfficer's Printed Name igna a **ease read compliance statement on back of per rSiaturApplication Fee(s) Check # Expiration Date SLR 1-15-Ai-O r? �P-j pd (,,� j c 791 cu ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �" ► t �J `� s li- 1 A,l G_ n t _-Parhe of Property Owner) property located at on (Waterbody) (Address, Lot, Bloc�R7etc.) ►n _ ,.�� _ , N.C. (CitylTown d r County) The applicant has 'described to me, as shown below, the development proposed at the above loca 'on. 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) Se-2 a4kcle d WAIVER SECTION understand that a pier, dock, mooring pilings, boat ramp, 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 the setback, you must initial the appropriate blank below.) I do w1sh to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner formation) e l xgNrure H . ,JPSSu p Print or Ty e Name 193 i� n � Ma mg Addryss��.-- _ �{ Titate/L p Telephone Number/email address Fr, e oM a 'a�___a_SLL__ _ - -- Date 'Valid for one calendar year after signature" (Adj �ce t roe rty Owner Information) Sigriatur * }t Print or Type Name r j 175 Marling d ra s City/state2/p Telephone Number/email address Date • (Revised Aug. 2014) T RIPARIAN PROPERTY OWNE I hereby certify that I own property adjacent to f olrp wp j NJ , ��. P is /� m I ame of Property Owner) property located at 3 ( 1 1 (Address, Lot,Iloc Road, etc.) on � in r , N.C. (Waterbody) (City/Tow and/or County) The applicant has described to me, as shown below, the development proposed at the above location. VI/ _ 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 I understand that 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 the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prop rty Owner formation) (Adjacent P pert Ow er ormation) Si to alu �'O/5° Print 3 pe Nae 1 Print or Type Name 7 ( Son `R d Maipg A drys -- Mailing Address C' y �/State2ip Telephone Number i - __�- a o Date City/State/Zip T phone Number lv 3.2b-os cd - _ Date �.7/aU (Revised 611812012) Date Received Date ited Check From Noma & Fl—ft tkkW vww_ Check Number Cheek —t Permit Numf ACwn—ft Recaict—Rerund/Reall«ated CdumM Cdumn2 Cdu-3 CdumM Cdumn6 CdumM Cdumn7 Cdumn9 Cdumn9 3/122020 Debra Mon Wade Rozier LG FCU 2094 $ 200.00 GP *74366D BB rct. 10911 _ 3/122020 Land to Sea Constuction, LLC Nina Voltaire First Citizens Bank 175 $ 200.00 GP 076269D JD rct. 10387 3/122020 Town of Sunset Beach same First Citizens Bank 19893 $ 400.00 GP i76119D BB rct. 10908 3/122020 Michael or Katherine Miller Michael Miller _ Welis Fa 1476 $ 200.00 GP f78278D 88 rcL 10910 3/IM= _ G & TraceyJessupG JessupPNCBank 1778 $ 200.00 GP 876270D JD rcL 10386 3/122020 Pi in Marine Consrudon LLC IThomas Reams lWefls Fargo 5403 ITMc rcL 10355