HomeMy WebLinkAbout69335D - HarrisAMA /'---DREDGE & FILL
GENERAL PERMIT Previous permit # A B
-'New -:Modification LJComplete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 070, , ' Zo o
❑ Rules attached
int Name \ J I
,s 77�,"r w, o,•�� S� .
C�C-1 A4 '1 It( (A State- ZI P r��
# ( ) 5 S' E-Mail
ized Agent Coo dyCl q LA
d CW I EW ISXPTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
yes / no PNA yes /
3f Project/ Activity
lock) length
'latform(s)
ig Platform(s)
length
umber
:ad/ Riprap length
vg distance offshore
iax distance offshor,
channel
ubic yards_
imp
)use/ Boatlift
ne Length -�) 0
not sure yes
1
>rium: n/a yes
yes
Attached: S
no
ling permit may be required by: rtnv,r�►
Project Location: County gam �C
Street Address/'SState Road/ Lot #(s)T
Z Li CA
Subdivision '
city Ougn A Jae. Va-1 zip $ `I
hone # ( j b) — 00 S River Basin
Adj. Wtr. Body rAyl oa, (nat
Closest Maj. Wtr. Body 41LAZi.,
(Scale: ) '
❑ See note on back regarding River Basin
a Local Plannino lurisdirtinnl
7/26/2017
Hazel Carol Larson
Peter Larson
BB&T
13389
$100.00 renewal fee, MP 58--09
7/27/2017
Grice Construction
P.H. McKinney
BB&T
11387
$200.00.GP 69336
7/27/2017
Tommy or Billie Puckett
same
BB&T
1011
$200.00'GP 69344D
7/27/2017
Grice Construction
Jonathan Earl Bowling
BB&T
11369
$200.00 GP 69339D
7/27/2017
Grice Construction
Julia Harris
BB&T
11386
$200.00: GP 69335D
7/27/2017
Town of Carolina Beach
same
BB&T
70055
$200.00 GP 69349D
7/27/2017
Sisters Investments LLC
same
Yadkin Bank
1127
_
$400.00 GP 6921 OD
7/27/2017
Lighthouse Marine Construction
James Mulligan
Coastal Bank & Trust
1581
$200.00 GP 69302D
7/27/2017
Lighthouse Marine Construction
Charli Davis
Coastal Bank & Trust
1582
$200.00 GP 69300D
7/27/2017,
Carolina Bluewater Construction
same
BB&T
17980
$200.00: GP 69345D
7/27/2017
Southeastern Coastal Construction Co.
Becky Hucks
South State
10397
$200.00 GP 69291 D
7/27/2017
Lighthouse Marine Construction
Betty Westbrook
Coastal Bank & Trust
1580
$600.00 GP 69301 D
7/28/2017
Frank Williams Building Co
Frank Williams
First Bank
3685
$100.00 minor fee, Lot 2 Washington Aci
7/31/2017
Cary or Brandi Kerns
Vivian & Karen Osborne
ElecTel Coop. Federal (
1305
$548.00 NOV 17-12D, BrCo
�.h 0029 0000 0090 9T .
E69h 0029 0000 0090 9TOZ
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
t McCrory Braxton C. Davis
ovemor Director
AGENT AUTHORIZATION FORM
Date: � -)"-IV
le of Property Ow �
er Applying for Permit
�►QNor 7�5
4IA
ier's Mailing Address:
q Fgq-/nOT,�
ne Number(gID)
John E. Skvarla,
Secretary
Zme of Autth`orized Ag nt for this project'
riU, `'Un��rllC�c1�
Agent's Mailing Address:
(14« ` *A 1�- SI,J
Own T54 324
Phone Number(
lify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
ind obtaining all CAMA Permits ne ary to install or cillbstruct the following (activity):
ct
my property located at
\T_mJn,)i_ Sk
certification is valid thru (date) rp.114A,3n % to
Property Owner Signature Date
CERTIFIED MAIL, • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property owner: 101ck C b0()Q V6-(-i5
Address of Property: a�c-moR�- SV, 6CQ(J,r"TS`P \-:kct( )
(Lot or Street #, 1
Agent's Name #: — C iCt &� V)5v(,LLJit�o
Agent's phone #A0- rJ-ICA-gbctrJ
or Road, City & County)
Mailing Address:COIUI� 1 QQCh
km� NC 2-<6- 46q
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.
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 Divi " n of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Corr ' e should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represenfilld* can also be
contacted at (910) 796-7215. No response is considered the same as no objection eoW 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.)
Zi I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
"�&- ccne$A)
Signature U�cl
(� Qn" V6-c`ls
Print or Type Name
I }
t V-cm- YIDn
Mailing Address
N(XXrM6 1 �C' 1 ► `tl Zs��p�
City/State/Zip
Adjacent Prop y Ownir Information)
,�V
le
. ignature
—� Print or Type Name
13
Mailing Address
-T-, le k ode G 92
Cl y/state/Zip
\1...-"Lks1 4/11 ( C7c . 2.Pj q
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION Oil COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY jOWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: JlA'1q ((16)de
Address of Property: r C_c-mO r\ S\- d
(Lot or Street #, S reet
Agent's Name #: G--r iCt Ck r�*(,u,di,�()
Agent's phone #: 00— 15-11z�'q(39$
1. Qctd
or Road, City & County)
Mailing Address1k I� 62QCh ►✓("
&-Qzv)]�SIQ & tQ 5 NC 2-,mg
1 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 drawin the development they are proposing.
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 Divi . n of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Comes . e should ba
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represent can also be
contacted at (910) 796-7215. No response is considered the same as no objection /fph" been
notified by Certified Mail.
Mr+M
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.
'-)Pl I do not wish to waive the 15' setback requirement.
(Property Owner Information)
ignature
�Print or Type Name
\
Mailing Address
NO�X;a6�c�1
City/state/Zip
(Adjacent Prop Owner Information)
—Cky Signature WK
`
C_ Q)C,964 Ra 84�813/771 J �2
Print or Type Name
21)6o GgT7Y5voer. c/P
Mailing Address
1 AUR),OV R6-0 IV G 2 $352
City/State2ip
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