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HomeMy WebLinkAbout69328D - ErgunLAMA / DREDGE & FILL ' 3ENERAL 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 / 0 .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 —71. j 2U y�" ❑ R I tta h d t Name f rIe h/\4L + ,E C e L". ;.,.,p V i de- State ziP 3( j () E-Mail ed Agent &j � ❑ CW XEW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes /(no) PNA yes no Project/ Activity -1,A 1o., k WV _19 uesa c e . Project Location: County �� � � . (— Street Address/ State Road/ Lot #(s) Subdivision City G g2,6 ZIP Phone # ( ) River Basin Adj. Wtr. Body 4C,J l") (nat # Closest Maj. Wtr. 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DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 9—e�� Z �, Name of Property Owner Applying for Permit: L'h W,r/— Mailing Address: /00 I certify that I have authorized (agent) Z/// ;Z�5 to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) O + / — < P Property Owner Signature Date HAND DELIVER ADJACENTRIPARIAN PROPFRTV OWNER STATEMENT (FORA PIERIf 00RIA'G PILINGSBOA TLIFTROA THOUSE) f hereby ceftifv that I u-mixoperi-, "diacerit to (Name of PropertY, Owncr� property iocated at I Lot, Block. Road, etc.) on jown andior County} Applicant"'; phone 7Z /'- 24 Mailing 1 It: has described to ine. as shown below, the development he is proposing at that locat"'i, and, I :mve no obicctit-ms to his propos-al- I understand that a rier/nuxYring pilings I boatlIft/ N)athow,,.; to must be set back a minimurn distanLe of fifteen ft:ct (15') fimm my area of riparian access unles - waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) do not wish to waive - - -------------------------------------------------------------------------------------------- do wish to waive that setback requ"rCrTlent-- DESMPTION ANIYOR DRAWING OF PROPOSED 1*VF11-OPNMLN'1: (To be filled in bl), imilivid"al proposing development) -------------------------------------------------------------------------------------------------- ------------- (Information for Property Owner Applying (Riparian Property (*tier Inforitation) for Permit) Mailing Addre:, r- 93 <:?//r X /-)- /) 41 -? o A NAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIWORING PILINGS/BOATLIFTB0,4THOUSE) I hereby certify that I own property adjacent toi' (Name of Property Owner) property located at —!cJ O R v t __ (Lot, 0 Road, etc.) on Y W (/ v -- --- in N.C. (Waterbody) (Town and/or County) Applicant's phone #:7/a—Z6&,q-DYSMailing Address: - fie has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse; must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blantr below.) v� I do not wish to waive ��I do wish to waive that setback re ----------------------------------------- DESCRIPTION AND/OR DRAW (To be filled in by indi► �CCnn ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property, Owner Information) for Permit) Mailing Address Signature of lw/zu I ( viu:e %,on51ruouon vvnnam Loom BB& i 11434 $200.00 GP 69369D 8/14/2017 _ _ Lisa Ruger David Doane Corning Federal Credit 2538: $200.00 GP69389D 8/14/2017 Willie Richardson/Richardson Constructioi Todd Ford BUT 6795 $_200.00 GP 69326D 8/14/2017 Town of Oak Island same BB&T _ 69093 $400.00 GP 69327D 8/14/2017 Maritime Coastal Construction/Bill Thoma: Mehmet Ergun CresCom Bank _ 2518 $200.00 GP 64328D