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HomeMy WebLinkAbout80158D - Dove eCAMA / DREDGE & FILL Na 80158 GENERAL PERMIT Previous permit# '7(05Z D >' New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued v 24 Zo As authorized by the State of North Carolina, Department of Environmental Quality ��/� 20 l and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑Rules attached. Applicant Name ,,,,c, A_nA v — . Project Location: County / �A. S " ek, _. 3 / Address 2 � - �`—o Sc.tt+ k‘ n V7-1( Street Address/State Road/Lot#(s) / City C (it ek i (o IL- State N C ZIP S'2 v - C G�(�-c ( 0,', N." r- Phone#PO% w7 4 02_ E-Mail A.--.y; G' 4L 6714 — 1,, Subdivision // / Authorized Agent / City S-d A t- T CC< c 61 ZIP 2 Sj(-J ( �j' /P Affected ❑CW X EW n PTA ❑ES ❑PTS Phone# ( ) River Basin L ,. ❑OEA ❑HHF ❑IN ❑UBA ❑N/A AEC(s): Adj.Wtr. Body Cam' ( man /unk ElPWS: • L J , ORW: yes / no PNA yes no Closest Maj.Wtr. Body ` -11C S CA-t-c --~Type of Project/Activity 1 ^- (2)Ci <(,. K f( ,nI 4 c/..., (Scale: t l.S ) Pier(dock)length '42' Fixed Platform(s) AI'(3 +i �v'4 , Floating Platform(s) f b� Finger piers) _— Groin length , j - I number —.._--......_ a ..... �" J - i i i ( Bulkhead/Riprap length --- — -+--. �_.�. , avg distance offshore l I �f d}*WO f � - ny,,,I max distance offshor= j `s, �f`T1 , P Basin,channel 4 I "''. cubic yards \ k j Boat ramp }-...._- ! i , } • Boathouse/Boatlift — _._... • T ._._., 1 i eir i — JUG I Beach Bulldozing t,I ' Other 9 �V , 1 ,Q I ilL o�L i Shoreline Length 0` �� i n j• , 1 SAV: not sure yes n• 1I S v[01 C •Ve kG- �.-. i Moratorium: n/a yes �. c i i Photos: yes ..._ _. .....__ _. f 1L1 1.Z_C .w 1 Waiver Attached: yes no 44 1 A building permit may be required by: ` , + Q z. ( . El See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) > Notes/Special Conditions (J2 i( 12.0 U i l 0,<A C1_,L. , . f_.(._` r �'Jc"^ 1-/')c L 6.27.2I Agent or Applicant Printed Nam Permit Office PrinteaName 0u 1 S--- _,-__ . - I _ g27•2.I SignTure **Please read compliance statement on back of permit** Signature / l 149 8UISS--- . -1....a "ti:+...li Ammo avast oommi•• ..ws lrArisob Arw.Ibibisimioblirimemosiallt •r tM�J�. . =-- ,, w.1*.►tarrr �Lriw.s�rwr�w.rw.•K«A.v+ ,...- -¢—' _mo w' �"t► +► +: " �,`.M"Mw , ti P...• «...r ' �•.e'.,.`.' _ . -_ j- "-..�''.s`i(8. ... Ilwn ■. f 04.0 IOW tau. -r ♦ 11 all T*+!'.. • iti`r s . 1 P . .. i # . :+R°SIM''a e111. / ........ . i • 4o.•011****** _ ..11 ' . i 4_,L.tp : 0 gailimige iiiimil Eons i issoiritimsii - . . . _ . , : —it, g anon illa � ` 111111 II at* *M. rr..-r* SO** l8/1 1. # ,, iNifk 'f _ ialals an :: .`"w .. .. ; jese: tfi llac law .,.,.. 11t 1�11 . is Ingo pm is .r .117 k, ' 5 li ._.......�..,. _ _ was am -' - . � **NMIq.."a....4 v_eases raur r iris larl l a rr 4Av,A, . gultra _ sw....,4,..... 6 its ants& i • -- . • 1.1s. EA..' ..1 i Meg Load Parseami�++ria . +� L 0.S..+ ye teak�e"�r+[w.u. .Nit* moue bpsolattrobiblowe AA thh t o ` A. il: t#ser14.. e.----- ____ - --------at-t_. I .trila# • oa• Wogt-'LJ . ' AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ri-i . G V E Mailing Address: 23?') /KO$WA& aJf., ihitig/C ff(- 2tgz07 Phone Number: 7 i k)ei - Le0a Email Address: ---'0e J 1\(- -c11 C 6'0" ( ° CO I certify that I have authorized x , , (gent)Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: .55 , (6 ice., / NL c fil/i9 / &o'f-L -5 *5 1 ifd..i,_ ,- --/i9 ii) /( —/-'( , c)(,)( at my property located at /7/( 0 h , /�(/i&f- n/L,Zgya in 40,„,,,,k_r__ 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: Signature Utz f-c , 10 Print or Type Name LW Gki..w Title L/ 1'9 / -202 / Date RECEIVED This certification is valid through / / MAY 19 2021 DCM WILMINGTON, NC ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to_/~ Z 1 VE 's I Q/z (Name of Property Owner) property located at / 7/ 1 -JVil t- I Q (Address, Lot, Block, Road etc. on . ) U 6`, , in 5cl/v's i ✓� , N.C. (Waterbody) •�l'r. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) • --\•_t \i'>--•- r. \ ( c:piit&. - 11 • r ( — oZ C\ /O r�'(eoa I ( , i;rk fho 6rhq?C54- 1 '` � rr __JJ �uee 5 Tiff • Wkuv SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, ' , e . :'- ust be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setba , you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. Icy\ I do not wish to waive the 15' setback requirement. (Pr✓perty Owner Information) (Adjacent Property Owner Infprmatio ✓/ Ges orlord Pop-Qr��2.s Lf-C- tr)3 Al itiv Pi Sig at r Signal e VV Print or Type Name Print or Type Name , 3� -7 o5 ,PL avF 2g S Cd eft r-4 I M it g Ad es Mailing Address C j�'✓� � � N ���� 5411 S u,. , Iv_C _ -eF/I(/ _6 d 0 2_ City/State/Zip i ip 1 G l'- 91 d.Y City/State/Zip i p V,)-!3 3 7" Telephone Number Telephone Number RECEIVED .S- i3 - a / s- 5- _(*_/ MAY 1 9 2021 Dale Date (Repro WINOWTnN Nf_ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 6i,-- I/-1( >N/t- 'S (Name of Property Owner) property located at ) ( 1 L coA13 l- 4' �- (Address, Lot, Block, Road, etc.) on 1 u ,,-c) L 1 �;--) Lti2 , in ,�`�UN '\ :1'?c:,.L , N.C. (Waterbody) (City/Town ands/or County) The applicant has described to me, as shown below, the development proposed at the above location. / I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) fpvc,..., ,, ,,.., -?-4 g pod(, r10) 1-)(5 )(___ -4--- r:oi - 00 ,„ , . ', vu �ll'tc-n . tl T1 1 or s , ' ,,�, tv 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 setba , 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. (Property Owner Information) (Adjacent Property Owner Information) ,ie-2, .Z1/44- Sig atur Si ature A 7-z -J 4 vE -S' v Gv;/it s Print or Type Name Print Type Name a34; / 3 I( s/f. � ? A w )) 1-5 Ming Address Mailing Address /t�L,, ,/)'� ��'� 30 �' /1-t L H Cl.,'-f�3 f/ City/State/Zip City//tate/Zip WY 7 RECEIVED ' �09 lick fi�: f-cul-'� df✓L Z F}/D Telephone Number Tele hone Number MAY 1 9 2021 5. /3 i -(.3- Z/ Date Date DCM WILMINGTON, NC /Pckuicnri Pi-ISZ/')f)171 Check Dab Rec.Nad Date Deposited Chock From(Name) N.ma of Prmk Holder Vendor Check number amount Parmlt Numbr/Comments Receipt orRAund/Roallecated Columnt Column2 _ Column? Coumn4 Columns Column(' Column? Column8 Column9 7/1/2021 Fitz Dove awe BUT 8454 3 200 00 GP a801580 I BB rcl 14937