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Home My WebLink About75801D - Graham (2)�c ro k!D ,Z0c(jc_,q 1 CAMA / DRED&t & FILL ENERAL PERMIT New YModificrtoj� C(� ete Reissue ❑Partial Reissue M,W No. 75801 A B C G0 revious permit # Date previous permit issued As authorized by the State o�i o Car epartment of Environmental Quality`II and the Coastal Resource Commission in an area of environmental concern pursuant to 15A NCAC QQ 01H • 120 D 0 Rules attached. Applicant` \ � / •' I Name G- U r h `` ^^ Project Location: County f- . r- k- AddressM City 1 ` `oo,(c S,.& \lei State #J C.- ZIP Phone # (-" W 2 08 cP2 E-Mail Authorized Agent M,✓ k_ A i El CW 5tJEW PTA 96ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A C PWS: ORW: yes KC PNA (� no Street Address/ State Road/ Lot #(s) 2toOLD E • N4 0&+- .4.c_ Subdivision City 0�AL I S (c.-- d ZIP 7- 'S 4 6 S Phone # ( ) River Basin Adj. Wtr. Body �N \ W 4 Pman /unkn) Closest Maj. Wtr. Body Type of Project/ Activity i (Scale: Pier (dock) length ■■.■■■■■■■■.■C��'!I�'l�n�i�l�li'�I�■■■■■■■■■■ - .■.■■.■■■.■■■■■■■ram■n�..■■■■■■■■■■■■.■■ - - ■■.■■■■.■.■■■■■■■■■■I■..■■rr�■■■■mow.■■.■. ■■■■■■.■■■N■■■■.■■ ■1 ■■■/i�1t[V1:1�['I!1�Irllly!l1�11,9t,�■■■ M. ■■..!■■.■■■cam■.■.■■■ ■I �ZIl�i1■L!■■■r■■■■■■■■■■■ ■■■■■■■� :�iii:ll::i�� dll G:::iii��•[�.^�■■MHO■ ■/!!�i■■■■H■■.■.■■ ■i ■■■■.■awl■��wwl.�in ��ii ■■■■■■■�� fi�l.�i.'�I...�i.i►.iiii�ii��ii� _►i' �------ �I.r�■r,■■ �■■w�,w■' r RN ■i■■■■■■■■ NNOW72FAMINNF, WAM F AVA MEN �' ■ic'32r1��IL;! ■�■■■.■I■.■■■.■ r■i _, �iIC�L��l:71■ �+ ■ram■■■■■ ■■■■■..�crriy��■�� .■ :�■■■■ Agent or Applicant Printed Narpe Signa re "Please read compliance statement on back of permit" oa� i M�LoS� _d120It- Application Fee(s) Che k # Permi Print Name Signatur 12 S 0ZUIZ-620 Issuing ate E;p#lon4gte i i�iiaJi ti!4tiU ADJACENT RIPARIAN PROPERTY OWNER STATEMENTj�7fJ I hereby certify that I own property adjacent to ^ Q�� ; �r1 ��9'1 �a'''I s t,,� (Name of Property Owner) property located at �6 0 � � • YaC "l.� � c'. (Address, Lot, Block, Road, etc.) on , in CA 4C+w tl_C N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above lop4ition. p,47 �Q-� 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 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) ure a Si Q�4h . hQ,� Print or Typ/ t a�]e np V M it �ng Address , /��C... 2� �� aryqip 0q -i66 2 cnS6.2 Telephone Number/email address Date A ;t, Sig ature * , LTe0rei i u, � Print or Type Name Z ',444 8. z Main Address��r)a f 44 ',"F- City/State/Ziq ! z W 12 Telephone Number/email address W Date U (Revised Aug. 2094) 0 N O N Q *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to K °` IIP�, lfx /�'t �ro�� A� s .(Name of Property Owner) property located at 0,60C F - �-(0.G�� 4J r (Address, Lot,Nqk' ock, Road, etc.) on —1-C , in 1y'c lwa � C� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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. (Property Owner Information) 2 npptune _0 Print Tyame r7to ro �f ll.•(� ((� M i ng Add ree IRr/ City/ tat�/Zip 66.2 _ 0-46 � Telephone Number/email address address Date Date (Adjacent Property Owner Information) Si $' t * L-y -2r7 U0,114 1't1n U Print or T pe Na e n %C_h Z M 7= 7' g Address , ��ii u vfP v � do- .,z > 0 N City/State/Zip z UJ Telephon Nu ber/email address W Q Date" U (Revised Aug. 2014) `Valid for one calendar year after signature" AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: `7 'I/-) Ltd YZp U%(k- Ai—C a w Phone Number: 4-2 (*R* 62 Email Address: I certify that I have authorized!2n r� )w-z EIC�' , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all`CAMA permits necessary for the following proposed development: r hpe).D Q at my property located at in rc nW) 4 County. 1 furthermore certify that 1 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 Print or Type Name �/& G/,- Title d Date ?q65 �� 21 This certification is valid through RECEIVED / / DCM WILMINGTON, NC MAR 1 7 2020 no ■■ ON ■m ■NE®■ ■mmm■ ramm■ rri:: ■11111111Mii JI 00MPOM! ►`UNN ■ @mm ■►ame OEM MEN MEN MEN MEIN OWN NNE mole ■!I■ MEIN! mole WIFu ■o ■f► MEMBE sommosomma onumommmus MHNMMmEEam mmmmmmmmmmmmmmm mmmmosommm BE MEN mmommosomiloomm NEENNOMEN BEEN ONEENNEMINEMONNN ■ IN ■EMNON pa/_� i1ii� NOSE ■Sm'v ►■ma More Noun ■OE■ Seem ■OE■ SEES SENS NOON rAAIn■ Made FINN f d ■ ■omm■ MOONS ■ENE■ ■NEMO■ mmummomms MENEENSME mmmmossom mommommom S:r�'i►ri:� i1111111111l10 MEMO F-11 1 ■ms ENE NNE !OR NON Mom Ems 1►RP ofs ■» Mom ■■ No ii ■■ ■EMNON ■ENNEN ■ENNEN ■ENNN■ ■SENSE ■MENES ■ENNEN sommom ■ommo■ ■OEmm■ ■ENNO■ ■MMONS Dab R—tvao CMck Fmm (N-1 Name d Permit Vantlor Cnack N—bt Ckack mount P.—It N—b.ICommanb Receipt r RMundRwllauted Column! —DateDepostted 0o1umn2 Calumn2 Column) W-3 001-0 001turm7 Column8 Columno 3/26/2020 H5 Construction, LLC Thomas Jordan BB&T 2486 $ 200.00 GP #76104D BB rot. 10851 3126/2020 Ralph & Colleen Graham (1 of 3) same Wachovia 1205 $ 200.00 GP #75801 D BB rct. 10923 3/26/2020 Ralph & Colleen Graham (2 of 3) same Wachovia 1204 $ 200.00 GP #75801 D BB rct. 10923 3/26/2020 Ralph & Colleen Graham (3 of 3) same Wachovia 1207 $ 200.00 GP #75801 D 88 rct 10923 3/26/2020 Oceanside Management LLC same First Bank 3108 260.00 GP #76276D BB rct 10925