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Home My WebLink AboutTown of Emerald Isle (3)®CAMA/ L5/DREDGE & FILL O N . 78991 A B 0 D C9,ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 'As authorized by the State of North Carolina, Department of Environmental Quality / 1 �. O and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC G/ ❑ Rules attached. Applicant Name �f`(✓Q% t,--/ i} 'i��iL-AQ[ I Project Location: County tom,9%,fit(`� Address -7- 6) 6 htF 4, t f t9 D7 Street Address/ State Road/ Lot #(s) City (—'4gAA(b lf% State/VC ZIP 7�5-gY '�-/es-/ IM,•vv5 i�^U• Phone # Authorized 31''E-Mail Affected ❑CW NEW E4TA A ❑PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: Pe / no PNA yes / no `11City C /'Ct4 L/ �i� ZIP %// Vj"(y Phone # ( ) River Basin (( x.. (iA/i Adj. Wtr. Body beiroe iG)GA/6 nat_/fnan /unkn) Closest Maj. Wtr. Body CuB xoi/� ✓� l ■■ ■■ua ®■■M1MMMMMMMft0MMMM■■■w■EMEME ®■..■ .... ■�. ■.SEES .. WA SEEMEE EMEgggggEM ■■A■ ■■ ■i i MOEN H=- ONE MEE MEN �' ' ... - _ ■■r;\�' � ■■■ i!!!■ME SEES■■ ■V./i1■■.w■c:� ! ■■III ■N■ SEES■■NA■ L1NE371IMIM. ■_N_1�.:!�7111■■■H■■■■,■■■HIFAM ■■■■■ - ,�■■ E■■■■■ filii0h'r7�1 ►.1E■a821A !�\■ ■■■■■■�� rr ;iari��jj� 22 SZ�!■! ■■■■■■■ ON i9/:S■1WEREA NEWJIM■■■E MMEN ■■■■■■/Ir�[p7S�J- mownLN■fi RE■■E NEE ■ilk I v■■ M ■■ a:N .!!i■ N■N AYE■■■■■■■ SEES■■ ®■■Ei'1r 16T0S■tiR1�1ltiNi0i■■■■■■■N■■■■■MEME ■■ an ME ■N■■■SS Li"L93AIS ■■■■■■■■ NEE ■■■ MERIM NONE No ME NEE 0 MOEN ■■■■ ■■■....■®■■■■.SENSE SENSE. Ermir, NEE t. ::::: :::::::■N ES Agent or Applicant/Printed Name Signature "Please read compliance statement on ba kof perrt7it** Application Fee(s) Check # PermitO ficerr''s krinted Name t �I t 01hM 1f71 Signatur55 311K 2vzo 7'{ l2°u) Issuing D to I Expirat�ate AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: TOUn Erg xAa :1r . Mailing Address: Phone Number: Email Address: I certify that I have authorized tl hoo tr�uJtA D Cz. UG IM4 to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in (-Ae A County. 1 furthermore certify that l 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 I ormation: 1 Signature JaS\ 1-"U'we�clSo^ Print or Type Name CLf\1nA 11��tcio^ itle 3 I1� _la_ RECEIVED Date MAR 17 2020 DCM-NIHD CITY This certification is valid through 5 I I I? l� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Toy, d t2r vaVA 4; ks Name QQf Prop ar� Owner property located at a+`rCPSf II (Address, Lot, Block Roadetc..)I on Aou.: _ �L"!/� , in �t�e W �XC , N.C. (Waterbody) (City/Town and/or 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.) I do wish to waive the IV setback requirement. wish to waive the 15' setback requirement. (Pro e y O Information) (Adjacent Property Information) 37 Si ire 1 n Signatu74 V Print or Typ Name Print or T pe Name 9300�d�R D� ! t3, L; �n2cS L•INe Mailing I ressXs� Mailing A ess e�G W L i b t3 frr� City/State/Zip pp pp e City/State �p �j 2-SJ - q-oos(-A� t1F no"1�o� Pn�l nt. (C, lC' Z to �(3'lty/ C(' Vt ra" Telephone Number/ ernaff address Te1TeNumb r/e ail ddress 3• ran _ _ _ __l 2� 3 �v� Date Date RECEIVED (Revised Aug. 2014) *Valid for one calendar year after signature* MAR 17 2020 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -Ln 14 - P.a (� Gj, . I (Nar�P of Property Owner) property located at e: ,�� o�H( l;c (Address, Lot, Block,, Roadf etc.)) on ?oaaa_ -10" � , in Lw.nZfl Gs(a . N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above II n. I 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. (Pr perry rI r Infcrmation) Si iatt e Q� • On *Valid for one calendar year after signature* gnt Property Owner Information) 3 1917CqhW 1 �Sa n n I F F-. QQe� L'Ity/wI�eiap 749 - 21 7 Z- Telephone Number/email address ,— 13-zoza Date* �RECEIVED (Revised Aug. 2014) MAR 17 2020 DCM-MHD CITY k v 40 WOPO A Mh 4 . „ r y N t d c d A .. gar. s RECEIVED 1 � MAR 17 2020 DCM-MHD CITY