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Home My WebLink About76268D - Williams:'�CAMA / ❑ DREDGE & FILL NO. 76268 A B C GENERAL PERMIT Previous permit # ti /FA %NeW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued N/A As authorized by the State of North Carolina, Department of Environmental Quality q 1 a-0 0 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Q�-'+S\/ wi I 1I QYYI � Project Location: County JO(, J Address % D g y 7 *' S- e e�, Street Address/ State Road/ Lot #(s) 7 OC y 74 Qr e e City ur State NC ZIP gsg S r ��i 1� L �S `/`t S Phone # ( b 4,32 - 7y Sy E-Mail w1 �' a,-• S 5'&)'hC.16"OSubdivision Authorized Agent En Y\-P—+ - M a r l fL.�, City u r C ZIP ElCw NEW XPTA El ES ❑ PTS Phone # (1 O 1) � � � " 7 `f S � River Basin Li � rye UQ k Affected 1-1OEA ❑ HHF ❑ IH El URA El N/A AEC(s): Adj. Wtr. Body nat an unkn ❑ Pws: � W _ � Closest Maj. Wtr. Body ORW: yes // no PNA yes Type of Project/ Activity nTAdd O I f} ({ DUX X 1 7► ✓, � D I e t (Scale: �r J�ptd Pier Fixe Float Finge Groi Bulk Basin Boat Boat Beac Oth Shor SAV: Mo Phot Waiv length ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�M■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■iii■■■■■■■■■■■q■■■■■■■■■■■■■■■■■ channel ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ cubic yards 'mP '■■■■■■■■■■■■■r1a■1■Qua■■■■■■■■■■■■■■■■■ ■ . _... , J■■■■■■■■■■■■■l� Ja■I■1�37■■■■■■1�1■�ilila■■■■■■■ ■■■■■■■■■■■■■■■■■■1■■■aan■■r■■r�■■■a■■■■■ ■■■■il'�1!I'�71■�IL�ia■111�11■�I■■71,R!�Il■■■■■■■■■■■■■■■■■■ _ _ ... - . , . ■��■■■rii■■■■■■■■■■►�iiiYifilirlri.■■i■aL�'iiillZi�■■■■■■■I -- . A building permit may be required by: S Lkf � C IT ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions I �•S �� 1 e Agent or Applicant Printed Name 'Signature ** Please read compliance statement on back of permit -7 � 3 Application Fee(s) Check # Issuing Date Printed Name Expiration Date Project By Subject CC Page of 35` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I 'hereby certify that I own property adjacent to i - A i !'y VYl S property located at C�- (Name of Pro rty Owner) on (Address, Lot, Block Road, etc.) (Waterbody) to 'C:�,`` r C- 1 N C. (City wn and/or County) The appli*ant has described to me, as shown below, the development proposed at the above location. LI 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) x o _ �0 d 1 ` his -;, vq C O-x 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 Owner Information) (Adjacent Property Owner Information) 31K na reSi7no re onn r��nPrint or ype Name Type Name IiL D 1ti `1` _ , Z i V nrr�ef Mailin Ad ress Mai g ddress �'ry (I}��C '4'g �- G y/State Grp ^ l City/State2ip G Telephone Number Telephon tuber Is i a - Date ��- Date (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT i'hereby certify that I own property adjacent to r` S 's property located at (Name of Pro "Owner) t,(Address, Lots Block, Road, etc.) (Waterbody) 4— N.C. ( C" /Tow and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 3 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) -14 e x s�' A C� d,xiC. 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.) 1 do wish to waive the 15' setback requirement. h► I do not wish to waive the 15' setback requirement. (Property Owner Information) 1 Print or pe N e Mailing Address vv _ 14-L., MC;1t'//,Si3tate,/,Z' _ Telephone Number =� 1 -Dn 1---)I Date (Adjacent Property Owner Information) Signatu.f M�,�r nr�e5 / 1ti�"�S�P `-1 done5 Pn Type Name Mal' 1r�Ad�re�s jai C > v'N (V C sl �� City/State/Zip Telephone Number Date (Revised 611 &2012) AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION i Name of Property Owner Requesting Permit: 5 I I (' r) Mailing Address: `}<"�) ��+ Phone Number: Email Address: I certify that I have authorized tj P1 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: �C xL -�j 0CK Q + at my property located at _ �J `t- � �� j�j- �t in s. � W 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. Property Owner Information: &L i"(2MAIL-1:11-1 Signature � ri ty fyirit or Type Name Title ate This certification is valid through l ! Lo�llI' m)) s i RECEIVED DCM WILMINGTON, NC MAR 0 9 2020 Date Rwolved Date Depos/tad Check Fom Name or P—H Hpld- V-d Check Number Cheek ount Permit Number/Comments Receipt w Refund/Reakxate - Coknnnl Cdumn2 Columns Cotumnl Columns Co1emn8 Column7 C01-8 Co1umn9 3/17/2020 3/17/2020 3/17/2020 3/17/2020 Carolina Marine Construction, Inc. Debbie Gasser First Bank 12534 $ 600.00 _ 8549 $ 200.00 GP #74754D PA rct. 9734 JD rcL 10402 Henry and Paula Paula HenryPaula Wells Fargo GP #76266D 3/17/2020 3/17/2020 Richard Penny Construction, LLC Stephen Edgerton Navy Federal CU 1156 $ 200.00 GP #76125D _ PA rat. 9738 3/117=201 3/172020 AMW Docks and Marine Construction LLC Stephen Hildebrand BB&T 5745 $ 200.00 _ GP #74327D BB rct. 10913 3/172020 3/172020 AMW Docks and Marine Construction LL Jamison Austin BUT 5746 $ 200.00 GP 074506D BB rct. 10912 3/172020 3/172020 JerryEnnett c/o Ennett Marine Constructi Bets Williams Coastal Bank and Trust 2773 $ 200.0-0 GP #76268D Ben rcL 10401 3/172020 3/172020 John & Estela Bauer John Bauer Bank of America 3052 $ 200.00 GP #76267D JD rct. 10388 3/172020 3/172020 Allied Marine Contractors LLC Larry Melton I First Citizens Bank 6782 200.00 IGP#74864D JD rct 10830