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Home My WebLink About74890D - ChleborowiczI S-P.ZaZ.O � r�(vA) XCAMA / ❑ DREDGE & FILL GENERAL PERMIT ANew '. 'Modification i'-2Complete Reissue --i-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 15A NCAC Applicant N % ) No. 74890 A B C Previous permit # Date previous permit issued 070, )20d p ame —Q — Project Location: County Address ' Street Address/ State Road/ Lot #(s) J City (__--- State ZIPPp. Phone # (— -) - -- _ -- E-Mail Authorized Agent _�� — Affected D CW FStvW ETA ❑ES p PTS AEC(s): OOEA HHF '] IH ❑ U13A C WA 0 PWs: ORW: yes /N PNA es / no Type of Project/ Activity Pier (dock) length-tf rX &/ Fixed Platform(s) r f Floating Platform(s) Finger pier(s) ^�_ Groin length number Bulkhead/ Riprap length avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boadift W X Beach BulidoAng T --- Other _ Shoreline Length SAV: not sure yes Moratorium: n/a yes �o Photos: yes Waiver Attached: (l es no Subdivision City ,"0'`�— Phone # () _—_ River Basin Adj. Wtr. Body?cky--- man /unkn) Closest Maj. Wtr. Body_ W VIA, (Scalle:AAS �i�■� No so �■ �� No dill i1ii��/,'L`�V� l �` � �- /■�■■1♦iGR■� ArmMEN i ��■ art►, ■■ ■r%/i. . �tririrrfi j1 �� // ME Al ■ ■r ■ an !r�r !; ii■■Ilt�!* ■■■■ME � will ii. �'�■rT� � Nil ■� � NL' milli >, 9 ■ NEW /ii 11 rA■■�iii■■i IMMEr■ ■ �il * I elm�111711111111, �■■■■ !;��,► �y WIN �!_•/�Ult� �ur A building permit may be required ( Note Local Planning Jurisdiction) Notes/ Specijpf Conditions B DOloe)Abl C 7�'it'YY! i11-w 11112 A /9 -4- Agent or r Applicant Printed� Sig a ** P rea Application Fee(s) �-A C See note on back regarding River Basin rules. 4 1!�J PermitOfricet's.Printed Name on back of permit ** Signature Check # Isstring Date Etpirati ate XCAMA / ❑ DREDGE'je FILL No. 74890 A B C GENERAL PERMIT Previous permit# ILZNew ,oEModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality y� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1' • I C) 41 El. Rules attached. Applicant Name / h j Project Location: County_ Address i Street Address/ State Road/ Lot #(s) City StateeMC, ZIP �� 12 �(/ N/ Phone # ( ) E-Mail Subdivision Authorized Agent as c:( C&i CityK-{�� /� l'7 yV-1 ZIP (/ ". L2 7 Eli$ Cw EW ®'PTA ❑ ES ❑ PTS Phone # ( ) River Basin /r R ✓ Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 1� kid/ � Aoman /unkn) ❑ PWS: ORW: yes /�fi� PNA ��/ no Closest Maj. Wtr. Body�� • ' ' AM I w ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■wn■■gin■ Was MEMO ■■■■■■■■■■■■■■■■■■■■■■■■■`I�r_: ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■!■■■■III■■■■■�:� � ■■■■■■■■■ Iii. _■�/�iii�i�r. L7■■■�l■■■III■N■■� 111 M. _ ■■■■Iil■■■3:■[S�Ei�:�!■ri■■■■;Illirl■lIi�111 ■■■■■■■■�'/�■■■6�■■I■III��II�I�Il4ll■■■■■III■'■■■■�111 MEMEMEMEMMEMEMIM NMONSEMN!11��EM1111 Shoreline Length SAV: not sure yes Moratorium: n/a yes Photos: yes 19 Waiver Attached: X 1 es no A building permit may be required by: / L 1641 Clay ✓ ( Note Local Planning Jurisdiction) Notes/ Special Conditions d11,'1hs Agent or Applicant Printed Name ❑ See note on back regarding River Basin rules. a- -A Pxc-ell � Signature ** Please readLompliance statement on back of permit ** ?d Application ee ) Check # 147dak-1-11 Am/�D Permit fficer's Printed Name Signature 1V 2.3 �0 Issuing Date Expiratio ate 1 WALL S AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit _�f�h�`5 11 C�o (-C>w 1 LZ Mailing Address: ?jC'Cj Cjole f `e beN� Phone Number. _ I CG 5 1 S L- 4 7 Email Address: C'aC i'c-., -( or LA- . e I certify that I have authorized G�`�S� 'D-, K" Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development C-D-\ at my property located aty rL.V t r- in r- County. 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 C.1UGI�L�j3 to�,l ► Z Print or Type Name Title Z lq-:� l Zy Date This certification is valid through _Q j___I cg I 01! l� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ch��S C,�1i c c.0 W ; �Z s Property located at �6 p,;v c r— p_d (Name of Property Owner) on �� . r ,,(Aaaress, Lot, Block, Road, etc.) (Waterbod in li ar- (�} N.C. y) (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 des cr►.'ptian below or attach a site drawing) 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.) I do wish to waive the 15' setback req uirement. I do not wish to waive the 15' setback requirement. (ProDerty caner Information) (Adjacent Property Owner Info rmaUon) Ign �1 It Ze h rc`�,' Signature Print or Type Nam ' I— L470 I kr/t� Print or Type Name Matlrng Address L,) Itm KJL— 9I � Marling Address C;ty stareirfp �; lmr� d �c /V _ 4/O J 3 i - Sb r 7 cityistateiz, Telephone Nu ber 2Q 2 QO Telephone Nu m er Date — //1Gl/ �� &-w Date --- (Revised 611812012) Workday 9194247200 p.1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to (Name of Property Owner) property located at ,� U ��rc r— 91) -- (Address, Lot, Block, Road, etc_) on !.j-4-< in �.,�... �:..�`..�.r- Czu��l Y , N.C. tlNaterbody} (CitylTown and/or County) r The appli ni has described to me, as shown below, the development proposed at the above location. 1 have no l ob'ection to this proposal. 1 have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) 1 v �'T C WAIVER SECTION i understand that a pier, dock, mooring pilings, breakwater, boathouse, lilt, 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 wain/a :he setback. you must initial the appropria,e blank oelow.) �� '�� (OF-- i do .,fish to waive the 15' setback requirement �- wrsh to waive the 15' setback requirement (Pro a Owner info on). (Adjacent Prope Ourner Information) sign - fur. Print or Ty Nam � � Prnl or Type ":'ame 6. t- - G D Marung_Address Pladng Address 1)�iar 1�� 1 - t.0 ) w..k ,,,�,. NC - Crty/st haaI Cily/SlatelZp - � _ 0-7 TVepnone NI umber Telephone Number _ .... %Z%• i .mot=.-x,' Date Darr — - - ,'Revised 91 a/20 , 2; Check 4/3/2020 4/3/2020 McPherson Marine Services, LLC Rick Carlisle 1 First Citizens 2986 $ 200.00 GP #75862D BB rct. 10409 4/3/2020 4/3/2020 Holden Docks and Bulkheads James C Lewis CresCom Bank 3821 $ 400.00 GP #758690 BB rct. 10404 4/3/2020 4/3/2020 Mitchell Anderson Construction James and Martha Thompson PNC Bank 1042 $ 200.00 GP #76219D JD rct. 10326 4/3/2020. 4/3/2020 Carolus Building Company Chris Chleborowicz First Bank 1424 $ 200.00 GP #74890D PA rct. 9740 4/3/2020 4/3/2020 Evolution Optical Communications, LLC South Carolina Telecommunicatior Branch Banking and Trust 1586 $ 400.00 GP #76256D 1 TMc rct, 103543/2 4/3/2020 4/020 Evolution Optical Communications, LLC_ South Carolina Telecommunicatior Branch Banking and Trust 1587 1 $ 400.00 GP #76255D TMc rct. 10353 4/3/2020 4/3/2020 Jerry Ennett Ray Nell Pearsall Coastal Bank and Trust 3002 $ 200.00 GP #76220D JD rct. 10327 4/3/2020 4/3/2020 Charles F Riggs & Associates, Inc. Willard and Paulette Jackson First Citizens Bank 16431 $ 100.00 minor fee, 2713_ South Shore Dr., Surf City PnCo IJD rct. 10400 4/3/2020 4/3/2026 Allied Marine Contractors LLC Randy Moseley First Citizens Bank 8796 $ 200.00 GP #75868D Bbrink rct. 16410 ITmac 4/3/20201 4/3/2020 John Wesley Grp_ _ ___ same I BB&T 190 � $ 200.00 I GP #71859D rct. 10879