HomeMy WebLinkAbout76501D - Burnette8, FILL
;AMA / , PERMIT
N° 76501
U
Previous permit #
EIVERA ❑Partial Reissue Date previous permit issued
Jew []Modification ❑ Complete Reissue
Department ted by the State of North Carolina,ent of Environmental Quality - 0Rul attached
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC r�
d� ���� Project Location: County
Name L
�Street Address/ Site Road. pt #(s)
� 04�
C/ Q..
State_ ZIP Z_b
Subdivision
O, A a._ yI-Mail City I( ZIP
L � p. �
ed Agent River Basin 0
ro�pr ,OES ❑PTS Phone #
❑CW SEW `�;�
❑ OEA ❑ HHF ElIH
[IURA ❑ N/A Adj. Wtr. Body
pyyg;Closest Mai. Wtr. Body
yes /'no PNA yes V
Ica �
_� �f Project/ Activity �(Scale-:��
lock) length�T
n
Platform(s)
ng Platform(s)
r pier(s)
,length
iead/ Xtiprap length_
avg disince offshore
max disc ce offshore
i, channel
cubic yards
t ramp
thouse/ Boatlift
►ch Bu (dozing_
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_■ ■■ ■■■i■C�� ■.
J'GENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
tJ c-- I *&-It'1, -
Phone Number:,
Email Address:
I certify that I have authorized 'l-&'i r le;,kt it ZI-Il /l W1171--, r f
(j Age t / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
New P(Vq4F'/V\—
at my property located at / f / hcl4 K
in i?eIVV f 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.
Prop eidy caner Inf rmatio :,'
Signature
Print or Type Name
JAA
- /' l-
Title
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent toLt,L✓,Q-t"i `4-)--lJ��'�
(Name of Property Owner)
property located at r.Wfi A&
(Lot, Block, Road, etc.) -
on in cl e-PC-U / , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: gto 5 7 gc,5 s Mailing Address: Z Cf
�Z
He has described to me, as shown below, the development lie is proposing at that location, and, I
have no objections to his proposal. I understand that a pies/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
(Riparian Property Owner Information)
1
S nature
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1!!7U4 ''i 12, '&'Welff's
(Name of Property Owner)
property located at 0- 904,1/t 1tllk�
(Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: q l0 30 Zt`� Mailing Address: qz G7�
-T
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
II do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-------------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Signature
ailing Ad re s r� � ., g
F w`
15e
are^
fI.............
C 3f
x
i
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n
Name of Forme Holder
Vwww
Check Number
Check
amount
Permit N—bwlCom—ta
Receipt or RNund/RwlMcat
0n9
Colu-4
COMMA
Cok 0
Cok-7
Columns
Column9
C
rs Bulkheads LLC
Fletcher Ferguson
I FM White Jr. _
Jerry Hutton
I Leroy Otfman
Michael Kui rs/Stan Hansie
BUT
2494
$ 200.00
GP #76194D
BB rat. 10471 _
PA rat 10759
Wells Fargo
23330
$ 400.00
GP 975846D
of Brunswick Cout
BB&T
13859
$ 200.00
GP #76522D
BB rct. 10472
e LLC_
nsley
First Bank
1286
$ 200.00
GP #76295D
JD r t. 10835
First Citizens Bank
5824
$ 200.00
GP #76503D
JD rct. 10192
actors LLC Charles Denton Finn Citizens Bank
8998
$ 200.00
GP #76502D
JD rat. 10191
actors LLC Will Burnette FCB
8999
$ 200.00
GP #76501D
JD rot 10190
Construction Inc. Acott and Yuki Prescott I Coastal Bank and Trust
3227
$200.00
GP #76296D
JD rct. 10838