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