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Home My WebLink About69208D - BettenhausenYC�AMA / DREDGE &FILL C6 15k GENERAL PERMIT Previous permit# A B C D New :Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑Rules attached Applicant Name Address �,//U!l //ffi ✓/liirtE; �� City A/r/,t'ct State—JVL ZIP 6 Phone # () q3/— E-Mail / Authorized Agent /, %% /'tua-y� Affected ❑ CW �11 EW ETA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes Ci'i , PNA yes no / Type of Project/ Activity Pier dock len h Fixe Floa Finp Grgi Bulk Basir Boat Boat Beac Othe Shor SAV Mori Phot Wai% Project Location: County bN S ! ,:.tom. Street Address/ State Road/ Lot #(s) 5) Subdivision City ��✓ T ZIP ?k� Phone # River Basin (� Adj. Wtr. Body 954ffiq 4 d-11 —'�G • �r,p /man /unkn) Closest Maj. Wtr. Body .Sf "' 0✓' </✓�� t (Scale: / _ ,2O ) L'il� - ■■■■■■■■■■�I■■■■■■■■■■m!■■■ww■■�■■■ i length ■■■®■■��■��■■■®�■!■I■ 111■■1111■ ■■■■■■■■■■■■■■■■■■ill■■■■�■■■■■■■■ 'ea Riprap length_ %dis ■■■■■■■■■■■■■■■■■■■I�■■■■■■■■■■■■■■■■■■. vg nce offshore ■■■■■■■■■■■■■■■■■■■■It■■■■■■■■■■■■■■■■■■' maxdista offshore— ■■■■■■■■■■■■■■■■■■■■1■■■■■■■■■■■■■■■■■■■ �■■■■■■�■■■■■■■■■■■■I■■■■■■■■■■■■■■a■■ ■■■■■■■■■■►�� . ��■ M!■w� ■■■■■■■■■■ ■■■■■■■■■■■��lisu�i■.rlrci�v■ii■■■■■■■■■■■ cubic yards ■■■■■■■■■■■■■■■■■■■■r�■■■■�■■■■■■■■■■■ ramp ■■■■■■■■■■■■■■■■■■�■I�f■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■�rsr��.alai■■■■■■�■■■■■■■■■■!■■ IV ROXIM al:'iil:'�■IL]'i+�ll�L�t■■■�IGi�ii!■1�%■�t�■■��■■�l■�■IN■■ - ■wwtil�■w■■■■�I■■u■�■�i� ice■■■■�■■■■■■■■■■■■ a301,71 NO T�r VwYYd.a�W_►J✓. ■■■III��■■■■■■■■■��■■■■■■ -line gt�— not sure yes MEMOS ��n ■��Ni�� _■�■��+Il�lwlll■■w■■■■■■■■■■■■ Nam!!, YJiV'ti If��■■■■■■■ C9 y E-MME ME MEN --r Attached: 40-1 Ot no A building permit may be required by: ( Note Local Plannin Jurisdiction) Notes/ Special Conditions / U See note on back regarding River Basin rules. fi e'nt or Applicant Printed Name P Officer's ri ed N SignatW. Please read comp rar ce statement on backpf permitSi ature Application Fee(s) Check # Issuing Date Expiration Date STATEMENT OPERTy OWNER 2 v_�— 's ADJACENT RIPARIAN PR 1�- owner) �(& I herebycertify that I own property adjacent to �N1 of Prop r N �.� SJY, el etc.) , N.C• Prop located at U ock, Road, (Address, LOL'� "I� - ndlor County) on C11 t�t(S —, in _._____ (City/Town above (Waterbody) ment proposed at the The applicant has described to me, as shown below, the develop location. I have no objection to this proposal. I have objections to this proposal. ri tion below or attach a site drawing) (individual DESCRIPTION AND/OR DRAWING OFPROPOSED DEVELOPMEN (individual proposing development must fill in de p , _ r a ' ur)EovQr.ec' as it"s o. WAIVER SECTION I understand that a pi r, dock, mooring pilings, boat ramp, breakwater, boat use, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by 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 Print r Type Name 3o ) L EIS W. ��- Mailipg AdV�re C- h � C a� S City/S te/Zip --' `51 q31 1'i i �3S' Tel phone Number/email ddress 5be-(�n Date h • Cr. CON-1 *Valid for one calendar year after signature* ��- (Adjacent Property Owner Information) �l ut✓LirnC�V�•- Si ture* Javle- F_L F6t4 met Print or Type Name �7 0 T 6 -7 `r Sxf • Mailin Addr ss NC a 8 yy5" City/State/Zip q19-?53-`7LH0 /d• f4cmex-Cy Ke-6,arn Telephone Number / email a d ess �t/a4/li Date* (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ,4 t4(cl- -p-t1i i j f'�l S �-- l (Nre of Property Owner) Property located at _ lU�;U j4ti �tY (C (Address, Lot, Bock, Road, etc.) on �' Lt Yl {�� in _ ;It , C (fit {-, N.C. (Waterbody) (City/Town ndlor County) The applicant has described to me, as shown below, the development proposed at the above location. 1 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) i d (' led- t WAIVER SECTION L I understand that a pi r, dock, mooring pilings, boat ramp, breakwater, boat Ouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by wish to waive the setback, you must initial the appropriate blank below.) I r J I do wish to waive the 15' setback requirement. ____ _____ I do not wish to waive the 15' setback requirement. Owner Print�r Type Name 153a1 ,'i5{\,v< Oe Maiht�cI( A.Tress -,, NC �7la(K T I phone Number/em1a�i�l ddress D_ Y)C • 0,. (orvti -Valid for one calendar year after signature" (Ad-acent Property Ow► r Infor tion) .'ignrr rr�' j Ph r Type Nye r e Ma ing Address City/State/Zip Telephone Number / email addre s I)nte' 5�� / 1 (Revised Aug. 2014) //C,/)Ies I? "v A,, s�// .l WIRO Date Received Date Deposited Check From (Name) Name of Permit Holder Vendor Check Number Check amount Permit Number/Comments Recelpt ar Refund/Reallocated 7/6/2017 Western Union MO from Sandra Bettenha_l Sandra Bettenhousen Wells Fargo Bank 17-605897321 $200.00 GP 69208D JD rct. 4220D 7 10/2017 7/10/2017 7/11/2017 _ — _-- - Fland rS Marne Contractors Jim Vdhnalani PNC Bank_ r CMS Tool and Die Inc/Nick Chambliss Nick Chambliss BB&T Charles Riggs & Assoc. Capital Assets Property Developme First Citizens Bank 6400 _ $200.00' G_P 69265D _ CS rct. 4581D GP 69265D CS rct. 4581D GP 69316D CS rct. 45787D transfer fee, M_P 38-06DB II, LLC) SS rct. 4045D - 22493 15167 $200.00 $100.00 7/11/2017 Lanier Family II LLC DBA Wayne Lanier BofA 1321 $100.00 renewal fee, MP 3-07 OnsCo SS rct. 4046D 7/12/2017 7/12/2017 -- Clinton Lanier and Andrea Garnett David Kornegay BofA Overbeck Marine Construction onstruction Timothybodeman SunTrust 2838i, 4854, $100.00 $250.00 - — — minor fee, 6024 6th St., SC OnsCo JD rct. 4222D - major fee, 2 Cedar Island NHCo CS rct. 4579D 7/12/2017r W.K. Dickson & Co. ONWASA Fifth Third Bank_ Zachary Salmon same Essex Bank 74243 _ ` $400.00 GP 69295D JD rct. 4221D GP 69249D JD rct. 3874D 7/12/2017 1 2788 $200.00