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HomeMy WebLinkAbout75843D - CampbellI CAMA DREDGE & FILL No. 75843 A B ;ENERAL PERMIT Previous permit # New --]Modification El Complete Reissue LIPartial 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 PIP. 2 COO (f 4'(�Ay_'- ules attached. t Name (fif i'pwl 'L Project Location: County Nott, - Street Address/ State Road/ Lot #(s) v � I Ot OtAl- State &L ZIP L00 A r-c,-' Subdivision ed Agent 3 i'A,leill City ZIP [I Cw El EW 0 PTA El ES EJ PTS — OEA El HHF El 1H El UBA El N/A El PWS: yes / no PNA yes / no Project/ Activity r Phone# (—) River Basin Adj. Wtr. Bod (nat ft Closest Maj. Wtr. Body 41 "1z s p 7,w r t (Scale: /\Jqc W igth IOU nber ■-S rm � 3%ZEE MAMMENESEENNEEN ipraplength distance offshore < distance offshore mnel mommommoommomon ic yards P MENNEN ;9�S) wffEIMMMMMNMMMMMI1 M ■ME I 11dozing IN M MMEMEMEMENEEN MESON 0 MENNESEEN Length not sure yes im: n/a yes 66 in yes• 0 El AM w M N EW MINOR PIZ AMMINIMEN mmoommmo■1-0%ANEEENNENN MO �� C ■■■ NINE MWT, M 74MOMEEN MENEM EMERIONEM■mimmmll:imummmmmm MM MENEM IWARD-4 MOON= IMENIMMIMMEME ttached: yes MINE MEN EMO=mmmmmmm= MEN■m til 8 g permit may be required by: -Tow,, cz . El See note on back regarding River Basin ru .ocal Planning jurisdiction) V _ /Z "-'*. AC-Ct-jVW 7- JUN 12 2020 -RECEIVED JUIN 12 2V� QCM WILMINGTON, N(, :-") 'X4O J I i a Am AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: s Mailing Address: -Al (C Phone Number: i 15 b -S a :3 i Email Address: S' ,°yxr- -1 c"— D-J. CT z_, Lam. --c I certify that I have authorized .T J Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development:ti-, ;� t-.; �� caa>,;5� v .0 at m roe located at c� !•K= c� ` Y property rtY 1�-a /1 �� u) f.�,�� v in _ County. l furthermore certify that l 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: T --Sign&br6- j Print or Type Arne RECEIVED C> 1�?.; Title J U N 12 2GO ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to u �' I ( e of Property Owner) property located at / S J / e M� �� �� -.3 c . _ (Address, Lot, Bloch, Road, etc.) on. 5clNs e`� ,a in I f L N.C. (Waterbo y) ( ety/Town andlor County) The appant has described to me, as shown below, the development proposed at the above location / I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development .rust fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa 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. (Property Owner Information) (Adjacent Property Owner Information) Sign#re Sig re Print or Type N me IMA Name �-V �,��;<�WS��;�le WU i~r t � her'eby �y that I own property adjsoent to 5 t � Property C>"wMt) grope y IOGOW at 1 5 U j jt I r rti ti . a (Address, loot. Block. Road. aft.) on (tiMsrerlber}.���__ inr l 1` G N.C. (Chynown aadrot County) rhe applicant has described to me, as shown below, the development propasW at the above location. I have no objection to this proposal. I have objections to thus proposal - DESCRIPTION ANDiOR DRAW NG OF PROPC 4ED DEVELOPMENT nntlividual proposing devekynne tt iatst M in deacripffor below or tdtaeh a sibt c1rawirg) RECEIVED JUN 1 ?tt�;, QCM Wli_tANGTON, NC WAIVER SECTION 1 understand that a pier, dock, mooring pilings, breakwater, eamcu-se, trit, or gran must be set back a minimum distance of 15' from my area of riparian access un+ess v►aived 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 1 do not wish to waive the IS setback requireme�_ 3 � c• - a 0 PJ � �= � � (property Owner Information) 111Z jacent Pope r info lion) � ellle Noma of PW ft Notdor V.W- Chock Number Check amount Permit N..b r/Comments arm n3 Columnl cokgwo Co/umn6 Co1umn7 Co/umn6 CMrmni Moore Ronnie and Sharon Matthews same BUT State Employees CU Branch Banking and Trust SunTrust Wells Fargo Wells Faroo, 91 $ 400.00 GP #76430D 4294 $ 200.00 GP #76212D 3141 $ 200.00 GP #75844D 1268 $ 200.00 'GP #78163D 23401 $ 200.00 GP 075843D 234001$ 200.00 GP #76425D Ben rct. 10283 PA rcL 10786 Will Thornton PA rcL 10772 lulkheads LLC lulkheads LLC same PA rct. 10768 G Campbell _ _ PA rct. 10771 Richard SBft PA rct. 10770