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76194D - Ferguson
�'� (P•}T.zUZU � r � [.� CAMA / ❑ DREDGE & FILL NO. 76194 A B iENERAL PERMIT Previous permit# N'jwv ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environmental Quality�^ oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �"� 00 _ ❑ Rules attached. Name R 4 e+ n Project Location: County o 3 bc-)f c, Street Address/ State Road/ Lot #(s) I CO 1,ca. l S( t Q t u( I^ State N C ZIP L P L Ck b C�` U f 0 ( Iv) 1 (�S S-2 d �E-Mail I) Ac jn P occ,, , Jc � (.,b,. Subdivision :d Agent �h "On City ca,� 1 e t C �zIP Z t t ❑ CW [AEW Cp PTA ❑ ES ❑ PTS Phone # ( ) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ,es //ham PNA yes /e9l Project/ Activity �� ,n � : "— O j n k) length T11 V tform(s) 'latform(s) /U)x Flo ar(s) gth fiber / Riprap length distance offshore : distance offshore innel is yards P e/ Boatlift Ildozing r I Adj. Wtr. Body CA l (natd Closest Maj. Wtr. Body A � W INNEW iiiii�iiC ......■■.......M.. s ................... . ■E■■EN■E■ENNE■EMEN (Scale: tJ i ❑ See note on back regarding River Basin 7 CAMA / ❑ DREDGE a FILL NO. 76194 GENERAL PERMIT Previous A e C l permit # OL— �New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued authorized by the State of North Carolina. Department of Environmental Quality i the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC plicant Name �t 3-t i/1+�✓' p Rules attached. en i . Project Location: County Q!U tip %0 t t �� dress�Street Address/ State Road/ Lot #(s) y 00CA*.:-i `t &A, AEA% State '�sC, ZIP L�fpR b UrD q one # CUR) -1 t'S SZ 0 _Mail -AJN Q W. is tAo. Subdivision LOM —�- thorized Agent f'� �OCity a IP wed ❑ Cw IPEW [ PTA ❑ ES ❑ PTS Phone # (_) River Basin J-u,,,beV C S : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A () ❑ PWS: Adj. Wtr. Body rat a ryy; yes /(9 PNA yes �� Closest Maj. Wtr. Body �� W Type of Project/ Activity Pier (dodo) wwth Htflu t FIX& Float Fft Groi Buds Bask Boas Boat Beat odw Shof SAV Mon Pha Wan (Scale.., i C Ll■■■■ ■■■. ■.■MINE■ ■�■■■■■■■■■M■■■■■1 ■■■■■ NONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1 �� ■■■■■■■ ■■■■■■■■■■■■■■■■■■■1 N ■■■■■■ ■.■■ .■■■■.■■■■■■■■■■■■1 ■■■■■�■■■■■■ ■�■ ■■■■■■■.■■■■■■■■■■1 ■■■■■.■■■■■■ .�_ ■....■■■■.■■■.■■■.■! ■■■■■■■■■■■■■■. ■■.■■■■.■■.■■■■■■■■■.1 ■■■■■■■■■■■■1■■" ■.■■■■■■■■■■■■.■■■■■■1 ■■■■■■■.■■■■ ■.� ■■■.■■.■■■■...■■■■■■.1 .■■.■■■■■■■■■■I1■I�■■■■■■■■■■■■..■■■.■■■1 ■■■■`rrl ■i`1 ENE ME� N■■.�■�uJ, ■f■ii■�■� ■■iM�i � l I , '■ ,• ■■■mom s MEN ■■�����■����� No ■1 MMMM■■M1SRI ■■■■■■■■■■■■■■■■■ ■■■■.■.■■1 No A building permit may be �uired by: (101., Sit _ &A-C, ❑ See note on back regarding River Basin riles. ( Note Local Plaming Jurisdiction) "(� t ` Notes/ Special Conditions � ;t,� )etr L...g -arcA A�4 ' )Ai "J. I _ !li o AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: I �Y• Mailing Address: �,� �'��� �cro Phone Number: _�( t7 — 7`Z Email Address: � 4A tom= n C k I c S 1'f' S cl-e.kt z c o� I certify that I have authorized �go ti'-r Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all C�A(MA permits J necessary for the following proposed development: c at my property located at in County. l 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: Signature ��j Print or Type Narhe ,jet — Title 0� 1 ©Oqq 13��a_n Mail - Brock, Brendan O - Outlook ro ert adjacent to F ` rJ s I hereby certify that I own P p y (Name f Pro prop" located at (Addres , Lot, Block, oa eft.) in 4 N.C. on -ei -- — (City/Town and/or County) (Waterbody) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. L� I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOP hE sNT ure drawing) (individual proposing development Must till in description below or attac • 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. (Propertv Owner Information' (Adjacent Property Owner k*Mation) i e l Signature* Ali O S �� C A i4 Print or r NaI�@ Print type ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -e U is (Name of PropoWene r. property located at (6 <'-O�g6tec S` 2 "l 2 (Address, Lot, Block oa etc. on � A", � , in �ce�.J1L- , N.C. (Waterbody) (CityfTown and/or County) The applicant has described to me, as shown below, the development proposed at the above .The i l 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 y - u wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property,Owner Information) f Print or Type Name (Adjacent Property owner i Tormauonj Signature Print or Type Name 7 CS Mailinrn Arlrlrnss _ I I - — ; i , -' H5 - - CONSTRUCTION PROJECT: 16 GOLDSBORO, OIB m W In W O 0 CANAL r N.— or Penult Notdor Ven" CMek Nwn6r wRwwt Permit Number/Comments R t - Relund/ReaBoceted YwwO C.1-4 CowRmB colwnM CO7 C01umn8 Cdumn9 _LC Fletcher Fer uson BUT Am Bulkheads LLC FM White Jr. _- Wells Fa o _ n of Brunswick Cow Jerry Hutton BUT ine LLC Leroy Offman First Bank lansley Michael Kuipers/Stan Hansley First Citizens Bank dractors LLC Charles Denton First Citizens Bank tractors LLC Will Bumette FCB _ _ e Construction Inc. Acott and Yuki Prescott Coastal Bank and Trust 2494 $ 200.00 GP #76194D $ 400.00 GP #75846D $ 200.00 GP #76522D $ 200.00 GP #76295D $ 200.00 GP #7 5503D $ 200.00 GP #76502D $ 200.00 GP #76501 D $200.00 GP #76296D BB ret. 10471 PA rct. 10759 23330 13859 _ BB rot._10472 JD rct. 10835 jJD rct. 10192 IJD rct. 10191 JD rct. 10190 Lin rot. 10838 1286 5824 8998 8999 3227