HomeMy WebLinkAbout76598D - ABJ�CAMA / ❑ DREDGE & FILL N9 76598 A B
3"EN ERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
sized by the State of North Carolina, Department of Environmental Quality Y7_I t
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC a CD
n �/ \ ❑ Rules attached.
it Name �� 1'��nrr i)� S LL Y U �i J°� \ ` Project Location: County i A - I c-�L-
U U I H 41 k , C t 1'c j Z Street Address/ State Road/ Lot #(s)
State_ ZIP 2 9 53 A /\ S , ,,
E C[I z) 2 `i 5 SUS 0 E-Mail ��� tom "j' c �^ 1 �,((� 4 , c Subdivision
Eed Agent >' v l ,0 'A' O /N City C Chi-^ I See e tic ZIP Z
[ CW ❑ EW XPTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
Phone # ( ) River Basin L., M
Adj. Wtr. Body (�t� �.� (n
yes / no, PNA yes /no�
Closest Mal. Mr. Body A I w�
f Project/ Activity 1 { l \ rn . n�•l 1 ` l (� �� . o �c , S h h� o
e, k 'Z _ �u • ;� \ h o S� P (Scale: !� i
)ck) length
latform(s)
Platform(s) `/, y 1,_.�. 5 ),
mgth
ember
id/ Riprap length
g distance offshore
ax distance offsho�
hannel
ibic yards J
rnpp
lsol a "y I-11 I k 1 y
lulldozing
ie Length �� S
not sure yes
rium: n/a yes o
yes _
Attached: no
ing permit may be required by:
Local Planning lurisdiction)
IN^
Cl.a n \ -qU, , t ' l ❑ See note on back regarding River Basin i
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �9well T 09✓/ /—L G
Mailing Address: 15- /✓ 5— d I(-1 'i I;re t
(,�, ;r Je- A06 A
oe, �� .z
Phone Number:7�� SO7�
Email Address: �t%e R.09-f✓ P,P��D a �� �P , c v�
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: Install boat lift,
remove section of floater to accommodate
at my property Notated at Zi
in /!j&��ounty.
I 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 lairds in connection with evaluating infomnabon related to this
permit application.
Property Owner Information:
FE -
This certification is valid through ! !
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property ad)acent to ,a Al - L G
(Name o(PropwW Owner)
property located at_���dV s—
(Address, Lot, Block Road, atc.)
w . N.C.
on ..- i— ryy—itiody)------''n Q �ao or County)
The applicant has scribed to me. as shown below, the development proposed at the above
IocaG
have rvo objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
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
rne. (If you wish to waive the setback. you must Initial the appropriate blank below.)
_wish to waive the 15' setback requirement. _ /I-1 /
I do not Mesh to waive the IS' setback
(Revised Aug. 2014)
'Valid for ene catenow year after sri-nah re'
ADJACENT RIPARIAN PROPERTY TT
O%W�N��R ST�ATjF,MEN/mot
I hereby certify that 1 own property adjacent to eA-�E�riY��'`1 ' `J 4
Name of Property Owner)
property located at 7-
(Address, Lot, t3loekQ, toad, ate.)
on _ in oe� 1 :47 r/ I� i�i✓�t . N.C.
(Waterbody) (City/Town and or ou
The applicant has described to me. as shown below, the development proposed at the above
location. �y[1
have no objection to this proposal
I have obj,,Ctions to this proposal.
DESCRIPTION ANDiOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock. mooring pilings, bual ramp, breakwater. boathouse. lift or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
rne. (If you mZFsh'to
e the setback, you must Initial the appropriate blank below.)
waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
(Property, Owner Information) (Adjacent Property Owner Information)
Si • t n• SQL, nnr
Al
T Nam Print or pe atria
� �sps�0l% snit �i ,�o.v sryT
MadwgAtitfess ladmq Address
gj4ae n T.SL� dIQ �cle
Gty/State/Lp O!'6 Gty.+state/Lp
40 'C Will
Iron /emadadtieu %&phcwT9-Number /�emaiill renss^
00W.0 AA lip1,7PaSQt)1�s
Date t,,,a
'Vdid for one calendar year after sgnature'
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NC Division of Coastal Management
Cashier's Official Receipt
Asd�
(C]
10219 a s c(g?
Date: 20
oa
Check No : 2��i
County: R /,j C�Is w t C (4.1-
Please retain receipt for your records as proof of payment for permit issued.
r Applicant:
presentative:
Date:
Date:
A
rr 1 11 1 r-% r,
Chock
Number amount Permit
-3
C01-4
caumma
cwu-8 C.1-7
Icolu-8
CN-9
_1
striction
'ArchieMcGirt
FCB
5486 $ 200.00 13P#765290
PArct. 10773
_
Wade Coleman
Michael Keith Sutton
BB&T
BB&T
2435 $ 20_0.00 IGP#75893D
5332 $ 200.00 GP #76599D
BB rct. 10220
BB rct. 10222 -
--
n LLC
Ste hen & Laurie Cook
- -
First Bank
16997 $ 200.00 GP #76516D
BB rct. 10221
Stephen Russ
BB&T
13944, $ GP #76573D
BB rct. 10217
ABJ IV Properties LLC
BB&T
_200.00
2434 $ 200.00 GP #76598D
BB rct. 10219
same
Bank of America�_
T
1436 $ 200.00 GP #76428D
Ben rct. 10288
same
USAA Federal Savings Bank
4831 $ 200._00 GP #76437D
Ben rct. 10287
struction
Ann Sneeden
FCB
55071 $ 200.00 GP #76566D
KE rct, 10779
struction
Anthony Patterson
FCB
5505 $ 200.00 GP #76563D
KE rct. 10780
_LC
Kurt Taylor
First Bank
1305 $ 200.00 GP #76591 D
PA rct. 10253
Paul Maki
BB&T
7053 $ 400.00 GP #76585D
JD rct. 10815 _
same
BB&T
_
7044, $ 200.00 GP #76585D
JD rct. 10815
ba
same
_ -__ _
State Employees CU �_
2025I $ 200.00 GP 976584D
_
JD rct. 10814