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)
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ed Agent 3 i'A,leill City ZIP
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JUN 12 2020
-RECEIVED
JUIN 12 2V�
QCM WILMINGTON, N(,
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
s
Mailing Address:
-Al
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Phone Number: i 15 b -S a :3 i
Email Address: S' ,°yxr- -1 c"— D-J. CT z_, Lam.
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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