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Home My WebLink About69096D - Coffmanki-L4'rr- i c A^e, Mct" B W CAMA / r DREDGE & FILL P F1 u -:n %) A B C CD EN E RAL PERMIT Previous permit # New -Modification Complete Reissue ❑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 I SA NCAC jaD� Xul attached. Applicant Name Project Location: County Address H Q Str?et Address/ State Road/ Lot #(s) �' g �) V�NL City Phone # (�I )O ) Authorized Ager ❑ CW Affected AEC(s): ❑ OEA ❑ PWS: I ORW: yes nod —b(wD P_Meil ❑ ES ❑ PTS ❑ URA ❑ N/A Phone # ( ) 1n Adj. Wtr. Body �Y Closest Maj. Wtr. Body ing Platform(s) 44 i length number ON ME i� s��ii■■■■�i�■■■■■■■■■�■■■■■■■■ ■�■■■■►.� NOON■■■ avg distance offshore hore ►ems■Ora■1�■wi■ ■__.��■■■i■■EEwE■■■■■■■■■■■ max distance offshore shore cubic yards ramp ■■■■■i'�1■■iiJ■■■■■■■■■!■I"ii� �JII�I■■i11rR�lN■■■■■■■ ■ 1mu1■�■K� ■ ■��ME■E\■■�iJi7u��R*l�:ClrMNE ■■■■■I■!■J��,��!■■�1■�■■■®■■■■■■■� E■E■■■E NOON■■!■I■►l�/I/■■■�1■�■■■ !■■■■w■■■■■■■■■■■■ � NOON■■I■ +.. �1■■■ ■�■■■��■■■■■■■■■�■■■■■■■ ■■■■I■■I11■■■■�■■/�■■■■■■■■■■■■■■■■ not sure yes �,O■■� Ps: yesr-:�I�e-�� tr Attached: ■■■■i■■i ,/IINII�■■■I/■■■■■■■■■■■■■■■NONE ■� �� rl;: ■■■■I■■i '' ■t■■■■�■■■■■■■■■■■■■■■■■■ ■■EONS, 1�■■■■■■■■■■■!■■■■■■O■■■■■ 11�!■■■■■■■■■■■■�■■■■�■�■■E �.- - �:�;:--�—':-, c��— _�-� ==_ NOON ■ NEE Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: -1-)Gv \d C n Mailing Address: 0 ed-e- Sre�,as v u Phone Number: 10 (DU Ob Email Address: I M)Cina f)c , r r. 0 C)(� I certify that I have authorized rnnP ii MC. gi0f. CUn +YLkC-t-►y'(i Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: C1oc--�- at my property located at -j \N �11C�-Cx:1(- C 1(CASL in County. 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: Sl jature 064�7M A ►- Print`or Type Name Title *- 2 1 2v1/,7 Date This certification is valid through 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to A,)kr� cc-�C f a.n 's c' . (Name of Property Owner) property located at � ?� y\iMy-)nl` c'f . Ca t Q (Address, Lot, Block, Road, etc.) 1 onL�'{t_ L' in t :f C-7'j 1N.C. (Waterbody) d (Uty/Town and#ot County) The applicant has described to me, as shown below, the development proposed at the above locati 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) 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. (Adjacent Property Owner Information) A. U, I Print or Type Nam 4i/ 77 7 " c 4eize Kd/ Mai i�ss o /YI Cft' -%l/'Y _ m nuiy Huurus'N City/Stat 2i ` / � nyy) (-t-)(� \, � A � 1� i �� 7 8 City/State)Zip ' Tete hone Numberl email address � � -1 ,-} ) q . —� C) -15 3 M :�! -3 7-,OTelephone Number/email address Date ` S IC,n 1 l orb a whert 1S �OCC&A 0te* (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to DA4i- t 1 Lc 9 nm s property located at (T (Name of Property Owner) W i L 13ro� k GtZ (Address, Lot, Block, Road, etc.) one C'f--k-4 - in ` 4 YYLI N.C. (Waterbody) (CitylTown andlor County) The applicant has described to me, as shown below, the development proposed at the above � Vlocation_ I have no objection to this proposal. r,fv�1 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) 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.) 1 do wish to waive the 15' setback requirement. �Lb✓ do not wish to waive the 15' setback requirement. �rty Owner Information) (� I � — ---� Sir ture ( ti�icl J _r�4ti Print or Type Nam Ylo 7Z Mai dress o �vl 21C City/Scat 2i Tele hone Number/email address o � �37-0100 Date z/z �� 7 `Valid for one calendar year after signature' (Adjacent ation) Sig, ture�` Print or Type Name %2C) ""r-f.�2mo� e2 Mailing Address City/State/Zip e,/o.s - Telephone Number/email address Date (Revised Aug. 2014) �* V66 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ t )� u- T) c._. ff7rzn s (Name of Property Owner) property located at (� ly i i-13roc� C-iZ (Address, Lot, Block, Road, etc_) on Ssk�P Fr-1-C1 in 4.p Y'►'L-t , N.C. (Waterbody) (City/Town andlor County) The applicant has described to me, as shown below, the development proposed at the above location. 1 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) 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.) t I do wish to waive the 15' setback requirement. —tdo not wish to waive the 15' setback requirement. IfPreperty Owner Information) (Adjacent Pro erty Owner ormation) Sigture ` Sign tare*� 6utCJ Print or Type Name n Tele hone Number/email address 'I o":z37- od — Date / *Valid for one calendar year after signature' Print or Type Name 7 2'0 "" c. c- A- C , 2 Marling Address 4 "y C. -7kV6 City/StatelZip Telephone Number/ email address Date * (Revised Aug. 2014) .,` f .` � 4 'w1 i �V1a. 0� \ .V �i S ... �� ;, C... . .. 'l7 .d ...f_ � c+.� l 1 Y Ti t,: � ,. rr ..� �P t,.l � - .� r ., �. r ., _. .. r. ,., ) ,� � 7 _. '�. , .-r .. p i;, ; ' ,,, �`` � � �1. � � t .�,, 4 ? I jl-�'At��Cq P i i Iao 1 t ` r .••�� ... . � �� W,,g��ri � Mom. s Wllbrook Cir \�e r •4 o leearth wiilbrook�C�r No 2016 . ogle _ .. �: 700 ft s_