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HomeMy WebLinkAbout72244D - Crissey4-t�7—,-n Y lVu A CAMA / r7 DREDGE & FILL NO 72244 -. GENERAL PERMIT Previous permit # '� 1''1 1 g D C Q New —Modification XComplete Reissue El Partial Reissue Date previous permit issued 1 1& /2019 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 07H. 12 O O ❑ Rules attached. Applicant Name MAgk & L SA CR1 sS,gy Address 23 c ugl3r-(ZL-AND .STRcEr City OCCA,v SSLE &AC114 State AIC ZIP 2 84& 9 Phone # (M 274 — 5373 E-Mail L ML 2102 ®9n►ni�. cop Authorized Agent CNA;tLX-C 770X ❑ CW )`EW XPTA ❑ ES ❑ PTS Affected ❑ OEA ❑ HHF O IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ORW: yes / no) PNA yes / no Project Location: County 13A Ads W i cK Street Address/ State Road/ Lot #(s) 20 // o0 Rr- STREET Subdivision W A City OCCA4 .1-SUL StAC-N ZIP Phone # (910) 5JJ - 0 9 0 8 River Basin Lkµ CIER Adj. Wtr. Body CANAL (nat man�/unkn) Closest Maj. Wtr. Body A I W W Type of Project/ Activity COIN S-rR N cT A /V E W DC, e%.146 FA C I L.iTY (Scale: 1ii : 20 ") pwr_rd o� , F F F ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■NEON ;roin length number avg distance offshore max distance offshore- asin, channel ■■■■■■■■■■OE�y�.�■l�■■■�■■■■■■■■■■E��ir EB■■■■NEE■! 7�■�'��■��■■®■■■N■■■■■■■■N■■ ■■■■■■■N■■NEE■■■■E■■■NEE■■■■■■■E■■■■■■■ N■■ww■Illwl��r■■■■■■■NNE■■l��w■�■w■r��■■■■■■■■ ■��;�;��L•L'�•�iii■i�i�.��,j,;;s;vr[:r�S,�IIL •LL:Ir��i����i���■■■■■ cubic yards ■■■■■■■■■�i�■ ■G I■■E■ ■ II.. ;� �.1®■E■N■■E■■■■■■■ ■�7■�w� 1■^■■■�■EN■NNE each Bulldozing_ ' wNE■MEEIEE ■■ ■■■N ■■ L. I P..j3>•L...L�■c'f■�.�■ ■■ ■a1.G'�3.�.0 �!■1-sm_ �_►_1_�■■■_■_ ■EN ii■ii�i�iii i�il��liiiii��ii i��■�ii■■�I■I��■�I���i ■N■■■■■■■■■■■■■■■■■■■NEE■�I■■■■■■■■■■■■■ 'AV: not sure yes ■�,��lw�■■■ ■■■w��r��r■■■■■■� 1■■■n►�tlww■■■■■ � 'hotos: yes; ,. ■El7.7■■■E■ IE■Nif ['■NN■■E■ �ill/�N■■rrEO■r �� ■L-ir h&E■Er■■EEN■■■■■ ■M■■N�� �■■■■■ L3o,-a A building permit maybe required by: OG•p EA N ZS L.r F>CAC N ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions 07N. 1200 AND A W, OTNER 4 0CAL . STATE ADD FsprxA L REC, LALA7100I AP PLY ti Agent or Applicant ted V Signature ** Ple` 4eread.compliancestatementon back of permit" 400 * 25535 Application Fee(s) Check # 1 y Ez MC-6K1RE. Permit Officer's Pri Name G Signature &/r7-/19 tojr'7�19 Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Applying for Permit: L # '5a- L ed 9 rG - Cr 55 Cy Mailing address: 013 C u_n-m ber I an d S 4-- (Ocec.n 151e 13ea.ch Nc_ 08,1Co9 Phone Number: `7 5 -7 - a -7 y - 5 3 `1 I certify that I have authorized Charles Fox Homes Agent / Contractor to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of at my property located at in Brunswick residential home, boat lift and boat dock 20 Moore Street, County. This certification is valid throw 12-31-19 Date (Property Owner informatloni .' ..•. / Signature Print or Type Name Trite Date `75,7-,Q17--53-73 Phone Number Emati Address �J Ocean Isle Beach, NC E -1ef1L%t>Y 'ref* th8l,l CAW) PMP" aC4WMn1 to . WAF* WV Lao Cmft� —(ft—WW of Prop" Owner) property locaW at 20-11ACKAt 37le. Lot it, C-fW 3. ;*rhos A 4 1,4 (Address, Lot, Stock, RoW, etc.) or. in We G"CA, wksn- ". 0onry Wate ti (tba<ty) (City/Towii an—dJor County)_.__ The applicant mas descrd)ed to nie, as shown bek)w, the davejNrsterjt PrOPO-seU at 'he above have no obtecUwj to tW proposai 1 have 04eCtons to this proposal. xwycga-ngN I understwW OW a Pier, dock, rnoonng piTnxp, boat ramp, tweakwater, boetWuse, lift, or gram Mikat b* SW hea a nw*Twum disimce of 15'#M MY area of rttiWian access unless waived try 0*- (ff You *16h to waive "'a $006clK. You n"At if*W the aPPrOPOOD bier* below ) irl" — - — . I do wish to waive the 16 seWack requirefrieW I do not wish to waive U* IS' seftack requrenwnt, W"O" Owner Wormahm) (Adjaii:!M Pm' er Owner lnfomali6n) P** or Type Name POW LV Type mam 'VV-1- C r-j n- QW091011111111M.St - agov AO"" I Us &V A d* wil A m ',1 71 J'k1700W ho sew*,. NC 7,640 4VSW&ft CC4VV"f4 e a 7 / ��V% "W-W44313e raw*oag maber / HMO address Number i &ma# addrow (Rewwd Aug. 20 14) Wabid tor one rAmandaf yew after signoxim, t nereby mw I own pK p" acI)SM/1kIM fta w L. cry S P(00" f�aw l t W Mft o set04: LOt 43. Carat S. a�sdko A & mot],# Property C�fv rl�) 4 in .."�"c r"` We sa n' anaemic icxmry _ N.0 C erbodo (City/To n and/or Countj�'— The applicam has deserted to ma, as shown below, the daveiopFi� pry , ,,� e • �, > I hom np ot�ctio n to this pmpusai- I have f 400AOM is q ppm*s-81- WAIVER $9Qil 1 uroderstand brat a per, dock. mo oriN pings. boat ramp. breakwater, boaVwuse, li€t, or gr*ln aMuaf be set tiao a r ununum distance of iS froitq my ame of €qptratn amens uedesS wtawed by (if Yat,-vresb to waive the sobadr, you racist Wonj Vie apprvp a bkn* below 3 'f t dc-wishto verve ftw 15 seMaCk redu rernent iA&t`W wish to waive Ow W saftoc k requwemom. (A4b*wtt Propelty tt' or 1` 1 how PmW or Type t16e M 2SL �'ss INI1v�A/??3?t t.rzx oo�, Tabvftrtt adc"tS dma% pt�aroe tlhlra / erbafl ads TAW lk�sc= (Rewsev Aug. 2014) IVAW kw Otte c406cltSar Yom aftr 5gneOare- ON 'NOiJNIWIIM WOO 6lOZ 91 M CANAL CANAL Date Received Date Deposited Check From (Name) Name o1 Pa It Holder Vendor Check Number Check amount Permit Number/Comments Receipt or RelundlReallocated Co7-1 Column2 Column3 Column! Columns Column6 Co7umn7 Columns Column9 142019 b F xH m TD M rM L wkmT t o 5 !44D TM rd 8487