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Home My WebLink About80226D - Peterson ❑CAMA / ❑DREDGE & FILL PTO ly • 80226 -� A B C :`D GENERAL PERMIT Previous permit# - flf,lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ` -- As authorized by the State of North Carolina,Department of Environmental Quality L and the Coastal Resources Commission in an are of environmental concern pursuant to 15A NCAC 6 ) ( . { O ' I pp ,, Rule attached. Applicant Name t': .1 tom/'{.. - 'l Project Location: County ` (D 1 Address \ \ I l t �� , Street Address/State Road/Lot#(s) City \ - j)k,\ Q� State PC ziptt"tL1i q b 2 c LI 4L t' #Phone Oa) ),get '(-/LtE-Mail / Subdivision I ilk- Authorized Agent /v/ Da ►'7€-I City ' (11 ZIP ri,�s,Ll`i ❑CW ';'t);7 EW A ❑ES ❑PTS Phone# River Basin V�/ . �• , Affected ( ) AEC(s): ❑oEA ❑HHF ❑IH ElUBA ❑WA Adj.Wtr. Body at /man /unki ❑ PWS: ORW: yes / no PNA ye's / no' Closest Maj.Wtr. Body So f Type of Project/Activity �9k Ik\\ 6'U Ti ` Scale: ( 1N 4: p ) Pier(dock)length : Fixed\Platform(s) j ' Floati Platform(s) I Finger ier s Groin le h ; '. N � '' —_... I number —. .,.. .__._ 1_... Bulkhead/Ri ap length ( ❑ . avg distanc ffshore - max distance o ore + 0 ; � f Basin,channelI I I--- cubic yards Boat ramp i 47. 4r i Boathoiiiip', NI j E _ _ ... ....... t- iX } /4L14-di' '' ' ' ter ...... Beach Bulldozing Y 1 Other Vr 1 i PYC), I. 1 1 Shoreline Length5 ! SAV: not sure no 1_""�" �. 1 Moratorium: n/a yes no Photos: yes ( n , -� 1 ..._.. Waiver Attached: no .m A building permit may be required by: a . I I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions ik t . c n- T ' • 1-2I-21 r Applicant Printed Name; c •':cer's Pri ed Name _ ',-ti ! Mal 1 II'2.1-21 gn re :3 Please read compliance statement n back of permit** Si:':ture AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: S'f-tverr (Slake ( Son Mailing Address: S I P tiyt- t- %)se Or , Wallace III C . o?Rci 6Go Phone Number: cl I 0 - 1- SS I'-I Email Address: bcc-fc_rscr. ache..( I inc. con-) I certify that I have authorized (9 h-F house Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: boo.-t- I ti } at my property located at cl o a S 1-14` S+• SJc f 64-y UJ C• aZ8121S in Qn SIo 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 S'tteve,f, R 141�e- PAC V\ Print or Type Name Title Date This certification is valid through I I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1314.lce (fie-k-Qesov, 's (Name of Property Owner) property located at Z--(0 2,S +h St (Address, Lot, Block, Road, etc.) on , in S.,r i C Uk y , N.C. (Waterbody) (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) D ROO-\ ) e)( k fly aO C�c J ( ( ( / 7 / / ( WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) Cr- 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) Carvii Q Signature ig^ �naturev* I I�14.ke PCtcrSer Lc ei'e L f te. Print or Type Name Print or Type Name t ( ptta* hoUSe._ c e• a, (1)C, 4W ) 5 5 gas+ Mailing Address Mailing Addres Laa_l►Q« W e 2a 94.6 Low N 9$3 3y City/State/Zip City/State/Zip ag9- sail/ io-n-19ss' Cllee Hr)59 yahoo•Go ' Telephone Number/email address Telephone Number/email address s c' 24361 ( 5 -9 'aoaj Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L I ey,\L-L �c r;a te (Name of Property Owner) property located at -Q as 41^ S�t (Address, Lot, Block, Road, etc.) on , in Suc C , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. X 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) So 0,-ti L., t- 0e ;-ko'n ock. 7/7/ // WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adj ent PropertyyOwner Information) �t �G r)ak' Signature Signature* Strut, ((a/et PCtt,r9G at n �J b 1✓ ,b r P✓ Print or Type Name Print or Type Name I Sl Pi lot /-lours 11100 'P0 t3o i S6B Mailing Address Mailing :ddre s bJ J l4<< NC a24 66 <<-; c(��k - VV.L 2 s�7 City/State/Zip City/State/Zip ci0 - X21- -Sly g - 1I I Telephone Number/email address Telephone Number/email address - aOa-1 5 - 1- 2\ Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature* w.' Dail, Jason From: Chad Henninger <chadhenninger1975@gmail.com> Sent: Monday,July 19, 2021 11:23 AM To: Dail, Jason Subject: [External] Deck addition Attachments: 20210719_111835 jpg CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to Report Spam. 1032 s shore dr Tom Green 252-536-9039 Check Date Received - Date Deposited Check From(Name) Named Permit Holder Vendor Check number amount Permit Number/Comments Receipt or RNund/Realloceted Columnf Column2 Column3 Column) Columns Column@ Coiumn7 Columns Column0 7/22/2021 City of,Southport same First National Bank _ 70494.$ 400 00 GP#802130 Tmac rct.15551 _ 7/22/2021 H5 Construction,LLC Katherine and James Wooten BBBT 2592 $ 200.00 GP#80188D BB rct.14075 7/22/2021 _ _ Charles Duckworth Money Order _Chris and Mary Batten Western Union/Wells Fargo 17-768053926 $ 200.00 GP#80160D BB rct 15603 7/22/2021 Carolina Bluewater Construction,Inc. George Baer BBBT 23647 $ 200.00 GP#80155D BB rct 15602 722/2021 AMW Docks and Marine Construction LLC Tim and Debra Suppenfield _ BEAT 6305 $ 400.00 GP_#80184D_ BB rct.14069 7/22/2021 Lighthouse Marine Construction Blake Peterson Coastal Bank and Trust 3843 $ 200.00 GP#802260 JD rct 14085 • •