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Home My WebLink AboutGould Family, LLC 78821CSubdivision City ZIP Phone # ( River Basin Adj. Wtr. Body�R n n 1 (nat f /unkn) Closest Maj. Wtr. Body SS tie 129(444 v (Scale: N ' I n p . 3 k'3V09c7'1 ❑See note on back regarding River Basin rules. CAMA / irDREDGE & FILL NO 78821 A B ® D GENERAL PERMIT Previous permit# !�IKew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ©�/�r /� OQ V ` 1 D �/ fJ`E-'C� n ,x� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC $Rules a ched. Applicant Name Project Location: County — � ,- Address (i I JQ� Q�( Street Address/ State Road/ Lot #(s)� Authorized Agent Affected Li OW �" yam• TA " ❑ PTS AEC(s): LJ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ORW: yes (ho PNA yes Type of Project/ Activity --PS Pier (dock) length Fixed Platform(s) Floating Platforms) Finger pier(s) _ _ Groin length number ulkhea / Riprap length avg gdistance offshore max distance offshore Basin, channel i - �J - -- cubic yards Boat ramp Boathouse/ Boatlift Beach Bull pzing � Other Shoreline Length SAV: not sure yes o Moratorium: n/a yes �� Photos: yes u _ Waiver Attached: yes no - A building permit may be required by: ( Note Local Planning jurisdictionh (AZrni ot�plicant Printed Name Signature • Please read compliance statementon backof permit't'r yell pplication Fee(s) Check # PermitOffcer's Printed Name Sign tur i�-11 Iss ing Oate E pirat on Date Address of Property: CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM Name of Property Owner's %nyliGr GGG ST,�f / octri ; ogg (Lot or Street #, Street of Road, City & Agent's Name#, .,Q10214e %✓l/5S Maf ngAddress: � Oey AiAPa2f Agent's phone ZSZ- ,-y�78 NFL��Nc ZBS6Z 1 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 theyareproposing. A descdotiorf or drawing. with dimensions must he provided with this letter. J 1 have no objections to this proposal. I have objections to this pro(xrsal. If 1youhave otyxtionstowhatisheingproposedyoumustnotilythe DivisfonofCoasialManagement (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 1S setback requirement. (Property Owner information) ,wgnaftrre Prim or Type Name to y C� � iz, �MarTanq Address KrcllSler� .C..zgS! Z Ciry/StateZp 119- 7-er BC/ Tefephpm Number/Emar1 Add ess - �OlCtVVC ✓J(fiv NL.l N'Ft sMML,�CN(. Dail .---------- (Riparian Property Own_er information) r Si ( rrre -12iftr)Via ohl+e Pnn or Type Name t I t CedavRd Marling Address }Rine. 4 tno((9xiis G495IZ Cr1ylSYerelZip 51`x bB l07 a�txtvtrvtt, �crsnM cam TeleplxmeNumberfEma Address /late r ____---_(Revised Aug. 2014) Pd 100 RECEIVED Ck # /d 1 DEC 2 9 2020 DCM-MHD CITY AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Caa jd 4. , It, LLe She Caou /� Mailing Address. /a 9 CsdA r Fz f+J RNA l�N�i'l sG,o�et N, Q, 2-85/Z Phone Number: `// 9 2ql - 3 0 G 4 Email Address: �qn �r L , covet I certify that I have authorized A/olrej L )e_X L A5s -GGS " `/3,78 Agent / Contractor webb d d c O'gj..e b , com to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: See i at my property located at /0 9 (2 ed At r o 49e-) i 401a� Kwo 11 -4, rC-A, 2— in 69Peer 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: 61 Signature 5fen/iPsJ e , Good of ) —° Print or Type Name OLdNa-✓ h *WAZa e r itle -20 l 2o2c Date This certification is valid through // / ZO / Z4Z./ \}) \`) ! r: -r ----------------- —----------------- -------------- ----- « ,r §/ - \® \§ , ! / \ \ ! { 2 © / \ � / § « --------------------------- ---------------------- ------------- «. �W\ _a«.Ef%. _Em» __ eCEDAR ___r_si +mEllm� , : : SITE _; CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or street #, Street or goad. City Co County) - Agent's Name #_�N_ , 1 �' Mailing Address: 31L11 -12 4 P W Agent's phone #. _%S `� yn `atte sic n/ W4 ? 6C6z 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. Aslescriotion or drawing with dimensions rrtu t eprovided with this letter. J f have no objections to this proposal. I have objections to this proposal. if you have objections to whatis being proposed, you must notify the Division of Coastal Management (DCM) in writing within -10 days of receipt of this notice. Contact information for DCM offices is available at httpJ/www,necoastaimanaaemenf ne!M ej /am/Haff listino orby calf)ng f-889-dRCOAST. No resoonse rs C0na dnmAthe __ __ _..___._ _ _ WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature / � /1 Print or Type Name !n9 C�do-p A'd. Marling Address pm S 4002, Crty/Stafe/2rp 9f 9 N eg e Telephone N(tmber/i mailAddress goca,id daJ�fo�lmev7"7 It-zo-ao a.© Hare ✓ (Riparian P erty Owner Information) s�� - �C.V.�0s. Print or Type Name W. ibj�—, iqA Marling Address ona Citylslatemp -- .. (oIt� -513 • a4m'? Telephone Numberl Email Address Vale (Revised Aug. 2014)