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Home My WebLink About68509D - CobleCAMA / DREDGE & FILL q GENERAL PERMIT New Modification CComplete Reissue Partial Reissue >' ;8509 A Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources I and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC y- 4 t! 1. 1 Z U '� El Rules attached. Applicant Name Ira V� � I t Project Location: County �i �,y� B C (�' Address 1 y (} Z L1l.1 'C A1I T f) : Street Address/ State Road/ Lot #(s) S071'vG� City Oa4 TS(et %A State&Jc. ZIP lb4(ds----___ Phone # (33(o) 30) - Q 612 E-Mail Authorized Agent r; j ; C rnC-6 1 Affected ❑ CW )EW iYPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes Type of Project/ Activity Pier — ,doLk)dangth Fixe Floa Fing Grol Bulk Basil Boat Boat Beac Othi R Shor SAV Mor. Phot Wain Subdivision City ZIP Phone # ( ) River Basin 1� Fe Adj. Wtr. Body V J W nat_ Cn) unkn) Closest Maj. Wtr. Body �4 7 k j (Scale: jl : 30' ) YX EirPlatform(s) -i length number :.::■■■■■■��■■��■■w'wr�.lr� ��►■u�_�■■raw■■ NO ■■N■■■■■■RIMER1/R' A4X1■P-111 f►!:i/_:::I!■■ ■■■■ ■■ NEEMENEEN ■■i ■i■■ �iii ■i��r�■KILIWI■,■■�■■■■■■■■■■ ■ �1 ■MILK1111 ■■■■■■■■■■■ cubic yards MPH ram ■!l��1�I151■■■i!■■I�NfMll`.�i1r1�1■■■■■_■1� ■Ci3:�lilll�■■■■■ME OM �idWNkqBulldozing ��: � ��■�■■!;a■ line I notsure yes mr Attached: esR:'NOW 7!!.R!i7.: C�lat�ll.► lli�1�1�l�■■ Ml\■■1\■■■■■■■ A building permit may be required by: O Vr �../A 1 % l 4 1ti ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions �1J t d 7W. =() aWf q It Q i"t L[,r 44" 1 S y� +y CIS t f � v 1. •v �. S D� 7tn c a U-pfur z.e S ' ,q a �2 7-o-ram t t L.t �( S 1,'� S 4 . Agent or Applicant trinted Name Signature *1 Please r4d compliance statement on back of permit ** L41 Application Fee(s) � Check # Per i fficer's Pr d Name f Signature 4 /,Zc/lam /8 Issuing Date txpiration Date ori odd rr oat i t , 411 ,o ` 3 r ow v � G CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner. Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: A]J,J ��►'� Mailing Address: _ Agent's phone #: To '� � ;� - a 5 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are roposing. A description or drawing with dimensions must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at or by calling 1-8884RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. mu f,/�f4 1 understand that a pier, d( be set back a minimum di, = 6 S you wish to waive the sett g I do wish 1 IAJ W ��-�• = Kph S I do not �(kW-*� 4-a ubw.6 = 113 (Property Own Infom Signature &,Yid �hl� Print or Type Name L 1 'o ZP,vIS A,%eA, kJ Mailing Address —�✓Ir�— CJ .� 7 City/Stafe-)Dp ' 3,3&-ao--) dCP Telephone Number/Email Address 0/l Za b7 Date oathouse, or lift must mless waived by me. (If glow.) ty Owner Information) :�2 �L",/dr Mailing Address l� 1 s lam, J { W(- 2�Gl�S City/StateMp c� (4, z?8- Sa2y Telephone Number/Email Address Date (Revised Aug. 2014) ■ 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: In�enhaul � NL7 a4f73 9590 9403 0319 5155 0609 03 2. Article Number (Transfer from service label) _ 7015 3010 0000 7848 PS Form 8811, April 2015 PSN 7530-02-000-9053 A. ignatuO X ❑ Agent �` ❑ Addressee B. Receiv d by (P(Inted Na(% C. Date of Delivery D. Is delivery address different from item 1 ? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Adult Signature Cl Adult Signature Restricted Delivery (?(Certified Mail® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery M 1—wed Mail 7542 -,ii Restricted Delivery ❑ Priority Mail Expresso ❑ Registered Maillm ❑ Registered Mail Restricte Delivery ❑ Return Receipt for Merchandise ❑ Signature Confirmation"" ❑ Signature Confirmation Restricted Delivery Domestic Return Receipt AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Owner Re 4) �� Name �f Property �w Requesting g Permit: �_ Mailing Address: Phone Number: Email Address: I certify that I have authorized 'I, I A/o L 6 -336- 30� -0�� 0 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA/permits necessary for the following proposed development:'/r 1 1 1 ) i C P4)A1� at my property located at %y�� i�P� Yet# in 644k c t County. 1 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: Signature �01(/) cakc Print or Type Name 0wlg="i Title Date This certification is valid through_I _lam_ WIRO Date Received Date Deposited Check From Name Name of Permit Holder Vendor Check Number Check amount Permit Number/Comments Receipt or Refun&Reallocated 9/26/2017 Allied Marine Contractors LLC David Coble First Citizens Bank 5941 $200.00 GP 68509D BS rct. 4918D