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74848D - Smollen
�CAMA / D DREDGE & FILL NO. 74848 A B C q GENERAL PERMIT Previous permit # ?-Iqew ' Modification -Complete Reissue -Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality O�� I and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l co ❑ Rules attached. Applicant Name t A Project Location: County (.!' -I ../. t Address 7% /v Sg.. �l � (C, i �>� �'�-� n Street Address/ State Road/ Lot #(s) City State_ ZIP d�sf 6.-C O.- S� . Phone # 4d q 0:191 E-Mail Subdivision Authorized Agent LA) -,-- � < (--7r , L4e— City Qc e-'. � S Lc— a C- ZIPS e)- &cA to 9 CWVA P ❑ ES ❑ PTS AffectedEl AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /<y,7 PNA yes / / NJphone # (�)S� c1 g49S Diver Basin �ti- �r Adj. Wtr. Bod(n rm, /unkn) Closest Maj. Wtr. Body I . ■■■■■■■■■■■■■■■■■■■■■■ ■■ran■■�■■■■ ■■ ■ ■■■■■■■■■■■■ ■■■■■�■ _ � � � � NOON■ ■■■■■■■■■■NOON■■■®■■■■■■■■■■I<i�si■■■■■■■ - ■■■■■■■■■■■■■■■Oi�1��7■/�r�■■■■NCI■■■■■■■■■ ■■■■■■■■■■■■■■■L1a;fie■■�`y(AK�i/'1■■iil,■N■■■■■■ ■■■■■■■■■■■■■■i,■■■� 1■■■■ ■�■■■�■■■■■NOON M. ■■■ ��---� ■■■�� NOON■ ■■■ ■1■NOON■ ..■..■..■■■� ■ �� ■■ ■0010111 MO■■. ■■■ ■EmMIiriii ■■■i�i� °`'`wiii i■■■■u���i . .. .' .. ■ LO\C\Ac� Agent or Applicant Printed N8m Signatur8 Please read compliance statement on back of permit" � sia Application (s) Check# ✓� '.3 4, � Permit 0 icer's Print Name Signature a Issuing q6te pirati n Date _A;7 .A KNERIMA North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director AGENT AUTHORIZATION FORM AGENT iA ON FORM 71. M CDEFR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date: /Z e / Na Property Property Owner Applying for P er �i16/ �J " Oil-cp Owner's Mailing Address: 7/ S4Noll Phone Number( FK av% "'"Ual'-6r2 1 John E. Skvarla, III Secretary John E. Skvarla, III Secretary Name of Authorized Agent for this project: gjr/Ce �G,iS /r,xc_ 40/V Agent's Mailing Address: �6�, S�v F Yd � Phone Number ( �/190 5_2 9 �D 9_5�_ I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for anti 4ining a*PEA Ppfmits necessary to install or construct the following (activity): 127 Cardinal Drive Ext., Wilmington, NC 28405 Phone: 910-796-72151 FAX: 910-39W964 Internet: www.nccoastalmanagement,net An Equal Opporlurity 1 AfBm id" Aeon Employer r _ For my property located at _ 1 Z ZG4 C O .,e,Q -L /V C— This certification is valid thru (date) sw— / ;_;;I �A Property Owner Signature Date CERTIFICD MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPA/RJ IAA PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner, Ci/'�i �J n/G,i .1 �,o l�c'ti/ Address of Property: 12- i�40,Wayc�'� Oeeo of ASle lea"I, ItIL (Lot or Street #, 8treet or Road, City & County) lnYa Name /ip�nYs;phons #t: 0 1 Mnre no ol�aitOra to th19 prapo�iiit a,,...�;�,,1 F>ri�i �I�,t�f�tiy� p�+ tit�Gfi�ft o:'!Y1 III` a►�i ��� WAMM SWTM t ui1i14rigti it t a soak, bnQ kl�ii ..'-bto�, erw* W.back e ffio0 A pr►+�rss, a INmvckl noo 01 *r � � unim w" by►.,mi.-oM,lnti+,ul�`to MW6 the +�?P ____.:.._,.._, I �R't►1D ft� I [1' Ck requinunertt. ,.__.,,_,,;1 do no�t�i►l�t b tli� 1 B setback requlreh�ent, elan) r,. (Accent ropertyt3vrner Infamwtlotl) w!� R yrType No* k filldl�aR A&AMM1 , Ale .2 ?W/Of FeJdgWis.'Nurribsr t/ a D e ReWaed 6/1 StM2 a CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPA/RlIAA PROPERTY OWNER N�OTIFICATIONIWAIVER FORM Name of Property Owner: [i!!'' /f //G Address of Property: / Z �G��CO/�4 s�t /GCcL�c/ 1 fl X ea le /t%L (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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, • •---- MU UIW 1WRIVI. EL— 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 EKL, 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 Mall. 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. (PropejY Owner Information) —C-Z��JW Signature Print or Type Name 77/1s;,gAol '``Z�l 12.-�" Mailing Address City/ te/Zip Telephone Number Date (Adjacent Propert Owner Information) Signature Print or Type Name 5-7I"1 ©a V-Mrl( C Gle/i Mailing Address ` / Gj �I`Pri jV4, 2 305- ity/State p —�- oq Telephone umber Date Revised 611812012 to Received Date Ited Chock From Name Name o/P~tk"W Vend- Cheek Number —t Pamlt NumberACommand Rae t- ReNnd/Reellocated columnl cekmm2 cawmn3 cawmn4 Cw—a Cabemr6 Cekmetl C-1-8 cowmna 1/17/2020 1/17/2020 W e's Backhoe Service Inc. Sweetwater InvestmentsNVayneS First Bank BB&1 CresCom Bank CresCom Bank _ _ CresCom Bank 3362 $ 200.00 GP #74852D Tmac rcL 10876 Gtioe Construction Christopher Smollen 13512 $ 200.00 GP #74848D BB rd 8805 1/17/2020 Maritime Coastal Constriction LLC 1 of 2 Stephanie Bo 3064 $ 200.00 GP #74851D BB rct. 8802 1/172020 Marttime Coastal Construction LLC 2 of 2 Ste harts Bo 3056 $ 400.00 GP #74851D BB rct. 8802 1/17/2020 Maritime Coastal Construction LLC Glenmark Investments LLC 3063 S 200.00 GP #748490 BB rct. 8801