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HomeMy WebLinkAbout73522D - McManimenLf- /_ r•wLL., QJT r is cJ CV CAMA / 1 DREDGE & FILL 6 1 GENERAL PERMIT i;(New -Modification El Complete Reissue ❑Partial Reissue No. 73522 A B C Previous permit # 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 I SA NCAC ❑ Rules attached. Applicant Name.5TrVIEiJ 9 PAkLA AC 4"i1Mnl Address gt& I CAKEt_4o-r _DIVE City NARR%SBuip% State ,01C ZIP Z9014 Project Location: County 197-unlgW 1 C-K Street Address/ State Road/ Lot #(s) 1 a' AQLQ'f1� c���r RE Phone # (11,D+ Sb 4 - G 77 7 E-Mail S Mc r+w n: M c rn to a: rcona Subdivision CJM Authorized Agent B'RIA,/ MLW-o0CK� City OotWf_,./ SCAck► ZIP 219+6 Z. Affected ❑ CW XEW KPTA ElES ElPTS Ac-r-^I7 Phone # ( C1) & G 4 — 0%,Z(o River Basin LuKts r_ R ❑ OEA ElHHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body CANAL (nat m�nkn) ❑ PWS: ORW: yes no) PNA yes no Closest Maj. Wtr. Body i�� W W (9�ock) length 17 (Scale: ■■■■■■■■■■ ■■■■■■■■■■■■�■■■■■■■■■R Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boathouse/ Boatlift Beach Bulldozing 0t-i = 5&0 4'} 2 Shoreline Length + 100 SAV: not sure yes no Moratorium: 0 yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) HOL12K,nj SEA C A ❑ See note on back regarding River Basin rules. Notes/ Special Conditions o 7 N . '-Z 1)l7 X , L-L C7 FRF—M Ly CA L, , STA Tr 24 A^/y Fr-t7r—zAL REGLALATi'APPL-Y. �l�/141✓ �Gc��yG� Agent or Applicant Printed Name Signature •• Please read compliance statement on back of permit Application Fee(s) Check # w6t'lt Permit Officer's Printed Names Signature 4 /111;?-ai9 g A � Azol 9 Issuingpate Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 6�e-n Mani me- Malling Address: 11Rt (` -, o—L rah DC . 's rr1\j r , 28'h'7G Phone Number: ���}� S"--- (a—f --I Email Address: P, Cam I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ho.",J "I S4-- Csr-s �.ce-hdy� at my property located at in. �r'ut�Sw ��cie County. 1 furtherttmoie certify that ! 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 9 nee Info atiom Signature Print or Type Name Title / .. i Date This certification is valid through '�Z2 1 t 1 Z4L:12--C> CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner; _ - / . C Address of Property: 1 a?o C roar (o;� 5- .j,I ,A a r) a Tgr U r 6W cir -. (Lot or Street #, Street or Road, City & County) Agent's Name Vre-,_Tn Mailing Address: ae>b?,1 dA-n_! Agent's phone #: �2ct,n of u r\f �fsFla�, I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing_the development they are proposing, A description or drawing, with dimensions, must be provided with this letter. V I have no objections to this proposal, I have objections to this proposal, if yo4 have objectlohs to what is beingproposed, you must notify (he Division of Coastal Management (DCM) In svdting vrlthln 16 days of repelpt of this nollce, Correspondence should be mailed to 127 Cardinal Drive Ext., INUM/ngton, NC, 28406.3845. ACM representatives can also be contacted at (910) 796.7215. No response Is considered the same as no objection If you have beer) notified by certffled Mall. WAIVER SECTION 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set hack 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. 1� I do not wish to waive the 15' setback requirement. (Prop ` Ow n ation) c f' Si,�liaiure Pfint or, Type Name Ms 109 Address Qity/SfafelZip' Telephone NUmbar Date (Adjac t Property Owner Information) Signature Print or Typo N trle 1-:3-7 C4�1& tom. s-{---. Maillni Address ;zTq G2_ City/Stafe2lp' Telephone Number (I lt� Aa1e Revised 611WO12 ■ 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. Article Addressed to: T?�obb\�j D. Pr-6v4n 13-7 C hacr{ o-t+e- A. Signat re X , ��� // S ��� ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery __. I ✓ L` D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No I-61c4u,Pxacl� )r\ G 2-94<2— II I IIIIII III III I II IIIII I I UP I III III I I I III i Type 3. Adult ❑ Adult Signature El Priority Mail Express® 9590 9402 4454 8248 7477 42 ❑ Adult Signature Restricted Delivery Certified Mail® ❑ Registered MailTM ❑Registered Mail Restricted Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for 2. Article Number (Transfer from servira laha/) ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature ConfirmationTM 18 0680 0 0 7028 9556 ° Insured Mail ❑ Signature Confirmation ❑ Insured Mail Restricted Delivery (over $500) Restricted Delivery PS Form 3811, July 2015 PSN 11`530-02-000-9053 Domestic Return Receipt s CERTIFIED MAIL + RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONIWAIVER FORM Name of Property Owner: MC- W Ll Ln rno 0 Address of Property: I a(e (%tr,r;�r-{ o-{-�-e S-f- P-t l �_,-, AP cLC� gn 1 r�SW [CA--- (Lot or Street #, Street or Road, City & County) Agent's Name _ VCC T�1c� Mailing Address: Agent's phone #: 61 to .to('0 - b ! 2z" �U.DOI� G gLL [o`er i hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing.,the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. W/I Have no objections to this proposal. I have objections to this proposal. /f yott(7ave objections to whatis being proposed, you mustnotify the Division of Coastal Man,agement(DCMJ in writing vIfihlr110 days of receipt of this notice. Correspondence should be malted to 07 Cardinal Drive Ext., Wilmington, NC, 28405.3845. ACM representailvas can also he contacted at (9to) 796-7215. No response is considered the same as no oblection If you have been notifled by Ceri fled Mall. WAIVER SECTION i understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me, (if you Wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. i do not wish to waive the 15' setback requirement. (Props 0f, r 1 096m, at(on) (Adjacent ro rty Owne-I06-rMation) f�olw"o Slgnoture `.�4-e r, tit C-rY1an M Print or Type Name' M. Maiiins.4cldtess b tip p� l�! Ci 2Sb�5 QitylState2ip -(7D4) - (,- Z 7 -7 Telephone Number Date Nia.,ry- W . Print Qr Type Name 1 Wit -%I - Mailing Address ttoiG(e-i1 9>eacke`Z8'L(fo2- Cityl$tatellip 91.9 — 4-ZZ-.3oo Telephone Number Date �;h uq Revised 611W012 ■ 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: It-e-VLLe- RA. fZGi tc 5h KG ' -- ('Ocgj 1111111111111111111111111111111111111111111111 9590 9402 4454 8248 7477 59 2. Articie Number (Transfer from sandr Llager 018 0680 0000 7028 9541 PS Form 3811, July 2015 PSN 7530-02-000-9= A. Si nature QQ )C SUf ❑ Received by tinted N e) D e of I �Lav►r�� ��aN D. Is delivery address different from item ? ❑ Ye; If YES, enter delivery address below. ❑ No 3. Service Type 11 Adult Signature ❑ Priority Mail Express® ❑ Adult Signature Restricted Delivery El Certified MallO ❑ RegisteredExp Mail - ❑ Registered Mail Restricted ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery Delivery ❑ Retum Receipt for ❑ Collect on Delivery Restricted Delivery ❑ Insured Mail Merchandise ❑ Signature ConfirnationTM El Mail Restricted D .;ry (over$5001 ❑Signature Confirmation Restricted Deliver, Domestic Return Receipt --j De osited Check From (Name NameofPermitHolderVendor Check Number Check 1 Permit NumberlComments Recel l or RB7UM/Reallocated :olumnl olumn2 Co/umn3 ColumM Co/umn5 Column6 Column7 Column8 Cc4 mn9 d1162019 VCC Inc Steven and Paula MCM.-- T 248 $ 20000 CP#73522D