HomeMy WebLinkAbout69378D - GoessAMA /aEDGE &FILL iY41EL PERMIT Previous permit # A B
NNew-jModification Li Complete Reissue El Partial Reissue Date previous permit issued
Sized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC o H . 2DOO
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les attached.
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ling permit may be required by: N IN U L{-yi (YA Ukkl i" 4 ❑ See note on back regarding River Basin
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: �(, 1
Address of Property: (.�.� . �� / /! C 1� ; l,�(. 94r V
(Lot or Street #, Street or Road, City gr County)
1-1
Agent's Name #: L l� /�i°�% Mailing Ad ress: P
.l�����
Agent's phone #: l fly "��l �J�j`� �iJ�(' A)
1/%� �t',�� f,�, � ���c�
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.
�I have no objections to this proposal. I have objections to this proposal.
p4splft•tf 0mr?e4 rivtP t6 DoX
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 EA,
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�LMail.
WAIVER SECTION f7
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.
Oym—eri Igformation'
Print or Type Name
3�l
<1/ �S •cmufl(l
Print or Type Name
g-3 ,�y
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: .� / i t < <`t'C1 �L lid us r� MnT,
(Lot or Street #, Street or Road, City S(County)
Agent's Name* (�l� f"% i nef Mailing Add�ress:
Agent's phone #: 17%
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 drawincL with dimensions must be provided with this letter.
64I have no objections to this proposal. I have objections to this proposal.
- WArpi-A,1* c'Y)fr h� lit ohf )w! 601k
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of recelpt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-721& No response Is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION /fi/
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.
ior.
Print or Type Name
31415111 as
Print or Type Name
Pat McCrory
Governor
AG-l"A
NCDENR
North Carolina Department of Environment and Natural Resources
N.C. Division of Coastal Management
AGENT AUTHORIZATION FORM
Date: I f �l)o
lame of Property Owner Applying for Permit
iwner's Mailing Address:
'l>!S , r��rna�n2r r�,
mail:
hone
John E. Skvarla, III
Secretary
Name of Authorized Agent for this project:
Agent's Mailing Address:
IF 0 SIMWO�,,r
-• Ill :.-
Wrightsville Beeeh, NC .0
• • 1.
Phone
certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
)r, and obtaining all CAMA Permits negfssary to install or construct the following (activity):
Vz:?wme 4-sls—oo i1vk5r., 0,04.!
or my property located at 1�,33 i3730
/V fll,414 ,/it, Yd , ,��Y)>
his rtification is valid 1 r fr (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