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HomeMy WebLinkAbout76545D - Mowery,CAMA / ❑ DREDGE & FILL N9 76545 A B GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environmental Quality —Hq oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ es attached. Name A J' ) S A e. s Project Location: County i t L n Street Address/ State Road/ Lot #(s)— State r ZIP (�) .2 y S '41-1 S }E-Mail Q�, S 2&j Subdivision 19 ;d Agent , "11 f c S City nc" c— e c•l � ZIP Z V6 ❑ CW rU4WW iz'PTA ❑ ES ❑ PTS Phone # ( ) River Basin L 1, 1 I--]OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ElPWS: (es /(ao,= PNA yes / Adj. Wtr. Bod(nn Closest Maj. Wtr. Body A Project/ Activity //" Ii c 4 /te �, A' , c k I ^ <, _ C� c ( t igth fiber / Riprap length_ distance offshore- ( distance offshore annel is yards p e/ ift / Z Y 12 Length J 61 not sure yes im: n/a yes ®....—t. yes ttached: "_V (Scale: A/ T �60I I I I I I I I I U I t I I' g permit may be fequired by: .ocal Planning Jurisdictionj _ ❑ See note on back regarding River Basin AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mowery Mailing Address: Phone Number: Email Address: 4903 Robdot Dr. Oak Ridge Nc. 27310 336-215-7957 l0AuI bw Ids 2-u-)9ma41. Ca�✓L� I certify that I have authorized John R West -west docks Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Installing new boat lift Install new dock.. at my property located at 9 Moore St. in Brunswick 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: P'441Z A�t�� Signatur T.AuL E. A4owERy Print or Type Name ,v/ A - Title CD N O M n Envelope ID: BOBBB682-9A6F-4F71-A517-E5A451C687F1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at on 9 Moore St. Mowery 's (Name of Property Owner) (Address, Lot, Block, Road, etc.) Cana] lot , in Ocean Isle Beach (Waterbody) (CityiTown and/or County) , N.C. The a.Flicant has described to me, as shown below, the development proposed at the above I tion. have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) Installing new boat lift Install new dock.. WAIVER 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 o u wish to waive the setback, you must initial the appropriate blank below.) X (� 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) Al,DocuSigned by: . �n Lila Signatin•e Green Mowery Print or Type Name _ _ Print or Type Name n Envelope ID: C7786781-5EB3-4E97-91FD-B6C9979793B8 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at 9 Moore St. Mowery 's (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Canal lot in Ocean Isle Beach N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above to ]T* X I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) Installing new boat lift Install new dock.. WAIVER 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.) x S� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Mowery (Adjacent Property Owner Information) DocuSigned by: r6SS *499_. b Ross Print or Type Name_ Print or Type Name Chad Nana of Permit Wdw V&..W Chock Numbor amount Prm/t NumWr/C,—iinb or RafumUReadocated ns Cokrmrw Coktrnns Columns Co/umn7 Columns Columns transfer #4& , from Altamar to CPT Real Properly, LL Inc. Altamar PNC Bank NA 37120 100.00 Wilmington NHC 6208 E 100.00 minor mod #51.14 St James Plantation BrCp PA Tmsc St James Plantation HOA Matt and Monica Bennett First National Bank of PA FCB ciatsa Inc. 16528 E 100.00 minor feJ_141 Atkinson Rd, Surf City PnCo JD tat. 10238 same Tim Jackson State Employees CU ;FCB 2009 100.00 minor fee, 438 N Anderson Blvd Topsail Beach PnGO 5328 832.00 _NOV #20.05DlPertnR S250/PenaMy E350llnvestigative E32 IJD rct. 10240 Tmac rct 10992 _ yetisvGk, Inc. r. 'same _ BBBT 125301E 100.00 Maior Renewal Fee $17-09, 100 Circle Dr, Hampstead PnCo JD rct. 10237 iltion John Keene Jeff and Leslie Benson Coastal Bank and Trust_ Coastal Bank and Trust 3266, E 400.00 GP #74817D _ 3265.E 800.00 GP #74816D _ jJID rct. 10839 _ JD rct. 10841 _ cation Inc. Willie Arant same BB&T BB&T _ 5328 E Z00.00 GP#76521D _ - 29816' E 200.00 GP #76515D _ _ BB rct. 10208 BB rct. 10206 _ same Mowery Wells Fargo _ _ Bank _ 3008 E 200.00 GP #76111D _ _10798,_E 200.00 GP#76545D _ ,BB rc1. 10205 .BB rct. 10207_ _ same ,First _ ,_. Bank of America 364134 P #76533 PA rct. 10767