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Home My WebLink About76191D - VolgerICAMA / ❑ DREDGE & FILL No. 76191 A B aENERAL PERMIT Previous permit # NEW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued_ •ized by the State of North Carolina, Department of Environmental Quality ^ ' :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC � ❑Rules attached. Name A U V Project Location: County f)✓ ,- ^.S, ' �-'c-- L_c, Ae _ Street Address/ State Road/ Lot #(s) Q _ i Stated_ ZIP ( �Ocg 5�1 E-Mail � U T1 v �� " �' �w Subdivision edAgent City /- ;e < V\ ZIP �rCW ❑ EW i OTA ❑ ES ❑ PTS Phone # ( ) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes PNA yes / no Project/ Activity VLX \Gc,e C-N(1 S '� , n Adj. Wtr. Body C ti 4, (nat Closest Maj. Win Body S C✓.. `(- ,-4 1, S e,rt (Scale: /U ■■■ !■■■■ ■ ON M■ NONE ■ EN ■ ■� �..■NNN■■■■■. iEr�■rr�Nr■i.■■NE■■■N■■ igth ■■E■■N■■■■■!■■■■■ii■�■■■■■■■■■!■■■■ nber ■OOOO■■OO■NO■■ill■,■NOD■■OO■ONE■■O■ Riprap length ■■DODO■■■ONO■N■' INO�■ u■�■NN■■■NN■�■■■ distance offshore NNN■■lENN■■■N■N E■■■■ tea■■E!■NE■■!NON■ ■■OOONE■!H■■■ ■IG�!■■i■OOO■NOON■■O■■ ■�O�O■OOOOE■OO■1 GI ■O■NO■OO■OONN■■O■ icyard ■■O■■■■■■■■OO■■■■■1■■�■■■■■■■■■■■■■■■ ■ MMMMMSMEM mumoil N ■NEMENWEOMNEE■ ' E7 MVER::E MONISM 0EEECimicnamow T ■■EMEME■MEMEME■■■E!E■NENE�E0 ig permit may be required by: �w n S A T \ e < < ❑ See note on back regarding River Basin rL _ocal Planning Jurisdiction i 1 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: V D 6-LZ-9, f Zo PE-12-`i-1 Mailing Address: 10 o1 R orNSarA L,-A vie, Phone Number: Email Address: Car,) ) N C- z7S 1 (�Iot ) CA, O(0 L V o o, � e r 0 @ o� v,•, v, , (, COe%,,-- I certify that I have authorized v C e CC'65kc-lQ, Iyr1 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 1-C,P c1- -� Iooct"'-� at my property located at 1A03 Sg %t(�'s k S+,re,ef--, Sv`r,sc+ '�� ,►v' in Q �n,ns `^i i �l� County. 1 furthermore certify that I 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: Signature C NTH A, (s, V o 6-LY-- Print or Type Name Iyl A N A- G-'�- Title 5 10 , 2.020 DIVISION OP COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: CSndy w g e" / Pro i; Q A'1e$ - Address of Property: (Lot or Street #, Agent's Name #: Gr ict RS�f uC,�lv�1 Agent's phone #: ( 1 a 5`7q ' q (3a5 rxaswdc Road, City & County) - Mailing Address:(kii xo-\ QuAn:V4^5tQ �c N( 2-tu 1 hereby certify that I own property idjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached 4rawingJhO development they are proposing. ave no objections to this propoml. -- - I have objections to this proposal. If you hove objections to whet is being proposed, you must notify the *Dlo of Coastal Menegaaent (DCM) in writing within 10 days of receipt of this notice. Coshould be msl/ed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3845. DCM repressalso be contacted at (910) 790-7215. No response /s cons/dared the same as no ob/ecbeen notlfled by Certified Mall. 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 with to waive the 1 b' aetbeck requirement. `'-)14 1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature S' re �1��9e� �ttZA� M�-��i��d' Prin r Type Nana Pnnt or Type Name MR h�� Loma Meiling Address Cqxv \4 2-151 �4.4 [Si OQiG _Orr_ - C-U Q'1. Mailing Address 046stetw2ip Gl . ,.. P � G 2 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPORTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: Agent's Name * Gr ict 0 f! S* Jiy0 Agent's phone #: CMS" 5-N - qQ115 Mailing Address:Wwl?-j2QCh &--w-r):3�5Is2 $,M� N( Z-rmg I hereby certify that I own property ddjacent to the above referenced property. The individual applying for th spermit has described to me as shown on the attached grawing_the development they are proposing. have no objections to this proposal. I have objections to this proposal N you have objections to what Is being proposed, you must notify the DI of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Co should bt mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3846. DCM repres also be contacted at (910) 796-7215. No response is considered the same as no objection been notified by Certified Mail. rnr. .M q� WAIVER SECTION V1 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 ittock, you must Initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent roperty Owner Intlirfwdon) ��_ '4) Signature Signet e oroe�u e �rS Ptin r Type NA e Meiling Address CSC 2-`151� citylsthtealp nkre nr\, Pant or Type Neme Mailing Address se N3 ciry/sreteat 15` V VQ rl_ Y yQ5 o,n�� 42�.5 CC\ tA�141> -4,>� o'.oN'N'N N.NN N N O'OO O O O OO i2 P 2 2 P oommmmmmmm _�mmmmmmmm a as a a aaa;a'. ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 3('o6\d St -�, , , 2-b3 woad \u"d D� TkA xA0 park �I I UPS-1-4s IQ A. Signature L�9 B. Received by (Printed Name) C. Date )Ov rl jC very 5/ t (o D. Is delivery address different from item 1? JW If YES, enter delivery addrebelow: o eeer>< t bcay. to 3 � Q � rrY►ovn-t 0.ir-C� n � II IIIIIII IIII III I II II i II I I III II I I I II I I IIIII Service3. fic lS ne egsteedM❑ Adult gnuRestricted Delivery 11 Registered Registered M9590 9402 2219 6193 1040 3rtifed MailiDCCrMtilOtReuvreryTetifd aRestricted Delivery n ReceiF❑ Collectelivery Merchandise 2. Article Number (Transferfrnrn 3estricted Delivery El Signature Con 7017 0660 0000 7487 1495 El Signature Con (over $500) 1ed Delivery Restricted Del PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return DomesticU.S. Postal Service T" CERTIFIED MAILD RECEIPT Cr I V d C- C0 LExt ied Mail Fee � � rr� ,I- o� I_1472 (L Services & Fees (check bar, add tee as mi m) 03 El Return Receipt (hardcopy) $ JJ�t C3 ❑ Retum Receipt (electronic) $ ! I • !III Postmark C3 ❑Certified Mail Restricted Delivery $ SA _ 1)0 Here C3 ❑ Adult Signature Required $ ❑Adult Signature Restricted Delivery $ Q POStage $ 0 - 55 .� $ ..0 Total Postage and F i ! 3/2020 C3 $ EK \a\4 n , �h to-t. ac��CA'W1 �c-1 -- - ------ -------- -1. -------------------------[- -"tate, (0 IN y 16 `t`6`�-�l�b kcf h' TM U.S. Postal Service 2 � ;,z CERTIFIED MAILo RECEIPT a,QL cY =_ Domestic d U V) For delivery information, visit our website at www.usps.comO. g 1 SU T A HI 214 68 C` � 1 Certified Mail Fee.. $3.55 0472 u c $ ` III [� Extra Services & Fees (da bm add tee re) r��__.___._