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HomeMy WebLinkAbout76552D - Rose',CAMA / ❑ DREDGE & FILL � E�1IERAL PERMIT New ❑Modification El Complete Reissue N° 76552 A B Previous permit # ❑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 15A NCAC ❑ Rul attached. Name -Zog'�^ Project Location: County �-�i"� Y yr a� 13 Z� Street Address/ State Road/ Lot #(s) State NG'ZIP L Subdivisio :d Agent N {�l i^^ �- City 71 ' T ZIP ❑ CWW ETA ❑ ES ❑ PTS Phone # ( 7'"—^ er Basin ❑ OEA ❑ HHF /❑ IH ❑ URA ❑ N/A Adj. Wtr. Body ❑ PWS: ✓es //ho / PNA yes Project/ Activity k) lengt tform(s) I q Y 'latform(s/ =r(s) 3 x — " / Rip length distance she c distance oN annel is yards not sure yes Closest Maj. Wtr. Body V ° G r (Scale: 0 See note on back regarding River Basin yen RECEIVED J U N 15 2020 DCM WILMINGTON, NC AGENT AUTHOPJZATtON FOR R CAMAPFxBKIT 6PPI..j_C6MDI Name of Property Owner Requesting An,.,n i b 5-e- Mailing Address: Phone Number: WNT-IMMU"M i certify that t have authorized Agent t Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: i 4' x W Dock f rotITj, W7' x 6' at my property located at ec� 4 in —, Pe- n der 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: Signature Print or Type Name C) z�) n e- I- Title a r-) — . I hereby certify that I own property adjacent to I ame of Property Owner) property located at Ve- (Addreis, Lot, BI RoaTetcon ��,(,() in r, N.C. (W #bd)odY) (Cityrro and/or County) The applicant has described to me, as shown below, the development proposed at the above loca__ A� I have no objection to this proposal. v I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development mast Win desarfptlon below or attach a site drawing) 5e-e A+f nc he-� Dro cjt n9 I WAIYER 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.) hd1 'l I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. �v71)t y %lwner rnrormaaonl Sipnnture ., (A44"nt Property ownw formation) Signaled%* Print or Tye Nornp i CENT R P A Z&VNiER STATE—Tf-M-M certify that I own ppel ) Is property adjacent to I hereby Property Ow1W1 prop" located at (Address, Lot, Block, Rped in UV511 N.C. on (CftfTown an4r County' fWste,rbodYl The appficsrt ri8s described to me, as shown below, the deveicpment proposed at We above I have no objer.tiarl to this proposal. lave ojbje�;tiors to this proposal. DES:.'RIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT Ondividual proposing deveIOPfrilp-nt Irt'st fill In descrfphion below or aftach & Sitp- (fr3;V"r;g1 WAtV9RjKCTl(LN I understand t1 at a pier, dock, mooMa pilings, boat ramp, breakwatEr, boathouse. lift, or 9min musk " set back a minirr-im 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 bejjrN .) ;)i'� _-L1:,V- _Idowishtowaive the 15* setback requirement. I do rent wish to wai'Ve the 15' setback requirement. (Property Owner Jnfo"natlon) (AxQa� !property Owner InformtIon) i Ei 14 A r. Come e. IS � 4 Name orPe ft Holder Vendor I -.. -mount Pe ft larmlwr/C—t. ar RetunNRea9oceW . n3 Coh-4 Colomrra C01-11 Cdann7 CWomM Colomn9 same Ikr ; same Suntrust 6508 8987 $ 200.00 GP978506D JDrcL 10229 FCB $ 200.00 GP 178507D JD rut. 10230 _ Andy Darden C @sUl Bank and Trust _ _ _ 31131 5 800.00 GP f78508D JD rcL 10231 ---- - --- --_- _ Suzanne Whitmeyer - - Michael Yacopino came - Dawn Greer ---_-- Ann Rose Branch Banking and Trust 36773 $ 200.00 GP i78416D Ban reL 10440 FCB 1081 600.00 GP Y75815D Ban rd. 10447 UMS Bank 1221 $ 200.00 GP 076402D Ben rct 10448 FCB 2174 200.00 GP>178551D JOrd.10233 _ to k T P10235