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Home My WebLink About64701D - HendrixICAMA / ❑ DREDGE & FILL 64 1ENERAL PERMIT Previous permit# New ❑Modification LIComplete Reissue ❑Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources � . ,ILL) :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. t Name /1 T! Q�li 1r'\� Project Location: County &U06011 LL 0r( NO Street Address/ State Road/ Lot #(s) Stat C ZIVylyt �) — ��QFax # ( � Subdiv'sion Iv A ed Agent V44 V G v✓ w {1fUCity ( �, ZIP �SLi ❑ CW EW PTA ❑ ES ❑ PTS Phone # ( IC ) qY-) - �f � River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A n . 1 if, ❑ PWS: ❑ FC: yes no PNA yes / no 'Project/ Activity :k) ngth nber i/ Riprap length_ l distance offshore x distance offshon cannel sic yards ip se/ Boatlift uUdozing X e Length _, not sure yes { s: not sure yes ium: n/a ) yews L/ j F kttached: yes Adj. vvtr. Body f (nat Crit.Hab. yes / no ) Closest Maj. Wtr. Body 1 �J Y (Scale: ng permit may be requird biy: ' �� 3PA, ,, ❑ See note on back regarding River Basin r r. 7/16/2015 Morgan or Erica Mehler 7/17/2015 7/20/15 Stanley or Sharon Stubbs 7/17/2015 7/20/15 Richard or Sharon Love 7/17/2615 7/20/15 Antinon Construction, Inc. _ 7/17/2015 7/20/15 Holden Dock & Bulkheads 7/17/2015 7/20/15 Atlantic Coast Industrial LLC 7/20/2015 Money order from Brandon Grimes 7/20/2015 Robert or Candace Rice 7/22/2015 MHCDO River Bluff Holdings LLC 7/22/2015 Richardson Construction 7/22/2015 Backwater Marine Construction Inc M222/2015 Clements Marine Construction Inc Highland Shores HOA Park Sterling Bank _ same B of A same Wells Fargo Bank 1017 $100.00 renewal fee, MP 1, 4859 $200.00 GP for 1304 Caroli 1434 $200.00 GP 64712D Chris Mohr B ofA 3780 $200.00 GP 64715D Anna Odam & Rufus Yates ICresCorn Bank 2181 $200.00 GP 64697D _ David Brinkley BB &T Patricia Welfare Wells Fargo Bank same B B &T same 7 Michael O'Hem BB &T Lennon Smith Geneveive Cassese Matt Hendrix BB &T David & Ann Sneeden First Citizens Bank 11791 $200.00 GP 1400 Point He 17-213876532 $200.00 GP 64717D 10394 . 1121 6063, $200.00 $100.00 Irenewal $600.00 'GP $200.00 GP 65041 D fee, MP 6; GP 64698D @$20 64700D @$20 GP 64699D @$20 GP 64701D GP 64756D 2017 3856 $200.00 IC Division of Coastal Mgt. Habitat impact Computer Sheet pplicant: ate: is Permit N: escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement fund in your Habitat code sheet. abitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated Tina disturbance. Excludes any restoration and/c temp impact amount LJO Dredge [IFill [IBoth [I Other Z9-� 2 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both �7-1 Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Pat McCrory Governor IiAv WDM North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skvarla Secretary AGENT AUTHORIZATION FORM Date: - - Name of Property Ow or Applying for Permit: Name of Authorized A ent,for this project: Owner's Mailing Address: ! I �_�.y� ascro,� O.1 4—f k S Email: Phone (376) 3 � Agent's Mailing Address: r i Email: Dl3 C K C�l�'le Phone I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for, and obtaining all CAMA Permits necessary to install or,construct the following (activity): For my property located at This certification is valid 1 year from (date) I hereby certify that I own property adjacent to /1111 � ✓ 's {Name f Pr perty O r) property located at ''� II �►ddress, Lot, Block, Road, etc.) // on ��(.L_J �_ in ruvsN.C. (Waterbody) (City/Town and/or County) J The applicant has described to me, as shown below, the development proposed at the above location. �l % 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, breakwater, boathouse, lift, or groin must be set back minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wai% the setback, you must initial the appropriate blank below.) l I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) S'ignat ure t-m-TL e- -- T I�F1J1)(Z i )C Print or Type Name 1141&- giticis Mfli m., Lf- Maitinq Address _ (Adjacent Property Owner Information) Signature U Print or MA Name -iIC2 Mailing Address 1501:50p C.D.R. Grading, Inc. 704-888-8315 p.1 11511:30a Microsoft-CharlotteAP1 7046659606 p.2 I tereby certify that i own property adjacent to I / ama dri Property Owner( property located at / t jjc��Q , 1 l (Address, Lot, to t, R , etc.j on �- C L(J �ir �:cr_ .� , in N.C. (Waterbody) (Cityrrown and/or County) f The applicant has described to me, as shown below, the development proposes at the above location. 0050AL '7195 ) have no objectlon to this proposal - rJ I have objections to this proposal. OESCRIPTION AND/OR DRAWING OF PROPOSED DE—VELOPMENT (lndividual proposing development must fi11 In description below or attach a site drawing) �t e"Le—k 4J VUVV WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 requ rement, (Property Owner Info VodreSa (Adjacent Property Owner Information) S► rrgql,n•e Print or 7,Ype Name Mailing Addreis '7"W)ON'y //' r- ■ is !�-- ,e�5y I