The URL can be used to link to this page

Home My WebLink About67271D - PleasantsICAMA / ❑ DREDGE & FILL 'ENERAL PERMIT �� ( Previous permit # A B New ❑Modification ❑Complete Reissue []Partial Reissue Date previous permit issued - •ized by the State of North Carolina, Department of Environment and Natural Resources rr// G�� :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC U N. - t � Name (-Y-e f (CalsL ❑Rules attached. Project Location: County `.JLa) t t r1' I�lO&Vyy- G�, Street Address/ State Road/ Lot #(s) r State ZIP Z 8qO 3 ! -f itl r ` JiN` La Y-' � ','vt Its c . ( ) 510-7y3q E-Mail-.CC. Subdivision edAgent 7 1�.�n�r City' ��1 \� t� ZIP w ❑ CW ❑ EW ❑ PTA )(ES )' PTS Phone # ( ) River Basin Cs:1 ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA Adj. Wtr. Body C� ,,p S n v-j k, nati/r ❑ PWS: yes / no ; PNA yes r/ no ` `TSW l� Closest Maj. Wtr. Body Project/ Activity _ G i • � C� tl'4:N\'r :k) length itform(s) Platform(s) ngth rber i/ Riprap length {�$ distance offshore x distance offshore cannel t )ic yards_ rip se/ Boatlift ■■■■■■■M■■ ■■■■■ (Scale: 1 ❑ See note on back regarding River Basin ri P 1 layment Proccessing Confirmation )ate Received 11/15/2016 :heck From (Name) Pippin Marine Construction, LLC game of Permit Holder Greg Pleasants ✓endor Wells Fargo Bank heck Number 4026 heck amount $400.00 Illultiple Permits No Major/Minor 'ermit Number/Comments GP 67271D teceipt or Refund/Reallocated BS/2221D N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) /Y.,&,W;o to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) & l /f dj ead , at (my property located at) 7k.21 .1114 so of Za.M'► m4 K'ovd, This certification is valid thru (date) 2� 0 Property OwAr Signature CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. (/" e y.&e4--;gntr Address of Property: f74.2111IJ 50r7 (Lot or Street #, Street or Road, C(y & County) —� Agent's Name # Mailing Address: J0. A Agent's phone #: 9��' tJ, �{ it t l 9 s� . /14 6 .� F''`40f� r — 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 roposing. A description or drawing, with dimensions must be provided with this letter. i have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCAV in writing within 10 days of receipt of this notice. Contact information for DCM offices is available athtto.Ilwww.nccoastalmanaaement net/web/cm/staff-listing orby calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 16 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 I do not wish to waive the 15' setback requirement. (Riparian 1 �w—/ Print or Type Name ailing Address Maili Ada � r Q City/3t te2atip C' y C� 9' /t? -Zoo ��9 � CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. 6/-, q &- , w6g '1 f Address of Property: ✓&0 � � " 16at (Lot or Street #, Street or Road, C"(y & County) Agent's Name Mailingi Address: • G X 11.2 r`, Agent's phone # 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. b C., I have no objections to this proposal. I have objections to this proposal. !f you bate objections to whatis bbei»g propasea; yver mustnoiify the Division of Coastal Management (DCM) In wrfting within 10 days of receipt of this notice. Contact information for DCM offices is available at http•IAvww.nccoastaimanaaement net/web/cm/staff-listinq or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. _ WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 16 from my area of riparian access unless waived by me. (if you wish to waive the setback, you must iniifaf the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement- --- � Pro warner Information) f/i —„� �^---- Signature U Print or Type Name cling Address Mailing Address A-)C o-Z�Y1 City/8t telzip City/StatelZip x j j --t-. -- .-