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Home My WebLink About68526D - SmithCAMA / DREDGE & FILL V tl� 8 5 26 A B ItNERAL PERMIT 6 Previous permit# New —Modification JComplete 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(f 117 ❑ Rules attached. :Name CL�'} & u (y � vv\ , -L 573G 4as1 Z�. c nl-'l�S State !%JC zip 2zbS`i8 (,H ?) 3� p " � y1 L E-Mail �d Agent (,aQ it,l ❑ cW D'EW )a (PTA ❑ ES ❑ PTS OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A PWS: (es / no PNA Project/ Activity n k) length (e` X GS tform(s) I (.' Y� ZT_ 'latform(s) gth / no Project Location: County i�'/N, S� L4 Street Address/ State Road/ Lot #(s) 'L" J , rash `i'�c�,t• fl . Subdivision City ^� T l v zip_ Z O Y4 Phone # ( ) River Basin Adj. Wtr. Body i�)7_tJc i (nat Closest Maj. Wtr. Body RI— G'J L oil distance offshore distance offshorej MENEM 1.\■II.IW,i innel is yards :X Ildozing ' aY'AP '• 3'x .r ■.Rit-1'!l3�iti111■■■■�r�!■ice\�■ ON NEW Pilo . KOW11011111111111 NN1OENEW=1 A■■■ 0 o ,"M (Scale: 1' r R ❑ See note on back regarding River Basin AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: 67 Phone Number: Email Address: I certify that I have authorized Agent / Contractor 0 to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development. at my property located at in County. ssion 1 furthermore certify that 1 am authorized to Localgrant, and do in fact grant Permit Officer and their agent' to ente( Division of Coastal Management staff, the on the aforementioned lands in connection with evaluating information related to thi permit application. Property gyner Information: / f /-,/, � 61-, 7 1 Jan r 7`yI Print or Type Name Owr� - Titl e ADJACENT RIPARIAN PROPERTY OWNER ST, , rEMENT I hereby certify that 1 own property adjacent to _ tA) 7 property located at a a of F foperty Owner) 3 � f� on r (Address, Lot, Block Road, etc.) (Waterbod in ��_) L � N-C Y) (City/Tow!i andlor 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 of attach a site drawing) 5 (-e jmw 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) (Adjacent Property owner inrormaxiont %171 JIA ae�� Signature Print or Type Name I hereby certify that i own ro P Perty adjacent to Property e Property Owner) e p dY located 8t �;�'��' �--_ jjr-�� j on f 1. (Address, Lot, (Wstbsrbody) in .C. The 0151icllnt has described to me, as shown below, the deveioprwnt proposed at the above l have no objection to this ro osal. P p --------.- I have objections to this proposal. bESWUPTION ANDlOR DRAWING; Of PROPOSED.DEVEI.OPMENT t1ndA4duei Pr0pasin9 development must fill in description bQ10 W or Offach s sHe drawin gr} �'�e 4,4. C L '� WAIVER SECTION t 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. [Property Owner information) (Adjacent Property Owner Information) 7gnaiwe . Siknalure E G DALE rot -or T pe Nam / j Print or Type Nirne tk-off --Twd *7 klc� 9N "Ol i )an, Brooks R I: Weychert, Curtis R Tuesday, October 24, 2017 10:20 AM Surgan, Brooks R ect: RE: 3306 E Yacht Dr. Oak Island - Water Depth ks, in PNA, with 18" @ MLW 18" stops off of the bottom would be recommended. ks, is Surgan, Brooks R : Thursday, October 19, 2017 10:47 AM Veychert, Curtis R <curt.weychert@ncdenr.gov> 2ct: 3306 E Yacht Dr. Oak Island - Water Depth Id you recommend stops for the boatlift at this location? (see attached) ks, ►ks R Surgan Representative ion of Coastal Management i Carolina Department of Environmental Quality 796 7270 office ks.surgan(a)ncdenr.gov : ardinal Drive Ext. iington, NC 28405 '','Nothing Compares it correspondence to and from this address is subject to the Carolina Public Records Law and may be disclosed to third parties.