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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 A/ les attached. int Name C'ra 161 boss Project Location: County N-iw lit" ov(, ;s U 15 S AV wtona I DI'. Street Address/ State Road/ Lot #(s) aZb �C W11VI 1q�-� State /V L ZI r # (?�I?� I�F ��}3 DE -Mail Subdivision ,ized Agent rA vlvhH City �1 2'�� fVO ZIP z/// �5'''tl d ElCW ) EW PTA [I ES ❑ PTS AV Phone # (1w) e 3�tF2 River Basin 17 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body PV L'� ❑ PWS: rt 'es') no PNA yes / n0 Closest Maj. Wtr. 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Ap ALA x x \1 mete 300 �lnn 4/ , / r2qlm') �61 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