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Home My WebLink About69147D - Willis'CAMA / _ -'DREDGE & FILL 3ENERAL PERMIT �Previous permit# A B ,New_.Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources �j�� ' :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC U t Name E do A �'�� S ?n,_)R,6` State�ZIP z8�( T 77 - 15.1 & E-Mail ed Agent 06LU; d L 04 aY\ ❑ CW ❑ EW ❑ PTA A ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes If no ) PNA yes Project/ Activity :k)length itform(s) n Platform(s) er(s) igth nber, / I/ Rip. length - distance offshore_ x distance offshore OZ annel do yards 1P/ Boatlift n ❑ Rules attached. Project Location: County )" k Street Address/ State Road/ Lot #(s) 4yV\.L Subdivision City ZIP '-- Phone # ( ) - River Basin CF Adj. Wtr. Bod, ca4e nat ' r Closest Maj. Wtr. Body Fe aY (Scale: (� = IWMV - - � ■■■■■■■il■■■■■■■■mill■� ■■■■■■■ I(■■■�■■ ■■1 ►■■■■■■�l■■■■■�, . ■■■■■■■ii■■■■■■■■I�a=i ❑ See note on back regarding River Basin 6/29/2017 Allied Marine Contractors 6/29/2017 Will Richardson 6/29/2017 _ Logan Marine 6/29/2017 Holden Docks & Bulkheads 6/29/2017 ' James or Debora Wallace 6/29/2017 Will Richardson construction 6/29/2017i Jose_ h�Bu�rge 6/29/2017- Jol seoh B. - Kevin & Wendy Longenecker Patricia Felmly Edna Willis Richard Roderick same Charles Gan_dee_ James Correa _ Crista & Jewel Owens First Citizens Bank 5645 $200.00 GP 69256D _ _ BB&T 6750 $200.00 _ GP 69257D Co min Credit Union 523 $400.00 GP 69147D CresCom Bank 2689 $200.00 GP 69252D Four Oaks Bank 2557 $_200.00 GP 69268D BB&T _ 6757 $200.00 GP 69248_D Capital Bank 3054 $200.00 GP 69258D Capital Bank 3055 $200.00 GP 692,VD NC Division of Coastal Mgt. Habitat Impact Com Applicant:E�Ay\(` S Date: 6 /2,7// Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FI (Applied for. (Anticipated final (Applied for. (A DISTURB TYPE Disturbance total disturbance. Disturbance di: Habitat Name Choose One includes any Excludes any total includes E) anticipated restoration any anticipated re restoration or and/or temp restoration or to teLm� impacts) impact amount ternimpacts) ar t Dredge ❑ Fill Both ❑ Other ❑ 1 O Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized Edna Willis 306 East Bay Street Southport, NC 28461 910-477-1518 willis77@att.net David Logan of Logan Marine, LLC Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: erect new private fixed pier and platform at my property located at 306 East Bay Street Southport, NC 28461 , in Brunswick County. furthermore certify that / 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: Srgnat re Aa , ) / Print or Type Name Title ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to Edna Willis 's (Name of Property Owner) property located at 306 East Bay Street (Address, Lot. Block. Road, etc.) on Cape Fear Riveraiwwl in Southport4C N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. iitials',—,m6 I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT ***DRAWING ATTACHED*** 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.) nitiais I DO NOT wish to waive the 15' setback requirement. (Property Owner Information) Signah(kk_ David Logan CAUorized Agent) Print or Type !Jame (Adjacent Property Owner Information) lj ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Edna Willis (Name of Property Owner) property located at 306 East Bay Street (Address, Lot. Block. Road, etc.) on Cape Fear RiveraIWW) , in Southport4c (Waterbody) (City/Town and/or County) I N.C. The applicant has described to me, as shown below, the development proposed at the above location. Initials V U 1 have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT ***DRAWING ATTACHED*** 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.) Initials 4f-1 1 DO NOT wish to waive the 15' setback requirement. (Property Owner Information) Signatn David Logan C u orized Agent) Print or Type Name ^^ 0...1 1 C C l (Adjacent Propertyrowner Information) 0ol c.� Sign tt e* Print or�TJypeyame W, 0 F-7 ;Ilmmfl