HomeMy WebLinkAbout87049A - Broadwell#E]New
❑CAMA ElDREDGE & FILL N9 87049 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑ 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:
15A NCAC ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone # ( )
Email
State ZIP
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (naUman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
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A building permit/zoning permit may be required by: '1'1 "IiiP-
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature --Please read compliance statement on back of permit' -
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
Application Feels) Check q/Money Order
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1)2 yco „I -F2o,4PWe r,(
Mailing Address: -'O t3cx 19 �t
14,LL All- �27�5`%
Phone Number: .3 08' 8 a.2 C)
Email Address: r o,I1
1 certify that I have authorized ✓14tit a4Wg6#Z/ AwY� lS TQI DE,ur,HL4 r/irh
Agent f Contractor (aq s7oc Tiov
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ! �Js 1iP &1e11 -,17,-„
Joez4- 1;4*:6, e'xi-,17,0 1 e W- Z ele cI--
at my property located at 1 6-D Le1 � s-T /e'er t4 . /r 9 rr %14�YiZx AllC'
in County.
I 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 with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
Date
This certification is valid through
RECEIVED
OCT 2 5 2023
DCM-EC
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
j _!�/✓ o LJ it _
Name of Adjacent Riparian Property Owner
Ad r ss
City, State Zips
9 /27_/aoa .__.
Date
RECEIVED
OCT 252M
To Whom It May Concern: DCM-EC
This correspondence is to notify you as a riparian property owner that 1 am applying for a CAMA Minor permit to
Oil my property at., O Zia < Z4- Z&4
in P jib-' County, which is adjacent to your property. A copy of the application and project
drawing Is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
continents or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Pfoperty Owner's Name
5 5 6.0 3dS. 8 ;7,--- 0
Telephone Number
Address City State
_ '✓ I have no objection to the project described in this correspondence.
___.___I have objection(s) to the project described in this correspondence.
/ Adjacent Riparian Sig a-*e
3
Print or Type Name'
—LI C'F . 2� ----.
Date
Telephone Number
Zip
/ ga 14/4:57" W-6YrAy LLjiN ddj`jOk't/t/ f/ A/c �7 75
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Address City State Zip
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Adjacent Riparian Property Owner
%"ss
Addr ss
%,y & I Ji�79S7
Clty, State Zip
9 �ZA00-3
Date
RECEIVED
OCT 2 5 2023
To Whom It May Concern: C M _C C
This correspondence is to notify you fas a riparian property owner that I am applying for a CAMA Minor permit to
lR157�a,l�_�°fFeaZr,'f .boa'% /��
on my propertyat _._M p Ly/r�T-- 4
in c p i f— County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL),
Sincerely,
%�%t/ ems/ /»/.'����✓t=_/C
Ptoperty Owner's Name
M
Address
v
s-06 3,O ? �22o
Telephone Number
'L1_k/-e-'Y/7A/4- L Itle-
City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Print or Type Name
Address
I' 3 - zdr-�
Date
i (Q T S-f `5gz-
Telephone Number
uC 79S
City State Zip
Revised July 2021
y-MIA�5 /VRE E
""INGTON
222 W 2NO ST 0
WASHINGTON, NC 27889-9998
10/24/2023 (800)275-8777 In
_______ 12:59 - M
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Product Oty Unit Price `rl
_ Price ru C
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First -Class Mati® 1 $1.59 ru F
Large Envelope
Durham, NC 27701 p
Weight: 0 Ib 1.10 oz r
Estlmated Delivery Data ru
Thu 10/26/2023 _ `n
Certified N $q 35 0
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9589 0710 5270 1282 1338 4 p
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UFN: 368344-0389 Ln
Receipt 9: 840-52700306-3-5522749-2 rr
Clerk: 06
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RECEIVED
OCT 2 5 2023
oCM-EC
M6.
LEFT Side Dock 6'x 100' (600sgft)
Proposed 13'x13 Boatslip Platform 16' x 21'(336sgft)
0
Proposed
Boat slip
0
Right Side
Existing (10' x 16')
Existing (11' x 16')
RECE�vE®
OCT Z 6 Zp23
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