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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_ her w _■ ■■ ■■■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 � d 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