HomeMy WebLinkAbout76192D - Morton;AMA / C DREDGE & FILL
ENERAL PERMIT
lew ❑Modification []Complete Reissue ❑Partial Reissue
No. 76192 A B C
Previous permit #
Date previous permit issued
ed by the State of North Carolina, Department of Environmental Quality 2 �� G
astal Resources Commission in an area of environmental concern pursuant to 15A NCAC v attacheC.
d.
Project Location: County ^ �"
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d Agent Jr Cam. �'e.n. ��-, �.� � City
� Phone # River Basin
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ling permit may required by: �LCc,'� ' ✓�t c a L �.
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❑ See note on back regarding River Basin
t k 11 \
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: % lbe/Z o� ,g fly✓
Mailing Address: _3 %t lhee j„"`i
Ave Ls- . N ,--- ZY37Y
Phone Number: %/o - YZo - Z6 95-
Email Address: xnoa�owq 9 on . C9
I certify that I have authorized & �Q Q la"! "'� 1y n
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 43(A, ny
kt-\A Qr\ ccu ak D
at my property located at
in \--J cum w %c,\t.
<� -� `-qur1 Abu ry S�- , &Z act ve
County.
1 furthermore certify that I 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
oA/
Print or Ty ame
_ c9� Net
Title
DIVISION OP COASTAL MANAOEMENT
ADJACENT RIPARIAN PROPII14TY OWNER NOTIFICATION/WAIVER FORM v Name of Property Owner: WD k2 f � �1
Address of Property: 1� ��Qcl
,
(Lot or Street #, 6V4et or Rbed, City & -County)-
Agent's Name #.- T r itt
Agent's phone #, D- 5-7, i - q uls
Mailing Address:CQtUt�h
�►�-flu �tc5r� NC z�y oG
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 �raGing the development they are proposing.
11 have objections to this proposal
If you have objections to whet /s being �Mposed, you must notify the Dithur of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Co should b1
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28408-384& DCM rapt' also be
contacted at (910) 790-721& No response /s considered the sams as no objection been
notlfled by C*rt led Mall.
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 Illiffal the appropriate blank below.)
I do wish to waive the 15' setback requirement.
ment.
(Property Owner Information)
1'�� " , j .t�f1�t�
Si nature
Print or Type Name
To
Melling Address
YVx'�
ip
(Adjacent Property Owner
IL
Prq or Type Me ,
Malling Address
C ty s atelzip
Q1(\_21`1- C )r\c-
J-11 - 1-)I fl— 611 r/
IF
-kjSsa�'�i�cY1 Alt\
i
2
r ub
ame)
Name o/Permit Holder
Vendor
Check Number
Check
amount
P~NMn1 MICellln nft
Reea/ or ReluriNROO#OeOIOd
n3
C.1-4
Columns
Columne
Columni
COMM8
ColumnD
Marvin_Smith_ Coastal
'same Southern Bank
!I same USAA Federal Savings Bank
i Gilbert Morton - - BB&T _
i Cynthia Voqler BB&T -
Michael D Biggers _ BB&T
Rodney Whitaker - BB&T _
John Rankin BB&T _
Phillip Jurney BB&T _
Robert Noble IV i BB&T _
William Burton _ _ BB&T _ _
Chns Karshner BB&T _ _
3190
$ 200.00
GP #76582D
GP#76581D
GP#74828D _
GP #76192D_ _ _
GP #76191 D _
JD rct. 10804
_
- 15878
$ 200.00
JD not. 10801
skins
iswick County Inc
4625
S 800.00
JD rct. 10843
_
- 13941
13939
S 200.00
$ 200.00
BB m1. 10212
iswick County Inc _
iswick County Inc
BB rcL 10211
- 13936 $___2_00.00
_-- 13942,-$_ 200.00
13943 $ 200.00
_ 13940 $ 200,00
13937 $ 600.00
13937 $ 400_.00 -
- - 7697 - .00
GP #76568D _ _
GP#76571D-
BB rcL 10210
iswick County Inc
BB rct. 10215
BB rd. 10216
_
5P4765726 _
GP #765700 _
GP #76569D _
GP #76190D
OP #76195D
_
BB ret 10214
BB rcL 10209
_
ids Inc.
BB rCL 10213
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
9590 9402 2219 6193 1039 08
2. Artirla Numher !Transfer from service label)
7017 0660 0000 7487
PS Form 3811, July 2015 PSN 7530-02-000-9053
dellm Information, visit our website at www.usps.com" '.
52
^�
turn Receipt (hardcopy) $ t'VV
turn Receipt (electronic) $i (I(I Postmark
rifled Mall Restricted Delivery $ U 1111� i� r Here
ult Signature Required $
ult Signature Restricted Delivery $
eil�cc
ostage and %ef3s clr 05/20/2020
and A of P l- r� 4J� _ . -------------------------
A. Si ature
1nq�nt
X % N � 1 �3�
19 Addressee
B. Refeived by (Printed Name) C. to of Delivery
K c' � S R'3 ► -tit
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express@
❑ Adult Signature
❑ Registered Mail -
El Adult Signature Restricted Delivery
❑ Registered Mail Restricted
ertified Mail®
Delivery
El Certified Mail Restricted Delivery
Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
1-1
❑ Signature Confirmation
0689 Restricted Delivery
Restricted Delivery
Domestic Return Receipt
Er &Omestic 17tail
ro
_0
11�—
C3 WIN6TClN 5ALIE t ice'= 2,711_17
�Certified Mail Fee $3.55y ila71-1
$ r
lti Extra Services & Fees (check bar, add fee I . te)
❑ Return Receipt Mardcopy) $
ED ❑ Return Receipt (electronic) $ (j 1 II I Postmark
C3 ❑ Certified Mail Restricted Dethwy $ $ I I . ►14J Here
C3 ❑ Adult Signature Required $ r
1 3 ❑ Adult signature Restricted Delivery $ I I�,li:)
C3 Postage
..0 �I_l,cc
$
O M6.95
Total Postage and �I�/2U/2112u
r` s -N C► -t
�j;ar.0 1 r4�
ry`State, *46r <_i���M LV — *2-116�
YES
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
1. Article Addresse to:
C\ \ t`I r.- —\ r
D. Is delivery address different ff�R�ner��161P Yes
If YES. enter delivery eAlards%DaIdN: n No