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Home My WebLink About64018D - MorseQ YCAMA / ❑ . DREDGE & FILL "` V15 \ 64 GENERAL PERMIT Previous permit# Aew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources 7 �q y :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC• 6-y A , Rules attached. it Name ` a l to M10 �Lj1c Project Location: County 6'K'A NSW 1 i V _ 0.State ZIP�� E( ) Fax #( ) :ed Agent _ CW QEW LA -PTA LIES ❑ PTS OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A PWS: ❑ FC: Street Address/ State Road/ Lot #(s) Gtr- c Subdivision City ZIP L- Phone # ( ) River Basin Adj. Wtr. Body j ryiy� at yes / no PNA f ' f no ,�� Crit.Hab. yes / no Closest Mai. Wtr. Body .W �` / Z r Project/ Activity \V IVI L •,IL�Z /0 ,,1: , — (Scale: Its ck) length �liJ )�'rj f ier(s)ZZfxS►f, ngth lo" tuber d/ Riprap length — distance offshore uc distance offshore cannel >ic yards ' ip setfoatlift ! Z• Aldozing a Length not sure yes 1ioh not sure yes • nod um: n/a yes no ; yes efio r ktached: •yes no ig permit may be required by: %.,tc IL k IJSN L u-- ❑ See note on back regarding River Basin r C Division of Coastal Mgt. Habitat Impact Computer Sheet )plicant: Kt3%I(Q &A-,oX-QE Permit #: &1+01 g ite: 9,/4/ 1 Lt ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer and in your Habitat code sheet. ibitat 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 fin disturbance. Excludes any restoration and temp impact amount Dredge [IFill ❑ Both [I Other (Q`"/z f 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 ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Dee Freeman Governor Director Secretary AGENT AUTHORIZATION FORM Date: _ �_:� / �' 4-f Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: C-V,AJ IC40 SI.ORLEi-I Owner's Mailing Address q 2-10 i3 k CC .4-,- tZ-7k C! Phone Number Agent's Mailing Address: 3.5u G 74 L.k- P/nr C c Al c_ 28y0 9 Phone Number (9/ 0) -3 6 -" 9& a 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): LEP, - CSJ11C2C. &LQT J1 i l-0AT/-VC-) 'IS OC-i< For my property located at %2-70 1-3uCr 4 / Cc Lt7z-A,vV , /Ve 2�"/ This certification is valid thru (date) % /-Z / H2O /S Kevin MO -se Property Owner Signature 7/8/14 Date THoMA S �> E'L-LkCA 513 STANwcd b Rb Si ByiiviAl NC 28g22-- 24 APPaGf 5'4wtu-ice _ (-Z/ "P IZ 0 PCIZT `l C V K&V,N MC256- g27o 3uCCAN CE►2 C.T" t-E[,AAJb NC ?-g15f DOCK + 00 .._ sr-AL.E: j" = Avn' A A2hwm ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to X EVIAI /410IZ S6- Is propertylocated at 9 tia i3 u c e A A,t R (Name of Property Owner) CT Ap r 22-!:� (Address, Lot, Block, Road, etc.) on ti�Prr""�J42 _, in L8Z-,I n/ A N.C. (Waterbody) (City/Town and/or County) The a licant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal, I have objections to this proposal. DESCRIPTION AND1OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) — 5 E" E- A 777-.4 e r-.1 C D ,b --z,q J,, , V � 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 se tback must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad'acent Property Owner Infor-lfation) Nevin Monte Signature Signature XcwAj ly-7,DR E` 5LuMS ON 714E C'47 IPOA Tiue Print or Type Name Print or Type Name 92-`70 M/LITAIZy O.rT-oFr 2d Mailing Address Malting Address L L- &AA. � /VC 2$11f5i 2� f7S City/Statagip ckwstatelzib14 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to X EVIJV /41a256— _ � `s (Name of Property Owner) property located at 9270 13 UCC Aticy- K T 2S (Address, Lot, Block, Road, etc.) on L P , in Le - &A zv' N.C. (Waterbody) (City/Town and/or County) The a licant has described to me, as shown below, the development proposed at the above location. 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) -- 5EC- ATT`.4 C146,0 baq 1v,.,v(' —_ 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 thesetbacku'must initial the appropriate blank below.) U7 v I do wish to waive the 16 setback re quirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad'acent Property Owner infotion) keyl� i' loi-s2 Signature Signature KEyiN /Y-?d2,<;E` Lu 5 on, -j~ PQA loe Print or Type Name Print or Type Name 1270 st4cr- t k1ez-2 Lt'~ 112j- f M/t-i77321J CLi—OFr 2.6 Mailing Address Mailing Address Lt- C_AA,16 AJ2 -'Y5 itc •.vloTal�t/ 2 CS City/StakVZip I C03098tate/zip DENR CAMA Daily Check Log for WIRO Date Received Check From Name Name of Permit Holder Vendor Check Number Check amount Permit Number/Con _ Hon Construction &Concrete LIC Watford Brian Kirkman - - Leonard Ta for Milian George Allen & John Cerasani GP 63984D $200 8/1/2014 BB&T 1073 $200.00 GP 63993D - GP 63985D _ GP 64017D GP 64015D - 8/1/2014 -- Holden Dock & Bulkheads _ Coastal Marine Piers & Bulkheads LLC Maritech, LLC Adam C Knierim First Community Bank — 5835 _ $200.00 8/1/2014 Wells Faro B of A 19717 $200.00 8/4/2014 1832 $200.00 8/4/2014 _ Overbeck Marine Construction Inc. Kevin Morse SunTrust 4299 $200.00 GP 64018D