HomeMy WebLinkAbout69251D - Treadwell\JCAMA / DREDGE & FILL
GENERAL PERMIT i1 Previous permit # A B
?New ''Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
iriied by the State of North Carolina, Department of Environment and Natural Resources 1(
Coastal Resources Commission in an area of enviropmental concern pursuant to 15A NCAC Olt,, { M v
❑ Rules attached.
it Name t —wle h JRProject Location: County - 19 " . Vim►
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ig permit may be required by: ((-(/� �! C am( VI ❑ See note on back regarding River Basin r
Local Planning jurisdiction) f
Wcvv.vv vvV�.Vvv
6/21/2017 Allied Marine Contractors Russell Davis First Citizens Bank 5641 $200.00 GP 69145D
6/21/2017 jBackwater Marine Construction
-- Inc. Jose—phMainous BB&T --- —2912 —$200.0GP 69250D
6/21/2017 Backwater Marine Construction Inc. Jim Treadwell BB&T 2911 $2000G1D -
—
6/21/2017 Roger Bilheimer or Courtney Muller same Wells Faro Bank 7151 $200.00 GP 69267D
6/21/2017 H&H Builders LLC !Bill Sandersnn Firef r`ifi—. R.W4 zn4a cone nn.r_o cW��en
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RUER
North Carolina Department of—w1ronmer t, and Natural Resources
oat WCrory
3cverw
John Ec,
S,
N C Divistor of Coastal Management
AGENT AUTHORIZATION FORM
Date
Name of Property Owner App#ying for Permit Narne of Authorized Agent for this projw
Owner's Mailing Address
Email
Phone 1
Agent's Mailing Address:
— - — Email l{nr V S ZS A n-�t <
_ Phone
t certify that I have authorized the agent listed above to act on my behalf. for the purpose of applyinc
for, and obtaining ah CAMA Permits necessary to install or construct the following (activity)
For my property located at
/ 7 Y . IN , 4/ 4 vV 0 L IS.
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property.
(Lot or Streets Street or Koac, Cary 6 County)
Agent's Name #: LC�/� � � !�S Mailing Address Z TO
Agent's phone 1? 3—
I hereby certify that I own property adjacent to the above referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing_the developr
they are proposing. A description or drawino with dimensions must be provided with this Iet
w'4�"I�� I have no objections to this proposal. _ _ l have objections to this proposal.
N you have ob/ectlons to what is being proposed, you must notNy Na Dtvmftn of Costal Atanagem*m gx
wddng within 10 days of receipt of this notice. Correspondence should be msifed to 127 Cardlnaf Drfve
Wlknington, NC, 28405-38s5. DCN representadves can also be conhwted at (910) 796-7215. No respcc
considered the same as no objection N you have been nodfled by Ceri fBed AtaN.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, M. or groin must be
back a minimum distance of 15' from my area of riparian access unless waived by me. (If yot
wish to Warve 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 Own fopmu ) ( nt Prope r of tic
Signature Si ure
Pnnt or Type Name Print or Twe Name
oIle v7 / ,�w
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner v r GCS/
Address of Property l 7 0 tt)' O, ]T70,-
(Lot or Street x Street or Koac. t.,r(y a County)
Agent's Name # Z—G
Agent's phone #
Mailing Address 1 �G % ,r L4 Az��
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 projposing. A description or drawing, with dimensions, must be provided with this letter.
L,,1w (�,�6 liar c no objections to this pro)x)sal. l ha- c objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no objection if you have been notified by Certi/ied 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' trom 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
y ee"
I duo not wish to waive the 15' setback requirement.
(Property Owno Ingofrrrati )
re-
Signature
Print nr Tvnp Namp
(A nt Property Ownor nfotTna n)
SiKnafure
Print or Type Name
, -,�ed -b -Y I I
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