HomeMy WebLinkAbout69325D - LarkinSCAMA / -=i DREDGE & FILL
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3ENERAL PERMIT
A B
Previous permit #
1New ---i Modification ❑ Complete Reissue
--Partial Reissue
Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources
G q h I Z U U
:oastal Resources Commission in an area of environmental
concern pursuant to I SA NCAC
•
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L
❑ Rules attached.
t Name Ow c. c 15 h
Project Location:
County
Street Address/ State Road/ Lot #(s)
State ZIP
Z oy% ( I
`(u. L ()c
(� 2 SQ- Z Soy E-Mail
Subdivision
ad Agent �j (;o� 4,.���: o
City Oc SL. .!
Sj av� ci ZIP 2 bq
❑ CW XEW ❑ PTA ❑ ES Q-PTS
Phone # ( )
River Basin
❑OPW ❑ HHF ❑ tH ❑ UBA ❑ N/A
Adj. Wtr. Body
14 T L.� � (na
❑
yes no PNA ye / no
Closest Maj. Wtr. Body V�: _ L�
Project/ Activity T
:k) length
tform(s) 'Y
3latform(s) y j#
igth
nber
I/ Riprap length_
distance offshore-
( distance offshore
annel
is yards
P
e/ Boatlift
Length q A2L.
not sure yes no
gym: n/a yes n
yes no.
ttached: yes , no
-r
(Scale: I � ,
g permit may be required ed by: (O L„M e'f rI K --LS 1 ❑ See note on back regarding River Basin
ocal Planning jurisdiction) _ ^ , ,
. 10 �N,41 d�
�Ew ?Kr-)po5AL 7 oo 17
) ;P,) I O
16FT
NEV
99 F.- xis7in+C,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ppg L L A, --« I 'J 's
,�1 � j (Name of Property Owner)
property located at SO �� w . i ACH
n ,'� y (Address, Lot, Block, Road, etc.)
on 1� iD :-e,w(�--t�Ut,7Cc in G'4�11' 15l Pr,),D N.C_
(Waterbody) — ' (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal_
I have objections to this proposal_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
SEE AJ TAC�A VAe�',' i
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 Information)
S' zature
p� �- . LA N
Print or Type �m e
/'1J / & � a PGrF �f
,Mailing Address Alt- �kXG1
�d 0/� �
(Adjacent Property Owner Information)
Print or Type Name �
Mailing 6ddress / J
ADJACENT RIPARIAN PROPERTY OWNIER S�� TATEiwIIENT
I hereby certify that t own property adjacent to
.s
1 g d,S + (Name of Property owner)
property located at
-- — ---
�,�} (Address. Lot, 81 P ad, etc.
on _it�C�crC., LJc�Tt� in_ Cit,.-Star._ N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
!ovation.
I have no objection to this proposal.
/Z t - - I have objections to this proposal.
DESCRIPTION AND/OR DRAWING Of PROPOSED DEVELOPMENT
(individual proposing development must till in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set hack 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.
Info
Print or Type Na '
M " "ng A ss
cltylstat
� t o �+ ci we rvt c`� tt r
Pribi or Ty tv me
3 i r�s �fi n d, ks D
I ngAd(-o TCc o� g2
CVStatelZlp
A
.aT,.,....
I�OM
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governs Dee Director Freeman
Secretary
AGENT AUTHORIZATION FORM
Date:
NQcn of Property Owner pplying for Permit: Name of Authorized
J Agent for this project. -
Owner's Mailing Address:
lil', Gil
Phone Number -9 2,>
Agent's_MaRj AddreSS
H 2798 Sea Vista Dr.
CONSTRKTI0N Supply, NC 28462
Phone Number
t 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 nece ary tp install or construct the following (activity):
4 —
For my property located at
This ceriif n is valid thru (date)
Property ' r Signature Date
Gmad - Revised Ripanan Statement
►ised Riparian Statement
ssages
Kiger <kigermh5@gmail.com>
lario Giammattei <mgiammattei4312@gmail.com>
Mark Kiger <kigermh5@gm;
Thu, Jul 20, 2017 at 1
you see we are proposing the dock go in front so it want be near your property line. Thanks, Mark
attachments
Scan 1808a.pdf
345K
Scan1808.pdf
115K
Kiger <kigermh5@gmail.com>
lario Giammattei <mgiammattei4312@gmail.com>
---- Forwarded message -- ---
im: Mark Kiger <kigermh5@gmail.com>
te: Thu, Jul 20, 2017 at 11:18 AM
eject: Revised Riparian Statement
Mario Giammattei <mgiammattei4312@gmail.com>
Fri, Jul 21, 2017 at
you see we are proposing the dock go in front so it want be near your property Iine.Please respond with the fillec
n . Thanks, Mark
attachments
Scan 1808a.pdf
345K
3 Scanl808.pdf
115K
Giammattei <mgiammattei4312@gmail.com>
lark Kiger <kigermh5@gmail.com>
n not going to waive anything, please don't contact me any more.
Sun, Jul 23, 2017 at
rio Giammattei
Dted text hidden]
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