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HomeMy WebLinkAbout80351D - Maples . XGAMA/ DREDGE i FILL ' Q 8O35 t A B C GENERAL PERMIT Previous permit# �l4ew 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 SA NCAC _RuulLles attached Applicant Name 3,w 1Y14 )& S Project Location. County rniroKG��. Address 105 C re/y,i s Oil Fate Street Address/State Road/Lot#(s) City 2cc E o f 14R� State a ZIP 4i ig 140 E/t� Prv�e Phone >it 1#10 i 69Q '77 E-Mail JP1i ks r.4401 Subdivision ,,,(,� q Authorized Agent /j ans-§x ✓✓✓,i City f)okl?f eiprj t ZIP o+�� �O` CW EW )(PTA XES PTS Phone# ( I River Basin G be,- Affected /�/y� _ AEC s OEA HHF IH USA NA Ad!.Wtr Body C � oaC ► unkn) Pws 1 yy ORW yes PNA Closest Mai.Wtr. Body Type of Project/ytivitY Plata / /r/stge/ its 4/ - - -iCi ._ __v-. i,,, / " (Scale: NTS / Pier,dock,length & t l ,t,#,(,,, Fixed Ptatfornus) 1 /{P /�y/// (ilg �—�Q � Floating Platfonn;st _G V \�. "'^� . �Sl� k i Finger p,ensi `46r• to, Groin length 4- .- . number • N=e+ a Bulkhead!R,prap length i '1' • I avg enflames ad M 9 �� 14 max distance off i *"1 } Sara-.channel figa'106 ii tills i , .' cuttc yards �' t ._ i Boat ramp M RIG f Boat i Jr 0k-!3` I. I ram. 4 Y Beach Bulldozing . Other r .1U ) WO' )1 K..rs 0.44 ! 9 C' So O` t D/ Shoreline Length No G.tsse,irSera e-«.+s.,. :at.. .lye Jeri t SAv not sure yes a floratonum nta yes © tA2 �j(b ,4-0 6'7't2e"..si 1 v, 138-G eensi.dy''o Photos yes a (K� 4... Waiver Attached: Z se no A building permit may be required by. �(C [ z`/'L See note on back regarding River Basin ruler. i Note Local Planning jurisdiction) Note Special Conditions _ _ N/ao2 ay e4a/ Sfs jcav& F%sck c1C grft.ckikA,Pc.0 ::: :rea ::P�; mentOnb1rkofPcrnuTt it.` Stanature 2Do°v IPS f/4/�l I/ /,2 A....,..u.....F..„ Check M Issuing Date G,..,.. ..n_... AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: St- Jt C ADif: Mailing Address: t 5 C.f t L. n-S 14 U 1 Piac e gnC 1''tarti 1SS C- Phone Number: QI0 " 6410- 2?O7 Email Address: --IeS-64,pleirS L j ,d►- a s AC . u- i certify that I have authorized H5 Construction LLC s- Agent/ n or to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 1 tr'S 1 A L-1-- 10 V. 130Arr c at my property located at 1 AT) &&e ens 1 c r ) Di- t B in Bilitr1Si.01L 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: y-e,v- Signature Print or Type Name Title S , aala/ Date This certification is valid through I (270 I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to Kit, .A QS 's (Name of Property Owner) property located at fi-itte riS Rib Dr (Address,Lot, Rood,etc.) on p I ,in M&*n reer_r_l2 Pta.44114 k , N.C. (Waterbody) (Citi►1Town and/or Cowrtlr) The applicant has described to me, as shown below, the development proposed at the above for O. tr I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill In description below or attach a site drawing) 7)7' , 7- (T CoiV,5-/J 7 , h://'i6 i,L/ r Z Z 7N tiAl E 7< C./Ala S Al p / 6 ear=vbr A 7 A) i.��T,EG��✓� ' /� WAIVER SECTIQN 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.) A_ 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) i 4 1 ;.� s J�c A Yr Pat or T Name 105 (YAWL;nS MImace. , mes4ior �arrG7� S -, %/nig. . 6 logo-- 4.70 ,337, "WV Tecr s�berienrall address Telephone Number/ema�7 a&hees 5�° , Dale*� u Date (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to • Sac t�-S_ 's ^_ (Name of Property Owner) property located at 140 (reenS� Dr - ontJ 1- (Address, L B k, , , in ") 1111.1AStrii4'..KN.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above •.5:'f• • -1 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) WAIVER SECTIQN 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.) s I do wish to waive the 15'setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad nt Proper Ow�er Information) r. .% e t * r � � t� �.5 4:1 PA charik- ��Qr"w,dS Print or Type Name or T e Name s Mailing n(oi40r \ iiC.- � 47�? S grad" G a 6'4(4City a a7o 7 Y a p 4 .3- 72R t�t�9r 7 .1 7 T. _wne Nymber/email address Telephone Number/email address ►,r„ Date* (Revised Aug. 2014) *Valid for one calendar year after signature* 577'64w i,i-E, :Wv .?7 AeAt I6zi• 9/wasvx_7 Oaeo gf/4./. ,y 9- opt -71fi/ 4, -- , 2a .- ,z X,Zi '... ,;o;61 • • -- ifvf..4.sw7 1 i I x.- ! ..,i/y Ya/ casock*/ ›z. 1 Ii‘ I - --. a d! ! j _ 1 ' I 11 7 i• 1 1 ci?) ' i 1 504 41° 1 . I ;4 3o41 I qi.011,0Y NI— I i -')/1/1.SlYa • 0 1 i X V r---- • •, „.,-.L., --- ----, , 1 • Check Date Received Dab Deposited Check From(Name) Name d Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated Columnl Column2 Calumn3 Calumet Column5 Column6 Column7 Column8 Column9 9/10/2021 Adam Sink same First Citizens Bank 299 $ 200.00 GP#80256D _ JD rct.15578 9/10/2021 McPherson Marine Services,LLC KEM Inc. First Citizens Bank 4476 $ 400.00 GP#802670 PA rct.12798 9/10/2021 H5 Construction,LLC Jeff Ma Ip es _. ,_ Truisl 1075 $ 200.00 GP#8035113 PA rct.15705 9/10/2021 David Grice Money Order Curtis&Kern Hardee Wells Fargo 19-306477201 $ 200.00 GP#802800 _ BB rct.15530 9/10/2021 Floyd Eugene Morris same Truest 1726 $ 200.00 GP#8025713 JD rct.15580 9/14/2021 Lighthouse Marine Construction Travis Dawson Coastal Bank and Trust 3922 $ 200.00 GP#80291 D JD rct.16001 9/14/2021 Lig_htttouse Marine Construction Greg Cotner Coastal Bank and Trust 3923 $ 400 00 GP#802920 JD rct.16002 _ 9/14/2021 Once Construction Hartsfield Properties,LLC BB&T 14888 $ 200.00 GP#80278D BB rct.15528