The URL can be used to link to this page

Home My WebLink About69395D - WhiteCAMA / ❑ DREDGE & FILL 0 PEN ERAL PERMIT Previous permit # A B ,]New _lModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued Drized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC � p 1 • 1. - ^ � ules'atftached. nt Name ((iu 1 �I Vet, Project Location: County/ �Yl VJ s -:�) 1 V4e Street Address/ State Road/ Llot,#(s) 7A "' State / �n k zip t(aC) 9) �� ✓ cit rXl! I �'/ 0 f�10) d Zd rm ail Subdivision zed Agent J `�✓� e CT— ziP��Q�'' i ❑ CW NEW PTA ❑ ES ElPTS Phone # ( ) River Basin w � ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ PWS: ` yes PNA yes / now if P7VCt/C tivity i1'1r r I L. J1 D✓ 1 Eck Ien th I 'y ❑ N/A Adj. Wtr. Body '4" n Closest Maj. Wtr. Body r4 W .v G VV !S' I ✓ AI 1 GLA, (Scale: 1 N t Flow zngth --EEO all ■■■I �mleir JR prap length offshore- �1. ■�■■■■�■.■■O[/�■■ ■■■■■■■■■■■■■■■■I ■ ■EEO ■ME■MOM■ ■�■■MEMO■■■■■■■I ■■■■■■■■■■■■■■■ ■■■!■■■■■■■■■■■EI ax . . :hannel■MMM■■M■M■■M■■■EMM ■■■M■EMO■■■M■■MEMM■■■■■■■MEM■■■■EMI ■ ■[�!■■■■■O■■■■■■■I MMEMO ME 0 �OWN ■■■■ ■■■E MI MEMO IM lbic yards MP ■■M■■EEM■E■■■MM■ IMEM', �ii■i■�Eli■Ifi■■1 ■■ ■■■E■■ ■■ ■ IM'�MMM■E■IrrE■■■I OEM =MI • ME■■EMEM■MEMMEMM ■EI ■OEM■OEM■■■■MEMI - ■MME■■■■ME■EMM■ME■■I ■ ■MMMMMMMM■■■M■I =EEMOMME■■E■MEMEEMI■ ■■■E■MOMM■■■M■I ■EME■O■■■EE■ME■M■I■ ■■■MMM■MM■MEM■■I —; ■EE■EfiAJE■EEO■■EMI■■■E■■■Iy,MEMOMM■1 ■■OEM■■MVi�JMEE■E■■■I ■ ■■MME�/1 J■MEE■M■I MENEM MEMME■M■E�E■EM■wOM■■E■■EMS■■■AEA■MI I ir" ■■■■E■ ■E"ANAME ■M■I►.�I ��■EYIi11■1 ■■ wmi . • -. m ME■■■■M■■M EEE®E■■■■■E■■■■E _SEMI ing permit may be required by: f /t'' K� `�� ❑ See note on back regarding River Basin r AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: I W r 14C Mailing Address: _ \"13 'Q-�y gt cl�_ noue- So tcdS Ferrc..� rJc., a$u o Phone Number: q `o • [,pg Email Address: U061 f-1bik\ bi I I y o1mC, i I • t^ 0{Y) certify that I have authorized Pr)ne.4 1 t;;nne,i• M6viih e- C(�N Agent Contractor 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 1 q1 ) tir. . , in DnSln Lo County_ I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Pen -nit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature Print or Type Name Title 1�{1 1�� Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to E)-1„ �`)(1l-� s (Name of Property Owner) property located at � a�> VA%-tpX I Glt DQ- . (Address, Lot, Block, Road, etc.) on �4tL-J Q,t}Q i in "J(1fcA d,-% R-ft Zc-/QL, N.C. (Waterbody) (CitytTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. Z ' 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) 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) r l pature P int 6r pe Name C� o h �Z M 'ling Address City/St te2ip (Adjacent Property Owner Information) Signature* Dorothyy C. 'By -own Print or Type Naive 6 u Q k, Maili Address City/State/Zi q j/-, - 4476 - �Z G 21 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent tot s (Name of Property Owner) property located at l q3 Rjv,x-,e c -Cw (Address, Lot, Block, Road, etc.) on `ftW 91ly '� , in SOCCA65 t-c.Q- a 1 Ortsioc..), N.C. (Waterbody) (City/Town an /o County) The applicant has described to me, as shown below, the development proposed at the above locatign..1ia ►�/ 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) WAIVER SECTION 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) Lub Signature 1,1s111 i!2et P "tor pe Name Mailing Address ( 'acent Property Owner Information) ignaure Print or Type Name 2ZU UC T/ Mailing Address City/St�fe2ip City tate/Zip //j— �7'7_ ?IIJ i` 10 1 .6..^a...L ^•^. t.:.a:. - .�a�.-_.. �.:4...yrr_yy.�....rw..,_.vy...�y.,._.-.. ,. _..+_-.a.. e<e..' f a r� L - s....}}.,......:.... _...:}. ._.max.. .. w _ .. .. - � _-. �--...._..'^h`.�'...4^-^'»_+4's�..�..-.__..a. -. __.i-.�•- it—. _. - ....Y.S .. r ..,:a._ _ ... w. �L•:-,._,.'jam_ - a