HomeMy WebLinkAbout75883D - MorrisCAMA / DREDGE & FILL No. 75883 A B C
GENERAL PERMIT Previous permit #
Nedk Modification El 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 15A NCAC l\� (1 ' 1206
❑ les attached.
Applicant Name i C �' I �' Project Location: County
Address d J L - Street Address/ State Road/ �p #(s)
City I - (1 tate ZIP �b I q�
Phone # q — ; _Mail
�__ nn'' c
Authorized Agent-U\�..l�l 64
Affected ❑ CW , �*VN ETA El ES PTS
AEC(s): ❑ OEA .7 HHF /❑ I`H ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Subdivision
City ;-V f ZIP '4-4�n N
Phone # ( / lRiver Basin 1Jv 9
Adj. Wtr. Body 1w' U I fd I �; •�f— nat man_ /unkn)
Closest Maj. Wtr. Body tom' ✓� v
• AA
M.
■■■r■Ili!■�r■■■■■■r��■■■n■■■■■■r■��niwlrr■■■
illl:■■■■�rMO
■■■■■■■■■■i7■■r��■■■11■■■■
M.
■■■■■■■■■■■■■I
■1■l71�.�■■
■■%■■■®■■Y■
■rr�■■■:�,r�l■■ ■■■■■■■■ ■■■■ram aaAr,��r■■
Via■rag-A■■■■r►E■n■■■■■■®■■■■■■■■■.��r.i�i■■■
. 001^PIUA■■■■■■■■■■n■ ■®■■■■Il■■■■■■■■■■■■
Agfnt or Applicant Printed Name
Si a ��re�** Please read compliance statement on back oermit **
ApplicationFee(s) Check#
Issuing Date
Printed Name
Expiration Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hgreby certify that I own property adjacent to Ire a' fi�rey: Mo✓✓ls 's
ame of Property Owner)
property located at � �� 3 I Sf ��".
(Address, Lot, Block Road, etc.)
on Ana in 3F,e (�+kr , 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 rill in description below or attach a site drawing)
0 0
O C)
rxi6+ing S�vue4ure-
&WY 14ew Cc„ s+rw,4tm
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 requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signayir-'e
Signatu e
L, mom s -- r\
Print or Tye Name Print or type ame
/a¢3 /0, 5f t O � I
Mailing Address M ' n Ad res -�
5uyf G� -h, , NC Z 344- 5 � (�
City/State/Zip City/State p ,
� I 9 - z49- 4)577 c��3
Telephone Number Telephone Number
I Z Zo � �71I Y� I �
Date IVED Date
APR 0 9 2020 (Revised 6/18/2012)
DCM WILMINGTON, NC
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ✓e 4- Ma,ir15 's
property located at 1043 -154.
Name of Property Owner)
(Address, Lot, Block, Road etc.)
on 611--d , in Soy Z 4, N.C.
(Waterbody) (City/Town Aind/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
kl-� 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)
lJ Qom+
IZ' a SalNMI��s-h ►� S-�►���-fire
New C01,64rvd idn
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.
I do not wish to waive the 15' setback requirement.
,Property Owner information) (Ad"scent Property Ow er Information)
al, .
Signat re v Si ature .
r lLl . j1/1Urs-1 s S %emu
Print or ype Name Print or T e Name
/D4 S Z5�_ S� . 37s�1 Mallot� C�
Mailin dress . Mailin Address
City/StatelZip City , tate/Zi.
ply- z�4- �s7 1y-6 IQ-o-51
Telephone Number Telephone Number
(/ 2 201 "' CEIVEC� 12 -2(
Date Date
APR 0 9 7070 (Revised 611812012)
DCM WILMINGTON, NC
adkwc&Yk to
progeny luumma (ce, ioo, �$c�rt� )
ob) f CIty1Ts" On
N C.
" . ob*oom to
OE C RIP TION ANMR ORAAi3N OF pR[p"CSED MMLOPMENT
ond?.vidualpfopossng dw6lopmeret must lrf; iry dwfipo" WOO of Atticl t so domblo
P'!- - -
s
vrr�t
r uj n3wstand "hat a + _ . , . br c . boaftAw, iift or woon mko to so
r imum, dwlar'ce of 45' form+ 7ty Alrsa of rvarar mimess ur by t (W yvu 40 W@k*
jProperty Owneir 6nioonAlloai fAdJ6,c*M Pn"vty Owrw ir*t *tom)
rewpw s
Dart
F �-
a
ff,o =
16Z
wo apt
1p"Ofto ow as aoxxft I - - _-
vm&W sm as we*" ou oft
U00*04 amw 04 p pomoftw WWW 00 "Sw 04 PWOW 004 *WPOft 041
,an
oova 40"a
ilk wow r t A w 0 f wo 4mm 1
v 50
UTU Ar�''I �,UTHi�I'�!7A7I�rJ FJ ?
Name of Property Owner Requesting Permit: Ire,, M. Al arr f _
Mailing Address:
Phone Number:/mil Z ¢- 400-5- 7
Email Address: --1 I niorr i e iG /oyd , Co ri-►
certify that I have authorized Dl�ra// F,/I y ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all.CAMA permits
necessary for the following proposed development:. CO✓e�rP
rj a Ze bD
% at my property located at %d¢.3 14� �� S�✓� �'�
in jOhs /ro & County.
l 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:
2
Signature
Tint or Type Name
TitleD
Z 1 /� I ZdZa AP�Pp �► 9 2020
Date
OMW MINGTOW, 4C
This certification is valid through 1 I
�
'
E
;
}
f
\
�
.
.�..
|
ƒf#J
$
�
�
!
|
|
...,2
|
|
tuill,
�
ki
.... .
¥
;�
�
|
�.
�
..
..
.
�
i
|