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Home My WebLink About69362D - Gross(Q�MA / 17 DREDGE & FILL �� 5 A B GENERAL PERMIT Previous permit# lew -]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized 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 �_ �� G ("'0 0 Rules attached. it Name h i DJS _ Project Location: County NQ t,1 ��Gi, c U✓( r ,Vet Ord Pit (e Street Address/ State Road/ Lot #(s) 1(_A Q.i HIA State t ZIP 2gSJ-)— 6 () E-Mail :ed Agent Cl F I Lj IA l"I ❑ CW JEW 9 PTA ❑ ES ❑ PTS ❑ OEA n HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes / i / PNA yes 6 �I 111-U►1�1GK e kd . Subdivision City('ir'r 1��V1 (.L aGf M✓ I'1 ZIP 2 Phone # 10 2U 50 U 2- River Basin Adj. Wtr. Bod ga.tj I'la Yl lie ' Closest Maj. Wtr. 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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 dimeosions, must be provided with this letter. I have no objections to this proposal. 1 have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext, Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr erty Owner Information) —�� Signature � •c JtfSlr'� �j��cs� Print or Type Name Mailing Address (Adjacent Property Owner Information) Signature Print or Type Name Mailing Address CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Sth Agent's Name* Agent's phone #: `?1 tl -, gam'' J y or f%bad, City & Mailing Address: 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. X 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 (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, 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 requirement. I do not wish to waive the 15' setback requirement. \ , (Property Owner I for ation) ignature LJ Print or Type Name Mailing Address n:s. M ♦.. r/:.. (Ad- t Pr " rty ! Own orm 7 j ature 1D % -)(-So - -% ►"IC Y\ LA f 1 C. \e-, Print or Type Name 31 � `J Mailing Address W- ' Ai'.-),g5 r Citv/St tin Pat McCrory Governor YV*. WIXNR North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management AGENTAUTHORIZATIONFORM Date: l ✓ J"4 X�1 z� Name e of Property Owner Applying for Permit: Owner's Mailing Address: 16 Email: Phone ( ) John E. Skvarla, III Secretary Name of Authorized Agent for this project: Agent's Mailing Address: Phone f ) aowaplil; PO. BOX 860 Wrightsygie Beach, NG 98480 • t . I• I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for, and obtaining all CAMA Permits necessary to install or construct the following (activity): l i1-tjlt��. ntjl rineiet �,l44 For my property located at This certification is valid 1 year from (date) 1 3� 1 ✓ ��f Prone er Sianature Date 8/4/2017 Elizabeth Easley Wetherill George Brake BofA 4627 $200.00 GP 4608D 8/4/2017 F and S Marine Contractors Susan Gross PNC Bank 6475 $200.00 GP 69362D 8/4/2017 Allied Marine Contractors/Hal Fogleman Todd Christiansen First Citizens Bank 5831 $600.00 GP 69343D 8/4/2017 F and S Marine Contractors Craig Goess PNC Bank 6487 $200.00 GP 69378D 8/4/2017 Coastal Marine Piers Bulkheads LLC Gerald Hayes Wells Fargo Bank 21575 $200.00 GP 69361 D