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Home My WebLink About69301D - Westbrook11 V31/s rCAMA!-�- DREDGE & FILL aENERAL PERMIT Previous permit # A B INew ❑Modification L1Complete Reissue ❑Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources / )//Q a j, . ! 2 f ;oastal Resources Commission in an area o environmental concern pursuant to 15A NCAC C / ❑ les attached. t Name 1% Om Project Location: County IG/ H %rO A) l{Jdd Street Address/ State ]Ro / Lo s) l•GfI �� StatW& ZipfffJ / r ,'22�3 E-Mail Subdivision f ed Agent �� City ly ZIP 70 ❑ CW APTA ❑ PTS Phone # `f------j--------'-- River Basin ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. BodyiGRGiS Q na ElPWS: yes no PNA yes /� Closest Maj. Wtr. Body ✓k1k D v ' Project/ Activity 1 l OCIA V1 In (Scale: :k)rkngth ngth \ nber )�Riprap length distance offshore x distance offshore cannel 1p - se/ ■it ■ ■■■101 ■ii■■NONE■■■■■■■■■■■■ENNI ■/!■■■■�■■■■■■■�■■■NO ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to��'1 "�� k��g! �(` .s (Name of roperty Owner) property located at mil/ 3 Z� `� �.7� i �1� `>E i $ 3W L t 1 (Address, Lot, Block Road etc.) on in 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. f have objections to this proposal i ,: r� _ 1 ■■ WAIVER SECTION 1 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 I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement (Property Owner Information) Si nature Print or Type Name / /) t, Mail!Address Lra�� . y�. „l• C ,�7Go3 City/State2ip Telephone Number / email address Dar 'Valid for one calendar year after signature (7�� op Ow r nformation) .Cigna e* ACk MGM 41,5 Print ,rDype me L y Mailing dre AX �'`lO43d R(c,ck--9?.1r(iC-O- Telephone umber/email address (Revised Aug 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to '-t5e property located at -// /-3 T ' �) . 0A of Property Owner) vak 's (Address, Lot, Block Road, etc.) on , in ,5,L4 - C,_ ,4 , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio have no objection to this proposal. 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) (Adjacent Property Owner Information) Signature Signature Wiz. i"T!, ,C-0�K M AY—� -'Ro�ee. �0�� Print or TyA Name _ � „ Print or Tvoe Name AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Reqi Mailing Address: Phone Number: Email Address: I certify that I have authorized i �f��.e� '77C fJ C--- -7 7(, W --r Agent / 7) 56 to act on my behalf, for the purpose of applying for and obtai ing all CAMA permits necessary for the following proposed development: at my property located at in County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature L/,-) E�� T-- Print or Type Name Title NC Division of Coastal Mgt. Habitat Impact Computer Sh plicant: 0 :scribe below the HABITAT disturbances for the application. values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. ibitat Name • Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/c restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts amount) �1� fr Dredge ❑ Fill El Both ❑ Other ' ) n V v Dredge ❑ Fill Both ❑ Other ❑ �^ F-' / Dredge ❑ Fill ❑ Both ❑ Othe 2, Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 7/26/2017 Hazel Carol Larson Peter Larson BB&T 13389 $100.00 renewal fee, MP 58-09 7/27/2017 Grice Construction P.H. McKinney BB&T 11387 $200.00IGP 69336 7/27/2017 Tommy or Billie Puckett same BB&T 1011 $200.00 GP 69344D 7/27/2017 Grice Construction Jonathan Earl Bowling BB&T 11369 $200.00 GP 69339D 7/27/2017 Grice Construction Julia Harris BB&T 11386 $200.00 GP 69335D 7/27/2017 Town of Carolina Beach same BB&T 70055 $200.00 GP 69349D 7/27/2017 Sisters Investments LLC same Yadkin Bank 1127 $400.00 GP 69210D 7/27/2017 Lighthouse Marine Construction James Mulligan Coastal Bank & Trust 1581 $200.00 GP 69302D 7/27/2017 Lighthouse Marine Construction Charli Davis Coastal Bank & Trust 1582 $200.00 GP 69300D 7/27/2017 Carolina Bluewater Construction same BB&T 17980 $200.00 GP 69345D 7/27/2017 Southeastern Coastal Construction Co. Becky Hucks South State 10397 $200.00 GP 69291 D 7/27/2017 Lighthouse Marine Construction Betty Westbrook Coastal Bank & Trust 1580 $600.00 GP 69301 D 7/28/2017 Frank Williams Building Co Frank Williams First Bank 3685 $100.00 minor fee, Lot 2 Washington AC 7/31/2017 Cary or Brandi Kerns Vivian & Karen Osborne ElecTel GOOD. Federal ( 1305 $548.00 NOV 17-12D, BrCo