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76278D - Miller
AMA J D DREDGE & FILL NO. 76278 A B C -. GENERAL PERMIT Previous permit # JR'New -Modification --Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 12.0C) and the Coastal Resources Commission in an area of environmental concern pursuant toil SA NCAC 1 ` M❑ Rules attached. Applicant Name IV n �' Project Location: County _ �Er Address 1� .. , S� . Street Address/ State Road/ Lot #(s) 15!! b City State_1JC_ ZIP Z � Phone # & y S l W- ( E-Mail Authorized Agent Affected ❑ CW 1 '-W ETA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF d IH ❑ UBA ElN/A ❑ PWS: ORW: yes / 3!p PNA yes / Subdivision City 1Ag� \5�Gc� ZIP2 Phone # ( ) River Basin Adj. Wtr. Body rk nc- (nat 4V1PVunkn Closest Maj. Wtr. Body kl 4 iv Agent or plicant Printo Name Permit Officer's Print e Sign tur * Please read compliance statement on backlof permit* Signature Z:pOV (� l(� �T � � 2 a'c Applicat n Fee(s) Check # Issuing Dat Expi tion Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -69zl"/�f� S, M/CtEe' 's property located at S BD.pU Name of Propertyowner) Cl tk. /Ue � 4 2 on -*(Address, Lot, Block,,Road, etc.) (Waterbb dy) in ��u � i4e N. C. (City/Town and/or County) 611�1&v5ahci-- The appl nt 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) 'i �)Rl')WIA16 lq?27P-CA� 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. q ent. I do not wish to waive the 15' setback requirement. (Property Owner of ation (Ad' ent Property Owner Information) nature Sig ture PrrDr Ty e Name �� (0 6/� illS O Z - , PI 'nt or Type ,pam�(.� M ihn Address - D %^ � �St'6 � N�1 l� Address c;r lzip,/�' / c;. �z 1�' s 'L �9ob3 - S76 2 �� Stat /Zip Q Telephon Numb r Telephone �^lNumber Dale Date (Revised 611812012) 7z9bgz --d1 v I&W39 v.; Q�c 5h5 :p 291 l�� , � � � oI ,..Aal _LY(249 3W7d* o2�Z- aZ- Z ,VA, CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, City & Agent's Name #: Agent's phone #: Mailing Address: ty)utl�� e-K CST 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. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, 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 Inform * n) ,r ure 1�� 51 1y)1a-t02-- Print or Type Name Mailing Address A/ , Ne City/State2ip 9/ �4a -/gam / Telephone Number 2 28 20Z_o Date (Adjacent Property Owner Information) cyv � Print or Type Name Mailing Address CitylStatelZi &3- Telephone Number Revised 611812012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I oven projOerty adjacent to proPe; y !ccateo a- 4VI o RWl4[— 6 Als *0 5T.(Address, Lost, f aterb y) The an ficant has described to me, as shown below 7 i I have no o!�ection to this ram p ,�osai. I have objections to this proposal. P 4mr.4.) , N.G. (CitylTown and/or County) S�rr suJ�c% the development propos©d at the above location. 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, mooringg 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 =do ou must initial the appropriate blank below.) wish to waive the 15' setback requirement do not'msh to waive the 15 setback requirement. (P Owner Irtform•Aio t (Adjacent Property Owner Information) 'yibJC re Slylature A, i��i4cf� e_ Z6 y6 Z iL acr OZaOr :JQh !Rovmed 60 &2012) LWMF- qy'I G dC V LI-6 i32 a*6R��tR PAD. 29Q63-$762� � uri Tb 5e*ta 2-2$-2020 Au, ) 051-/u6 y45PcAe�5 80AT" G lam"" 10 Le At'C- z8�62 flit-4' 28�� CERTIFIED MAIL - RETURN R2CEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWA1VER FORM 'Jame of Property iJwner. _%��%7/hWG - Address of Property: l-_aro 7Ct or Street. Street or Road, City k Wu^ty, u, 51i3iClC Qr6 t Agent's ?dame 4: Mailing Address: Lam/ 7 Agent's phone I hereby certify that I ovrn property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attachad drawing the development th*y are proposing. A description or drnwirq�wifh dimensions must be oviced with this k ter. have no of jcLtions to this proposal. _ _ I have objections to this proposal. ltyouhaveobjectionstowhatisbeing proposed, you must notify the Division of CoashviAlanagemen!(DCU) in ►vn'ting A�thin 10 days of reccipt of this notice. Correspondence should be mailed to 127 Cordina,' Drive Ext., Krtlmingfon, SIC, 28405-3845_ DCM representatives can also be contacted at (910; 795-7215. No response is considered the some as no objection it you have been notified by Certifier! Mail. WAIVER SECTION I understand that a pier, deck, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access tnless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) _U/L I do wish to waive the 15' setback requirement, i do not wish to waive the 15' setback requirement. (Pro arty Ownor Info a } I (Adjacent Property Owner Information) Sr, lure Signature M'1&fA66S . - Pr nt or Type Name /ar 6 (5)QE�A�e,' Matirrlrg Address elephane r'vumbar J,re Fart or Type Alame IDU i !aililh� Ad rASfi r4+;'Cf, aQ y T eiephone Number 03 ��2(zO �n-Ci59f, r'i Nr?�1L Mr %Vd Den Deposited Check Fwn Name of Permit Holder V-d- Check Number —t P—H Num Reeelpt or Ref—d/ReaHo-W CpApmf t wpmpx Cwunan Cowmtw C1.0mp5 C01-6 Col-- commie coaemno 3/12/2020 Debra Wilson Wade Rozier LG FCU 2094 $ 200.00 GP #74366D _ GP #76269D BB rct. 10911 _ _ 31122020 Land to Sea Consbtwdon LLC Nina Voltaire First Citizens Bank 175 $ 200.00 JD rct. 10387 _ 3/122020 Town of Sunset Beach same First Citizens Bank 19893 $ 400.00 GP #76119D _ BB rct. 10908 31122020 Michael or Katherine Miller Michael Miller Wells Fargo 1478 S 200.00 IGP 976278D _ BB rct. 10910 3/122020 G & T JessupJessupPNCBank 1778 S 200.00 GP #76270D _ JD rct. 10386 3/122020 Pippin Marine Construction LLC IThomas Reams lWells Fargo 1 54031$ 200.00 1 GP #76257D JTMc rct 10355