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HomeMy WebLinkAboutOgden, TimXCAMA / ❑ DREDGE & FILL GENERAL PERMIT NNew ❑Modification ❑Complete Reissue ❑Partial Reissue N9 78935 A Previous permit # Date previous permit issued B -t D As authorized by the State of North Carolina, Department of Environmental Quality jj/ _- / / and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' [7es attached. Applicant Name i i) Project Location: County G'1.i Address City . '� State N ( ZIP Phone # E-Mail i Authorized Agent Affected El CW _ O EW ,[ PTA ,JtJES ElPTS : �OEA ❑HHF ❑IH ❑UBA ❑WA AEC(s ❑ PWS: ORW: yes / no PNA yes / no' Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body V >t "l ic) (nat (mail /unkn) Closest Maj. Wtr. Body/ ■■■ m■■■■■■■■■■■NEM= A■■■■■■■■. ■■■ ■■■ A■■ ■■■■■■l ■ ■■■■ ■ :::IMEEIEEE: ■■■ ■� ■■■ ■. ■■■■■��■■■A :::: S� ■::::0 :::agro:: ■■■■■■■ ■■■�■■■.s .■.. 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Agent or Applicant Printed Name Sigtur e e"Please read compliance statement on back of permit" l Application Fee(s) Check # Permit Officer's Printed Name /t i�rl l ,✓ / / � I Signal Yre / issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: I rn 04&11 V., Mailing Address: _J ' Imf'1yi (AA) Dme, Phone Number: Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CA�MA permits I necessary for the following proposed development: u 116 V zoJrLpLx men,f- at my property located at gqq ri Ili.( ICE ylo'k) in OrADW County. l furthermore certify that l 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 Tiittl�le//-,� Date This certification is valid through af Noto scale'K f A')pr-)" 7b 71 I GtItnn V,OItfi 14in� /3U 3 a V Tracking Number: 70190700000234672295 Your item was delivered to an individual at the address at 3:21 pin on February 27, 2020 in SNEADS FERRY, NC 28460. Text & Email Updates Tracking History Status OV Delivered February 27, 2020 at 3:21 pm Delivered, Left with Individual SNEADS FERRY, NC 28460 Get Updates \/ February 27, 2020, 3.21 pm Delivered, Left with Individual SNEADS FERRY, NC 28460 Your item was delivered to an individual at the address at 3:21 pm on February 27, 2020 in SNEADS FERRY, NC 28460. o- N �# M1 ..0 Certifed Mail Fee 3. $ m MaServmes TVsBsf h«k6p ❑FeNm flecelpt p�ekcppy) nJ ❑ Rdum flecelpt (eledmnlc) O ❑ O.WW Melt NeeMdetl NINM � ❑Ftlult 8lgndure flequired o rreawi.API M1 tage and rfr10M[r p . No.,�PO ffCr- POVCrtu Postmark Here 02/25/2020 Tracking Number: 70190700000234671021 Status Your item was delivered at 4:12 pm on March 9, 2020 in OV Delivered JACKSONVILLE, NC 28540. March 9.2020 at 4:12 prn Delivered JACKSONVILLE, NC 28540 Get Updates Text & Email Updates Tracking History March 9, 2020, 4:12 pm Delivered JACKSONVILLE, NC 28540 Your item was delivered at 4:12 pm on March 9. 2020 in JACKSONVILLE, NC 28540. February 27, 2020, 9:42 am Available for Pickup JACKSONVILLE, INC 28541 illostal Service'" to CERTIFIED RECEIPT Domestic ru li Fee $3.55 0460 S c 7[]AduftSf9n.W.Reqvl� 7 s& Feesrcna4: bar, edd tee $r�' ate) M celpt(aaaj.,) $ N ipt(elaat.nlc) $� li 0 Postmark Q all fleslndetl DelNery $ trl_hrl Hare Oature RequlreJ $ $000 ❑ Adult$19aals. Reatrlcao Delivery $ p Postage o n- $02/25/2020 Total Postage a EFf $ p- p Sent Top �' %-L .......................................... SiieeianQlt(ajar io-ox M1 o,qC.'"[ P-(�_ Ali Fl I RECEIVED CERTIFIED MAIL • RETURN RECEIPT REQUESTED MAR 18 2020 DIVISION OF COASTAL MANAGEMENT DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: -Address of Property: I I 11�� �i� \Xy �� (� �> ��� � '� l_ � \� Y)5J (Lot or Street #, Street or Road, City & County) Agent's Name #: Vb � bec Mailing Address: (,'?`7 V a Y 11 o (,xbi _ }l Agent's phone #: � (J) — 755dt2 r`' H�� au �`t�d_ro 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. A description or drawino with dimensions must be provided with this letter. 4— 1 have no objections to this proposal. 1 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. Contact information for DCM offices is available at httn•//www.nccoastaimanagement.net/web/cm/staff-listing 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.) 14. 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Informati�) Signature 1 R n-) 0�xl ,,n Print or Type Name 2911 LnM \i I Pew DY Mailing Address t City/State2ip Telephone Number/Email Address Date (Riparian Property Owner Information) b 1YX/AAhI'Y� �dt, / Signature v Print or Type Name MIX q 1 Mailing Address 30&w lu W M41, oo�� City/State/Zip aPJ10 q(2s 4IANQsJ.enhhic l Telephone Number/E/nail Addrdss 3M%o Dat (Revised Aug. 2014)