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Home My WebLink About68531D - ChungL, CAMA / DREDGE &FILL 11il el I b�" ENERAL PERMIT �*lew ❑Modification ❑Complete Reissue El Partial Reissue 8531 A Previous permit # 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 VA Project Location: County I t h Address Street Address/ State Road/ Lot #(s) City R YO C State �I�Y `� L f��! C�'�/i G ICJ �C . .S W Phone # (MOVbM G E-Mail Authorized Agent LC VV WA4 5 (SK ( kCW.a�W 46latnrt C Affected ❑ CW *W ( PTA ❑ ES ElPTS AEC(s): ❑ OEA i❑HHF ❑ IH ❑ UBA El N/A ❑ PWS: B COD Subdivision TT City <� JA A `� 0 zip '$tQT (n) River Basin L wv1 �Gr Adj. Wtr. Bod(ria�, /man /unkn) .Cjt'.e /-/," /., 5 t t` N FA � y f 11 Agent or Applicant Printed a Permit O icer's Punted a e i 14 ignature* area compliance stat ent on back of permit * Signature oil Qj7/7_0-7 IZ/-,7UI Application Fee(s) Check # Issuing Date 1 Expiration Date Pat McCrory --cver-,or At> nC sl�x'+-•ate: CMEHR North Carolina Department of Environment and Natural Resources N.0 Division of Coasta, Managen;ent John E Skvarta, III Secretary AGENT AUTHORIZATION FORM Date Z�— Name of Property Owner Applying for Permit. Name of Authorized Agent for !his protect in C- �J O, —c' s Mailing Address Email _ /-� _ Phone (AY, / * /lpy-60.- Agent's Mailing Address. Email. da - GCS ZIE &�""1 Phone &V-j yu 3 �i Y j _- t certify that I have authorized the agent ►tsted above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity) 9V-1 /9 101 eg— 1,1,eg-k This certification is valid 1 year from (date) T/Pr Uperty Owner Signature Date 'r-0e �StQ-7 %iii cr>-'i-�'�',3pfidlnte:revrvrH^,.,.--a3t*mdrJgerncn: e: CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTtFICATION1WAIVER FORM Name of Property Own Address of Property - k�vx t-P Ou=' P. 3uMt Or KOM, Cary 6 Gounty) Agent's Name #:�� !�S Mailing Address: G q Agent's phone #:1C 7-S I hereby certify that I own Property adjacent to tine above referenced property. The indmdu wing for this Permit has described to me as shown on the attached dmwkKL# developrs>e� they are Proposing. A description- or drawirw with dimensia ons must be Drovided wish +his Letter d'V-.14 f I have no objections to this proposal. -- -- I have objections to this t� ft l proposal. b YOU hove objections to w#at is boring NOP05e0, YOU must Hotly 00 Divisfon of C086tai fisnagemga PCA) i *ItttV wfthfn 10 days of receipt of this notice. Correspondence should be n 80 d m 127 Canal Drive Eki Ht�fli kVton, NC, 284QS4W' DCU rWwe+ hWvw can afso be Contacted at (910) 79&7215. No rros Wa* , COMM~ the same es no objacdon if you hove bow nodAed by CertNiad Mau WANER SECTION t understand that a pier. dodo, moonng Pilings, breakwstw. boatouse, rift, or groin must be set bade a minimum distance of 15' from my area of riparian access unless waived by me. (tf you r_ wish to waive the setback, you must initial itte appropriate blank below) �l I do wish to waive the 15' setback requirement- C I do not wish to waive the 15' setback requirement. ` (Property Own Jo�tati ) Signature e Print or Type Name 4% .Sdi M8AV address Telephone Number tAG t ProP nor Information) we STEW-4 i,J , N CKT�i� S7 i✓ Print or Type Name /13)g Eva-D cr Maft Address DT*,V{ o03 , W 06,.s� city zo �� 96�-- 37915 Tefephaie Number 09 �� a 00 n... —_ ■ Complete items 1, 2, and 3. A. Signature ■ Print your name and address on the reverse X ❑ Agent so that we can return the card to you. i [B. ❑ Addressee Re a ved by (Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes n� ��Nj .Ql.� J If YES, enter delivery address below: ❑ No 2✓� ti3i g JW ik�26�--127Z II I Ills IIII III I II I III I I I IIII I I I I I I 3. Service Type ❑ Adult Signature ❑ priority Mail Expresso ❑ RegisterO MaiITM II I I I ❑ Adult Signature Restricted Delivery ❑ Certified Mail@ ❑ Registered Mail Restricted Delivery 9590 9402 2021 6123 2954 41 Certified Mail Restricted Delivery ElReturn Receipt for ❑ Collect on Delivery Merchandise _ r7ransfer frnm service label) 7 016 C 910002 1223 ❑ Collect on Delivery Restricted Delivery � Insured Mail El Signature Confirmation"' ❑ Signature Confirmation 1368 7 Insured Mail Restricted Delivery Restricted Delivery —_ (over$500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt COMPLETE•N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1, 2, and 3. A. Signat ■ Print your name and address on the reverse X� 4a ❑ Agent so that we can return the card to you. ❑ Addressee ■ Attach this card to the back of the mailpiece, B. Reced by (Printed Name) C. Date of Delivery or on the front if space permits. /15 —J 1. l,Tticle Addressed to: D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No NNl�. nn1..latiki 7L �o e date, / -1 IT Ile 3. Service Type YP El Priority Mail Expresso I IIII IIII III I II IIII IIII I I I I I III ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑Registered MaiIT"' ❑ Registered Mail Restricted 9590 9402 2021 6123 2954 34 ❑ Certified Mail@ ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for [3 Collect on Delivery Merchandise T ^^^f tram 4Prvice label) 016 0 910 0002 ❑Collect on Delivery Restricted Delivery '^sured Mail ❑ Signature ConfirmationT^ El Signature Confirmation _ -_7 1223 13 Jr 1 — sured Mail Restricted Delivery ,ver $500) Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Own Address of Property. - „u -. � � t r noaa, t.rry 6 L ountyl Agent's Name #.- �� JCS Mailing Address: li Agents phone #: �101 �iSf 3- `� �S��,o '♦. _A)C- I hereby cer* that I own property adjacent to the above referenced P(oPerty. The indmdu, applying for this permit has described to nee as shown on the attached drawing ow developi they are proPosing. A description or drawing with dimensions must be provided with thie teller. St - tog E1.4 l have no objections to this proposal. I have objections to this proposal. N you have ob, fecr; om to what is bav)g pmposod, y«r awsr rtoWy sr. Division: or co aced w►lting w0ft% 10 days of receipt of this node*. Correspondence should be maged to 127 Card&W Ddve EEkl * tftton, NC. 28405-U45. DCY raprasantadvw can aJsa be conficted at (910) 7W7215. No mspons& i canskkred We same as no objecabn H you haw bean noEt W by CWA%d ftU WAIVER SECTION I understand that a pier, dock, moonng pilings, Nvakwater. boaetouse, lift, or groin must be set back a minimum distance of 15' from my area of riPariaEt access unless warred by me. (lf you wish to waive the setback, you must inifial the appropriate blank below.) I do wish to waive the 15' setback requirement. 6Le- I do not wish to waive the 15• setback r eguirertient. (Property Own 10 ) Q/�p�ry Signature Pnnt or Type AfaAfa G S�c1. Matting Address Telephone Number (Adjacent Property Owner Information) Stgrttrture Print or Type Name 7v oe e D.e Mailing Address 41 ple 1;,b&426.4 56: W y,075 city 4 fa3 3'�S 15v7 TehiPhorre Number Mile -- n.we d<,-- F-- szi jai Nr Nit Mq-PR� o a�� may a►T�d zt x� �al� s :Po � .�1� �tx atm� r\v i?ff TV �f 1- jo4t Pi Vt.P-- zo,a yx/� e�h eA,+LYo Ilxou, jq C � vA.y 12 )f �, Jam`" !jj �2SY�D WIRO Date Received Date Deposited Chock From Nome Memo of Pemtlt Holder vendor Chock Number Chock amount Permit NumbWComments Receipt or Refund/Reallocated 10/13/2017 Backwater Marine Construction Hoyoung Chung BB&T 3077 $200.00 GP 68531 D SF rct. 5048D 10/13/2017 H5 Construction Charles C. Wiggins BB&T 2065 $200.00 GP 68532D SF rct. 5049D