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Home My WebLink About66266D - Price�CAMA / ❑ DREDGE & FILL t !!��ERAL PERMIT Previous permit# A B ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -ized by the State of North Carolina, Department of Environment and Natural Resources ;oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC l/ / J F Mules attached. t Name_ //� sl/�Ame �r�l Project Location: County /V�Gw t'�,r� l��✓ • 130X �1 U Street Address/ State Road/ Lot #(s) 1 bh State Ale ZIP (1XV `ZU �/ E-Mail �R�r/Ct��C •/'%tl�h't Subdivision ed Agent �I i /!7 City l41l A+i eCw Oc C14A ❑ ES ❑ PTS Phone # (�) L `ZC�� River Basin ❑ OEA ❑ HHF ❑ IH ❑ UIBA ❑ N/A Adj. Wtr. Body CGV -��S ! /Q' A!t- na ,� r ❑ PWS: yes /Q PNA �� / no Closest Maj. Wtr. Body `l-&S^7 4 � �ld� ' Project/ Activity .v//// -, :k) length (o X /SU " ttform(s) a �x /Z / Pro) 9 ,x 21Z igth nber I/ Riprap length distance offshc x distance offs) annel / ric yards ip >e/ oatlift_j3 d3 dldozing Length not sure yes no um: n/a ,ttached yes UJ yes yes t I (Scale: ig permit maybe required by: LOW r✓ eD: J ' / u See note on back regarding River Basin _ocal Planning jurisdiction) ) / A4 /I I .l I I 1/15/20161 Backwaer Marine Construction Inc 1/15/2016 Allied�Marin,,e Contractors LLC 1/20/2016 Katheven Todd 1/26/2016 Soutoast marketing LLC 1 /2o/2016 Armand and Phyllis Daniel 1/20/2016 Pippin Marine Construction LLC Irene Hoffman BB &T 2231 $200.00 GP 66265D Russel and Cynthia Davis B of A 8092 $200.00 GP 64728D same Wells Fargo 6917 $400.00 major fee, 4 Surf City Crab, INC Coming Federal Credit Union 1046 $100.00 mod fee, MI Ben Barker (Holmes, Sherrill, Miller, Griffin) TD Bank 5341 $100.00 renewal fee, David and Suzanne Price Wells Fargo 3634 1200.00 GP 66266D 108-14 NC Division of Coastal Mgt. Habitat impact COMP Ater Sheet Applicant: ��` �Cr -� Permit #: �6 Z �" �� Date: t�tinl�L . Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Exdudes any restoration aWortemp im 0 aamo7unt) (v� t0- TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL tees (Anticipated final disturbance. . Excludes any restoration and/or temp impact amount C W Dredge ❑ Fill ❑ Both ❑ Other �Z' Dredge ❑ Fill ❑ Both ❑ Other [Y Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other El Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ N.C. DIVISION OF COASTAL M NAGEMENT �� _� �� T'a {mac ��"P•E'd€ riaiigiGH i JWJ FORM Date ► � � Name of Property Owner Applying for Pextnit: Mailing Address: I certify that I have authorized (agent) '' / to act on my behalf, for the purpose of applying for and obtaining all AMA Permits necessary to iu3tdu vi a u su uvo (Activity j Ir / C— / , at (my property located at)/ 7 �� l{/� t�f'` �G� t �(�, liy►�r.�� ¢ q �, This certification is valid thru (date) p Prnnertv Owner Ci¢nativre il�to hey certify that I own property adjacent to Suza r►rw -Pr i c ie.s property located at Lill P- A [ c _a n fe r �d (None of �IN � ^— �, Awki+5 C� ce Ic, (Addnwa, `°R Okw* Ro.d, efts ) N.C. (Wa wt ody) (C)t j wn and/or County) The appftw# has described to me, as shown below, the development proposed at rite above I have no o kiri SO i- p:a,pi�,;. I have objections to this proposal. (irdlvfIraf prOPO"V drvs/opr» rE nest ANLn c 66&w of arch a ales NIA 0 R1,11Y�(A�j �YJ\t1t�.� VL��RT I understand VW a pier, dock, mooring pilings, boat ramp, breakwater, boadmuse, tilt, or gran must be sd back a minimum distance of 15' from my area of riparian access unless waived by me, {tf yogIwish to waiva the setback, you moot Ind! the Prwvr#rwiOI-, hl,-r+ �,�! �•, � I do wish to waive the 15' setback requirement. (►)17 Ivry s'. t 77- 6 NWM ylpe — ��{�►T PrintarT IYHrr�e�-/`� Qr �; '7><� �_ CC Af irk iG��, !�� .�kJ�� .,.'�,.��rllnii•ef3L- /t/C �iS�lJy ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 12(AA.14 '>t1Z.(AhNt, s i�rooerty located at (Name of Property Owner) � j e C �r�.e k. (:,udress, Lot, Block, on ,in J� � (Waterbody) (C etc.) and/or Countvl N.C. The applicant has described to me, as shown below, the development proposed at the above loca on. _ I have no obiection to this proposal I have objections to this proposal. tJC.aLiii� 9 ium Aimiuiuk URt1YWNG OF rkurvar-0 UGVCI..OFMEN i (individual proposing development must fill in descriptidn below or attach a site drawing) WOIVFR RFC`TION I understand that a pier, dock, mooring pilings, moat ramp, uicakwater, boathouse'', illl, 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.) V i= I do to waive the 15' setback requirement.V�9 �NII_MIRIGTO i .�_ -na3 . .,- 4, a_ ..,.,:... a�,._ � c! .._a!_.__i- -•_-•• lirArll n+ � n Ri � Q (Proerty Owner Information) (Abiacent Property Owner Information) Siknalure Si iatur r7 t Typ Nai—ij.- r /Illy�V! l y�/G lYOtIIG 1 1 � I . 1 .• � /l _w I � A i� i -Mzdhpe V- acre ,rye 6