HomeMy WebLinkAbout1044 First Street, LLCJ CAMA / ❑ DREDGE & FILL 9
.r N. 78901 A B c; D
GENERAL PERMIT Previous permit# �-
Lll4ew ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 7// // oc/
and the Coastal Resources Commission in an ar a of en v nme tal concern pursuant to 15A NCAC //////
[74Rules a ched.
Applicant Name/ / t�/ i tf i , Project Location: County C-,
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ZIP
Phone iz ( )
S E-Mail
Authorized Agent
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❑ EW ❑ PTA UES ❑ PTS
Affected
AEC(s): LJ IDEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: (yes)/no
PNA yes / no
Street Address/ State Road/ Lot #(s)
�-1 ZM" 11 .
Subdivision
C-7
City ZIP
i
Phone # O Riv Pr Basin 1
Adj. Wtr. Body IF t" "" nat man unkn
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Closest Maj. Wtr. Body
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Permit Officer's Pv
Date
U.S.
Postal
Service'"
CERTIFIED
MAIL°
RECEIPT
Domestic
Mail
Only
For
.1iverV information
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AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ivell � T Ae'
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
9/9-! �Z-?z29
Irk ✓l G or1
A ntl Contractor Z�,L?i2Qj
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Vl"yL
/Ngan7
at my property located at '2/7 E1v/�fL-s� ✓/�/w �M �Ga
in e4#efW74Z'r County.
1 furthermore certify that 1 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
� D• SA�+PSoN
Print or Type Name
Title
r7� l Ab lzq Z'a
Date
This certification is valid through /Z / al / Zak RECEIVED
FEb 0 j ? ij
DCM-MHD CITY
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: %Oyy IIA47- 57&4Z7- ul, .
Address of Property: Z1`/ 0r4&-94—L � W4VC ^ � NGZS59y
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
C/>,yv�Azrer�
Mailing Address: �Q,
fax y323
Agent's phone #:
j2 �%23 zY�03
�ipfP.Y
0&1115 _NC.
a5W
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. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is 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 http://www.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
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.)
(n£L CE0VE
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope Owner Information)
Signature
/oy,/64r5rr4m7r GGG.
Print or Type Name
�?I�D�Llyyti�0 l7K. PX.
Mailing Address
1:Z(QUA'y VAYA J^, P&.27526
City/State/Zip
g19��52�7229 qr-acenk,"V ems,
Telephone Number/Email Address ors
/ 30 um
Date
(Riparian Property Owner Information)
Signature
V'PAW 14ouelz-
Print or Type Name
f -B ® 3 Z0Z0
M-MHD C1
Mailing Address
City/State/Zip
�'1/q-y2/-Zgy2 Johnmerce✓/222P�niai�,Cpti
Telephone Number/Email
Dare
(Revised Aug. 2014)
ills r'1552 -S:07
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RECEIVED
FEB 0 3 2020
DCM-MHD CITY
Lar RMEIa 6T4' pRN L)a
u
NOT FOR AECORDIND
C,.N.: ie: 11 64 *208
FL0.'1D ZONE: As 5nrrn
S;UUD. AEC. o 1054
CAR. 1-44D5CPPE --
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Tor L .gar RRA tip K SU` '(his NrAA perwAA
16, A20 sq. n. gwkrim'-
Wwd. Mornndl YID ^1V-ipgA
Computed Po1n, M BOO(/ UND
Approx. Mean H(YY •ti+
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ADJACENT RIPARIAN PROPERTY ,O/WNER STATEMENT
I hereby certify that I own property adjacent to 1h4/r *�� � UZ' s
r rn (Name of Property Owner) y
property located at
(Aaaress, Lot, MOCK, Koaa, etc.)
on O �U/tr0 , in N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
localio .
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)
�l�y ✓�Ypr�,a a�i�11 j3t�tlu�raraD,�1�iw
/J-r✓D job %dim-r�r�o� o
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 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.
(Property Owner Information)
,� �
Signature
=—
JeelY li47"!g!g ' uL-
Print or TvDe Name _
Pei
';`y?Jr-W2 ~ 722-1
Telephone Nugper/emall address
Dale //,/20u%
'Valid for one calendar year after signature"
Owner Information)
Print or iyp�Nam� y �) ✓�
MailinyA7/ddress�,t/Nt4G
'Vajp'lplI24 70t,/Z _--
Tel%pphone Number/email address
../o/In
/$0/11
0210 RECEIVED
(Revised Aug. 2014)
FEB .10 2020
DCM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �dWN 00040e4 l 's
(Name of Propert Owner)
property located at ;?I , 5 /ja�1�+'A�b �le-
�j/,,' / le -
(Address, Block, Road, etc.)
on /%U,y,-7Gy" n �1,0!nA-14n� -:SIG N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca ion.
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)
S/� D/�YsvruG 5/lr�wti wlr� �,vtly /3U�, Fi,�u�wy Aga
Sod �iv5f�w.�R�o�
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 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.
(Property Owner Information)ell YJhAf)AZC1111,1�
V 441,41% 1. Y'
S'ig a ture
7w.� QF�-+ec�•e-r-o .� c�-
Print or Type Name
7500 &7L404420 7y�
Mailing Address
CityZ/State1s2 � ip FY if �,/^ 3yZ,/
TelephnNu rr{ber/email address
/ /WW /I
Dare-_ - jed,nondfan e
ern-&ra 4Isle—nenr
`Valid for one calendar year after signatures
(Adjacent Property Owner Information)
"n
SiS/��5r`! �"1/�T 17r u6
ik� xv,51�
NC. Z75210
--722
Teleph ne Nu ber/email address O�
/ e) %20 20 grac2 �n�hAn �C✓�."
Do** RECEIVED
(Revised Aug. 2014),
FEB 10 2020
K)CM-MHD CITY
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