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Home My WebLink About74317D - Nunnelee4 Z_ 1 Zt) w CAMA / ✓DREDGE & FILL No. 74317 A B C Cd GENERAL PERMIT Previous permit# .New ❑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 15A NCAC N• �Qy Applicant Name ✓ Nkh ne ke Address 1/3 AAI L"WiVIC City wl i r}'jl h f rn State !J (, zip R V O 1 Phone # (11 Q) 6 3 V 3&92E-Mail CIT AP-Je P 6401•0-1.1 Authorized Agentlf�;7" T ,, / ❑ Rules attached. NProject Location: County P h/ ika p,e r Street Address/ State Road/ Lot #(s) T6ZA+ wZ Subdivision City ZIP Affected ❑ CW '-tJ } ❑ PTA wts 94"s Phone # ( ) River Basin () AEC s : ElOEA ❑74 .t� IH ❑ UBA ElN/A Adj. Wtr. Body �C na /man /unkn) 1-1 PWS: I ORW: yes / no PNA yes / no Closest Maj. Wtr. Body�14l Agent or Applicant Printed Name Signature *** Please read com i ce statement on back of permit009 * 40 ,ea Application Fee(s) Check # PermitOfficer's Printed Name 4iw� Signature 5W, y 113 i! y Issuing Date Expi tion Date WA;MA / REDGE :� FILL �" 7 7114 A B C NERAL PERMIT Previous permit # w CModification 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 an area of environmental concern pursuant to 15A NCAC 117, Applicant Name (JiwRxL[/Sl.ly �irc� Project Location: County Address 7 FO/N 'r PX 11ZE CityState/VC ZIP 2 r Phone # (Ya -/ y 9 E-Mail �s Authorized Agent gf&ye CAI✓ Affected ❑ Cw ❑ Ew ❑ PTA As ❑ rrs AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ Pws: ORW: ges / no PNA yes Street Address/ State Road/ Lot #(s)�j✓j _ Subdivision R� "o r— City ZIP Phone # ( ) River Basin cgec w Adj. Wtr. Body � it fis 6xcck 6�man /unkn) Closest Maj. Win Body A/ W A/ — Type of Prot/Activity Pier Fixec Float Finge Groh Bear othe Shon SAM Mor. Phot ■■HH■■■ ■■:�.:� ■I■i■■H■� ■®■■ .■ 0Ca■■■�■■■■■Holm ' ■ ■■H.■ I:■ ■H■■■MR-! Fi. MV!W.!:At�ds01W, 7)�■i�R■■■i /■H ■H■■■H■■■■■u■a rr U■■■■■■■■■00 • ON = i■=i■iii�ii■i■ ■■�■►x ■■iii�iHi=i ■�� ■w■■.■� ERN M■iii■■H■■■■H MINE ■�11111PREEMMISM ■ _M-• M■■■ ■NN m R MEN � a ■ 9 ■■N■ ■ 6 wH fll�iAI M ...: ME ONE w'lmUMS1 a ■i �■■ri' ' � ■ MEMENROM Emma am -Sne Length S■H ai►.■■.H■.■�■■■�■HHi notsure yes mawm=i■Hi i■ w e - A building permit may be required b)r &efLJ H&NOL�E.0 ��U.✓%� ❑See note on bade regarding River Basin rules ( Note Local Planning jurisdiction) r Notes/ spmw Conditions AJ,4 1,411ErL A Al 7 / I L L L 161azCL b . Agent or Applicant Printed Name Sigmare ' * Please read compliar►cje statement on back of permit t2oo Application Fee(s) Check # PermitCffioer's Printed Name Si re 2 Issuing Dajdtxpirati&Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 4 - / 0 - a cal 4 Name of Property Owner Applying for Permit: Mailing Ad Tess: I i "7 i0o"1V-t D v- Y�/� I,h,uai`aNt VC- L? iIt I certify that I have authorized (agent) ' r i P Pi I /V to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ?-t M be- r /3 ,. /ith e n at (my property located at) l % `l Po i n.t D r ; v e This certification is valid thru (date) za 2/.z9 - /0- Property Date ADJACENT RIPARIAN PROPERTY OWNER nS1TATEMENT I hereby certify that I own property adjacent to 9A R y P /y UNNZ 1. r Q 's (Name of Property Owner) property located at 117 Po,N1 Dr, ve (Address, Lot, Block, Road, etc.) on I B 8 �� C/? in V/, 1 M , ry 3 1 o u , N.C. (Waterbody) (City own 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 fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) o wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Siodiure i �— 7 Print or Type Name MaitingAddress f City/state/Zi� 07, Telephone Number / email address Date* Si 11aht;-' G1\Ry P IV— AlN1LGE Print or Type Name )17 Po,.,,1 Mailing Address W,,IMrn%�-to-, ti` aP44tf City/stateop Telephone Number/email address y- 10 3C1`7 Date (Revised Aug. 2014) `Valid for one calendar year after signature' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to CTP'�Y = l /"/vNE L E E 's (Name of Property Owner) property boated at I � 7 PO t N� r; ye -�^ Address, Lot, Block, Road, etc.) on 1 B Y J CR F E- K, in 'm , N.C. (Waterbody) (Ci /Town and/or County) The appli nt 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 fill in description below or attach a site drawing) Sec;'0N WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. y 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Sigr'a 0,A,9X R- Print or Tppe Name n 1J7 ! D N 1 Mailing Address w. ImI ry -t N. NC 38qIt City/Slat tp 91D 63- 960D- Ia nVnwel« �°ul.co✓� Telephone Number/email address Lf - )o - 04 19 Date (Adj ent Property Owner Information) Sigr ture * N-VIO LL Print or Type a e l( S P6, t-1 7 Maikn� Address jL City/?at�/Zi r i c. Telepho Nu ber / email address � IOTI Date* (Revised Aug. 2014) `Valid for one calendar year after signature` Date Received ..to Deposited I Check From Name Name oI Permit Holder Vendor Check Number Check unt Permit Numbe iComments Receipt or Retund/Reallocated Column? Column2 Column3 Column4 Columns Column6 Column7 Column8 Co1umn9 511V2019 Pi m M ne N f- F 095 400.00 rP #74317 PA 7346