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Home My WebLink About68571D - SmithCAMA / -' DREDGE & FILL ij �I 6�'" F1 �► "3ENERAL PERMIT �� Previous permit#- A B lew Modification ❑CQWlete Reissue ❑Partial.Reissue Date previous permit issued rrized by the State of North Carolina, Department of Environment and Natural Resources i 170 6 .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Q�7 ❑ Rules attached. t Name L 'l }(\yy S1(Y� Project Location: County q Mx Street Address/ State Road/ Lqt #(s) c - Staff � 5 M M () S E-Mail n� Subdivision ` ed Agent _ ,t �w I " V, W& n)o (Wy ct 1� iG ( ZIP ❑ Cw �[]H *A ❑ ES ❑ PTS v# (� �0) �i� �"� g River Basin ❑ OEA F❑ IH ❑ UBA ❑ N/A ❑ PWS: Adj. Wtr. Body C � � � . at 1Y yes / no ) PNA yes / no Closest Maj. Wtr. Body �"V Project/ Activity � %1 % Uz'Ai k� �6^ } n` C� 0 (�L _o,ah1 :k)length itform(s) Platform(s) igth nber I/ Riprap length distance offshc x distance offsh annel Y ,ic yards 1P ;e/ oat PA ■■I�■� E ■ _ ■■III��IL ,,.. . ■ ■■■■■■■■ ■■■■■■■1 (Scale: 0 See note on back regarding River Basin ru 01: ►McCrory JCYec1Or , t-A RUM North Carolina Department of 1:rlwonment and Natural Resources N C Division of Coastal Management John E. a AGENT AUTHORIZATION FORM Date Na I of Property Owner Applying for Permit Narne of Authorized Agent for this proge( Owner's Malting Address Email CWy Phone ,Ql6j. Agent's Malting Address: Email Phone ertify that I have authorized the agent fisted above to act on my behalf. for the purpose of applyin, for and obtaining all CAMA Permits necessary to install or construct the followrtng (activity) For my property located at n WIC Koc S F moo, CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONMAIVE Name of Property Owner Address of Property 9 ! v�4/1�/�d I s - -(Lot or Sheet s. Street or rkoac, uty 6, County) Agent's Name #t: Ll g la_S Mailing Address / Agent's phone 4�: 1 tweby certrfy that I oven Property adjace-nt to the above referenced property. applying for this permit has described to me as shown on the attached dmwing_th they are proposing. A description or drawir� with d+tsions muss be provided a I have no objections to this proposal. i have objections to this d you have ob>ecrions to what is being proposed, you m"51 rsod�r ms Division of co wed Atria W'"ng wftrifn 10 days of receipt of this notice. Correspondence should be rna& to 127 Cs @t?hnington, NC, 28405,U45. DCU mpresennrdv" Can also be Contacted at (910) 796-7215 corrsJdered the same as no obJec6on if you he" be" noLKiad by Cer~ U&H WAIVER SECTION I txtidarstand that a pier, dock, mooring p4ings, b(eslcwat�, boathouse, left, or groin back a minimum distance of 15' from my area of riparian amass unless waived by wish to waiv the setback, you must initial the appropriate bunk below) i do wish to waive the 15' setback requirement Zjee- � J I do not wish to waive the 15' setback regturement. roperty Own �afrrS' ti } ��fL—L— Signaiure-' ,_ Print or Type Name Pnnf nr Tw-&o Aln— CERTIFIED MA& • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER F1 Name of Property Owner, � u /L7, - SAL Address of Property (67 l /l dl VxE- -75r I (Lot or Street s street or moat, ury 6 County) Agent's Name #: �l- �S pq Mailing Address �li�_�, Agent's phone #: ��o� q 3— ` f d I �5,74 I„ 4).c— I hereby certify that I own property adjacent to the above referenced property. The applying for this permit has described to me as shown on the attached drawing_the de% they are proposing. A description or drawing with dirnertsiorm must be Drovided with th �&A" 164 tI c no objections to this proposal. I have objections to this prop( U you have objections to wrfal As being proposed, you must notdty the Drvm1on of Coasts! Abrwgemg wrtUng wfthln 10 days of receipt of Otis notice. Correspondence should be ffwu7ed to 12,7 Canfinal M"kfgton, NC, 28405-3835. DCU reprosentativos can atso be contacted at (910) 796-7215. No r conskf~ the same as no obiectlon N you have been rx4h d by Cerit W Mail WAIVER SECTION I Understand that a pier, dock, mooring pilings, breakwater, boaltfiouse, lift, or groin mus back a minimum distance of 15' from my area of ripanan access Unless waived by me wish to wane the setback, you must initial the appropriate blank below) do wish to waive the 15' setback requirement �p I do not wish to waive the 15' setback requirement. (Property Own Jo,.pnzt� ) Signal ure aev AW or Tvne NarnA { c ropf3rty nor tnforr Si lure e6a A? 6u2--> e i D A _ Ir 1102 9A �° j -job-{ �t+s1X�3 ,, 11 /1 /2017 Jerry Mills Contruction Inc A Backwater Marine Construction WU Money Order from John West Kathryn Langford & Thurman Binkley ,1873 William Kelley Rodney_G. Smith 'Rick Whitaker Kathryn Langford First Bank BB&T 3039 Wells Fargo Bank 17-649204322 BB&T 1008 Richard Fisher PNC Bank 6679 vv 69319D