HomeMy WebLinkAbout74888D - Huff\ j l�C(_(n - 'll�l�✓ t No. %4050 A B COD
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AMA/ ❑DREDGE &FILLNERAL PERMIT Previous permit #
❑Modification CComplete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in area of environmental concern pursuant to 1 SA NCAC -
❑ Rules att�actl�edi _
Applicant Name Project Location: County v n� V(1vj//�—.
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A building permit may be required by:Vt�NVA Dk (i{AN- L'_�
( Note Local Planning Jurisdiction) t , O ,- l l t ()
Notes/ Special Conditions ,�11 I11LL(`«1 11�A 1,,,�wL(/1 IA`� t (/'y1►�1/
��nt
Ken Kiser
or Applicant Printed Name
Qnature "Please read compliance statement on back of permit
Application Fee(s) Check #
Lj See note on back regarding River Basin rules.
Date
1 CAMA / -1 DREDGE & FILL No. 74888 A B C ODENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC -
❑ Rules anti/a1chnedi
Applicant Name Project Location: CountyV �► �/�-
Address ti 1 Street Address/ State Road/ Lot #(s
City m'' ,' State \ 1-., ZIP M 1 1J� �
Phone # I '`1 111�`I E-Mail Subdi ision
Authorized Agent I i46V"—City ZIP
w 54W \PTA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected ❑ oEA
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❑ PWS:
Adj. Wtr. Body]()
Closest Maj. Wtr. Body
ng Platform(s)
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A&nature ** Please read compliance statement on back of permit **
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Application Fee(s) Check #
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• Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space_ permits.
1. Articie Addressed to:
s -7s.e
I IIIIIIII IIIII''I I:I''IIIIII I II''J I II!I
3550 9402 1936 6123 e066 90
�di,.ln ►1..,...r.nr r%nnrtnr ir.+r......n.J..� ,_,._,l
7017 1450 0001 6?21 1452
3811, July 2015 PSN 7530-02-000-9053
A. Siunature
x ' o Agent
O A Z
B,�eceive y (Printed Name) C. to ct
D. Is deliv4 address d4rent from item 1? F.i Yea
If YES, enter delivery address below: p No
3. Service Type
pncrlr, V- i�"
'Aa "
❑ Adult Signature
Signature Restricted Delivery
RageLerea
Re,,srerea mai 4mbrlcted
Adult
jif Certified MailO
Mail Restricted Delivery
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n Return Rel- X fa
❑ Certified
mercnanoise
❑ Collect on Delivery Restrcted Delivery
n r^elect on Delivery
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Signature Cow'''
red Mail
red Mail Restricted Delivery
Restnctoo ve eery
Von-es.-Ic Ret'-"' �t
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
oroperty located at
Mark Huff
6636 Kings Lynn (Name of Property Owner)
s
(Address, Lot, Block, Road, etc.)
on Icin Oak Island N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below the development proposed at the above location.
"66 1 have no objection to this proposal.
1 have objections to this proposal
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
no waiver required
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 wish to waive
the setback, you must initial the appropriate blank below )
' do wish to waive the 15' setback requirement
4%/5 1 do not wish to waive the 15' setback requirement
(Property Ow or info do (Adjacent Property Owner Information)
kA
Sign ure Signature
ark Huff Michael Battaglino
Print or Type Name Print or Type Name
430 Mathewson Dr NW 3-11'• %rK ak1'F CT
Mailing Address Mailing Address
Washington, DC 20011
City/Sta q $13 4644
Telephone Number
-�a-�n�n
Oate -
Cr4r- 275-1 $
C►tylSrate/zip
`%%A-Iq!S -4142-
Telephone Number
61a,Za
Data
(Revised 6/1&2012)
3/19/2020
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Tracking Number: 70171450000167211469
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Your item was delivered to an individual at the address at 5:35 pm on January 11, 2020 in
CHARLOTTE, NC 28211.
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CHARLOTTE, NC 28211
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AGENT AUTHORIZATION FOR CAMA PERIVIMAPPUCATION
9
i
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number: '103 1/7/2 y2"sue o
Email Address:
I certify that i have authorized
Agent / Contractor
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 1541�kw-04 County.
/1/G
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:
Print or Type Name
T►ae
/l 1 3, 1
Date
This certification is valid through LI ID t 12
0
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT ONIWAIVER FORM
Name of Property Owner:
Address of Property:
Scott Blankenship
6636 Kings Lynn
(Lot or Street #, Street or Road. City & County)
Agent's Name #: Ken Kiser
Agent's phone #: 910 - 5 2 4- 0 6 3 3
Mailing Address:
149 NE 16th ST, OKI, NC 28465
I hereby certify that I own property adjacent to the above referenced property, The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposinq. A description or drawing, Alillh ^lirranci�ne-7n!�2t be
I 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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail,
WAILER 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
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 Inform ion
' a,
.5ignral re
Print or Type Name
Mailing Address
QIa tiG '-)-dW J —
Citylstatelzip
70L(- 9� 3 .g-�9y
Telephone Number
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(Adjacent Property Owner Information)
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Date RecWved
Deter Deposited
Check From Name
Name of Permit Holder
Ylndbr
Check Number
Check
amount
Permit Numbo#Commentr
Columnl
Column2
Column)
Column4
Column$
Coke""
Column7
Column#
417I2020
U7R020
Custom_luend Homes by Ken Kke_r
Mark Huff
Cm.Cam Bank _ 6495
FkV Ckbz Bank 2NS
_ 200.00
GP #74$$$D
GP #75$$$D
_
McPhemon Marine Services LLC
Ddw
200.00
N7l1020
Zimmer mend Co t of
ZAC LLC
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Soulh State Bank 720$
$ 400.00
GP #75874D
mar Mena ment Company o
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Ste 77
GP #75$7