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Home My WebLink About76430D - Matthews�CAMA / 7'DREDGE & FILL 3ENERAL PERMIT (New -Modification ❑Complete Reissue ❑Partial Reissue N° 76430 A�. Previous permit # Date previous permit issued rized by the State of North Carolina, Department of Environmental Quality -7j'� j j -oastal Resources Commission i an area of environmental concern pursuant to 15A NCAC I V ,y f �/� e (� ❑ Rules attached. it Name ronn L `^" �' AGLf oh ' " ' a S Project Location: County I,�Y bt Y1 S W f cIc Pogo)( �( 7M V I Q y State ZIP 9& 3 G qI (��D) () 7 /9b E-Mail rc, f�is :ed Agent Mark- ark- Ab(�l+ ❑ CW XEW )(PTA �#S ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: yes / no PNA yes / no f Project/ Activity ,ck) length_ atform(s) _ Platform(s) ;ngth / m r rap length () l g distance offshore ix distance offshore hannel bic yard np ise/ Boatlift ,ulldozing ►siW ` . Arm ie Length T not sure yes no Street Address/ State Road/ Lot #(s) 3l l Subdivision / City Soli*poyl ZIP �g Phone # ( �� River Basin Adj. Wtr. Body 4 1-- Ai Closest Maj. Wtr. Bod/�y AA& (Scale: wm: �n/a yes no - - -....-- — r yes no I ................ I Attached: yes no ng permit may be required by: rilY1 iN C, wG( ❑ See note on back regarding River Basin r Local Planning lurisdictionl n I i n i . i , . Jun.29.2020 10.44AM No.1180 P. 2 LV. IL. IVIJ r%IVCI I,dn Pack and Shfp 9104577065 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION I ' Name of Property Owner Requesting Permit:LaiNN � . �C11"4L 0 < � Mailing Address: , d A OL/- Phone Number: Emall Address: _ (\Off 1 Y11 rNG_ he,+ I certify that I have authorized 1YI�f�" A V Agent i Contractor to act on my behalf, for the purp=e of applying for and obtaining all LAMA permits necessary for the following proposed development. - at my property located at _S:�J In L UMA County. l 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 eater on the aforementioned lands in connection with evaluating information related to this permit application. Property Dwner Information: Signarum �-• •�c� 6KN k 6- 01l`or� 1. o� 1 r �15 Print or Type Narne o urn Tine Jun. 29. 2020 10:45AM 20, 12:18p River Run Pads and Ship No. 1180 P. 3 01045770e5 p.2 DJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to F'm hl pn j�l� - (Nam® of Properly Owner) Property located at r (Address, Lo , Block, Road, etc. on in N C. (Waterhody) (Ci ylT! own'anclloc County) Tho applicant has descrlbed to me, as shown below, the development proposed at the above lacQt_-�� •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 /n description below or attach a site drawing) WAIVER SECTION i tmderstand that a pier, dock, mooring pllinga, 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, 1 do not wish to waive the 15' setback requirement. (Property Owner Information) 'i�,��sw! cr�r• Print or Typo Name , (AdJa nt Pro perty Owner nformation) rl Pr/—t or Tvo l mA _ _ _ Jun. 22.2020 1,46PM 20, 12:18p River Run Pack and Ship No. 1164 P. 3 9104577006 p.2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that i own property adjacent to 6)e-A , s "<hOr`o'n 'r MAR (Name of Property Owner) property located at r _ (Addreaa, Lo , Block, Road, etc on _in (Waterbody) (Ci ylTown and/or County) The applicant his described to me, as shown below, tl)e development proposed at the above to I n. _�.. t havo no objection to this proposal. I have ahlect10119 to this proposal, DESCRIPTION AND/OR DRAWING OF PROPOSED DI=VM.OPMENT (Individual proposing development must fill In description below or attach a s;to drawing) (6CJ r �a '96�k �Oc , WAIVER SECTION I understand that a plsr, dock, mooring pilings, boat ramp, breakwater, boathouse, Ilft, er groln 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 weivn the 15' setback requirement. _W1 do not wlsn to waive the 15' setback requirement. (Property owner Information) (Adjacent Property Owner Information) i�izu[ur Sid/1.1urt + / t d 1Q t1b-�A, bLG-%L Pnnt or TWO Name Alm u— Af.— amp Nuns or P�It Mo V—dor Check Number Check —t Pwmlt NumbodrC ~ft R,,,fpt or R.Nnd/RWI—Nd 03 C.W—w Cokunn6 Co1umn6 Column? C.1-8 91 $ 400.00 GP #76430D _ 4294 $ 200.00 GP #76212D 3141 $ 200.00 GP #75844D 1268 $ 200.00 GP#76163D 23401 $ 200.00 GP #75843D 23400 200.00 GP #76425D C.A.—D Ronnie and Sharon Matthews BB&T same State Employees CU _ _ Will Thornton Branch Banking and Trust same SunTrust G Ca bell Wells Flo_ Richard Stitt Wells Far Ben rct. 10283 Moore PA rct. 10766 PA rct. 10772 PArct. 10768 lulkheads LLC PA rct. 10771 lulkheads LLC PA rd. 10770