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HomeMy WebLinkAbout79951D - Elliott 41 7 CAMA/ ❑DREDGE & FILL N° 79951 A B C GENERAL PERMIT Previous permit# (IyOu ( --> New Modification Li-Complete Reissue El Partial Reissue Date previous permit issued St2l(Pt As authorized by the State of North Carolina,Department of Environmental Quality 12(,/1 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V ll a ❑Rules attached. Applicant NameZ na\ ~ L•v<4 4 c, C `, ,o T Project Location: County \J/�A(�. , c lc Address « U Z. V")c 6,,c,o L I., Street Address/State Road/Lot#(s) SZ City (Lke kr k State NL ZIP 21(0 U / L i 1 M• -yio n ' • Phone# ) (713 f 7Cr90 E_ .1 vbit,a( jejI, of I-ere; I•rrJ,- Subdivision Authorized Agent ( tilt Lie_s City Vt-w (.0t. a e G(.i'N ZIP Z ' i(p y Affected icw KEW AD PTA ❑ES ❑PTS Phone# ( ) River Basin L- —6--� AEC(s): ❑oEA III HHF ❑IH 0 UBA ❑N/A Adj.Wtr. Body CA c( . (nat r /unkr ❑PWS: ORW: yes /nQ PNA yes Closest Maj.Wtr. Body jw Type of Project/Activity j• - l .( , j`crie. Z 4,.......t. t. 1 Su. p-c- t (Scale: j S ) Pier(dock)length L( '$v5 I 1 \ A! ) Fixed Platform(s) �� ��\i C 'A " 1 Floating Platform(s)�j Xf cl ' • I { Finger pier(s) —'S ' 1. I ............. Groin length ' • ._.-.L__.r _-- IV number — _ ..-..-+ -- +r— .—.' _....._e. 1 - I Bulkhead/Riprap length — ♦'i 4111..... ' } ! 1 I avg distance offshore Wital_ i I max distance offshore �]!• %10 Basin,channel 1 I I cubic yards i -- -- I I Boat ramp i 1 1 H V2,15 Boathous oatli Z Kf Z w (, .at c. Beach Bulldozing — i. ti - a j I y 1 Other v Ia i — . 01,1` i I fk. Shoreline Length t �O i ..^ J�__ $AV: not sure yes �� , ��/�•i � --- 5'L V % ....� ,��1hh' �U lw %nn���r i ty� t Moratorium: n/a yes yes *t G , { ._.......__! Photos: No -- i I Waiver Attached: yes �no A building permit m y e required by: �w <<(< C 4 . ❑See note on back regarding River Basin rules. (Note Local Planning Jurisdictiottl r ` Notes/Special Conditions c‘�'.`� {'�('1 V e .• ,. ,\� ..0 �(K G��` e q .s h..c`f c., ,,L A (t A-,- 0 i\A k v.......,---- ,i 2 .a....., ,-?......!,. d. c s ,-.., —ti,,.., ., ,IA.cf. S/( 4,....— ----(, ,,,,,,c' Agent or plicant P inted Name Permit() icer's Printed Name - 2.2 '.--- u_A.,---\?...,L, Signature Please read compliance statement on back of permit** Signature r 1 { 1 I i { ( ! i i • 1 • , 1 ! , 5t,,... .. .,„20, / ' 1 , . I y + I i �c-)g-7 C�"rr�!. ' QQ' 'u 44 y6,0 • I , .--- i 1, „ , 0 .<------ 1-i ^-4.- • 46' el; iii i di 0-417r11 iilli Di if i 1 , 1 r ! y y i i 1 i �CP � > �} �nr,s.�li � ,.(CGS' • 1 , r !I i ' • + to �NsG lJ�I , 1 { 1 ; 1 i i o i fix' �•• ;y Zum' AA-4'.1 Any it j 11 , i ( I { 1 ii i Ii ' i, •, fl , 1 •i `� i /'0 I I 1 i I I [' T , 1 ; 1 ' 1 1 ¶O? ; AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: L. 11 E t L it-- Mailing Address: j�t D<JC oivorl 14. 1 . -fNittC'r! it/ kC ,J7E 7 . Phone Number: c/3/ kil& Email Address: (- ()a tot t' � ��"l11 MI 1 , 1/ /o r I)'e(/ ; i I certify that I have authorized k I( K ��`�; C c , Lv" I�4I Ag t/Contractor CVO') to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: L26t + l I.i tj d r C K! V JC( � - !i • 1 at my property located at Lj , (4-% j (in),"1� `r'S r/ l {a� r +� -� , in ?)CZ•IS L V i d(county. .)(S9ei 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: Signature ,'��r161c� I . al Iibt � Print or Type Name Title `/ 03/ Date This certification is valid through • CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. h 0 tia-/cI e 2& a ./7 Address of Property: — 'v!✓ /� (Lot or Street#,Street or Road,City&County) Agent's Name#`. 1S"•c•C' aj k Aoti-S Mailing Address: nu? a-115� Agent's phone#: 7(4- J45-0 P C 4 .5 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 are proposing. A description or drawing.with dimensions.must be Provided with this letter. ZA),-/. A r � I have no objections to this proposal. I have objections to thus proposalu 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 http://wwwmccoastaimanauernent.net/webicm/staff-listing or 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 wish to waive the setback, you must initial the appropriate blank below.) TA .49 / I L - I do wish to waive the 15'setback requirement. ' LL i /J v/vt. I do not wish to waive the 15'setback requirement. (P Owner Information) (R' rian Pro Owner Informa on) Cat.-1) • Signature Si ure 1/011 Pis v1 t' _ /ay Clf1(i� Print or Type Name Print or Type Name /c z c 1 -4 ti Ofg & rj Creek -Dr Mailing Address Mailing Address ,LAG- /,6 v L)hi ts-€+(t A/C (97377 City/State/Zip City/State/Zip 33 .3a7Q7i8 Telephone Number/Email Address Telephone Number/Email Address Jo Date Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NO-TII-FICATION/WAIVER FORM eName of Property Owner.: v �� Address of Property: " Li+ G4l, ' 10/%9 (Lot or Street#,Street or Road,City&County) Agents Name#`--ea'et s44,(rr/JCAv 5 Mailing Address: f 7t 7 C-64/hc .) Agents phone#: ..yes-o Q yx,4/IC_ .4 'cf( 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 are proposing.A description or drawing.with dimensions,must be provided with thiq letter. TN.�a () y N f I have no objections to this proposal. I have objections to this proposal.7 you have objections to whet is being proposed,you must notify the Division of Coastal M nagement (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices Is available at httrv://varw.nccoaspNmanaueritentnet/ ►eb✓cm,/staff ifs g or by calling 1-88&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 wish to waive the setback, you must initial the appropriate blank below.) . — I do wish to waive the 15'setback requirement. TC 2 L ►") N I do not wish to waive the 15'setback requirement. (POwner Information) (Riparian Property Owner Inform on) Signature Signature -� , c�+ i' D • tJ/e� e H e te_ Print or Type Name Print or Type Name 7 J Mailing Address Mailing Address City/State/Zipjk. 4.)4, a2 76 ) ' O<Pa.,.... s )E' riec..l,, Svc- 2 Y6 J City/State/Zip 3.11 Telephone Number/Email Address Telephone Num /F_mad`"Addr&ss 6/16/2. 1 Date Date (Revised Aug. 2014) Check Dab Received Date Dep.Red Check From(Name) Named Permit Holder Vendor ,Cheek number amount Permit Number/Comments Receipt or Refund/Reallocated Columnl Column2 Column2 Column/ Column5 Columns Column7 Column! Column!) 7/2/2021 AWM Docks&Marine Ronal and Loretta Elliott BB&T 6028 $ 200.00 GP#79951D BB rot.14060 7/2/2021 Doris Halley same Pinnacle 3589 $ 200.00 GP#80192D BB rct.14056 7/2/2021 Southern NC Marine LLC Diana Kennedy First Bank 1447 $ 200.00 GP#80142D JD rct.14348 7/2/2021 Riverbrook LLC First St James Inc. Wells Fargo 1255.$ 400.00 GP#80119D PA rct.12839 7/2/2021 Barbara West same Fidelity Bank 3765 $ 200.00 GP#80138D JD rct 14340