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Home My WebLink About68593D - Caldwell's /f �CAMA / DREDGE & FILL GENERAL PERMIT XNew Modification -]Complete Reissue /'F�I�IS� I� ❑ Partial Reissue S593 A Previous permit # Date previous permit issued B C U 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 I SA NCAC 0 ��/ /, o PP �t't Q�C� 1 1 County �� .J(es attached. licant Name t Project Location: Coun C-t A Address 1 Z 1 so' ✓ Street Address/ State Road/ Lot #(s) City `iLowkA 4`` L)7 ��StatekC_ZIP vVti-t Phone # (Q►U) Q�f- 35` 1 Ell-/IMail Subdivision Authorized Agent L ayt 'NCI his City ZIP Affected [ICw KEW VPTA KES IPTS Phone # ( ) River Basin L AEC s : ❑ OEA ❑ HHF ElIH ❑ USA ❑ N/A Ad'. Wtr. Body i _ wyi I y (nat m� /unkn) ❑ PINS: ORW: yes / no PNA yes / 'o Closest Maj. Wtr. Body i-J Type of Project/ Activity 1 f 1 A r ' �-M (Scale: Pier (dockykngrh Fixe( Flom Fing( Groi Bulkl Basir Boat Boat Beac Othc Shor SAV Mor, Phot Wain �.■■■■!!A ■■■■■1:l�■!�1�■■■■■■■ ■■■■�!■ Now-W INN ON% r pier(s) number lead/ RipW length avg distance offshore ■■■■■■■■■■ ■■■■.! ��■�■111 ■■■■■■ ��filii■■■ ■■■■■■■■■■ ■■■■ ■i ■■■ ■1 _n J wom.- ■■■■ IIII!!:■S�:l:13 l ■o� =I:1 !■■■■ cubic yards ■■■■■I Bulldozing■■■■■■■■■ ■/■�/■■ ■■i��• ■■■■ ■■■■N■ ■■■■■■■� i■■■■■■ANN ■■■■■ ■■■■■■■, ■■■■■!�i■■■ ■■■■■■ ■ ■li■■■■■■■ ■■/■R�:■�■ ■■■■■■■■ ■■■■■■■■■■ !n■iwi ■MEN momoli imiiaw►ro■,,line Length Q6, -immow- not sure MEMO yes yes ..,. A building permit may be required by: I �i�,y. �-. 4-4 ( Note Local Planning jurisdiction) J�� ../�// j Notes/ Special Conditions jLV (Q aak llw r i (i ad LA/ r. r _ � .�' nw � i � �irf.il C nw n (.. t �i.V n `. �BC _ ! • .. n � '�nli .L, L-4,t,,c- //- �� c-,— Agent or lic�PriName Signature ** Menge read compliance statement on back of permit YZo0 :310 Application Fee(s) Check # ❑ See note on back regarding River Basin rules. CA WV_011 Pe ' Officer's Prin ed Name Signature ti 21-�- 3 Z� Issuing Date Ex iration Date 3l- � 3 P� �%��s a,►� ,2�.�c � o� P ►�,1� g �; l caIawe,/ tv;11 moo kAA4P sus fa � l � I vµ MAP 0 Da; ►McCrory �cverla F LV 3- A DUAa North Carolina Department of E^vtro^ment and Natural Resources N.C. Divisior of Coastal Management AGENT AUTHORISATION FORM Date Name of Property Owner A plyingfor Permit Owner's MallingAd/d ess 00, John E. Skvart k III Seaeta►y Name of Authorized Agent for this project - awe- JAf-\ins *5 .� Email -- ---t-�(_EmaaAn ks 2 4 G»�•J•S�"r Phone 11* 9V - J ?�. Phone L�� 44 3 - �Iyj�---- i cert!fy that i Have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct ttp fotbwrng (activity) For my property located at This certificatron is valid 1 year from (date} t4 Property Owner Signature Date C ainai 3" E,t A*f n w,, NC 21 G t a 79 , 71 i i. --;-A � � � �- +45 3%4 inKr*f wr« �h�:i3S:iirttdl'.�Tt!1; •.e: P4� I hereby certify that I own property adjacent to _ i�� / / Cat l'w I l I (Name of Property Owner) property located at %Z s4yih S4l.��"gV-AZ- A ' ? (Address, Lot, Bloc, Road, etc on�.[.� , in _ /�f®/,,pti 4N.C. (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 developmeritmust,iff in descript►bn belt v ar..attach a s te,drawing) 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pope y wner Inf rmati ) Sign ure ZAP .,� Print or Type Name / 4d ) k1irb Mailing g Address d city/3ta e i Telephone Number/email address Date 'Valid for one calendar year after signature` (Adjacent Property Owner Information) Telephone Numb / email address // Z Date (Revised Aug. 2014) r P I hereby certify that I own property adjacent to I (Name of Property Owner) property located at %2 �dy'� �%!tD� (Address, Lot, Bloc}, Road, etc on =(fL, , in /tea/�,a� �t �n , N.C. (Waterbody) I(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) 6� G 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. (Pr pe y wner Inf rmati ) (Adjacent Property Owner Information) Sign ure / � 'S Si nature * _ k6� ^ J Print �d � N� e b aQ, 5', G�i � .11�PH'��me�S�1.Y/111�. - /r r� r Mailing Address , ` j ili ddress Ci1Jy1Sta61zip1 Ci tatelz 9&- �� - �99� Cal e axe Telephone Number/email address Telephone Number/email address Date T� Date* (Revised Aug. 2014) "Valid for one calendar year after signature' WIRO Date Received Date Deposited Check From Name Name of Petmlf Holder Vendor Check Number Chock amount Pemrit NumbWICommenta Receipt or RetundReakocated 11/27/2017 Backwater Marine Construction Phil Caldwell BB&T 3118 $200.00 GP 68593D BS rct. 5386D 11/27/2017 Robert & Elizabeth Long same BUT 2098 $600.00 GP 68590D BS rct. 5385D