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Home My WebLink About52407D - Gore CAMA/ ❑DREDGE & FILL • ;ENERAL PERMIT Previous permit# New ❑Modification _,Complete Reissue ❑Partial Reissue 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 I 5A NCAC 2/1. /Z o G Illfules attached. t Name J ei N 610/1 C Project Location: County 3a.r r3 4J'c/' �)2 2 Z3L,e j /,4 C �, Street Address/State Road/Lot#(s) 59 "C 4'4,,5"e 8'1,4. StateNC ZIP ' T 7' (9/0 t/'/3- (991'S3 Fax# ( ) Subdivision :ed Agent .; ,r,p,vr ra 4,:f eei City ZIP ❑CW DEW [}PTA ❑ES ❑PTS Phone# ( ) River Basin Lc j;„ . ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body R/ "I-1 cjat./ Li PWS: ❑FC: Closest Maj.Wtr. Body 14/ 41-/1'" yes / no PNA yes / r7 Crit.Hab.� yes / no 'Project/Activity fig , ✓A/-t (/ i pA. /De.)C le /&1Q '4' (Scale:/ "— ck)length "OG r( �l' �/�M® lb'-(3 ' ��-- i(s) Y`.)( y ' Couenird r l i. . 4 ,�I , j I ier(s) !� ngth 4 ! '� I mber I V 0 imam /E, d/Riprap length I distance offshore I ix distance offshore I cannel I ( 1 bic yards _ , � — is 6.oatli / y( /2 4 u U .i y ' if Vulldozing - u ! 4 y � L ��a, )4�X �� L! V ; ; ar u.. I I v li e Length 1 �f - it. 1. V not sure yes n __ .___Ir 4 Age t o' � � I s: not sure yes no _. , -ium: n/a yes no 11 1 yes no I....... K ._.-._,.. —1 �-.._. Attached: yes no - ! I ytI - ing permit may be required by: O('Pe,' _rcI e 7_ 4 c % I See note on back regarding River Basin I ram - - - _ . r CERTIFIED MAIL - RETURN RECEIPT REQUESTED ' DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM 'he purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or ndividuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of :oastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owners ndicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified iy certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine 'ontractor or other individuals acting as an authorized agent on behalf of the applicant. ;'his form was sent to you by the following individual or company designated by the applicant as an uthorized agent: • R M) _ C:er 1 �1--g-0 ►uthor' ed Agent's Signa ire Date Jame of Individual Applying For Permit: —SON G.pR.- Lddress of Property: 5 9 Be e tkk 6i . (Lot or Street#, Street or Road) 0,:z 3. Btu Ns Li) c (City and County) hereby certify that I own property adjacent to the above-referenced property. The individual applying for this perm as described to me as shown on the attached drawing the development they are proposing. A description or drawin; (ith dimensions, should be provided with this letter. I have no objections to this proposal. r you have objections to what is being proposed, please write the Division of Coastal Management, 12 !ordinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notic ro response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back tiuintunt distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive tl aback, 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. Al A CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM .he purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or idividuals listed below. The CAMA General Permit application procedures require that applicants provide the Division of :oastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property owners adicating that they have no objection to the proposed work or that the adjacent riparian property owners have been notified ,y certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by a marine ontractor or other individuals acting as an authorized agent on behalf of the applicant. 'his form was sent to you by the following individual or company designated by the applicant as an uthoxized agent: Kte-n) Cot--feZ -� -ZI- egg .ut47G2ft-Z Agent's Sig ature Date lame of Individual Applying For Permit: Soh) 1O12—� .ddress of Property: 5512 Be.c'fJ% - C f—, (Lot or Street#, Street or Road) OS.Z 3, t si_ ;c k (City and County) hereby certify that I own property adjacent to the above-referenced property. The individual applying for this perm is described to me as shown on the attached drawing the development they are proposing. A description or drawing ith dimensions, should be provided with this letter. I have no objections to this proposal. you have objections to what is being proposed, please write the Division of Coastal Management, 12 ardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within 10 days of receipt of this notice o response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set back 'Wiliam distance of 15' from my area of riparian access - unless waived by me. (If you wish to waive ti Aback,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. AAA Oct. 10. 2008 4:31 PM 'Jo. 5868.. P. 2. NCDENR • North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F.Easley, Governor Charles S.Jones,Director William G.Ross Jr..Seal Authorized Agent Consent Agreement D is hereby authorized to act (P' Name of Agent) Y on my.behalf in order to obtain any CAMA permits) required for the property listed below_ The authorization is limited to th specific activities described in the attached sketch. LOCATION OF PROJECT: c , Jr4suijc,k ` Co‘ PROPERTY OWNER MAILING ADDRESS: . . P;O% gok 141 �t3� rr PHONE NO. q t IDf� lJ_3. -. AUTHORIZED AGENT MAILING ADDRESS: _ROA 4C)1 Cottek . PHONE NO:. "IIa^Wy3"'. g�:Q. Signature of Property Owner' �' RYAN D. COOPER 66-7704/2531 8 2 0 4 NCDL 8375610 086143P0179 PH.910-443-4829 q P.O.BOX 1393 DATE/4— SHALLOTTE,NC 28459 e /V PAY TO DE )l I $ 1,` THE ORDER O 7 e-74,tr' za-td 440- DOLLARS 8 $ State Employees' Credit Union® S 1 ' Supply,North Carolina MEMO Go2e Pe , ,r- -Z I: 2 5 3 l 7 70491:086 14 3 20 1 7 911° 204 GPSagO7