Loading...
HomeMy WebLinkAbout76104D - Jordan (2)4 GA iA / ❑DREDGE &FILL ((�� O. 161 LI �CL PERMIT 33`�.26 Previous permit# A B C Newgod�ifi� �n ❑ to Reissue El Partial Reissue Date previous permit issued As authorized by the State of rttabro► Uepartment of Environmental Quality and the Coastal Resources Co mission in an area of environmental concern pursuant to Applicant Name V o- � 0.1 Address 1i UL City �'�. t .� State ZIP2 9 S3( I SA NCAC O A -1 z U o ❑ Rules attac!he,d'.. Project Location: County�n V�-- Street Address/ State Road/ Lot #(s) Phone # ) 2 (� `�31 S E-Mail ♦c, a Subdivision Authorized Agent p,n City a (S ac ZIP Affected ❑ CW A EW O&TA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ORW: yes / rt6 PNA yes Phone # ( ) River Basin f Adj. Wtr. Body C O%M , (nat unkn) Closest Maj. Wtr. Body - OW-4 pe of Project/ Activity A �. ,■►��7 ;�a►',��w!:+'� ■■■■■■■■■■■■■■Cf c:�irii��7[I:�fil1111A■■■■ M. ■■■■■■■■■■ I■■■ f ■■■� ■■ �■ ■■■� ■■■■■■■■■■■■■■■■■ ■ ■�■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 11RIWWWOM •■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ME ■■■ MOrTT V-3II'Y Agent or Applicant Print d3R ee Signature ** Please read compliance statement on back of permit* 4 260 * 2 Application e(s) Check# J Permit r s ' ted (Name Signature 'L42-4 2� Le26 Issuing ate Exp tion ate AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Perms Mailing Address: t.��'t0 tiela'� � O�► C�C7►Y\ Phone Number: �c 3 - of CQ `'t - %A- � X ffj .- Email Address: 4c12 1 cQv,4�1'5-V- _ 4-3 1 certify that I have authorized VA S Q4-,�- Agent / Contraclor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development -T�k-'S at my property located at `j-' - inCounty. I furthermore certify that I am authorized to gram 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 (� r—�C.i+�. h Print or Type Name O�rQ.r Title 4�6 /-a" � Date This certification is valid through 1 I Das waif bybelow.4 a F . Y' ' .rR .,s�`"'=w' "`°^^,"�`�'r �,Gl�i3 �.4i ;�dr1i'�f' ' i'�� ���'•S �'a�'�'�'�7��'�.-'A.�3. ,ar a om �'•�.`3�'�^dt� Via, _ r`3�t. t� ; '+,.t � t`� ;x, - r?ra�araiter•B 21 nr tArc� mat■x; ?f 0 ShR'ff key GEna�y b! f svrn fV! adder k J '� G 11s.. (game of PrOPMY Owro) 4 C+ri�G� t�tKFf.�S'J� liC.� A , Bd.Ci. Grt r .. _.SF�+':� � ._F 3'r �:J ®.svti�a.w►�R w�"`it r A2ve nri�.%F�r�r'�!o*dvs �� f Rase a6yes�asss rs fiYa �'t�=�i. y�jtS?TiE1Z34M£800[ipRA;kUlDiGOFPIROP,--S t3.'"£VSLQPVEVT €,rG +f��TiSST:; L44'L: vJt& 't— imlbw Grj&aMa SA?dtY : } MdlM S—E—CIPk 6 x�r2e>?3nd a pmr, dock mnc r._- plua . t awe , r � er. imp tc 3 be- set a-.t'h a mAr:.,n car!s---e m .ama me- i�rJ ,y u�Vi3h to 47ahm ;hx SG wSd }2"3 mus* What %he di,"r V •s* t-m41k bores t do wish to WaWe Mee 4S se-hacic 'aq%WaW,-4 i t c lnfee (^4Vw pmp" Owner 60NOwtM) S_ rX2• 1 • T T fi(.fi �a l VLew fir-• -:;:_-oe ate, 2Dt+) ,r �AN13 =H5amommom CONSTRUCTION a W a N Z g W J LA Defe Received Defe Do Check From Nunn Name d Prmk Molder Vend- Check Number Check emounf P.imh NumOw/Comments Raca for R✓—&RwllocafW Column! Coumn3 Column3 COI-41 Columns Column! Column? Column➢ Column➢ 3/26/2020 H5 Construction, LLC Thomas Jordan BB&T 2486 $ 200.00 GP #76104D BB_ rct. 10851 3/26/2020 Ralph & Colleen Graham (1 of 3) same Wachovia 1205 $ 200.00 GP #75801D BB rct 10923 3/26/2020 Ralph & Colleen Graham (2 of 3) same Wachovia 1204 $ 200.00 GP #75801D BB rct 10923 3/26/2020 Ralph & Colleen Graham (3 of 3) same Wachovia 1207 I S 200.00 GP #75801 D BB rct. 10923 3/26/2020 Oceanside Management LLC same First Bank 31081$ 200.00 GP #76276D BB rct 16925 MH5= AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: \ D Cp 1 ,, l "c 1 Q Phone Number: Email Address: l ow, , �- <- b t )14 3 - Q ( 9Gl - l--i- a 1 ::S At C) — --X v. —, Q, V,1 e certify that I have authorized C—\ -s �ur �r�, S ��� , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAAM(A� permits necessary for the following proposed development: a at my property located at -2�> in ram, County. 1 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: Titre Date This certification is valid through ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to I-Aarn,cs ,fie ►' °- % s (Name of Property Owner) property located at 3 ���� S>��� (Address, Lot, Block, Road, etc.) on , in OGe.zK -:r-se &e-t . N-C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. V 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, boat ramp, 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 Information) (Adjacent Property Owner Information) Si na 9L, v 91� �2 a wu 1 7Prn�in Nameke in Address Ma' ing Address City tate/Zip C! /Sta e/Zi — Telephone Number/email address �- Telephone Number email address —T(O V Dine er. i a oC.- a (Revised Aug. 2014) 'Valid for one calendar year after signature' I i ,1 1.y} M� ; } .:: >,, ?.,� \r s\ U.: ; ! rye : +. t 1 i : u1, v)� <l.. Y.4:, S i7 \} 11Y,: � t e .,'• .o t" ,1 F'4 \FS it tt �` r1 �. t :.,.: \\ � ..;�,,�:..,Y �G � ,_.5 t 5 r`u�. �'� fb•�iAI �y�5t�3.t w° ., ,J±.r• °!1 j j i. t �, >l; :fix .n'1�t,.. .y1 �:r rY,•` `+I; a}Y'\+ , ..,. ,.... .. `; ..:.. .�.,...,... ., �•,.i .. Un'Sk x4 h (.3 �, -., y. v� u t•. .......A i�3v�9;�.,,t !: .. :•:. ,,;:. .;!.. M. ,,.. .: �.. .:, :... .:.y -'" 1 -'-. a -, d.:4rwx, �.,. � F-,a,3• � \t Pik`.. .l;iK t ri rt; .: i t ...,. ,. �',' .... .. .. a ., . •. ..:. i \Vi;. , �s. .,. r. w.Yh .. .,. .w:�. $'--ww � t his �F� "yKke ...:. .,., : - ,,.. ,.. ;.:. k .. A ,. .. , � �? e n 't ;. �,..y. .. /l.: .: \'rr •i ,,'dc. ^n. a v. � r , r. , .. ,r •. ., :- ... ,i. ,.: >.� ... . �,. _,.., ., � \,.,� s .f'�. f� �. , ., .. a l.a.. 31. „1}} .. �: .,.�h• ,r .. .. .... . ... .. s. .. ,,- , .a,.. .F I .., ,,.. ', -t.. #�. ., t.. ,.. �..:, ty .: �,•:%,J� � k �y ,\. \. p. 5�` „•+•d1, �C, ,,n• ... ._r. r _r a .+F r-,..d -la ...f r::+ .d'1�� .rY. t. •'s.e. t •,+bra S1,..1- ,,, .:.'!:.' �_..,.. ,'..v,. -,.. ..c .'.: ,�M "n.'d���g�7 :� , ••l. ��., nfr.uk �'r - b.1. ��:.. f.1 c S .PS"; , i l yy t a ....x.. �,":. :'....,. A: h. .. '. 4,yn J !t•� dr. .*\... �F. :.\� �[ k �' 1 t. . b•)< :;::•. .,.7, ,, .. ,:. .,• ,. r .�. ,..;.: ,.g< 3 t S�v��F\�41h r i§}k`iP.j�. r.lo- \.���ti,tC I ���1� �+3�.4:. u t�F 1tYr.11 r> f`,.:•� A�: :\S'.3,.. tin. k t 4 rr t .. M ge, a .34 t Ktt a II re, e a( 8 i+ S'• • b ,l i fl �a t ht ea �.:rY Ir >, t �# J ;�.. 1 t+r t• . t} } e .� - 1 �- ( I,t } r g1( r+.reCF is r I d \( \ fr t 4 1 1� 4\41 s t, a. �I iwn tda\„Y} Q V: ', � ,$� d,� }.ls ��,. l.\ '��t�•,l�t.�. ,� ; 2\i' ��yl� c ii�� .>;;�.'1 "'An �r N ML} t�,�:j, C4'�rj ', t 5:`'sgi ,s;zfi i•. -,':` „: .d r`:;i. i n „ ej;:,. :akitti�..I t.,.i1j;,; r r uq, 1 F t *• i Y:ylrt '1.9., ,.'q. t.. \1�44YY.:t..I�, MI: 'A,;�'i'rFl .,r .. , I.-...: •>...;. , E.,,,r „,, ;. ,..I ,3 S 1, 3}ra AP`rl,•(�.•s•,A.��i'1 r�1�1�2�, i1 , �2ij.511� l � j.1 1 I�, t { "� It : it i ) 1-�s'� t Ir rl I t�� )p',v} �Srt)t.iryti ki ':t u i i1 •.. ... �� ., � .1 � , : �i t ti^� 4'��r �� i37�� �tr � an��t��r�' ,,t{ 3�}'� 1'�T��i, �, � � - ,.: .:':.; :, � . ,,. :,•:' .-• . , `:':`'.. ':;'S ... ;;� ,. :.�;; ;"� y , .�. @ tjt4i}11(���1 �:{ S)I, If )�iR ilnj li;,S�ii �i�`4di� 'r.:��'��6��� ��11 dr + !bli:.'.1,�. —. — t. ,_,�: 1, _ _ )°._I tir',). ,, i ,..,"� ., _.... I ,�1 •.,, ��_. ,a .r,t.i�NA�.S,'h(I!^.,�a.,}vu��,lYfsi:�:��..d'NfnSS^e�,-��?.55�1���59)�ui��44�.. iA`t�31J4..,�il:Ilf�r�JP'P�4 '4 � 'isnr t ,I, �4• - I 7 I I, ! II, i� 4,1 , t+ .'' � j: � t y 1�Ytil, t i NNN111���, t n A`tjFt ..LL't � 'N'qi t, C 1,}��t7PG �.y t'•S t s .t I It ,Em.yYa >, ssF,; ry t •,,..,: '� � ,. ��i j{�'lr} uPh��ft..Y a 7 f ���� Ter { t �i t �vY (ee ! y a J " !! fk t .. .. L n :. •, , 3. t Y(tt�y;, day ' ?e•• ,vo 4r,,,., r • ! v': „ ;,� .:d ....l,a, ;.c:.-t21t4jt�� v A��..t �1LSs i , t y •� I'<?1e s „t ,,q i I. r �.,r n.;���n.t „'Sve, it ;::,i.i t � e +I+ , 4`t t ,i � 1 �r t i`} Ili, `, S tt t >tl 1t1 t7).• ' Pitts! ���lii (� �� C +" ;��sst �,x�l}9e�Y�rt �.h a 'sat tlt�t�i'•?�P���s4� � ? f�� i��,P lj�l��� �I'�h ;z(i � s �� '����'��t�t�t t4��t� ?�,� tt ��l(��k��� �•Y ,o .,., t. - 1 t, .. -l. .i., �. n 5 �: 'tTn ( - 11 ��f}N.�tnm , A A t AY4u P • on E: i