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Home My WebLink About66339D - MooreJ CAMA l ❑ DREDGE & FILL P'jk , 3ENE sp PERMIT �'f�lew Modification El Complete Reissue ❑Partial Reissue Previous permit # Date previous permit issued B rized by the State of North Carolina, Department of Environment and Natural Resources it % ,l :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ' �f ! � w �les hed. t Name ! 7- 1 °' vAll xyr Project Location: County /i � [, -hed r e lie - -l'✓e Street Address/ State Roa / Lot #(s) Vr�tf�r�'S r G State I(/G ZIP Y s C t (�%L) 5W---JCf/'E-Mail r� /r 11 � Subdivision ed Agent J`~6G� 1AN efAalf City ! �iAW111 ZIP ❑ Cw C v PP A ❑ ES ❑ PTS Phone # ( ) River Basin (A,y ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body tee G nat ❑ Pw�.' '�' Closest Maj. Wtr. Body yes /Kh PNA Yes r. Project/ Activity 12evlwe ngth ®■■■�■■ 011IM1111101lfe WINS■■.■■®■ ■ENE■ fli i i lImom iili �Ii �► �:I■■�,iL� �:^Ni��E■■ ■az ■ ct in ■ E!M■N1 ■■1 1■■ E■■ r,r.MEMENN lm®E■lIONEN■�■ NONE■■ IW■I■WVIr!E■ ■ONE ■... iN■� 1�■■�■■■■■■■ W'UK AME MCI �..I N■■ll■ wm� mwl ONE■ MONSOON E MANI m— I m, ■AEON■■■Iv'iL'�■■�1■ESE■■EEEE 2/24/20161 Daniel Shirley/Overbeck Marine Construction Inc same Laboccetta and Stokely wells rrargo SunTrust 3rr65i 4580 I $1UU.UU $450.00 minor fee, Lot 4 Chestnut: GP 66332D for Labocetta major fee, Stokely, 512 N. i 2/24/2016 Michael Afify/ANA Builders Inc. 2/26/2016 Varnams Docks & Bulkheads Inc. 2126/2016Olsen Associates Inc. Carl & Jennifer Sandlin TD Bank _ 7774 $100.00 minor fee, 656 Spot Lane Emma Mims & Jeri Adams BB &T 7082 $200.00 GP 66304D MP application VBHI Wells Fargo 2218 $400.00 3/2/2016 J. Michael Randall Joel Winegarden NC SECU 2867 $100.00 minor fee, 38 Porpoise Plai 3/2/2016 MO/Brandon Grimes Lawrence Parks/Parks Family Leasing Co. Wells Fargo 17-335655415 $200.00 GP 66341 D 3/2/2016 Stephen Conway/Southeastern Coastal Const. Co Timothy Moore First Federal 9778 $400.00 GP 66339D • NC Division of Coastal :Mgt. Habitat impact- COMPuter Sheet Applicant: / Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. F. for. FINAL Sq. Ft. (Anticipated final TOTAL Feet (Applied for. FIB (An DISTURB TYPE (Applied Disturbance.total includes any disturbance. Excludes any Disturbance total includes disl Ex( Habitat Name Choose One anticipated restoration any anticipated res restoration or and/or temp restoration or ten Dredge ❑ Fill ❑ Both ❑ Other IV I 1-5�Z Dredge ❑ Fill ❑ Both ❑ Other [❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ II Dredge ❑ Fill ❑ Both ❑ Other 171 r AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Applying for Permit: 1). % rye o �t7 l�lay''�-L Mailing address: f �' 3, o V42/r'4 27Z C� o Gam,(. ` 'vct n i C- 2F('4oSr— Phone Number: �r6 - S- �-o - 8 6 7� 1) I certify that I have authorized c�a oc �c5't� '� &54*( 6n, gent / Contractor to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of G L 1 i % f ,. at my property located at �e- tc in /' �ti'J �Cc✓IDCounty. This certification is valid through -)- / - l (o Date (Property Owner Information) 0 1�ignature Print or Type Name ,✓"f 2— Title r SOL _ 4p 1 _V ' r i fsr i3�� ' • -v�� ' L.00 f J " • � 1 1 9?/02/2016 15:19 9106860319 STATE FARM TIM MOORE PAGE 01 !AC9 NT RIPRlAN- PROE=R CUY:��T I hereby certify that I own property adjacent to. 090Is property located at pQ I Lcdn Dl' (Nebf P�ropsrty Owner) on —...Leelc_ (Address, In (Wattaerbody) (CltylTc�rn a or Coenty) The applicant has described to me, as shown below, the development proposed at the above location. I have nd abjection to this proposal. l have objections to ft proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED. DEVELOPMENT (Individual proposing development must -01In dkrc fotidri bWow or attach a afte drawlnS� R'D A ' �o Ill or4k 4-- WAVER SECTION I understand that a pler, dock, mooring pilings, * breakA ater, boathouse, lift, or groin must be set bade a minimum distance of I& from my area of riparian :access unless walM by me, Of you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setb®* require' t .� �. (1 o N p* 6 4 I do not wish to watve'the 16 setback requirement. (PrO rty Owner Information) (Adjacent P ' Owner !Pformetion) !'PSG s� , P6 t or Type,Nsn e — e (�MpUry� PMt1�Iype�/1 �►�-5 w4 �� Lev , �C �Q • ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to I T#? po re s property located at �r-. (Name'ofProperty Owner) on 1-4?pl C� �— (Address, Lot, B ck, Rpac etc.) In GJ. �, �,• Q �j �'f o�C. (Waterbody) (City/Town a d/or County) The applicant has described to me, as shown below, the development proposed at the above location. . Y - 1 have no objection to this proposal. I have objections to this proposal. utbUKIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must tlll In description below or attach a site drawing) n 14d t/,V.r I ' - 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 requirerm� ht. ,� �e •t 1� i �-� o ''�1 J -'r_ I do not wish to waive the 15' setback requirement. tt'roperty owner Information) >igrtyluxe �I a /L"e- '{int or TypeAame 'b �0 1/QrrA 2 �-fie ll � failing Address (Ati tilformation) .J e L 2 F. Pri �t or Type Name Mailinn dddmv-a i