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HomeMy WebLinkAbout72827D - Rodger4+-'t•d:�� ­U --VI nv - CAMA / _ (DREDGE & FILL TENERAL PERMIT Nv Modification []Complete Reissue ❑Partial Reissue No. 72827 A B c Previous permit # P1) CA I (] P - 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 O�" • 0 0 Z.f Applicant Name V / Project Location: County �{ f A / ❑ Rulesttac v vU !! Address Y I V Street Address State Road/ Lot #(s) 7 A fP�' �� City State N , ZIP 2 4 tpoc) �AlQ Phone#(ill) L11L,41. E-Mail 1V1('11iGtG� 1 h�. rr• EDi^'t Subdivision Authorized Agent 6",t 1 A L t 4�1 Cal City � 1 v - ��J✓1 � , j)j a J ZIP Cw [#W f#TA )(ES )(PTS r�w -�Pkone # (�) �} ✓ River Basin C,47 Affected ElElEl❑ AEC(s): OEA ❑ HHF IH ❑ USA N/A Jl y Adj. Wtr. Body f7(i V� lr' " a/1C(JJ i L1 J (nat /man unkn) ❑ PWS: ORW: yes / a PNA yes / Closest Maj. Wtr. Body f Type of Project/ Activity.- ty�A_id tLnL,t� 1��.� bLtIVIvk d mAX 2' Jvaf VtUa�� df Nl (41 Vl C\ Ou (Scale: Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Tdistance Riprap length offshore 7 max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift ■■■■■■■■1 �■■iit�W1�31■!!■■mow►\■1■N■■■■■■■■■■ ■■ ■1�■■■■ �■■■■■\`O►1■■■■■ ■ATom= yc ■■■■■■■■■■■■■■■■ AC,■■■■■■■■■■■ ■■■■■ �■■�■■:■�■■■■:■�■■�■■Y�r ■ ■■■� i.Ems (Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: David & Dianne Roger Mailing Address: 204 Water Street Phone Number: Email Address: Wrightsville Beach, NC 28480 919-616-4664 momadi@nc.rr.com I certify that I have authorized David Logan of Logan Marine, LLC Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: erect new bulkhead at my property located at 204 Water Street in New Hanover 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 applil ion. Propert /Owner Informati r Signature ff Print or Type Name Cw4)E= Title 2_ , ,.2 Date This certification is valid through 6 / 31 / 2019 FEB 2 2 2019 ■ 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. Article Addressed to: �2oi L1���E P�cNE 5\�1-vE OC'L OC 9590 9402 2978 7094 5966 11 2. Article Number (Transfer from service label) 7018 1130 0002 0001 7650 ro rorm 001 1, July 2015 PSN 7530-02-000-9053 ■ 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. Article Addressed to: Q'CiaCCLAr, LQLC N (V ,A If YES, enter delivery address below: o. ocl vwa 1yNC u Frionty Mau txpressuR ❑ Adult Signature ❑ Registered Mail - El Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified MZO Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery El Signature Confirmation- n Insured Mail ❑ Signature Confirmation isured Mail Restricted Delivery Restricted Delivery rver $500) Domestic Return Receipt A. Signatruree 0 Agent 'VW ��p ,, �1 ❑ Addressee B. Received by (Printed Name) I C. Date of DDQlivery D. Is delivery address different from item 1? ❑ Ye; If YES, enter delivery address below: ❑ No I JJ 41 3. Service Type ❑ Priority Mail Express@ III II I II I I III III II I I ❑ Adult Signature aiITM ❑ Registered Mail- ❑ Adult Signature Restricted Delivery El Registered Mail Restricted 9590 9402 2978 7094 5966 28 p Certified Mail@ ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for O Collect on Delivery Merchandise 0 ni, — k— rr.., — s.........._.:__ .-1 _„ '-' Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM 7 018 1130 DOOR 0 0 01 7 6 4 3 Insured Mail Insured Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery _ --- - ---- - _r - (over $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Date Received Date Deposited Check From Name Name o/ Permit Nokror Vendor Chock Number Check amount Pemrlt Numb-roCommenro Rent t or Rs/und/MMlocarod Columnl Columnl Column3 ColumM Coiumn5 ColumM Column? Col mn8 cola o 8 PrD