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Home My WebLink About76487D - Marshal ]CAMA/ ❑DREDGE & FILL No 76487 A B 3ENERAL 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 CY-4A-A • ,2..c.� ❑Rules attached. t Name ‘\c-10A +Skt- \ Project Location: County r,)n)..., r cI� 2 S `-b!e Si. ( . ,e_ Q. Street Address/State Road/Lot#(s) 90 1....), S ', `\ State ZIP 2�-Sq ( 5.? ��\u,",C0 j '6i1 ) 2ci 1 12_ E-Mail Ikun Sk 6.04eictjnaU•c0 Subdivision :edAgent V,\.(k- VcSk' City Q(a A1. V,. A &4ctZIP 21?41t0( QW ❑EW ) PTA ❑ES OPTS Phone# ( ) River Basin Cv"•••L: ❑OEA ❑HHF ❑IH 0 UBA 0 WA Adj.Wtr. Body r?Q,1(\c (n< 0 PWS: 4 W Closest Maj.Wtr. Body yes / Q PNA yes no r(Project/Activity X..r2/^c,v-n. 0I�r Sh cx�'zl ��c Lk ta,,D., 0. c.-. e. b.1., 11�..� 1/Jvetk‘,CA {{41n .,4, ,- Q� I (o CAvGA i e�vc,� (Scale: J 1 ck)length ( J ' i atform(s) i Platform(s) 8\ Ikki G i ier(s) l �/ I�At i ngth { , i tuber — — d/Riprap length — - `� t 1. �� 1 I 1 ;distance offshore i $`K(� .r A, uc distance offshore o.,& '00tAt. I cannel �= 41-K aic yards r " t(a, se/ oatlift IZ. 11 ± r_......._..- ( ulldozing ; li ( NL 0 �rak�r r. \ , : S ` ` C i i ^ 1 e Length "C O I ll n t not sure yes 6. 5 __ ... A-j A\ \' f14.? I —5A S$c,( t0 ,.._ �.—...._ .._...... 1 �ium• n/a yes (2k2 �—_---___ ; ._ i-�� yes no — --— 4ttached: 8 no f ng permit may be fequired by: C) I CQQ n kS`c (eU.�\ft. ❑See note on back regarding River Basin r I oral Plannina It ricrrirtinnl AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Na Property Name of Pro ert Owner Requesting Permit: A \bOv1 AO5'(ic I Mailing Address: °1O Maroc ` * 01• , NC1 Phone Number: 9/9 5211 ^ 11 r a Email Address: . 1 "\ C 1C•(*` �( C."�;✓� I certify that I have authorized -IG� t v CS-1— 4 Lv DOC/e-5 Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Xk t ' VI)m�t 4 410Cti6V" at my property located at 90 rnonroe (5+ in /v'1/YI5 County. I 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: \ but (OTQA\i„,,, Siignsure { j� Print or Type Name Title Date This certification is valid through I 1 , CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: ___411 do rn ar ' Address of Property: '` ov 1yoe' -\--} O`13 1 , "v 2�4 �q ,, eil(L`of oror Street it, Street or Road,City &County) Agent's Name#: cX V�1� 4- Mailing Address: 170'7 11t51 '?f Cow- 3tN Agent's phone#: `70(1"3ioa -Ota2g 0)3 I NG 281-1c4,q I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they a e proposing. A description or drawing.with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed,you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at;..:__ -... aLnetA, ,....m/staff-listingo►by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier; dock, mooring pilings. boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If you wi to waive the setback, you must initial the appropriate blank below ) do wish to waive the 15' setback requirement. .•,:;1 .1•, do not wish to waive the 15' setback requirement. (Property Ow'nnerr Informa 'on) 1 (Ripar 'n P,Xperty Owner Information) -T<:ict._ Al- ale415 Ai .Signature gmiw ` 1416 On n/1 C(A ( 15 ass Print or Type Name Tin or Type Name qo vnoilvoe bt.. 3 .79 /l/s m a S. Mailing Address .vidmng Address bib , vVG 2� q gJ/bore /1/c- GI %1-gs City/State/Zip i /State ip 9/1-- s24-I -- I 1 I 2 9/0 ' . — �7-/ Telephone Number/Email Address ,eiephone Number/Email Address 7/i /2 ozo 7/QI/ _._:... 1.... \I II\ . • .......... I , t•' , -.... F_•,' • '47. , .., ...., t ),* -k c o. ... • ... , • -..... . • --1......1 .:•.' : t .-.;_,(4, w ', ',, -4 . .,,, r% )4 CA...._ -6- --t-: ti-• :13 -43 4 ...•-. A 1 • 46 ............... . ..................• ..... ..... .... oompoorsiew 1 c. ' • I-' '.'" • • - ...) ....... , — rb 0 1-/ ; . . ! . . . 1 A I 1 ..,• .ir '1 Co (" ! ••,..-.;, i II t t FsWT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPEL W IV OWNER NOTIFICATIOWAER FORM Marne ne of Property Ow ec &L Address of Property: a D ll • (lot or :°c 5Ra4 011y 3 NC-' 2?4,109 Agents Name 1:1c,*vv - \NMI I- 110 4 ►jl'Ytt COur+ Sw Agent's .--7OH-a(.rb-Dirge 0 0 , N G `ZS%q I hereby ow*that I own property adjacent to the above referenced property. The individual applying for this pwnis has described to me as shown on the attached drawing_the development 1 1��a� 1}1ey are pr�hg _. o . h lme -- must be provided wItt1 this lathe[. dI RQ I have no objections to this proposal. I have objections to this proposal. N you have objections b what is being proposed you roust notlly the Division or Coaster Manage enr (DC*Q In wrttaig wtryrN 10 days o1 receipt at this notice. Contract intomieston for DCIii atfices is avahaWeat huultwww.nccoastalinanauanrenLrtetiweLJcrrd44ff/lrstiugerby ceiling 1-0111-CflAST No ss4.onto tr eorsldaned the sail as no o tection a you have been nettled by Created Mal WAIVER SECTION I understand that a pier,dock,mooring pilings,boat ramp,breakwater,boathouse,or aft must be set beck a minimum distance of 15'from my area d riparian access unless waived by me.Of wish a the setback,you myagjalial the appropriate blank below.) /`` `.' / t ....,02.— I do wish to waive the 15'setback requirement• - • do not wish to waive the 15'setback requirement. ( Owner I )WPC!) T7_ ) Signature Signature /iti5ivl P1 Or5ko.,I mohuo )410A Print or Typo Name Print �N�� qo vnOnroe 6+. _ Rm. heading Adcfress `a`' fa` 8!`'9a'78' 911-- S"24-J-- ilia 774, 8 Telephone Number/Enna Address i elephene Number/Emil Access 7//3 /2-OW 84 Y"RP �s rg��`', GCS Dalei['r (Revised Aug.2014) AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: -r,SL - • t fi. •/4 Mailing Address: Phone Number: 110 SI Q) Email Address: (-0-'r`^ () C -C ' I certify that I have authorized %/yfi It/ -1- Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development. _ '•n -14 L at my property located at I� �, �?1t f g IXr"--i 5, in County. I furthermore certify that i am authonzed 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: He 5 naturee�^ f t 4-b Priht or Type Name 1515 1711.1j2-- ‘Ak-QA-AA-LOt-)--) Ct I I aL)'V Date Chock n(Name) Name of Permit Holdor Vendor Check Number amount Permit Number/Comments Receipt or Refund/Reallocated. in, ColumM Columns Column8 Cokmm7 Coumn8 Column9 3ulkheads LLC Dale Ardizzone Wells Fargo 1 23505'$ 200.00 GP#77858D KE rct.10790 __ Kelly and Tano Faille i Charlotte Metro 1719 $ 200.00 GP#77853D BB rct.11543 le Construction LLC;Linda Weber !BB&T � 5930i$ 200.00 GP#76597D BB rct.11533 IC LLC Richard Reuhland IBB&T _ _ 1117 $ 200.00;GP#76484D BB rct.11544 _ st./Daniel Shirley Jordan Messick !SunTrust 5365 $ 600.00 GP#76543D PA rct.10267 st./Daniel Shirley Melissa Hardin SunTrust 5366 $ 200.00 GP#76577D PA rct.10266 LLC Rebecca Taylor Wells Fargo 1025 $ 200.00 GP#77835D PA rct.10269 uction,LLC Kevin Driscoll Navy Federal CU 1167 $ 200.00 GP#78587D iPA rct.10264 )any Roger Hudson First Bank 1446 $ 200.00 GP#76544D 'PA rct.10268 ne Construction LLC Alison Marshal •BB&T 5964 $ 200.00 GP#76487D BB rct.11549 same The Fidelity Bank 6413 $ 200.00_GP#76483D BB rct.11547__ _ lctors Inc. Webster Trask PNC Bank ' 8787 $ 200.00 GP#76477D_ KE rct.10792 rvices,LLC Perry and Darlene Mansfield First Citizens Bank 3433 $ 200.00 GP#76432D Ben rct.10299 vices,LLC George and Karen Brake FCB 3432 $ 200.00 GP#77622D Ben rct.10300 Gary Godwin BB&T 2002 $ 200.00 GP#76448D •Ben rct.10298 ors_ LLC Chris and Nancy Sweeney FCB 9243 $ 200.00 GP#76436D Ben rct.10297 rdors Inc. Pipers Neck 29,LLC PNC Bank 8788 $ 200.00 GP#76478D KE rct.10791 ne Construction LLC Beverly and Patrick Wright Rev.Ti BB&T 5951 $ 400.00 GP#76485D BB rct.11548