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HomeMy WebLinkAbout74900D - HarperLAMA / DREDGE &FILL NO. 74900 A B EN ERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued \ As auth rized by the State of North Carolina, Department of Environmental Quality VTq ` l `-emu and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC '"'v ❑Rules attached. Applicant Name �e� nn� S 1-� r � (Ai /Y i -T �,ylt LLLProject Location: County / I c- LL- Addressl ✓ Aim- '!Street Address/ State Road/ Lot #(s) LU r" \ Cityt N6► State&<t ZIP-2 F2 -1-0 Phone # j 9 E-Mail M c� c fir. rr.�.Subdivision Authorized Agent ..� S City �� c ZIP Affected ❑ CW ❑ EW ❑ PTA �dS %PTS AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A LJ PWS: ORW: yes (n� PNA �/ no Type of Project/ Activity e n`GC _Q_ �x Pier Fixec Float Finge Groii Bulks Basin Boat Boatl Beac Othe Shon SAV: Morz Phot, Waiv Phone # ( ) I /f River Basin Adj. Wtr. Body L 4i a�/man /unkn) Closest Maj. Wtr. Body c)C_A..C- L. ^^-c— "—k ` - (Scale: N ,-S ■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■OMEN ■ El��r■!�J■Il■�■■■NEE■■■■ ■■�■■!II■■■ .ng Platform(s)■\�'r■�Ci!■■■■�� ■■ ■rM�Z!'�EtAll[!1number rlt1 .E■■■M�M E i length ■��■■■■M■■■■■■■■■■■■■■N■■■■■■M■i�!N■ ■■■■N■■■MMM■■■■■■■■■■■■■■M■■■■■■MM■■■� ■■■■■■■■■■■■M■M■■■■■■MMMM■■■■■�®■■■MOON avg distance offshore r- ■MMM■M■■■CEO■ELii�:�Oliail■iil�i�ri�■■■■■■■■■ max distance offshore_5�__ ■■■■■■■■■Mr■■■■■■M■ME■■■■■MMM■■■■NMM■■ �■�■_ ■M■■■■_■_■■■MOM■■■■■■■■N�__--_ ■�■■■ L"nMM�J■■NHL"%■■M�■■_E■■■■■■■■■■�I��Lr''/�� ramp il�i.l�1w7■��■■l�l��■■■■■■■■■_■■MM■■�■ i�■��u�����■�� 11111110 IffIrd NONE Bulldozing �rMNMNi■ii iiAwe i �iM■=MM■=■OMMMME MOON■■ M�/■■E■r��■M��■��■��■■ ■MMMM■■■MMMMM Jine Length not sure yes ■■■■■■■■■M■�■i��MrM■r��■ ■��rrM� ■■■■■MM■■■■■IZ.ZJ zMaREM■■■M■■■M"MMAMENE ■p-rhmeCN■ ■■■■■■■■■■■■■■■■■ ■■■■MEN■■M■ME Fs: Y- (V-,Mm= _.. PEENNErEM MONMEMENIMEMIMME w M MIMEMONME ME No A building permit may be required by: / Q ,, �t `, �� p G, c ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions W Q kk C_" S ?(!C— ^ 771chL-1� - Agent or Applicant Printed Name Signature "Please read compliance statement on back of ermit Application Fee(s) Check # Permit Office ' �' d Nam � N Signature 2 ti Z u2G (v 4 Issuing Date I ExpAtioniiDate AMA / DREDGE & FILL No, 74900 A B ENERAL PERMIT Previous permit # ew ':Modification .Complete Reissue L `Partial Reissue Date previous permit issued As ath rized by the State of North Carolina, Department of Environmental Quality y /ti.� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC__ CJ 1 l t,.fi� ❑ Rules attached. Applicant Name, - ^Aw S I--j�t� t� T•.51 a (,(,L project Location: County se. <.- .. M_-._.._ JJJ tY �L+�S.�cl Address`r_ �9 Street Address/ State Road/ Lot(s)_ City t�+t,, _ _ _._ ._ State_ ZIP�:,Z. Phone # r _ 3 -V 'RYE —ma 4,-PIV t � ��Mt, r•.e.Subdivision Authorized Agent-t+v—k— _..___.___- City-.�--- tf-c� ZIP Affected — Affected Cw EW _;PTA '%d5 ','PTS Phone # (._.__ )_ River Basin (_l OEA HHF *1 UBA WA �` AEC(s): Pws Adj. Wtr. Body (_ _ 6." fman_./unkn) ORW: yes / no)i PNA IM/ no Closest Maj. Wtr. BOdy����.te►/\�_. Type of Project/ Activity — V-A Gcst- h,, l I,rr,Y�Q_c-,6 q-.,, + (Scale: Pier (dock) length _ _ ..., _ .- - -._ ...,.. FixedPlatform(s) _ � u � j r l Floaun Platform(s) JVX �� r !.... Fingerpier(s)I g Groin length number i Bulkhead/ length avg a distance offshore � '' �� (/ I max distance offshore_ Basin. channel { cubic yards •_ !•_� 'v✓ •A - .% Boat ramp YM� Boathouse/ Boattift (.Li Beach Bulldozing Other Shoreline Length SAV: not sure yes A6 � C' � ti,L'- Moratorium n/a yes 4'j71 /v�a,r• Photos: yes Waiver Attached: dzp no )_-- A building permit may be required by: _ ��,.., 1 C.� �gLlij ±� See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions v �� �,. �^e:1 � �Ptl�Lf/r.tlfl s �.OgSTg, or Appka Yt Printed Name ---------- Siyo„are **Please read compliance statement on back of,rmit ** f:pphcation I cc(;) Check ,# Per mit--5yy:s d Na Signature I /t CJ Issuing Date - Expi anonl�ate AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: 1 y \, IS VI Phone Number: -7 U y3. -1 12 9 q Email Address: �� 1 ►� f' 1 h t "� �'��uc C ��1� I certify that I have authorized e ci ' Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining tall CAMA permits necessary for the following proposed development: 17y 1 LU n e-LJ -e D W l.(� at my property located at LDiv A Lj {s. S�j e-T E2L in j NS W�cj<C 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: J Signature Print or Type Name �tA)me 2- - Title p � Z /Date This certification is valid through 1 I CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: '� 0.� It )in Address of Property: �i I.T 40 5� (Lot or Street #, Street or Road, City & County) Agent's Name #: Ts� Pt' 1m Mailing Address I �� �`i � bi� Agent's phone #: CI 10 - l t4 3 ' J I hereby certify that I own property adjacent to the above r&c., 4, iced property. The individual applying for this permit has described tome as shown on the � d9n.hed drawing the development they are proposing. ' 1102—I have no objections to this proposal. I have objections to this proposal. etre- P+Cd or'r ✓P/°Llc-� �/Lit�^'l�c- v l% f� 6ubk /�/v t OLffl�.��`� �y If you have objections to what is being proposed, you must no the Division of Coastal anagement (DC" 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-lis ng 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.) 2 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback require, gent. (Property Owner Information) (Riparia P Signature Signature Print or Type Name Mailing Address City ate2ipJ Telephone Number/Email Address Date Print or Type Name Owner Information) L ,✓D, !G SV,*"f� e t too Il Mailing Address City/State/Zip g/,0 /C�`i.6a-y72- Teleplhone N!imber/Email Address Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT RE:IUE_ STED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: 141to (Lot or Street #, Street or Road, City & County) Agent's Name #: "� Z 1��'� Mailing Address: I i �' a h% i J Agent's phone #: 1 1 - - is u J I hereby certify that I own property adjacent to the above re`.., renced property. The individual applying for this permit has described to me as shown on the v shed drawm the develo ment they are proposing -- I have no objections to this proposal. I have c )jections to this proposal. 1� 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 athttp://www.nccoastaimanaclement net/web/cm/staff-lisiin-9 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 r iecess 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) Al Signature Print or Type Name rl Mailing Address J City/S ate2ipd Telephone Number / Email Address (Riparia.� 'rop rty Owner Information) SA�� re tv J L 7th) Print or Type Name Mailing Address City/StatelZip Telephone Number/Email Address Date Da e (Revised Aug. 2014) -f ` v. -.. , �7 q4Q ' r r it ; . Date Received Data ltod Check From Name Name or PermH Holder Vrrdor Chock Numbor Chsa arrtorint FWMIt hktmeanComnwM Caeaens Receipt or Refund/Reallocated Cakrmnl Coltrma2 C.1-3 CoWmn4 Cokamta CokNM70 C6kama7 Column9 2/W020 Stature Engineenng, PLLC Tangle Oaks Marina Club Branch Banking and Tnwt 122 $ 400.00 GP 074840D _ PA rd. 9733 202020 Willie Clarence Richardson/Richardson Construc Johams Cook BEST 7631 $ 200.00 GP i74800D _ BB rot 8818 2/612020 Allied Marine Contractors LLC Georoe Robert ShirleyFirst Citizens 8659 S 200.00 GP 974858D JD lU. 10827 2WO201 I Backwater Marine Construction Inc. Jeannes Harper (at my table NO iBB&T 1438 1 S 400.00 GP #74900D IBB rat. 5815