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HomeMy WebLinkAbout69262D - Cichan' X"CAMA / [I DREDGE & FILL o GENERAL PERMIT Previouspermit # y 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 zoo // , `_ / ? ❑ Rules attached. Applicant Name C, `\r- S (o, , L�1n Project Location: County UcVc- !�,, J, Address CJ , Street Address/ State Road/ Lot #(s) City_Lo - State NCI ZIP 80 Phone # ( ) E-Mail CC �6\0.v\og0l . Coro Subdivision Authorized Agent C c (YA,r.vNk City Oa K Z S �41N ZIP Zay(vs Affected ❑ CW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin C re, ElOEA ❑ HHF ❑ IH ❑ UBA [I N/A h AEC(s): Adj. Wtr. Body T(,., LJ (nat /man /unkn) ❑ PWS: ORW: yes / no PNA es / no Closest Maj. Wtr. Body Type of Project/ Activity r4—W k,A&4a k rq W J (Scale: �' = 307 ) Pier (dock) length Fixe Floa Fing Groi Bulk Basii Boat Boat Beac Oth( Shor SAV Mor; Phot Waiv i length number oil WS ■■■■i i■■o■■■■■■w■■■■■■■■■■■rr■■i ■■■■■�i■, OMEN ■■■■■■� 1■■MM ■■■■■■3(■■■■■■■■■■■■!■■■■m■■ ■■■■■ ■w■■! �■■■■■■'i ■■■■■■11■■■I1-111100MM 1 L"�i--- ■ ■N■■■■■■■■■! ■■■■■■■■ 111MI, cubic yards ■■■■■■! 1■■■I ! 11 ■ ramp■■■■■■!!�>AI ■ wl ■t�W■■■ Ra•■■■■■■�r��■1 ■■■■■■■ ■■■■■■!■■M11 ■■ail ■I�ili11F!!1 �■■■■■■li■■I ■■■■■■■■ ■■■■■■! 1■ ■I ■■ I&II ■'n:�li�lY ■■■■■■■■■■I ■■■■■■■ ■■■■■■! 1■■■I F�l �[11 MEN ■■■■■■I ■■■■■■■ -i Bulldozing■■■■■ ■■■■■■I■■■I ■■■■■■■■■ ■■■■■■!�■■■i11■■E�'!lNVi ®■■■■■■■■I■■■■■■■ not sure yes no ■■■■■■1■■■wl �� WI ■■■■■ ■■■■■■�■■■Y! ■1��!■�I■/1■ ®■! yes no 1■■■■LY 1 "S ME EEO ■■Ir:J ■ -r Attached: yes ( ■�� ■■ mmm%■13m 51■.il■■■■■■■■■i A building permit may be required ed by: T L In O� al( SS 14r\ Ct ( Note Local Planning jurisdiction) Notes/ Special Conditions II �y'e &V- 174V j5 ,A G (I Agent or Signature/�J \ ** Phase read mpliance statement on back of perm/it/** %(A �-761( Application Fee(s) Check # ❑ See note on back regarding River Basin rules. d e SOV A 4k- lany- (MA f ?I s14 J- 1, R i F i 1 ` 1 i {1 f i •{ 1 S i ... w�.-�^^^„""." .....,.-..-.•..-++-.war`.. CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. C h o S CI c'ka?i Address of Property: �oq G45 � Al6J— Pr (Lot or Street #, Street or Road, City & County) Agent's Name #: 41 1I J �' Y14—, Mailing Address: Agent's phone #: °�lo a30 hereby certify that I own property adjacent to the above referenced property. I he inclividu5i applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter. ___�x 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 athttp://www.nccoastaimanagement.netlweblcm/staff-iistin_q orby calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. fl I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name i5P S 6w Mailing Address D v�l c�C ; 1 1C 191City/State/Z p C�_I Telephone Number/Email Address ��)��� Dale Vian Prope Ow tion) Signature—"- 4Pn_t or T_Z"L�2_ ype Name 6 2 Z . Q ailing ddres� Citylstate/Zip Telephone Number/Email Address ,/, I 15Z i-)_O/z Dare ~ I, (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: Chris 6 C kg yI Address of Property: �oq E45i YaW— er (Lot or Street #, Street or Road, City & County) Agent's Name #: A icrJ Aer14.. Agent's phone #: �11p- a3a_D530 Mailing Address: I) hereby certify a own property adjacent to the above referenced property. The in ivi ua applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this lette r. 7I 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 http •//www nccoastaimanaaement. netlweb/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15from 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) /!►��"�l � GfYJ�I.! Signature rhf16s,1)1C. (fkk4A Print or Type Name S Ags f Mailing Address �oGiLvsYit�'� �l CitylStatelZlp Telephone Number/Email Address Date �7 (Riparian Property Owner Information) Signature D46rah A Print or Type Name f 0 8 1�. Yore Dr. Mailing Address �Q i Zs land } N� 2P5 City/State/Zip s lxe� 3 4 -31l - 670 /n r Telephone Number / Email Address 6-J/ Date (Revised Aug. 2014) AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: _f_� fr S C Mailing Address: Phone Number: Email Address: I certify that 1 have authorized cC i < �t a ✓� (d QO � o C,o� Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: je.1 at my property located at in �kCounty. 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: Signature C,'�., Print or Type Name O 1A✓Y Title Y I )) Date This certification is valid through 12 1--L:L— WIRO Date Received Date Deposited Check From a Name or Per in Holder Vendor Chock Number Chock amount Permit Number/Comments Receipt or Refund/Reallocated 7/21/2017 7/21/2017 7/21/2017 NA Mone Order from Brandon Grimes Charles Turner BancFirst NA Money Order from Brandon Grimes Charles Turner _ BancFirst Allied Marine Contractors Chris Cichan First Citizens Bank Allied Marine Contractors Southern Premier Properties First Citizens Bank _ Allied Marine _Contractors Ty Smith First Citizens Bank Allied Marine Contractors m _ Charles and Cammie Morris First Citizens Bank Efhel A Nobles Alvin Nobles _ South State Bank lWill Richardson Construction George McManus BB&T 113533421 $300.00 GP 69299D GP 69299D JD rct. 4726D 113533422 $300.00 BS rct 4637D 5766 $200.00 _ GP 69262D GP 69321D GP 69263D 7/21/2017 5768 $200.00 BS rct. 4635D 7/21/2017 5765 $200.00 BS rct. 4638D 7/21/2017 5767 $200.00 GP 69320D BS rct. 4636D 7/21/2007 7/21/20171 6142 $200.00 GP 69340D SF rct. 4601D 6774 $600.00 GP 69333D SF rct. 46710