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Home My WebLink About80347D - Brown ❑CAMA/ ❑DREDGE & FILL No 80347 A B C D GENERAL PERMIT Previous permit# / ❑New. ' ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -44.4 • L.O (.-' ❑Rules attached. Applicant Name L 'Oln GYet Project Location: County J QA"J kip'', t�v'✓ Address 1 D- D- 2 CA L'1 S k\DY Q V • Street Address/State Road/Lot#(s) City V f‘`IM`h6 1 j State QC,- ZIP c) Y4.1 1 1 S IA VIA C—' Phone#( i2) 5.)O-LI 2 7 et-Mail Subdivision Authorized Agent r2DU v t S V\, {4- City ZIP Affected D CW )EW ri ff•TA XcES ❑PTS Phone# ( ) River Basin W"t ❑OEA ❑HHF ❑IH ❑UBA ID N/A AEC(s): Adj.Wtr. Body VO CA-C , (ti t.'.-k-- (' at man /unkn) ❑ PWS: ) %n,, ` ye>s / no Closest Maj.Wtr. Body ORW: yes / no) PNA V �'` ' L(\� C SOW` Type of Project/Activity ''' I cc, "tvA.- . 12c 1, Y\12- UC. G`{`ti i .i ._.. t..i- J .. (Scale: i 0 i ) Pier(dock)length Fixed Platform(s) IJ / I 1I •If _A AIM $ ' flfl Floating Platform(s) ,■■■PATIM+r __ rl aSi , �.ICkS` raps . ' Finger pier(s) 1... 4_. Groin length i number i , .... ....... � ' Bulkhead/Riprap length ■■ _ `l '■' ar..w....�.�..nr ■ avg distance offshore j I'4111111 1 . max distance offshore, V/ j : ja . 1Basin,channel I ''� * Boat ramp n 111 Pit 1i I , '. 1 f Boathouse/Boatlift --'_... Y�tOa.., t ( — .._.. IN Beach Bulldozing '��. Till `1to AN --+ Other 11// • I f ., IMMINIEMMirliii 1 MIME1 iiitaitg2M. 07 Shoreline Length i SAV: not sure yes no =1111air j . . Moratorium: � yes no = r Photos: es no + .- min ,-/...._ .. ._.. Waiver Attached: yes no i i A building permit may be required by: `\JQ,(N C[GH OV OV CCU • 7 See note on back regarding River Basin rules. (Note Local Planning Jurisdiction)Notes/Special Conditions , 4 , 2AO0 -C; .-ei 1 UC.G .k v Qc i. ,c-h LI^ !Ape 1, . N J S-IY uk dm Y e (J�Ye aA-c-v 4-11ar. 1, ` yin cL S i,c1 U 6_ c rxu s+4A c- ---cQ v tv C Oa S 1 W Q4lG1-A S • 8,(L. j �S ( Fr v_01 iv v +wi E I I�s Agent or Applicant Printed Name- Permit Officer's Printed Name Signature **Please readcompliance compliance statement on back of permit** Signature • a' ivy G tr `7 1 ►`i =t 0*. t - 9 / I'-) 1 2 J 2 1 t 1i-i ac) -- Application Fee(s) Check# Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief,certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar-Pamlico River Basin Buffer Rules Other: Neuse River Basin Buffer Rules If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(9 1 0-796-72 1 5)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 40 I S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: L a0NI - cVw,✓ Mailing Address: ??-? 4,a 7,Qh0rr- i cy,' w� ,,�/ �/,�1 C- ?/ `(// Phone Number: c[/ 0 - Email Address: /c� 2 2�--�.��1�ov'/(., �ti e- / I certify that I have authorized 8 fp Agent/d,ntractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in 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: /667L- Signature Ai 13 (AI It7 Print or Type Name Title vi / D1 / 20 Date This certification is valid through / / mum ....H...., 0 .......ii...4....... Minn., i N' MiE MEE IMIENI h.,. 1 N. , i_ opi jIlIiIII !!'ij1II lirNoll rem polo .4idiiiii f iii 11, Itiripluilpppeolimmo ......"....6 ii ommumilmihmom 111 ' ' ; or iii,"" ''NIIIIII CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 0,61 ,() ; / iNt'i p Address of Property: 5.4fLC , 1. lk1iA7'-6,v,C-&3 / / , 'u' L (Lot dr Street#, Street or Road, City&County) Agent's Name#: l �,r'L , � Mailing Address&04 / 64K7 1,145 4' ( j Agent's phone#: C ) �.-- //q''7 Ig 44V5 /V C 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. AI 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC,28405-3846 DCM representatives can also be contacted at(910) 796.7215. 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, 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. XI do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) 2Jj ''Signature Signature ,�ee„,, 6,6he_w /}RK Th-a M A- S A-r c-tit IR I Print or Type Name Print or Type Name Mailing Address Mailing Address 1) (/ I?i/L� - !/� .1/C ate{`/ ua I An, }o-n, iu6 z 4 i City/State/Zip City/State/Zip si1 - i,1?q q /o - ZZ8 --o4-Z ¢- Telephone Number Telephone Number Seta '2 i Zo l Date Date Revised 6/18/2012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: ,L eco,d 0 ; 4, -p c,:, iv Address of Property: �).) , 64-y 64`ram fir. L1 1iil,4 ,t/,, /yam -� ' e, A &" xi.� v ;/cam, (Lot or Street#, Street or Road, City&County) Agent's Name#: guti-4 c 'S H i J t� Mailing Address: 30.6(7 W.49-1T3 Li-4 12 ,,,j`6 � ''iSAgent's hone#: 71O �Ga - ll �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. 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC,28405-3845 DCM representatives can also be contacted at(910) 796-7215.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, 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) (Adjacent Property Owner Information) Signature fgna t e 0, ,/) ,4r-auvi Via ' zdel,he . Lea Print or Type Name Print or Typ Name ? ) 474ys(I,'0Pe-1) (O(; /3jAore Dr1y`e Mailing Address Mailing Address I 4)1 Bill till'1/kL ,,g/ww )r /full h 7bNco S9/ City/State (.4/State/Zip 1 D , .0 k'.)-9 9/C— 4 -6 '?3 Telephone Number Telephone Number Datevq/G l I �L1 A 1 9/ 001/a0a Date Revised 6/18/2012 Check Date Received Date Deposited Check From Mantel Name of Permit Holder Vendor Check number amount — Permit Number/Comments Receipt or Refund/Reallocated Column) Column2 Column] Column) Columns Column8 Column? Columns Column!? 9/16/2021 RG Marine Jim Schindlon Bank of America 993 $ 200.00 GP#80370D BH rct.15630 9/16/2021 Justin Noll Justin and Kimberly Noll Merck Employees FCU 1040 $ 200.00 GP#80282D BB rct.15621 9/16/2021 Davey Resource Group,Inc. Joe Michalek United Bank 2318 $ 200.00 GP#80353D •KE rct 15745 9/16/2021 Burl Sniff Money Order Leon Brown Wells Fargo Bank 5.9187E+10 $ 200.00 GP#80347D KE rct.15744 9/16/2021 David Morrison same First Citizens Bank 220 $ 200.00 GP#80341 D BB rct.15533 9/16/20211 David Dice($200 credit from 5/18/21) IS&A Hughes Family LTD Credit ON ACCOUNT(5/18/20) 17-7680537f Credit GP#803400 none