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71875D - Urso
Lddetz_tz) q3• 2O ]CAMA/ El DREDGE & FILL A Lt./ No 71875 A B 3ENERAL PERMIT Previous permit# 1 ;New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued t" rized by the State of North Carolina,Department of Environmental Quality �— //OD :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC I / ❑Rules ttached. t Name 6 I(a cc.. 4- f G f N/f o (/ii Project Location: County 7--i/N r S l q lr - k // ( • Street Address/State Road/Lot#(s) l f(fi r r EState ZI PZ7/f 3 /2 7 f • (2 (L - ` b'3- ( Z6tE- ail Subdivision ' :ed Agent ra,Gf /vl -r Cam+( City ] ' J 4- 6 g- ZIP , ❑CW ❑PTA ES ❑PTS Phone# ( —1---' River Basin k- ❑OEA HHF ❑IH ❑UBA N/A Adj.Wtr. Body / El l--r (nat /I ❑PWS: yes 'no ) PNA yes Closest Maj.Wtr. Body /U/s 5-6(tit F Project/Activity � S T 4.// h"/ / L€ -I r\ (Scale: ( =- ,ck)leng� atform(s) l Platform(s) iier(s) i :ngth tuber p tip rap length �1) f g distance offshore , '�� C. Pc /�'I4 L. — ax distance offshore hannel "� r if ibic rds -- r rnp ise/!loath r �/y� ^ EDON 4---Av luadozing --=• r I l � / / y ' Vit,OL (i0/°,054 ie Length /�Se, i /t If1 not sure yes ! "#b'1 /1 C..1 I. rium: n/a yes yes 0 Attached: yes 1110 /- ing permit may be required by: /- c w` 7 �Z . I See note on back regarding River Basin 1 I nr,1 PI,nnina 1,iricrlirfinn\ 1 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: h a VI 1/((So (' �Q f1' Mailing Address: .2.3 ti (kic (( Hai( (.R (0.„I, VA 23 (L3 Phone Number: — '3 9Ui,2 Email Address: <Qt?u rs0 @ a , C,p11'1 I certify that I have authorized i *'JI N u e( kr ' Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: bAI c( ak\,6ij,1 I at myroe located at 2-) N PO( f• S c C A/C. �V5 property dY , ) in .?l(`l �F County. I furthermore certify that I am authorized to grant, and do in fact grant permissio Division of Coastal Management staff, the Local Permit Officer and their agents to s on the aforementioned lands in connection with evaluating information related to permit application. Property Owner Information: l*,40 art . Signature Grgt Kcttki-t4 S Print or Type Name ©►vner Tit►a ADJACENT RIPARIAN PROPF,\RTY OWNER STATEMENT I hereby certify that I own property adjacent to L i 0a. ^" ' l/� V! do 's (Name of roperty Owner) property located at J 2) of (Address, Lot, BI oad, etc.) on al aV VVi , in o vkii 1,i , N.C. (Waterbody) (City own and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiop. t/ 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) coa r<-j ,0 o - rf) J w kr 5'o 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.) / V I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property ner I ation) Signature Signature*(:71-Kk innk-4\ 1A00 Ani n.1 1;c1C PIntZT:r Lar,A Will N1 PrtizntoqTyp Name L 1\4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Cj rc( r o i _f A V f2) 's (Name Property Owner) property locatedat I,2 7 �f t �f on �1���,! (Address, Lot BIT k,AZ ad, etc.) in 8yfr , N.C. (Waterbody) (City/T wn andlor County) The applicant has described to me, as shown below, the development proposed at the above location'. 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 drawin ) maw V a 31, ,l/ L:,41( lc) hJ-c I owCt . 11(12'; Lr WAIVER SECTION o w 009 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.) 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 I forma n) Aae 00 I/\- tgnature Si atu e* Prinkor Typ am Prin�or Twat Name 9''58 QrdA Li Surf- e;}>J. E 30' • aK tDK w 48 3 of 3 Uf 11'4,+ wet f ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �(n i►'1 ' 5 L 1 '171 ) 'S t 1 I (N me of property Owner) property located at (I ID 0 It c1 d 1 ll.'(L& tj t(P t' (� (Address,Lot block,Roe ,etc.) on l ,n�1C1 1 ,in, )l_Irk- (-i ,N.C. (Waterbody) (City/To n and/or County) The applicant has described to me, as shown below, the development proposed at the above location Grimm TW I have no objection to this proposal. v I have objections to this proposal. e if t- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill In description below or attach a site drawing) Per y u r 51 yl(11-Urt, you a p-- e ft and a pp rckre C-F ---he, -e vi 5itn5 en th€ (I -H-ached c 9 riLO111 I D ' _ Gy_Jo 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.) ,CJ TW I do wish to waive the 15'setback requirement. tit►kc‘ C.j1t' I do not wish to waive the 15'setback requirement. fiypOwnçnjL (Adjacent Property Owner Information) S lif Sr a tares (1 14/40 A 444 i a ur�L !l � `)Li�T Y) � CicltSe Print or_Type Name Pri t or T e Nam r 1 i 1rtettLL 5+ ,1',) t- Milling Add ss NC '445 g A ress 5 till p is City,stat p City/S a e!Z 5 i514- I y4 9/e- PI_sS(Al ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property (adjacent to 11 Arvin G• 7 j" ) •s K1 r0 1� jjV�meeelof roperty Owner) property located at ) ��j' /� (Address,Lo lock,Roa ,etc.) on ( anal , in iirf Ca l , N.C. (Waterbody) Ci /Tovin an d/or(City/To nd/or County) The applicant has described to me, as shown below, the development proposed at the above I . jj 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) Pam- r�a�-urnyothr , Vau alrez to art.eQ O$ p Ove, o1 fkt, rtufsioKs on fke. td-4-tte)xed • eitomtn,5 , WA R 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.) I do wish to waive the 15'setback requirement, I1(✓ I do not wish to waive the 15'setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Si re Si t re Kirin G 61 i+r.n e Print or Typo Name rf or T e Nam Pi mag'Meit n Add ss • � t. City/S i'-i- sij'Lj, NC k 445 rv, �,�� ress `-t i— a i°514- lln'- q Check n(Name) Name of Permit Holder Vendor Check Number amount Permit Numb.WCommente Receipt or Refund/Reallocated nn3 Column4 Columno Column8 Column7 Column9 Column9 i Gay Dou I9 as Gay First Bank 1223 $ 200.00 GP#77824D 1JD rct 10825 m Urso same Wells Fargo 998 $ 400.00 GP#7187513 ,JD rct.10849 Bulkheads LLC Charles Cavavati I Wells Fargo 23491 $ 200.00 GP#76567D I KE rct.10850 onstruction.Inc. Kevin and Usa Armstrong BB&T 22793 $ 600.00 GP#77843D I BB rct.11541