Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
74853D - Schepperley
CAMA / DREDGE & FILL No. 74853 A B c GENERAL PERMIT Previous permit # S�New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued �c 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 i1 p Q ❑ Rules attached. Applicant Name �//j r', Project Location: County ItIA) Address 19 0 � C �.c P'12 �� � t S C:T . City P i,— I E1 State N(_ ZIP Phone [ D 0 - _Mail Authorized Agent N Affected ❑ Cw QEW C3dTA ❑ ES ❑ PTS AEC(s): ❑ oEA ElHHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body C- 1 J ryl r '7 J U n1 D man /unkn) El PWS: / - 1 I> Rf rid l \ eennt or Applicant Print6d Name X Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Street Address/ State Road/ Lot #(s) Aw"0T4 Subdivision City N'( fj zip 2 �4( 0 Phone # ( -"�'�� River Basin (wy . f'L-'— Pe . Officer's Printed Name Signr-ly-luircK 1 .41,2(1) 5.�'2z-, Issuing Date Expiration Date %`aCE21 0 i l Ni�)t�!�=91 FMM',IT ,,ti�•��'f Name of Property Owner Requesting Permit: , Mailing Address: Phone Number: Email Address: ©_W r,Ws I certify that I have authorized Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all,CAMA permits necessary for the following proposed development:. r &;L1 at my property located at inCounty. I furthermore certify that 1 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 Print or Type Name Title /� I <V I Date This certification is valid through / ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to ::B�A� (Name o#'Prerty Owner) property located at?? ���_ 1' t� �'�'� '�'7 (c»✓ �� (Address, Lqt, Bloc , Road etc) on �� iJ�.� in RJ�7��i `�DlL��' N_C. (Waterbody) (City/Town and/or County) Th7nt 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) 0 0 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. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Signature P 'nt or Type Name Ia`TD �d� T phone tuber 17) 0�- - Q Date � �Vqv er LJw 21511111, .JJ. � alit • � � � 'J 1Umber Date (Revised 611812012) j 4 f �' . ...mw.0 .� � .. Y.p�,'*';.'.�_y.rrey ! Y'.r-"'��• " tG eJ'.i' tWAW"o OF oft *MW6%0 �yAlll°X 1"►A:! OW in a1wM:rIP00" WAIVER SECTIONair rain must to set back a r , ano that a pmr, dock moar�n9 pifir�gs,brea s unle sothvw4lved by " (tf you wish to WaWe minimum distance of i 5' from my area oat a nan ank Iceswelow i f," seta&. yot) must initial the app + i do wish +0 waive the 15, setback requirement i do not wish to waive the 15 seibc reauiret (fir ittiottnnl pIW or TVD& a ) f b4. - i7 m vita Ntwter Daft ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to t property located aty qj— 6zL P 41 A) 's (Address, LM11 ck, Ro�td etc.) "�� on 11J , in `�' As- A L �u � C'J� , N.C. (Waterbody) (City/Town and/or County) The app ' nt has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. 1 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) 0 0 O 0 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 Owner I Signature 9 poi:�i. i Date Print or Type Name 331-7 6966b 7,4, Ma' ing Address City��taate�Zip y1D - Co16t g00l Tel phqne Number 17-9 7W 20 Ddte (Revised 611W012) AGENT AUTHORIZATION FOR LAMA PERMIT APPLOCATION Name of Property Owner Requesting Permit: NA Mailing Address: Phone Number: Email Address: 6r��NIiBM certify that I have authorized b t Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all,CAMA permits necessary for the following proposed development:. at my property located at in dN County. I furthermore certify that l am a Division of Coastal !management on the aforementioned lands it permit application. Property Owner Information: Signature Print or Type Name ©w. kip Title l� I �? l/ Date I WAL ht ;rmission to 1 n gnts to enter dated to this This certification is valid through 1 I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby,certify that I own property adjacent to �` /�`� �� 's 1 (Na of P operty Owner) property located at ��.j/'�(p h��,U on 'I/t W (Address (Waterbody) - L� , in � i�1 -1 N.C. (City own 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 fill in description below or attach a site drawing) b b 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. 'ka"ropa y Owner Information) ✓ &C (AdMpent Property Owner information) rnnr or / MMEI me 199 W. . Addres ' T le ephone Number Date (Revised 611812012) Date Received Data Deposited Check From Name o7P—If Holder Vendor Check Number Check ount Permit Number/Comments Reeel t or Re7undRteelkeated ColUmnl Cohrmn2 c"-" Co/umM Cd-5 Column9 Column7 Column9 Column9 1/9/2020' _ 1/9/2020; Lighthouse Marine Construction Inc. _ Brian SchepWriey _ _ Coastal Bank and Trust BBBT - 3002 $ 200.00 GP #74853D GP 074842D - _ JD rct. 10931 H5 Construction LLC Tabglewood POA 2426 200.00 BB rcL 9470