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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 ■■■■■■■■■■■■■■■mow.■;��i��■►�����e�■ ■■ ■■■■■■■■■■■■■■ire■■■■■■.I■I■■�r■■■■■■■■■ �� ir. ■■■■■■■■■■■■■■■■�i■■■■■■■■■■■■■■■■■■■■ ■siilll■■■■■■■lii■i■■.■ [�iiilri3■■■■■■■■■■■■■■■■■■■ •■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ - . . . . . .r ■ . . .. - . � 1 krisi T Ii�n.1 Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Qno `� 4!:W Ap�ion Fee(s) Check # "'-k�fo ^ G. \ / Perms is Printed Nam i Signatui-4-01 e o Issuing ate E pira ion Date PROJECT: 49 MBERLAND, OIB H5 CONS TION, LLC i 01B C NAL i i i i i i�--15� -► i BOAT LIFT i i i I I I I I j I I it I 1 1 1 I I +/-140' q �QP Paul Cochrane, 47 Cumberland C f0 E U 00 d' L 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, / *V846 kx Cre mar OW aftw Wqevye i fa L rip, NU R thet e, I IR Vi iwk* f �'R—ewi,sed&'q 2-0-141� 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 CdumnS column6 Column7 columns cdumn9 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