HomeMy WebLinkAboutFreeman, Kristen 78896C❑CAMA/ ❑DREDGE & FILL N9
78896 A B Cl 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 15A NCAC ,07 / �a
❑Rules ached.
Applicant Name \ (I f ( C e vvl (f ) Project Location: County // 1 e) ( V
Address F VA 'i(i Street Address/ State Road/ Lot #(s) --'(A 411 LG
Phone #
Authorized Agent
Affected/�W
AEC(s): ❑OEA
❑ PWS:,
ORW: yes /4n�o
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ZIP
r
NEW ❑PTA ',L�Ef ❑PTS
❑HHF ❑IH ❑UBA ❑N/A
PNA yes / no
Subdivision
City ZIP II,� //
Phone# O River Basin V A/ C
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Agent or Apolicant Printed Name
Signature ** Please read compli me statementon backofpermit
PermitOffcer's Printed Name j
Signature
Issuing Date Expiration Date
Application Fee(s) Check #
E CAMA / ❑ DREDGE & FILL : N9 78896 A B C D
GENERAL PERMIT Previous permit#
INew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
fAs authorized by the State of North Carolina, Department of Environmental Quality r
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
I ❑ Rules attached.
Applicant Name /) Project Location: County_ _ --
Address I - Street Address/ State Road/ Lot #(s)
City \i �l State-1%( ZIP
Phone # (11.;) "• E-Mail Subdivision
Authorized Agent � l" ` ` ( ! City — ZIP
�
---Affeeted W )EW ..�;ffTA �ES ❑PTS Phone# ( )_ _ River Basin
AEC(s): f�oEA ❑ HHF ❑ IH ❑ UBA' ❑ WA Adj. Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body_ ! �
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on backofpermit**
Permit Officer's Printed Name
Signature /
i
Issuing Date Lxpirition Date
Application Fee(s) Check #
A,,V P� I I y��
PINio M
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Vey ,,�,,,,vv�
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Name of Property Owner Requesting Permit:
Mailing Address: i -r -) n
SD h C-C) toa l c)
Phone Number.
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and
necessary for the following proposed develockc�lonq �r���>r-�lI�
IIC ),tpmrt
i rfr t1"lntn
at my property located at
in __ _ 1 -C u; County,
I furthermore certify that l am authorized to grant, and do in
Division of Coastal Management staff, the Local Permit Officer
on the aforementioned lands in connection with evaluating jr, Permit application.
Property Ownerinfo don:
Signature
Print Ty e Namenn`+
Title
`I l i l It
Date
This certification is valid through
CAMA permits
�J
grant permission to
their agents to enter
anon related to this
I hereby certify that I own property adjacent to
Property located at _ / A' i RJ (Name
on In _J N1 .cla� � �i_r`Y'l
(Water o ) t«v (City/Town am
ll�d(l'
The applicant has described to me, as shown below, the development
location.
0 Lea) i have no objection to this proposal.
f-have objections to this proposal.
/. M
ra 1) 's
rvner)
N.C.
ounty)
sed at the above
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELO MENT
OhdividuaEProposYng devela)7ment mull fill. -In description below or att teh a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boalhouse,.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 elow,)
I do wish to waive the 15' setback requirement,
do not wish to waive the 15' setback requirement.
(Property Owners Information)
'Valid for one calendar year after signature'
(Adjacent Property Ow or Information)
tSi nr{-l�/J
prl�r;t�orType /yenneC(fh &Aple
3'75
Aug. 2014)
I hereby certify that I own property adjacent to eI
11 S
Property located at— / `A A 0 017d b Rq (Name
on
r ftt) (Address, Lo Block, Ito
, In
(Weterbody) tr ra .n
The applicant has described to me, as shown below, the development F
location.
�11
n'_i_i�l have no objection to this proposal.
n e. I have objections to this proposal.
DESCRIPTION AND/OR WING OF PROPOSED DEVE (lndivfdua/ DRAproposing development mustYill in descrfpt/on below or
Sef MI(iCbed edrelwinj I
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boa
must be set back a minimum distance of 15' from my area of riparian acce,
me. (If you wish to waive the setback, you must Initial the appropriate blank
I do wish to waive the 15' setback requirement.
G fit ACM I do not wish to waive the 15' setback requirement.
Owner
Signature
or
1-P,—le rvumoerIemail address
3/18/21
Date
N.C.
)unty)
>ed at the above
a site drawing)
Ouse, lift, or groin
unless waived by
)low.)
(Adjacent Property Own r Informatlon)
or
'Valid for one calendar year after Signature- (t#evised Aug. 2o14)
ecWWe fe
3;t
i
Sw AJS {
b Y,
1t
Kristin Kelly Freeman
Real Estate Broker/Owner/BIC
BlueStar Real Estate, LLC
165 Porters Neck Rd. Unit 110
Wilmington, NC 28411
910-508-6077 (m)
910-742-2229 (0)
BlueStarRealtorsNCQgmail.com
www.BlueStarRealEstateNC.com
�13v/2o2/
Ve mwfl�—
[A) )`
12 z Cundo a
N C C� 140
RECEIVED
MAY 01 2021
DCMNHD CITY
RESIDENTIAL SALES and COMMERCIAL INVESTMENTS
ProtectlnS {our best interest and your investments with professionalism you can count on.
Name of Property Owner Requesting Permit: y �` SD tt1 Vic) LGct rc� 517� t %h
Mailing Address. -
Phone Number:
Email Address:
1 certify that I have authorized
to act on my behalf,
for the purpose of applying for and obtaining all CAMA
necessaryfor the following,
development: permits
proposed develoIC (
1 r�- cs�ellr 7- &,C)
t 'P�'t (-j jr, -�t t)irtr�5
�r�tJJ
at my property located at
in ldf Cam! Co
l furthermore certify that l 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 permit application. with evaluating information related to this
Proper Info tion:
Signature
t 1C0 C. !ctrd
Print or / y e Name
TWO; -
Date
This certification is valid through RECEIVED
MAY 01 2021
DCM-MHD CITY
I hereby certify that I own property adjacent toLtll,
-�tp�s: �? r j N/
�� r_emun
m
The applicant has described to me, as shown below, the development proposed at the above
location.
1 }ial ry i have no objection to this proposal,
1 have objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndivttivat proposing development must WPM description below or attach a site drawing)
gee
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 uniess waived by
MG, (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
b
do not wish to waive the 15' setback requirement.
(Property Own,o„ Information) (Adjacent Property Owner Information)
v ,
Date'
Walid for ore calendar year after signature"
C
�d
RECEIVED
Revised Aug. 2014;
MAY 0 120
DCM-MHD CITY
I hereby certify that I own property adjacent to o 5 6 r )' r r
QQ c, ✓ sY)
J J r14tt°n / ally rrr 1v.. s
property located at i `�7i 0,el �ctD Kel (Name of roperty Owner)
on 7 C (Address, Lot Block Road etc,}
in 141 �lt�^ �r Y t
(WetafbOdY) rP:...rr-- - - � _ , N.C.
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 DRAWI
(inNG OF PROPOSED DEVELOPMENT
dlvfdua/ proposing development must fill in description below or attach a site drawing)
JET LTtac.� F)��tti1
I understand that a WANE& SECTION
pier, dock, mooring pilings boa ramp, p, 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,
f tits 1r�1_ I do not wish to waive the 15' setback requirement.
(P(�ro arty owner Information) n (Adlacent Property owner information)
'14nah,re J116n G'i l wer jcf1+ Si
KrisPnkeIlrFiCCY)7Q/1
PRRr or Type Name dAi's
1.2 % P ii_i PR tore
=tuyllW ie rvumoer r emair address
3f18/21
Pare
'Valid for one calendar year after signature-
(Revised Aug, )CEIVED
MAY 012021
DCM-MHD CITY
t
3�
RECEIVED
MAY 01 Z021
DCM-MHD CITY