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Home My WebLink About74862D - MajenskiCAMA / DREDGE & FILL NO. 74862 A B C C^� GENERAL PERMIT Previous permit# >New ]Modification El Complete Reissue ❑Partial Reissue Date previous permit issued L- As authorized by the State of North Carolina, Department of Environmental Quality /1 ' I �Z�C� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 7 t"t 11tt ,fin ❑ Rules attached. Applicant Name Cf � F1 c J 1 A A��r� ��L L Project Location: County Pr1,1 Addreesss 1 1$ b U� 'v N 1 - I Street Address/ State Road/ Lot #(s) City J V!2 CATState_ � (- ZIP 2 Q A5 4SO ' �% �1 1� � /Lrj �/V Alt ✓ la . Phone # ff ml) '23a4 E-Mail Subdivision Authorized Agent CityJ L, A I ZIP 2 �� Affected ❑ CW �01Ew FrrA ❑ ES ElPTS AEC(s): ElOEA /❑ HHF /❑ IH ❑ URA ❑ N/A ❑ PWS: ORW: yes o;> PNA yeso - Phone # ( ")"—""' River Basin Lk. 0 Adj. Wtr. Body A N IC S t! fr t L- t - an unkn Closest Maj. Wtr. Body Type of Project/ Activity ' A f 1 J/ I V A 7 C i Pier dock len h Fixe Floa Fing Groi Bulk Basii Boat Boat Bea( Oth4 Shor SAV Mon Phot Wain G (Scale: ■■■■■■■■■■■■■■■■■■■i■■■■■■■■■N■■■■ ir pier(s) ■■■■■■■■■■��■i,'a■1�■A . �Rw■■■■■!��■■■■��■■■ nu -M■■■■■■r■■■ e ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ _�Riprlength_ max distance OWOore ■■■■■■■■■■■■■■■ I■■11■■I ■■■■■■■■■■�■■■■■■■ ■■■■■■■■N■■■■■ INI I■■I ■■■■■■■■■■�■�i■■■■ ■■■■■■■■■■■■■■■■I■1��1■li■■■■■■■■■■■■■■■■■ cubic yards ramp ■■�!■■■■■■�■■■■■■I ■11■■■■■■■■■■■■■■■■■■■ii it■i■i■■■■■■■■■■■�■11■■■■■■■�.�■■■■ N■■■■■■■ iBulld ■■■■■��■■��■�!■!1■■■■■■■■■■■■■n■■■■■■■ ■■■■■■■■1�■■■■■■■I ■11■►7N■■■■■■■■■ice■■■■i■■ -line Length 7 notsure yes ■■■■■��■■■■■■■�■il■�■■■■■■■■■■■®■■■■■■■ ■■■■■■■■■!�A■■■■■1■�1 l:1i■■■■�1■■■®l�11■■■■■ i■��MENEM --r Attached: yes WE NEED WEENEMENE EN 000=1 A building permit may be required ed ( Note Local Planning jurisdiction)' Notes/ Special Conditions n &f vy"7 / P7 G ( ty&-1 I or Applicant Printed Nam Signature "Please read com liance statemen on back of permit** Application Fee(s) Check # ❑ See note on back regarding River Basin rules. t4 t C- Printed Name Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION i Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized % -Z3 �17 Agent / Contr to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my operty located at (3r 41L)d�'tso in � � �—county. I 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. /f Property Owner Information: 1 Signature j ,5 Print or Type Name Title Date This certification is valid through I l ■ Complete items;1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: C-PoA P�O�)C-e- A. Sip X� i d by (Printed Name) D. Isddelivery address different from item 1?1 d .,.. If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail r ® li I IIIIII I'll l�l I IIII II i IIIIII II III II IIII III ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑Registered MaHTail?M ❑ Registered MailAestricted 9590 9402 5127 9092 8742 77 ❑ Certified Mail® ❑ Certified Mail Restricted Delivery Delivery ❑ Retum Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmatiorow 2. Article Number (Transfer from service label) 7 014 0150 0000 0800 rnci r-1 Mail 3 917 Il Restricted Delivery ❑ Signature Confirmation Restricted Delivery 0a PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adj ent to G1 rt- E c-JS l- t -s S� (Name�o Prro� rty Owner) property heated at �1 ��UUU r N (Address, Lotock, Road tc.) on in s�� (� e c�c �/ N.0 (Waterbody) (City/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 fill In description below or attach a site drawing) WAIVER SECTION I 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 wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement Owner hrrJ /rl/JJcwS� or Tvoe Name I // d Marling AdJdras� vrcri.�,acaiup Telephone Number t/ema address /1rr3 iICJ o - -ou �a Date / 'Valid for one calendar year after signature' (Adjacent Prop Owner Information) C< e Srp�tcpre Print or Type Na{ne fi., �,v��ce i c `�l ✓' Mai ingAddress 'p-N- N �J cityi t te/Z p ��r- 3CO -06aq Telpfje umber/email address / ?10 Date' (Revised Aug 2014) o�' Date ed Check From ame Namo oFPermf Noldr Vendor Check Number Check aunt Perm/t Number/Comments I Recel t or Relurrd/Reallocated COWMI Col-2 Cdumna CdumM Columnb Column7 Cdamna Co1umn9 2W020 Southeast Harbor Homeowners Assoc 1 2/3/2020, 'Ridgestone Construction, LLC 2i3/2020 Donald and Janice Samples same North State Bank HomeTmst Bank USAA Federal Savings Bank 322 $ 200.00 GP #74785D jPA rct. 9732 GP#74862D _ JD rct. 10944 GP #74882D JD rct. 10956 Chris Majewski 1368 $ 200.00 _ Donald Samples 2269 $ 200.0o