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HomeMy WebLinkAbout69365D - Keen,K CAMA / tJ DREDGE & FILL N? 69365 GENERAL PERMIT 5 A B Previous permit # 'New ❑Modification DComplete Reissue .]Partial Reissue Date previous permit issued thorize l by the State of North Carolina, Department of Environment and Natural Resources he Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Q — �t , cant NameCi_4 _ r ❑ Rules attached. Project Location: County ,�gw► C. ess. 2��.y �w� v _ ', Street Address/ State Road/ Lot #(s) _ ._inter State IJ L ZIP 3 --1 �— Sr•>� �,.---- e # (4t.9 ) -7O -(03 z YE -Mail _ __ Subdivision rued Agent V '48 - b1 111�1�R11'1 f City _ZIP_. — led CW )(EW J PTA ES n PTS Phone # (-__) River Basin - _C{ P oEA U HHF p IH � USA L7 WA (s) /� Adj. Wtr. Body L�ct n.9 �J PWS: yes / no PNA yes no .-- -.__ --1- - ------�natJ Closest Maj. Wtr. Body----T(-Lam_-----_. of Project/ Activity r (dock) length ed Platform(s) 9X adngPlatform(s) --___--- -- ger pier(s) Din length — - -- number Ikhead/ Riprap length ._ avg distance offshore max distance offshore ,in, channel— x13 -- _ —�_ 11 (Scale: Lai r t I --- -- - I 1 cubic yards -- — I i kt ramp Ich Bulldozing per (C►,- ,, 4k� tKan . I I reline Length not sure yes- ratorium: n/a yesw �{ Cos: yes Fno) uer Attached:Cno ye - uilding permit may be required by:� f�GCL ote Local Planning Jurisdiction) / ,w/Special Condns itio?.l�. .e afy, //au `'^ 1s�"l�l.r S ❑ Sege note on back regarding River Basin r �CAMA / ❑ 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 :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC U 7 N . 1206 ❑ R I ttached t Name _� Gt w4- Z 4" 4r I StateA)( ZIP �73 (fiq ) 440-02 YE -Mail ed Agent s q L" p"'4 UG�YN d ri^ ❑ CW YEW ❑ PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes / no PNA yes Project/ Activity � :k)length ttform(s) JC ( X Platform(s) igth nber i/ Riprap length_ distance offshore x distance offshore annel iic yards ip 1 1 �e/ oath i 3 x t3 dldozing Length not sure yes no um: n/a yes n yes no j ,ttached: yes no ig permit may be required by: _ocal Planning lurisdiction) uesa Project Location: County llYyo Sw CA� Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( River Basin CFK Adj. Wtr. Body 0 Cle6.A I (nat Closest Maj. Wtr. Body 4St, 11, ) V'Ak"k'J (Scale: { 4%z ❑ See note on back regarding River Basin r McCrory wemor � A-64 IA NCDENR North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skvarla, Secretary AGENT AUTHORIZATION FORM Date: t 30' r ie of Property Owner Applying for Permit: Name of Authorized Agent for this project: IA &t-v1 ier's Mailing Address: ail ne ( W )'7V & P Y__ .. H ?i h14 �. "t,v ►l Agent's Mailing Address: is- �! r N y C 191 41r)_ Email: Phone (110 !rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaining all CAMA Permits necessary to install or construct the following (activity): my property located at is certification is valid 1 year from (date) In--36—I c ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 4:;wn /L 4. Property located at �_Z 571A., �s4 D(Name of Property Owner) on 6"1 O Ap- Address, Lot, Block3 Road, etc.) (Waterbody) N.C. (CitylTown and/or County) Th ,,e applicant has described to me, as shown below, the development proposed at the above i I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 Inf rmation) (Adjacent Property Owner Information) Agnte Print or Ty rn Na/l �- �p+a/ �i/ X a !✓A'dra" // Prin orO Name Mailing r4Ad,re Mail A ress L 9 A/C- zZ9 ,?Y50 7�zi Envelope ID: F38DB095-C27B-4588-BE1C-F2C79E3CB84D n Envelope ID: 276BC3EC-0914-4A4C-AF52-A7106196BEEA ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to Scott C. Gi l l i e 's property located at 133 Starfish Drive (Name of Property Owner.) (Aaaress, Lot, Block, Road, etc.) on canal off Intracoastal waterway in Holden Beach (Waterbody) N.C. (CityiTown an or County) The applicant has described to me, as shown below, the development proposed at the above ILI have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT 0`740i ual �roposir�g, development must'fitt ut.d pScciri belowar i1 ch a a�te;drarr�ngj Owner can build a pier/dock/boatlift up to 5' of the property line. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. Co�Y,3iQ,�y Owner Info ,�a�►+t,S ll,t, � icy-t�.t-t-1�c, �,�.k, t�rlature James Lee Keen / Renee Bond Keen Print or Type Name (Adjacent Property Owner information) _ Srdf• Ir �. Scott C. Gillie Print or Type Name ailing Add ss Mailing Address i 6 b'( z, �lx97 sl o� r g �I Z,)-�� -9 v/ULV I I JUIIIIbvll Ot Jv1111Jv11 Mehl Jul 11 lJvlI ova I 1 ! J/ puvu.uu Vr uuojuV 8/2/2017 Varnam's Docks & Bulkheads James Keen BB&T 7267 $200.00 GP 69365D 8/2/2017 Grice Construction Carl L. Britt BB&T 11407 $200.00 GP 69352D 8/2/2017 Grice Construction Stephen Pouask BB&T 11385 $200.00 GP 69334D 8/2/2017 Backwater Marine Construction Craven D. Milligan Jr. BB&T 2976 $200.00 GP 69351 D