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Home My WebLink About85640D - Crutchfield t°"Sr"` ( I CAMA fl DREDGE & FILL No 85640 ABC D ly 'i3al GENERAL PERMIT Previous permit Date previous permit issued New ❑Modification Complete Reissue ❑Partial Reissue 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 0'T!( 110 j' z-` ' ❑Rules attached. fl General Permit Rules available at the following link:www.dea.nc.gov/CAMArules _ t licant N e IG� / ,/ e.y APP // CJ7 t' i/L` ��.�i f/1"�/jl z Authorized Agent • i" r✓ /ea '''7/`�' Address GI r C L / 2/� r.�./[I' ! / Project Location(County): fe✓„-i/i pi,t - City_,r ///S (f"i'f State /"(. . , • '4 Street Address/State Roar�/L t#(s) Phone#(< /, ) t:`'t1,� "- • . ' ,. !' /f .If s4 7-4//#-E.'G•- Email Subdivision �Y Affected CW ❑EW ❑PTA C ES ❑PTS Adj.Wtr.Body / V (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body 7f'y.=' ':4-141 ORW:yes/no PNA:yes/no. V Type of Project/Activity Ilef 1.A-CC "Ai(.-- f} k� J -t It-'"/ A IV I) L r 7 t C f tt& / (Scalle:,/7 ) Shoreline Length Access Length *A-1\1ite- a�i'�.f _ . -- MI i Pier(dock)length 1� III r f Fixed Platform(s) ;( 1 (.) f I t i 1,0 Floating Platform(s) t Finger pier(s) •,••'....... •. ; I ll 1 " Total Platform area . 1 • j i } Groin length/# ' " Bulkhead/Riprap length tI, __. ._... . _ ...... -_ .._. __...._.. _. _........._._ -- _. _.._. _.. Avg distance offshore Breakwater/SillI ! Max distance/length 4-� l � I _.._..... ..._ - --.- Basin,channel ///�� Cubic yards \ f t ..- Boat ramp i Boathouse/Boatlift j Beach Bulldozing I. I- .._ ,._ .. }.. . ._.._.._ _._ _ ........, Other \I t._...... [.1/Fl i v �l�, j V ( +s %,4 N E SAV observed: yes (, — -- --- �j�- t_ .. L /- Moratorium: n/a yes / fiT -1 •;-1'+.�� f z w �,1i C(T I t/ 1,-4 4 I GK,,.. Site Photos: ye -„ ... - - �_... Riparian Waiver Attached: /es),.._.uo-•XI L i rt" .-.. .,I A building permit/zoning permit may be required by: Permit Conditions rl!`1 /.-, ,a / /'�� A) ri TAR/PAM/NEUSE/BUFFER(circle one) • �� 4.0(�� _ � i' �r r 1 ..�7' f 7f"//'t' 7 Ili:: / X.�,i/4- - ❑ See note on back regarding River Basin rules s/ -T•, ;h. �/ Ill Seeadditional notes/conditions on back I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) , } 1,26(1'-L-// ;?..: rr t.-`+,i kgerit or Applicant PRINTED NemgJ - ' Permit Officer's PRINTED Name AGENT AUTHO, 9ZAT9 .N FOR CAMA FERMI APPLGCATUIN Name of Property Owner Requesting Permit: 120 ryik1- n-Flt1G1 L�-`i_ Mailing Address: . n q (Ara ittoc Dr 131 fe 13 o`jstovo NCB 2153' Phone Number: ° 1 I to. 'j- I Sj Email Address: 1.t)( T (114 . CbVVI I certify that I have authorized LI q/ \tuse, A yi V\e„. U Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA pfpermits necessary for the following proposed development:. See a,-1-a cvl rd buakhec ', cork, at my property located at Teyrace c�Lt1/-� CIS 1)\ , in P-0/I4(eT 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: ,,ignature d be► 4- 4 . ,Te-Aims Print or Type Name Ma9a Title • Date This certification is valid through / • /JC0.l•e, • 3 �t � � F .23 -�+ boK keact f al l 101 BlaAd Terrace, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /2n CA/146411ela LI--C 's (Name of Property Owner) property located at I 0 I laid TP,Trti re I- (Address, Lot, Block, Road, etc.) on TxihkS C1Iu.Hliti , in 5irk Ci4-y / PeottevCo , N.C. (Waterbody) (City/Town and/or County) The a licant 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) 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.) ?ta/ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro erty Owner Information) (Adjacent Property Owner Information) ( 4144.1-4- )=66t42) W.L: _IZ, (Xa,,-, - Signature�otiv+ A. 1 c-lr-e ys i ture /1 U -tom �. / eN: er Print or Type Name Print or Type ame 2?i9 ern -c pri v. B Idg 4r2I / r )c. ex roc c Mailin Address Mailing Address Ci�(� o / NG 2153L -�c v--P L,- ty/ N C_ . 899 Yq p�6 y t 5_et City/State/Zip 7 7'. /�, '73T Telephone Number Telephone Number (0- IS- Lo2.( / D • %5- •, .).oi_j Date Date (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT • I hereby certify that I own property adjacent to I `ZO Cr (t,) Pi•€(d , LLG s ( (Name of Property Owner) property located at U 0 I Fj 1 a 4 1 TerVace .g��'� n`A„ ��In ' (Address, Lot, Block, Rod, etc.) on I�VV,� e-1 , in Sur-` C( y/ NC Pev ct r Cv , 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) a ached 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. (Pro erty Owner Information) (Adjacent Property Owner Information) Signature S,�i ature } Kabcit q. J t rtiy5 C, L.ee Isfe r J r Print or Type Name Prin or Type !erne v 7l q raves Driv- 8145 `z1 72� (hav► h4 nrefsAcbigressi Mailing Addr s$N c 21 3� I) �G 1.)-5eD City/State/Zip CISta Zip c/q 1,4 3- i & (cpo) -zs05 Telephone Number Telephone Number io- 15-A I Io -IS ZI Date Date (Revised 6/18/2012) e Check ed Date Deposited Check From(Name) Name of Permit Fielder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Reallocated Column2 Cokrmn3 Column,' Column5 Cskmm a Column? Columns Columns 021 Burl Sniff Money Order Elizabeth Taylor _ BOKF,NA _R2095883801: $ 200.00 GP#853640 JD rd.15599 021 Lighthouse Marine Construction Inc 120 Crutchfield LLC Coastal Bank and Trust 4023 $ 600.00 GP#85640D JD rd.15597 021 Sea Dog Marine Construction Diane Smitherman First Bank 1522 $ 400.00 GP#80264D PA rd.15971 021 _,. Oceans Edge Ventures,LLC Frederick McConnell Truist _ 12224 $ 400.00 GP#853420 PA rd.15983 021 Cory Hess same Wells Fargo _ 52511017 $200.00 GP#853660 PA rot.15972 021 NCWRC same electronic transfer 138715 $ 400.00 GP#85346D PA rd.15973