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HomeMy WebLinkAbout76104D - JordanCAMA / DREDGE & FILL NO. 76104 A B C 64bENERAL PERMIT Previous permit # New Modification ❑Complete Reissue []Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality I and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC o� K • 1 Z U o \ \ A ❑ Rules attachh� Applicant Name C,,� 4 t J o- ci o-1 Project Location: County 1 ' "1r" v— Address A au Street Address/ State Road/ Lot #(s) b ` xZIP'Z S City ��, � G � � State 3 _._ �o �� ,c.�G`14 Phone # (h) Z (,,l E-Mail r r<< F Subdivision 4� ( jt .�c Authorized Agent �� 0sn' City C. cZIP' S Affected ❑ CW A EW X'PTA ❑ ES ❑ PTS Phone # ( ) River Basin 1 t r• AEC(s): ❑ OEA ❑ HHF ❑ lH ❑ USA ❑ N/A Adj. Wtr. Body G c (nat trnkn) ❑ PWS: ORW: yes /�� PNA yes /� Closest Maj. Wtr. Body Type of Project/ Activity -.)� k\ Y1i� \A (J v Fixes Float Finge Groi Bulkl Basir Boat Boat Sea< Othi Shor SAV Mor Phot Wai, (Scale: 0 T_ ) N■■E■■■■■■ENE■■■■■E■■■E■■■■E�■■■i■■ ■►\iEwE■■■■■■■■■■■■■■■i■N■■■■■■■■■■ NONE ■■ ■ �� �:►�EE■E■ENEENNE■NEE■■■■■■■ENE■■E■■■ IN MEMNON MMMMMM ■■E■■E■■EENNE■■���■■■■■■■■NEED■■NEE■■ ■EEE■EEN■■E■NNE■NNNN■E■NEE■■■■■■E■■E■ NNIMEMOMMEMEMEE ■■E■■E■ ■■■■E■E■E■■E■ ■■■■■■■■MNEE■■■!1■M■■■■■■■■■NEE■■■■■■ ,channell ■NEE■e■■■■■■E■ um n , E■■■■E■■E■■N■ ■■■■■■■■■■■■■n\4 �:,, 4:;; ,(fT ��*;�� Q'T �■■■■■■■■■■■ ■NEONNEE■NE■■Nr�-�����►; ����■�i:�Nww■■EEE cubic yards ramp ■NEE■■■■■■NEE NOON ■■I■ I WEi IN■ MONSOON ■■ENE■ ..■..■■I ■. IIMMM1Ii OEM ■.. ■ ■. �. ■EN N■■■NEE■ .NONE■■ ■■ I■®■■■.■■■■■■.■■■■■■ ■E00 MEN ■OMEMO E■■E■■1101 NEEMENNEOmomoI■mom iiii■■■■■iii iii"iiiii'■■■■'■i■' MEMO M■■■■iJine Length ■EME ■ N■ ■ ■■■ ■�■■■EY■N N■EE■ ■■■NIiN■ not sure yes COME 0 111111 IN as: yes ■E■■■■■ EN■■■E■■■■■■■E■■ ■ ■ENE■ '­'x2_ M ` A building permit maybe required by: ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) t Notes/ Special Conditions_, 1 . `,� -1�� .�� na� C'r` ��Ua� �" �d U ( n-'r. a- U." MATT N Agent �ApplicantPrintllie�"� Signature "Please read compliance statement on back of permit" I _Uo T_ * 2 b Application e(s) Check # ' Ia+ /d Permit r s ted (dame �'_ `1�2 . Signature 212 2eZ4 2' ZAL0 Issuing ate Exp tion ate AGENT AUTHORIZATION FOR CAiMlA PERMIT APPLICATION Name of Property Owner Requesting Fermi Mailing Address: Phone Number: I �43 - <QtQ�t - yk� Email Address: 41121 CQa •. Q 'Y--, r-c,k 9 o-�—�i'c�L_ 4-3 1 certify that I have authorized VA S IC,L> o r 1- C- , Agent / Contraclor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 7Y-AA-.s t-Z1 � b o c4 44 at my property located at .11 1..� lam►.. -�.- in u ..ativ� e 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: Sign ure (� Print or Type Name C> L4--> re.-- Tttl@ Date This certification is valid through I I v C 7 C T C� ti I) -at 1 0,4m prop" adj4iltrl oi f9aaw of Prowy Owner) imock Raw% aoftt C--%l pmwosaL OP4ffcwm lo pzpma DESCpMMM AWWm mAVANG OF PROPOSM DEVELO"A"T boAmw oriarch a SJL, tw.#A*w Ta=. a PW ft"k -y"-s P*%b a oulawn of area zf -avian W--RSS you %ish;o WaIverto wwy� Y-3.s musk x dDwish %owa&mjhe IW me-,',%ckmqmkw4@F4 ) donot uiMbWSWO ItZ 16 SCIVaMTJW-rAW* ------ cvwr V lAdLMMWA %ftn"a6m) -k-1 Ar- ti L AN 13 .� H5 ._ CONSTRUCTION Data RocrJ—d Ddo Deposhad CMCk Ram Nano Nkmo d P—It HWd. V�ndw CMCk N"bw CMek [✓mount Ponnit N—bWcommon6 Rac Apt -R f ndMrllocktad Col —I Cn1umn2 Column3 Column) Columns Colwnn9 COI m 7 Cokunn9 COWmn9 3/26/2020 H5 Construction, LLC Thomas Jordan BUT 2486 $ 200.00 GP #76104D BB rct. 10861 3/26/2020 Ralph & Colleen Graham (1 of 3) same Wachovia 1205 $ 200.00 GP #75801 D BB rct. 10923 3/26/2020 Ralph & Colleen Graham (2 of 3) same Wachovia 1204 $ 200.00 GP #75801 D B_B rct. 10923 3/26/2020 Ralph & Colleen Graham (3 of 3) same Wachovia 1207 $ 200.00 GP #75801 D BB rot. 10923 3/26/2020 Oceanside Management LLC same First Bank 31081 $ 200.00 GP #76276D I BB rct. 10925