HomeMy WebLinkAbout74895D - MillerCAMA / -' DREDGE & FILL NO. 74895 A B c
ENERAL PERMIT Previous permit#
ew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
As aut orized 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 � ` 2yU
❑ Rules attached.
Applicant Name Ur ,' Project Location: Countyt_ k
Address J. Ty% k Street Address/ S to Road/ Lot #(s)
City_ CW-"'Irn Stat A)C, zIP ZlG
Phone # (�A) 3Itt UV1 i -Mail �-----
Authorized Agent ,� G�}-t- o,,n-K Jlv
❑ CW
EWW q F TA
❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH
❑ USA ❑ N/A
❑ PWS:
ORW: yes / IM
PNA yes /
.9
Subdivision
ity Q �� zip a kytol
Sl
Phone # ( ) River Basin
Adj. Wtr. Body �-t c -� Cam- k (nat &ate)
Closest Maj. Wtr. Body A k VJVV
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Qno `� 4!:W
Ap�ion Fee(s) Check #
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Perms is Printed Nam
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Signatui-4-01
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Issuing ate E pira ion Date
PROJECT: 49 MBERLAND, OIB
H5 CONS TION, LLC
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01B C NAL
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BOAT LIFT
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+/-140'
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Paul Cochrane, 47 Cumberland
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Not to !hale
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Pecan:
ruaec n ct Y", E (-dZ_
Mailing Address: Q040k
1VC- 2SZZs_
Phone Number: fit- 314 - OW I
Email Address:
vA4� G- eb� v� t , c o w
I certify that 1 have authorized H5 Construction LLC
If?f � �3tlEtak�UC -
to act on my behalf, for the purpose of applying for and obtaining ail CAMA permits
necessary for the following proposed development: Pc+Mca,jt al�- ex&--h
l'^4-
at my property located at 149 Cu ba S - L.6-4 tgnl • P f o2 C'.a.�a( 3
in 0r�u,�su„��. 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:
Signature
nlw.� �eurr �'lctl<�
Print or Type Marne
rwe
6 Z I Z0zb
Date
This certification is valid through �-j l 3o 1 z.oZc>
ADJACENT RiPARiAN PROPERTY OWNER STATEMENT
r'ereby Cf'i vi i, to ° GiRirr' rrJHe'j G "cjetCt ti `'t' �' tJ Q t f C� fY? S 1' s
,Name of Property Owner)
properly located at q gs,!LA mod_ S - Ld't t9 Aj 1-4 4)1C 7 Zdl� 3
(Address, Lot, Block, Road, etc.) T- -
on ��sr��fL:tle •Gx t.t cu�tLeww, in
�ucta=etc 'Sew_. _ _ N.C.
jWaterbacy (C;tyiTown and/or :,ounty
The applicant has described to me. as shown be►ow. the deveiopr-nent proposed at the above
location.
have no objection to this proposal.
T
I have objections to this proposal.
DESCRIPTION ANCIOR DRAWING OF PROPOSED DEVELOPMENT
fin dividvaf proposing devefppP..?ev7r must &I ip, de$cttgtron bEsi. w or a. — a sib drax�irt
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 waive✓ by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
!Property Owner informa Qn; �Adjapet%t Property Owner information)
Si wature Sigrnai ure *
Print or Ty,, ;'tar, Prr, ear r vpe Name
1-12t g4j"[s'ta,^ a 0'33 2k' V'Frye Q �� �-i r"as;,i , 2-7 Z.(2
Mailing Address M'ai ing Address
^j c U 2 � � -- j4 , Cv til l
Citylstate✓7ir) clihllStatelzlp -p - f
Z i i.,s — d („ f _�t3 _ Ss'Y^ p J ��� Z :f, � `L l� .Y-'!_ ' - 4..'j r ✓'% — 4L
Teiephone Numberl email address ?eiepix N miler / email- addtress
(Revised A;1g 2044!
Valid for one calendar year after signature'
ADJAqM RJPA-- AN PfK0—PEfKTY.0 zR ST -AjE�j
S
(Name of Property Owner)
property be -sty'
(Addrms, Lot Block, Ro&4 etc.)
am in ( own ar&or County)
"h
e applicant has described to m, as shown below, tt* deveioprneni proposed at the above
1 t
I have no xlyecton to pvpoq-al.
OESCWTON ANEWOR ORAMING or- PR0r,0S M- Deva-opwwt
zxtpr-:� z�
0 MgR st-gCT)0"-q
1 LMerstard Viat a per, doaK MW*-V lc��t b0st T?-'nA b0eakwa-3ab . :xa2loLse, or g;mn
rmue. besel te,�,k c n%mbm,rzncc W '?5tmrr my e axess uiiess waived by
me- (it you wash to waive the setback, you must initial the appropriate blank beiow.)
i ao wish to waive the 15` setback 4 requirement.
. I do not wish "to waive the '5' setback requIenwat.
(Prop" 0WfW irtfonnaoDnj
Print or T", a
Vail -A(
Taiep�w.e AWrothe 1, /
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Raee/wd
Data Nad
Check Ftam 04,1W
Name orP..ff Nodar
Vendor
Cheek Number
cunt
P—,if Numbwti'ommenh
R t or Raruml/Reasocated
cpk�f
Col-2
Calumnl
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column6
Column7
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2/17/2020
CLTMC, Inc.
Zach Fischer First Citizens Bank
Tommy Williamson _ First Citizens Bank
Edward Miller BB&T
1032
1031
$ 600.00
GP #71856D
Tmac rct. 10978_
Tmac rct. 10977
BB rct. 11457
BB mt 11456
BB rct.11454 _.
2/172020
CLTMC, Inc.
$ 600.00
GP #71857D
2//72020
H5 Constntction, LLC
2475
$ 200.00
GP #74895D
2/17/2020
Vamams Docks & Bulkheads Inc.
Chris Morgan
BB&T
7884
S 200.00
IGP#74894D
2/1717202020
Holden Docks & Bulkheads/GregHolden
Lockwood Fol PO Inc.
CresCom Bank
3791
S 200.00
GP #76227D
2/20
Je Ennett
I John Schroeder
Coastal Bank and Trust
27381$
600.00
1 GP #74MD
IJD ret. 10968