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Home My WebLink About65144D - Knoxj'CAMA / ❑ DREDGE & FILL 31FNERAL PERMIT TNew ❑Modification ❑Complete Reissue ❑ Partial Reissue Previous permit # Date previous permit issued -ized by the State of North Carolina, Department of Environment and Natural Resources .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ~� } ' ❑ Rules attached. t Name ( LILiy t� i ��c. Project Location: County p ,)i(L— `�A 7 (,7G�� .tG lf� /• Street Address/ State Road/ Lot #(s) f4, ZIP Z ' � i 4�►T , State �{` � �L (°il t`.•) 7S -21U3 Alc0 61 e, WA 00 J "' 1 Subdivision ed Agent 1 NA OV NoP-M CiZIP-2-94S ❑ CW [ J EW ;�tTA ❑ ES ❑ PTS Phone # ( ) River Basin C } ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body NL :`4 (r alit /r ❑ PWS: ❑ FC: no PNA yes / no Crit.Hab. yes no / Closest Maj. Wtr. Body yes '� Project/ Activity 0c : Cie 7i-C ►L_ 1 (Scale: 1 :k) length igth nber I/ Riprap length_ distance offshore x distance offshon annel iic ip se/ Boatlift Aldozing `1 Length I not sure yes not sure yes um: n/a yes yes {r"> attached: yes ig permit may be required by: P ❑ See note on back regarding River Basin rL LAMA uaiiv GneCK LOq Tor VVIKV Date Check Check Received Check From (Name) Name of Permit Holder Vendor Number amount Permit Number/C 3/2/2015 Pacula Builders LLC Roy Gilbert & Brenda Madison_ First Citizens Bank _ __ 1138 $600.00 GP 65_079D 3/2/2015 Pacula Builders LLC Dennis Michael Security Savings Bank 1847 $400_.00 GP 65102D A$201 Dennis Michael GP 65103D @$201 3/2/2015 David Lee Builders, Inc Edwards B of A _ 19918 _ $100.00 minor fee, TB 15-0 3/3/2015 Carolina Marine Construction, Inc. John Clark First Bank 9496 $400.00 GP 65093D 3/3/2015 East Coast Engineering & Surveying, P.C. Dinah Gore First Bank 1308 $100.00 minor fee, SB 15-0 3/4/2015 Hunter Development Corp. John Ledoux Yadkin Bank _ 22714 $200.00 GP 65037D 3/5/2015 Coastal Marine Piers Bulkheads LLC James Harren Wells Fargo Bank 20059 $100 00 renewal fee, MP 11 3/5/2015 Mark D. Kelly same PNC Bank 795 $200.00 GP 65121D 3/6/2015 Lighthouse Marine Construction Inc Rick Rouse B of A 5269 $600.00 GP 65035D 3/6/2015 Bruce Marek, P.E. Timber Creek HOA Wells Fargo Bank 1433 $400.00 major fee, Timber i 3/6/2015 Kenneth W. and Be T. Futch same whance Credit Union 10240 $250.00 major fee Gregory om Bank 2_ 25.00 return ck fee 6134 3/6/2015 Gregory A Holden g ry Kathryn Bradley Cre_sCom_B_ank _ _ _ 6 _ $400.00 GP 65109D 6$201 Lockwood Folly, PDA replacement for rtned check GP 65056D @$201 3/9/2015 Garry D. Aldridge same NC State Employees' Credit Union 1044 $200.00 IGP 57442D 3/9/2015 Buff Builders, Inc. _ -- Poteat-Smith Properties, LLC BB&T 3275 $100.00 transfer fee, MP 6- 3/9/2015 Beam & Associates Sea Mist Camping Resort, Inc. BB&T 4773 $100.00 renewal ree, MP 11 3/11/2015 Dale E and Cynthia M Joslin same B of A 9035 $200.00 GP 65143D reissu, 3/11/2015 Allied Marine Contractors, LLC Jon and Diane Miller B of A 7278 $200.00 GP-65142D 3/11/2015 Coastal Marine Piers Bulkheads LLC Claudia Knox Wells Fargo Bank 20095 $200.00 GP 210 Goosenec E00 v E 3 v O V) 0 U v v Cr = v O a 0 �� .�7ja ERR North Carolina Department of Environment and Natural Resources Division of Coastal Management at McCrory Braxton C. Davis John E. Skvarla, III -,ovemor Director Secretary AGENT AUTHORIZATION FORM Date: 3 `7 5 -ne of Property Owner Applying for Permit: Name of Authorized Agen r this project: ner's fling Address: ) , �S ine Number(91e) �6 Ciid'3 Agent's Mailing Address: (9 3 r v ' o, �J U, C/o 3 Phone Number ( ) Wo • a 3( —�S/`� rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaining all CAMA Permits necessary to install or construct the following (activity): my property located at � certification is valid thru (date) Property Owner Si nature ate ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L� (,�' iA LL--E %-' ' ( I (Name of Property Owner) property located at ? `ZnA-7, _ (Address, Lot, Block, Road, etc.) on e i% PC ��iGjz in R!6CK V .�n/ KI T, � i' L� N.C. (Waterbody) (City/Town County) The applicant has described to me, as shown below, the development proposed at the above location. VW2 1 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 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. (P perty Owner Inf rn 0 Stature LiAi(ht /-r--e�- l� hro�c Print or Type Name _9 / r0 6mn srr A/,--- c' TL (Adjacent Property Owner Information) 4L� Signature 01_ Print or Type Name /70 60CSr'= YvcCk -Wb�� reby certify that I own property adjacent to ZILAU D IA L r'C kY QX 's (Name of Property Owner) perty located at m a /C—arG-- —)Q7�, _ I ddress, Lot, BlockRoad etc.) 14 in _ ,' C. (Waterbody) (City/Town and/or County) applicant has described to me, as shown below, the development proposed at the above location. Wf) I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION ierstand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a 'num distance of 15' from my area of riparian access unless waived by me. (If you wish to waive setback, you must initial the appropriate blank below.) �---L I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. perry Owner Info tion) (Adjacent Property Owner Information) 14 ature Si ature Na I A i g3r- or T e Name Print or Type Name c�o� SC— I1�L_C r�.� , i Address Mailing Address ?bar /V(�Zs7�F��,�� ✓c 2��s� Ccye, P",;)e-r