HomeMy WebLinkAbout74883D - Edwards'CAMA / El DREDGE & FILL
GENERAL PERMIT
I�ew Modification ❑Complete Reissue El Partial Reissue
No. 74883 A B C
Previous permit #
Date previous permit issued
As authorized 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 V-1
_ ❑ Rules attached.
Applicant Name � Ut N � Own D S Project Location: Countywt-�
Address b Street Address/ State Road/ Lot #(s)
City QSWState pL ZIP ZZ43
Phone # �) �Q `� '2S'o E-Mail `� v" a s C Subdivisio
Authorized Agent N f -k- � 'Cc City f ZIP Z�
❑ Cw *TA S ❑ PTS Phone # ( ) Al M River Basin
AEC s Affected ❑ El j. Wtr. BodyDkOEA HHF IH 0 USA N/A Adj. VT - N an unkn
❑ Pws: M
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Closest Maj. Wtr. Body �OrS IL �7�O�Jp
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n6or Applicant Printed Name
I
a%
Signatu Please read compliance statement on back of permit
t
Application Fee(s) Check #
W��
Printed Name
/0 - Z d 6—/6- 20
Issuing Date Expiration Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Cz�'? f2sJ'S I
Name of Property Owner)
property located ate..\5 �,`�,��VZ`-{ QJ�ry� '�1J�/i•D
(Address, Lot, Block, oad, etc.)
on C�tJ�� in , N.C.
(Waterbody) ity/Town and/or County)
The applicant 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 ft11 in description below or attach a site drawing)
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 Ow formation) (Adjacent Property Owner Information)
Signature igna(ure
JxYaS
Print or Type Nam Print or Typ Name
Mailing Address ailing Address
�`S M
city/state/zip City/S ate/Zip
Tetepho e Nu ber Telephone Number
Date Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to NP\-�E� C� s
Name of Property Owner)
property located atL9A--5 \A QJ�,r x
(Address, Lot, Block, Road, etc.)
o n CJ,-.tJv-A k- i n N C.
(Waterbody)(City/Town and/or County)
The appl ant 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)
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 setbacif, you must initial the appropriate blank below.)
\"� 1 do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Property Ow formation) operty Owner Information)
Signature Sign re
Print ors
Nam ` Print or Typ !Name
Mailing Address Marling Address
!lf
Crt lst te/Z1p CitylStat lZip
L9 QA.\`2 910 / -7 - !�YfJ�
Telephone Nu ber Telephorif NtPber
-� -- v z-
Date Date
(Revised 611812012)
Dab ROCOmd
Dab Dsoosiftd
Check Foam
Name of Permit Holds
Vendor
Check Number
Cheri
amount
Permh Numbs/Commenb
Roca! t or Rarend/R—li—fed
Cobmml
C.%-2
Column3
C.1-4
Columns
Caamne
Column?
CN-8
C 1-9
2/10/2020
Allen G Edwards
Allen Edwards
First Ci6_ze_ ns Bank
1008
$ 400.00 _
GP #74883D _ _ :': JD rct. 10958
GP #74880D _ 'JD rct. 10959
GP.74868D TMc rct. 9756
2/10/2020
_ _
CSOG Ventures LLC
Ray and Marina McDonald
BBBT
119
S 200.00
2/10/2020
F and S Marine Contractors Inc.
Maggie Aardema
PNC Bank
$395
200..