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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 ^ �" Vame �. �� r�� �_, �.� // Street Address/ State Road/ Lot #(s) L--a t •• State _�� zip �) '1 Zf—) 2Wl' E-Mail m un . Subdivision H..�IF �-�^ � 5�ti �e.�.�h zip S�Fs� c d Agent Jr Cam. �'e.n. ��-, �.� � City � Phone # River Basin ayn CW ElEw [PTA ❑ ES ElPTS ( ) ❑ OEA ❑ HHF ( ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body �a ✓�� (nat m ❑ PWS` Closest Maj. Wtr. Body es / PNA yes n Project/ Activity (Scale: /J ■■■ ■■/��■■■■ ■ M ONNON■NIN■■ NONEMONNOMENNONON ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■mom ■■■■■■■■NKN■NOON■■■■■■■®■■■■ NNNNO■NNONNON■1N l ®■ONNN■■■NENNENNE NONOO■ WOMEN ■■NNO■■NN■N ■■iaiii■®■■ii NONNONNNOON OOOO� t3 iNNNO NNNNONNNNN■NNN �� INNNO■NNN■NNNNN� . NNNNONNNNNN ■NNONNNOONw/I\I�1�lNf/� OONOOONNNNN■NON■■tNNNO■ONNN:i6�1'f�1�%■■i NNOOONI N■OONiLGN■■N■■ON■■NON NNNNO■ N■NNNNONI ■NONOO �NONONIONNOOONNOONNNI ONNNN 1\N■■ONI�ONO■iNOOrI�■1�NN1 • i�t�i1'�11i■NONNN■Irr►TJN►�Til�iNOi�]NNNO NONE :�L'i��Jts0- NON - ,�, �:sir,����NNNNNNr■NONNNI��►�NNNNNNNN■■�■N ling permit may required by: �LCc,'� ' ✓�t c a L �. 1 ...--,I PI —nines Inrieriirtinni ❑ 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