Loading...
HomeMy WebLinkAbout76429D - GurkinCAMA / ❑ DREDGE & FILL M 76429 A B I iENERAL PERMIT Previous permit # Vew ,[]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environmental Quality / 0, 12 b Q 3astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. r U rV6>n Project Location: County �_ P tJ iTuv'U�/er Name VAD.D� �L Street Address/ State Road/ Lot #(s) J'/ M t►1A ri State NLZI P� 9a I 2 (") (P 3 7 53 KE-Mail 10 k r 61 �)hegu ivis on W AgentS`:+ 1n S City IJV i f ►r�4 ✓-� ZIP a� 1 ❑ CWy (EWy P(pTA ❑ ES ❑ PTS Phone # ( River Basin ❑ &A ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body W w ❑ PWS:� W � Closest Maj. Wtr. Body Project/ Activity atform(s) d{�U Platform(s)+%� 2 3ulldozing xium: Na yes no yes no ell r Attached: yes no ding permit may be required by: ❑ See note on back regarding River Basin AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:z'rt Mailing Address: �� `i W t LKI N(,To�- Phone Number: ql9 - (q-3A - 5'M Email Address: tomtit n-e g� I certify that I have authorized Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: rG 43 �'�^- at my property ert located at in _N &, ounty. 1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management coaff, the ncal Permit nection evaluaCfficer and tinge"nformateonir agents to enter related to this on the aforementioned lands in permit application. Property Owner Information: I� Signature (�2'(yT V V4K 1C Print or Type Name 6" tjAx TiAn , Benjamin Mike Linville <mklinville@theamericansignshop.com> Monday, June 29, 2020 10:33 AM Brink, Benjamin A: [External] Brett Gurkin dock @1344 Hill Valley Walk eWbr open atiMents unless Mike Linville, owner of 1340 Hill Valley Walk. I have no objection to the docking facility at 1344 Hill Valley Wa I by Brett Gurkin. ee to contact me with any questions or concerns. ;s, _inville can Sign Shop 94-8807 rille(a-)-theamericansignshop.com CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner:C�✓nKi,✓ - Address of Property: brio W, �"�" �O'� Nc- (Lot or Street #, Street or oad, City & County) 1ti„ H "Oki Agent's Name #: Mailing Address: " Agent's phone #: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter. ilI have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. (Property Owner Information) 1 kkkr �"o� Signature �t T- � 4 AX I n/ Print or Type Name 1 Oyu IkI L L, U NV-N WAL11- (Ad' Pro Owner Information) , —k Signature n Print or Type Name /3oG 9, // 1 *,4-<v U rc Mailinq Address Mailing Address ► i � � � _� x Sim 1'C� �� � Y�LR„ ry .�.• ........... T.......1_ - Ll �..«g.�.---�----gyp � � PL • b .. -.. � � � � .. �.___