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Home My WebLink About75875D - LakinsCAMA / DREDGE & FILL NO. 75875 A B C GENERAL PERMIT Previous permit # 1V ""New -'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality O 1-r z �j D and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f --- ❑ Ruffs attached. Applicant Name h �� I '� S Project Location: County Address l' Street Address/ State Road/ Lots) City State k & ZIP 2�6 o� OZ 4 �' ' 54 Phone; () his 53tE-Mail Authorized Agent -/?R l / /wt Affected ❑ Cw F)EW PTA ❑ ES ❑ PTS AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes �� Subdivision City/.y�� C/( (/VI ZIP Phone # River Basin Adj. Wtr. Body Oil G Ir 47(nat &M-7binkn) Closest Maj. Wtr. Body _ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■�■■■t■■ILIA■■1ST!■■■■■■■■■■ ■/I■■■■��'\■.i■■Oil■■■■■■■■■■■■■■■■■■■■■■■ :.. - _ �� , s r ■■■■■■■■1��■��17■■■■�■■■III■■■■■1�■■■■■■■■■■ mom �■■■■■■■ill%■■■■■�1■111■■■III■L,^�'i■■■■■■■■■■■■ ME■■■■■■■EN:MONYNO■■OMEN �'M■NMN■■■NEEOEE■■ENEE■:M: M■N■■N■■■N■■■:M �1■■■■■■■■■■■■■■■■■■■■■■■■ ■!J■■■■■■■■■■■■ ��■■■■■■■■■■■■■■■■■■■■ ■■■ ■■■■■■■ i V AgoKt or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** 10y - 47� Application Fee(s) Check # Permit fficer's Printed Name Si ture Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PER OT APPUCATION Name of Property Owner Requesting Permit: `/� 01 Mailing Address: Phone Number: Email Address: r I 06 �a�ei OS S-327 Gl-wins =� `F("� Q�IQ (i• C o ft-q _ I certify that I have authorized L 161 H7- A t/ .SG /A.) l� Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all. CAMA permits necessary for the following proposed development:. G .at my property located at Z in ✓q S t D 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. Title Date This certification is valid through 1 I RECEIVED APR 0 9 2020 DCM WILMINGTON, NC I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to lAvery 's Q property located at 302 ` i' 3 R a Si (Name of Property Owner) (Address, Lot, Block,.Road, et .) on , in N.C. (Water ody) (City/Town addlorCounty) The applicant has described to me, as shown below, the development proposed at the above location. V I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) 302 O 3-0Z-i� 30 Z 2 WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 bri�Yv,yg the setback, you must initial the appropriate blank below.) I•i VCU I do wish to waive the 15' setback requirement. APR 0 9 2020 I do not wish to waive the 15' setback requirement. DCM WILMINGTON, NC (Adjacent Property Owner Inf ation) ri ture Print or Type Name RAL PIS „z. dy' Mailing Address —444r. /eof me, City/State/Zip 2.071V/ Telephone Number 1i0 -.9r 1-, ZY79 Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent tolArt �„ ` LA F? f X 's Jd23MOQQ 4 Name of Property Owner) property located at . L5� _ Cjl} � �.Ls (Address, Lot, Bloc oad, et`.) on in f N.C. (Waterbody) (City/Town and/or Co nty) The applicant has described to me, as shown below, the development proposed at the above location. _X11— I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) 1DOCK �Zb 302�' -- 302Z WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 yo4-wish V waive the setback, you must initial the appropriate blank below.) t�ttCE ED I do wish to waive the 15' setback requirement. APR 0 9 2020 I do not wish to waive the 15' setback requirement. DCM WILMINGTON, NC (Pro erty O er I f rm (Adjacent Property Owner Information) 22 3 a �Z3 s S to Si to e • r1 S 7o r ,0 Pt or e Name Print or e Name f 0 eox 3 9 7 Ma" ddres� G R'IAl ofch Al Z j� City/ t 1♦ City/S te/Zip lei 1 - ( 9 !!/Y 3 � 9 - 9Ya Tele h ne N be Telephone Number If -a9 - go Date I Date (Revised 611812012) Check Data Recoh od Data Da cslted Check From Name Name of Permit Holder Vendor Check Number amount Permit Number/Comments Columnl Column2 Cohrmn3 column# Columns Column! Column? Column8 4/1712020 ! eaa8e txanch / oak island tale LLC oak island tek, 9a BBdT 99379 _ $ 200.00 GP a71862D 4/172020. _ _ ouse marine Larry Lakim II _ Coastal Bank and Trust _ _ 3147 _ $ 200.00 GP a74875D__ 17Qezo __ - Vence Mor en Mona Order Inc.sadR�rdlon JM Hamel � _ o USPS Bank of ens 26883354077 _ S 400 00 GP a7 - GP $ � 4/172020�_ . _ -_ McPherson Marine Services LLC Dennis I m First Citizens Bank � _- 5836 400.00 GPi745838D 4/17M20i_— - P _ - smea Bank lei 076258D _ GP i76259O 4/172020 VVelth CaralceCRi trer�� ._. CetlMtriim and Waaaln _ BBB _ -23M $ �00 GP 0758550 4/172020 Mc7hen.on Marts Services, LLC _ Michell and Amy Brian First Citizens Bank 3017 E 200.00 OP i75635D 41172020 Carolina Marine Canetructicnn it _ Joseph R Starks First Bank _ 12642 _ $ 200.00 GP 675818D 4172020 H5 Construction, LLC -_ Kenneth Keels Jr BB&T _ 2491 E 200.00 OP 976116D 4/17/2020 _ McPherson Marine Services, LLC - Tim Gain— _ First Citizens _ 200.0_0 OP 975863D 2994 4/172020 Steven Na el same Coastal Credit Union _ _S 1 20,00 Wj#75WW