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HomeMy WebLinkAbout74815D - Gribben,e (7CJn Tf) _) leo I(—'c1('J WL,' JJ,AMA / ❑ DREDGE & FILL GENERAL PERMIT o ew ❑Modification El Complete Reissue ❑Partial Reissue 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 Applicant Name Address City 1)w- ioA, csVrl e--� stat ZIP Phone # 7015714 0) Z-E-Mail Authorized Agent Affected ❑ CW mil"' �&TA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /,no) PNA yes / Y6 No. 74815 A B C Previous permit # Date previous permit issued I SA NCAC 0 ( ('* f'0-CO ,2 1' u e attached. Project Location: County i// Street Address/ State Road/ Lot #(s) Z ' ,.yS , , Subdivision Lip / U eI� G City 6 rG''` ^PL` zl�iG� ;"-- Phone # ( ) 22 '`River Basin � ' O Adj. Wtr. Body /%" *4 44 uP°'� an unkn Closest Maj. Wtr. Body d Suc.� puN Type of Project/ Activity C t-/.!■�I/fi'a!� I ■■�■■■■�■�■■`■■■■i� ■cam■■■���■■ M. • • ■■■■■■■■I■■W-■ W■�■*r��■ ■■■■■■��r_•3■■■ ■ ONE ■■■■■■■NI■■■■■■ WEE ■■■■■■■■ ■®■■■�®■■■■_■■■I�■■■■■�„■■■■■■■■■■ INIONEEMINNEEIRMIN ■■■■■NI A■ ■■►1,/■■■�.Ld..�a•.1 ■■�id■�q ■�■■■■■■■■■■■■■�IL�■■■ 0 No MIN ■ MENoMEN■■■■■o■■■■■ ME I! ■_■■■_ ■_■■_ 0G■rA! 1101511 At� ft&t��� - Agerit o Applicant Printed Name igna�re ** Please read compliance statement on back of permit Application Fee(s) Check # Permit icer's Printed Na Signat Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION *' Name of Property Owner Requesting Permit: rj 6�t t) 6eA Mailing Address: 91-74 sb&t. 1,4r" -::;),t "'/MEc4ea" ,vics/d , V 4 73/I Phone Number: 113O + - S I q- — it 1-2.— Email Address: 'A brN 2@ C av "' C-*s �-• A/2 f — I certify that I have authorized Na t Lon ie,-Kai e� 14 Agent / tontractor to act on my behalf, for the purpose of applying for and obtaining all CAMrrA permits necessary for the following proposed development: at my property located at 66)utt\' « in r(:t,1661 County. I 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 Information: Z'". - '1-V- 110/71- 444e... -IV Print or Type Name M4 Title D ¢ I 21 / LO Ld Date This certification is valid through ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOIISE) I hereby certify that I own property adjacent to 58 Y C (A ( 6 rt bb ems► is (Name of Property Owner) property located at (Lot, Block, Road, etc.) 51,',o .3 s on l C.1,t5 C4Q,7,7e( , in / OP5e�,r� a3e , N.C. (Waterbody) (Town and/or County) Applicant's phone #: gq 51 ��.'viailing Address: g/7 �/ E(- / ` �e )r, lr&'Aa 7 , 51- I tz,yR z 3l-16 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive /V//.� I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) CA o Propose 6� .- ►; F+ here— �'1nrK t o i l3 qV "L (Information for Property Owner Applying for Permit) /a2 #aror'a Mailing Address w� x eyy3 City/State/Zip 00 3�7 Telephone Number (Riparian Property Owner Information) q10 5j-o Signature Print or Type Name sd-� 6 Telephone Number q' /5- Jo Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to - /2J Y 6 (ill 6r,* 6 6 e-, 's (Name of Property Owner) property located at qO ;, S 9(a (51/-P 3S (Lot, Block, Road, etc.) on 6oi45 C 4 /i in 1 D 5a,1 e2G �- , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 9Xq .s7 r Ly 1(I.IMailing Address:�(V ,� A e-dP., Po'nk, /Y►C'l�i►ic5v rfe" rlAZ31tb He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive / v lq I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) �- }{ ere I r►.u-tc To-F6 1252 9 AS T LZ,C, -------------------------------- ---------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Z lhmle G-1`- Mailing Address 11x1Kf5�WAfC 28443 City/State/Zip 71D 3 6 7 a ki- Telephone Number tllt�� Signature Date v f � Signature Print or Type Name Telephone Number Date ALLIED MARINE CONTRACTORS LLC 92 HAROLD CT HAMPSTEAD, NC 28443 FIRST CITIZENS BANK 8911 66-30/531 114 ARMOR 04/23/20 PAY TO THE ORDER OF NCDEQ $ "200.00 Two Hundred and 00/ 100**'*'****'**** DOLLARS NCDEQ C. MEMO -- ----- --- Gribben n10089 I I us i:OS 3 1003004004 53 12 559.68o" RECEIVED APR 2 7 2020 DCM WILMINGTON, NC Dab Raoalw0 Dab Dpodbd Chxk From Name Name or F.—it Noldar Vantlor Check Number ouChecknt Pernik Numb Ic'—b R ar Rerund7sauocated Coh—I CO-2 ! Cok-3 Cok-4 Cdumna C.OM Cdumn7 Cdumna Columns 5/5/2020 5IS/2020 Jessica Mand 'same State Employees Credit Union �. 1073 200.00 GP 074063D JD rot. 10832 5/5t202O 5/1/2020 Allred Marine Contract= LLC :Ad Gribben First Citizens Bank eel .. $ 200.00 GP 174e15D _ JD rct 10833 5/5�20 on Dail Coastal Bank and Trust "—" 3088 _ _ _ S � GP i74e77D _ _ 'JD ret. 10333 5/5/2020 5/5/2020 Jerry Enned (2 of 2) Canton Dail Coastal Bank and Trust �93 -- � . GP •7587TD 5/5/2020 - 5I5/2020 ES Freedom, LLC Eric Sabourin (ES Freedom) Bank of America $ 00 'GP t75&17D_ PA 10751 -51512020 F and S Marine Contractors Inc. - Tommy West PN Ba _ � GP i7W3D