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
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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.
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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