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Home My WebLink About76573D - RussCAMA / ❑ DREDGE & FILL N9 76573 A B iENERAL 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 I SA NCAC O tZ 0c ❑ Rules attached. Name S `� Project Location: County r- �L Street Address/ State Road/ Lot #(s) 2 ?3 q State /mac ZIP 2 Y ` { I -L CW c S 1� r^ . GO -' I 'bd E-/z, Mail N I �I S(C 3�t � c rya .I . �u� Subdivision .d Agent l J ti �� V, , c.City , D p i !I ZIP �_` �y I4CW ❑EW 'K"A ❑ES ❑PTS ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: ,es / <0 PNA yes Phone # ( ) River Basin Adj. Wtr. Body A 1 w `-J Closest Maj. Wtr. Body i w"✓ Project/ Activity �� r1 , �G < < 4 1 h Q k `lock t .. < (I c k k) length [form(s) 'latform(s) w(s) gth fiber I Riprap length distance offshore : distance offshor innel is yards P B.atliih 1 V Y 1 - Length — WL) not sure yes t 67 im: n/a yes n yes n_,� [lathed: (5" no - - g permit may be required by: / J..5 A"t ocal Planning jurisdiction) 1% L a r. + (Scale: N T ❑ See note on back regarding River Basin AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: 2 Phone Number: Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits '0necessary for the following proposed development: ( ` r < V at my property located at i Av -2 <f� 3 in �G ycounty. I furthermore certify that l 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: Si at e r ,, Print or Type Name Title DIVISION Ole COASTAL MANAGEMENT ADJACENT RIPARIAN PROPLORTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 1 ' '(CJUS6 % 5 tentan M lu a e I R 035 Address of Property: ?-I2.4cv� , ,nSW (Lot or Street #, Street or Road, City & County) T � u Agent's Name It Gr ict Ck-�r�5vrgal,4o Agent's phone #: CMD' 5 R' q q Mailing Address:66 1 QC\A Dc— C nT,6tQ ug-1q NC zt q I hereby certify that I own property lidjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached growing the development they are proposing. I have no objections to this proposal. _ I have objections to this proposal. M you have objections to when Is being proposed, you must notify the Dlyb& of Coastal Management (DCM) in writing within 10 days of receipt of this notice. C should by mailed to 127 Cardinal Drlve Ext., Wilmington, NC, 28405.3846. DCM represswwr also be contacted at (910)196-7216. No response Is considered the some as no objection been notified by Certified Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back s 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.) t d& Wleh lowehie the 18' setback regt,Msmerrtt. I do not wish to waive the 16' setback requirement. (Property Owner Information) �Ry-1 �> Signature alR �o�tiY�tc(,QI Print or Type Name Print or Type Name 16)3 MtdkctrA ar Mailing Address W 21 H lNw5 f � 0 y/Stat Information) 4w b"ws5 �°t Mailing Address 560statemp (,R,-\ czn a- 7 2, ze) 1.7.E i / u : i _. - ► _ ► _ DIVISION OR POASTAL MANAGEMENT ADJACENT RIPARIAN PROP9RTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: NN 3-u56 % 5, n Ml6ae I R� Address of Property: �3 � Pi r4 k, Spa re�S �v1d Q n ?-Lq-r-t4 , V-N�n6vi %C- (Lot or Street #, Street or Road, City & County) - Agent's Name #: G icy. Ozs'y-ApLt ii () Agent's phone #: %' D- 5 N - q b9j Melling Address:t 1� 1. Qc\-\ Dc- I hereby certify that I own prdperty idjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached rawin the development they are proposing. 1 have ao objections to this proposal. I have objections to this proposal, If you have objections to what is being proposed, you must notify the Dl n of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Co should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.5846. DCM r0pr"eflI111111111 also be contacted at (910) 796-7215. No response is considered the same as no objection been notified by Certified Mail. 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.) t do wWQJg& tiv_e the 15' setback requirement. ` 1 do not wish to waive the 15' setback requirement. (Property Owner Information) c.4 CgQ�n`t� Signature %� 55 Yo 5, �, wkdly � Print or' Type Name \63 mtd�trA pr (Adjacent Property Owner Information) gnat re Ru% T,,,,y m . r3 � S Print or Type Name Mailing Address n W Ci4yStateMpJ 02 90- 9 a ra k S lgy�&r A- SW Melling Address P,p X/ �v G d Y�o2 City/Statehlzip )m uQ}�I"`^\:c-n . nnc,) +)o1\ hb'(,Z ram+ 1\vl}9uT 1 \b�'` w Z31 h i ..) -4t 'a �� ) rrn NarM Name of Perm/f HokW Vandor CMck Numbw pack mourn Pamk Numbar/Commena Racal t or Raf—d/RNllocaad i-3 ColumrN Cokmm6 Cok m f Column? CokumM Column9 nshuction Archie McGirt FCB 5486 $ 200.00 GP 076529D PA rct. 10773 Wade Coleman BB&T 2435 $ 200.00 GP #75893D BB roL 10220 Michael Keith Sutton BUT 5332 $ 200.00 GP #76599D BB rot. 10222 rWPany LLC Ste en & Laurie Cook Fkst Bank 16997 $ 200.00 GP #76516D BB rot. 10221 Stephen Russ SB&T 13944 $ 200.00 IGP#76573D BB rcL 10217 ABJ N PropeMm LLC BS&T 2434 S 2W.00 I GP #76598D BS rct. 10219 same Bank of America 1436 $ 2W.00 GP #76428D Ben rot. 10288 d same USAA Federal Savings Bank 4831 $ 200.00 GP #764370 Ben rot. 10287 ishucbon Ann Sneeden FCB SW7 $ 200.00 GP 97WWD KE rot. 10779 nstrudbn Andiony Patterson FCB 5505 $ 200.00 GP #76563D KE rot. 10780 LLC Kurt Taylor Fkat Bank 1305 $ 200.00 GP #76591 D PA mt 10253 Paul Maki BB&T 7053 S 400.00 GP #765850 JD rct.10815 same BB&T 7044 S 200.00 GP #76585D JD rct. 10815 hock same State Employees CU 2025 $ 200.00 GP #765840 JD rd. 10814 Dnstuction Inc. William I s k and True! P 974822D rot. ■ Complete items 1, 2, and 3. A. Signature ■ Print your name and address on the reverse X wll� so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. RR c iv by or on the front if space permits. �/��/�j 1. Article Addressed to: i IL+V 05,6 .Wgent ❑ Addressee C. D. Is delivery address different from item,4l El �: If YES, enter delivery address below: ❑ No I I I I'I II I I I I I I I I II I I I I II I I 3. Service Type ❑ Priority Mail Express ❑ Adult Signature ❑Registered MaiITM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 2219 6193 1038 54 El Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. A.al,.l., no lmhor tTransfer from service label) ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation- -4 —H ❑ Signature Confirmation 7 017 0660 0000 7487 1563 Restricted Delivery Restricted Delivery Ps Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Postal Service'" TIFIED MAIL° RECEIPT tic Mail Only YJ.55 04711 C� leceipt (hardcopy) $ � 11 . ri r laceipt (electronic) $ $11 1 tr. t_I Postmark I Mall Restricted Delivery $ i0 � fry_ Here gnature Required $ --i.a—i�[�— 7� gnature Restricted Dellvery $ $0.55 tage and Fees 05 / 131 20 i i 1 $b.9S 45 �.g�u�--------- ---c- m 1 Domestic thailOnly -0 Un For delivery a W I l,� "`N, 1F f Lr4 1 . rL CO Certified Mail Fee $Y . 55 1470 $ ^ QC Ci r`- Extra Services & Fees (Check boy add tee �: �te) - ❑ Return Receipt (hardcopy) $ 1 O ❑ Return Receipt (electronic) $ it i I _ IIII Posbn * E:] ❑ Certified Mall Resthcted Delivery $ d lei 1 II-1Here O ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ E3 Postage CC 1 ..+.+ —0 Total Postage and Fees 05/13/2020 O $ $6.95 a S-1'-- -��, __i�LdS1 � St t and Apt - o., r PO B No. r ) �--I�___si �� 1v Sf�C Z 1 - -- ------------ J qry, t tel ZIP+ W'tCM &eU l V C 2. $t{ ((-S3zQ ■ 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. --- A. Sign re ❑Agent ❑ Addressee B. Received by (Printed ame) 17 C. Date of Delivery 1. Article Addressed to: cam , %/ . D. Is delivery address different from item 1? ❑ Yes