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HomeMy WebLinkAbout74883D - Edwards'CAMA / El DREDGE & FILL GENERAL PERMIT I�ew Modification ❑Complete Reissue El Partial Reissue No. 74883 A B C Previous permit # 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 V-1 _ ❑ Rules attached. Applicant Name � Ut N � Own D S Project Location: Countywt-� Address b Street Address/ State Road/ Lot #(s) City QSWState pL ZIP ZZ43 Phone # �) �Q `� '2S'o E-Mail `� v" a s C Subdivisio Authorized Agent N f -k- � 'Cc City f ZIP Z� ❑ Cw *TA S ❑ PTS Phone # ( ) Al M River Basin AEC s Affected ❑ El j. Wtr. BodyDkOEA HHF IH 0 USA N/A Adj. VT - N an unkn ❑ Pws: M ORW: yes no PNA ? no Closest Maj. Wtr. Body �OrS IL �7�O�Jp i d Type of .ty - � ■■■■■■■■■■�■■cam■■■�■■■■■■■■■■■■■■■w ■■■■■■■■ei■■iii �eia■■i�iieeeeeii�■�i'�i ■■■■■■■■■■■:�r�■■�c��rru� ��■■■tom■■■�■■■■■■■ ■■ee■ee■e■�'/�■®1�N ■MP1}�1'I�NftA�■��%ills■fie■■■■■■ ■■■■■■■■� ��■,r■►�■a�■■r�■er�.�■■�e� ■■�r t�■■■■■■■ e■■e■■■■e��■►�■r�■■■a�t■■►�■�■■+��=.zap ��■■■■■ ■e■i■■■■ei���■a� - �hJ■■■■■■■■■\�■IIYIY�I,•Y��Y■�f■►�e■■■■■■I�et,■■11."I/!�■ ���i���e:riei'�iii■■�����iiii■ • - '' ,.. 'i1i11■e■■■1�■■■■■\'Vt�■G'9Q! �1��. ■■■e■�::i■■i��Jltl■r1■�Y�ae■evil■■■��i�e■■■ a�sl�'G■■■■�■■■:�`li�G',ri�iL.■ b ■■■■■■v■■�i■■e■rid■r.■■■■r�■�■■■■■►I■■�■■�■ 'iee■ien�iie■■■■®ii■i®i�■iiiiii■i■i■iii . ■■■■■■r■■■■■■■■see■■■■ram■■e■■e■■���■c�; ��— W'u 4-S n6or Applicant Printed Name I a% Signatu Please read compliance statement on back of permit t Application Fee(s) Check # W�� Printed Name /0 - Z d 6—/6- 20 Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Cz�'? f2sJ'S I Name of Property Owner) property located ate..\5 �,`�,��VZ`-{ QJ�ry� '�1J�/i•D (Address, Lot, Block, oad, etc.) on C�tJ�� in , N.C. (Waterbody) ity/Town and/or 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 ft11 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. (Property Ow formation) (Adjacent Property Owner Information) Signature igna(ure JxYaS Print or Type Nam Print or Typ Name Mailing Address ailing Address �`S M city/state/zip City/S ate/Zip Tetepho e Nu ber Telephone Number Date Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to NP\-�E� C� s Name of Property Owner) property located atL9A--5 \A QJ�,r x (Address, Lot, Block, Road, etc.) o n CJ,-.tJv-A k- i n N C. (Waterbody)(City/Town and/or County) The appl ant 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 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 setbacif, you must initial the appropriate blank below.) \"� 1 do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Ow formation) operty Owner Information) Signature Sign re Print ors Nam ` Print or Typ !Name Mailing Address Marling Address !lf Crt lst te/Z1p CitylStat lZip L9 QA.\`2 910 / -7 - !�YfJ� Telephone Nu ber Telephorif NtPber -� -- v z- Date Date (Revised 611812012) Dab ROCOmd Dab Dsoosiftd Check Foam Name of Permit Holds Vendor Check Number Cheri amount Permh Numbs/Commenb Roca! t or Rarend/R—li—fed Cobmml C.%-2 Column3 C.1-4 Columns Caamne Column? CN-8 C 1-9 2/10/2020 Allen G Edwards Allen Edwards First Ci6_ze_ ns Bank 1008 $ 400.00 _ GP #74883D _ _ :': JD rct. 10958 GP #74880D _ 'JD rct. 10959 GP.74868D TMc rct. 9756 2/10/2020 _ _ CSOG Ventures LLC Ray and Marina McDonald BBBT 119 S 200.00 2/10/2020 F and S Marine Contractors Inc. Maggie Aardema PNC Bank $395 200..