HomeMy WebLinkAbout76436D - Sweeney ICAMA/ ❑DREDGE & FILL N9 76436 A ,,B
3EN'ERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environmental Quality 1 Q U
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC / f1 •
11 �� �jf ❑Rules attached.
t Name GiNc 1 r A ej I"P 'LCf IN e t Project Location: County g rt�tn c t I c.k
It S c,AS c�p�,,, Q� / / Street Address/State Road/Lot#(s)
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ng permit may be required by: 10wr 0� Z
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Local Planning lurisdiction)n , , I r 1 i i /
Check
an(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Commenb Receipt or R.Wnd/Realbcated
imn3 Column4 _ Cobmn5 Column!! Column] Columnd Cblumn9 r
Bulkheads LLC ,Dale Ardizzone Wells Fargo 23505 $ 200.00 'GP#77858D KE rct.10790
Kelly and Tano Failla Charlotte Metro 1719 $ 200.00 •GP#77853D BB rct.11543
rine Construction LLC Linda Weber BB&T 5930 $ 200.00 GP#76597D BB rct.11533
NC LLC Richard Reuhland BB&T 1117_$ 200.00 GP#76484D BB rct.11544 _
nst./Daniel Shirley Jordan Messick SunTrust 5365 $ 600.00 GP#76543D PA rct.10267
nst./Daniel Shirley Melissa Hardin SunTrust 1 5366 $ 200.00 GP#765770 PA rct.10266
LLC Rebecca Taylor Wells Fargo 1025 $ 200.00 GP#77835D PA rct.10269
truction,LLC Kevin Driscoll Navy_Federal CU 1167 $ 200.00 GP#76587D PA rct.10264
npany Roger Hudson First Bank 1446 $ 200.00 GP#76544D PA rct.10268
rine Construction LLC Alison Marshal BB&T 5964 $ 200.00 GP#76487D BB rct.11549 _
same The Fidelity Bank 6413 $ 200.00 GP#76483D BB rct.11547 _
ractors Inc. Webster Trask PNC Bank 8787 $ 200.00 GP#76477D KE rct.10792
',ervices,LLC Perry and Darlene Mansfield First Citizens Bank 3433.$ 200.00 GP#76432D Ben rct.10299
,ervices,LLC George and Karen Brake FCB 3432 $_200.00 GP#77622D Ben rct.10300
:il Gary Godwin BB&T 2002 $ 200.00 GP#76448D _ Ben rct.10298
:tors LLC Chris and Nancy Sweeney FCB 9243 $ 200.00 GP#76436D Ben rct.10297
radars Inc. Pipers Neck 29,LLC PNC Bank 8788 $ 200.00 GP#76478D KE rct.10791
nine Construction LLC Beverly and Patrick Wright Rev.Tr BB&T 5951,$ 400.00 GP#76485D BB rct-11548
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Srt>peelle
Mailing Address: //5 C �E/
(74,7
Phone Number: cpq_���_ ���3
Email Address: / !t
I certify that I have authorized die )
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: i1 L t `tom
at my property located at
in 11i s11/k_ County.
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 lands in connection with evaluating information related to this
permit application. ., ,..
Property Owner Information:
+ ($ignature
/ c 5tile l/mil
Ptint or Type Nhme
Tit e
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to SCJF-iie 's
(Name of Property Owner)
f)�
property located at 9 C�5 y /O{
(Address, Lot, Block, Ro , etc.}
on , ►n / , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
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)
b
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro erty Owner Information) (Adjacent Property Owner Information)
z n ture Sip re*
e _
Print or ype Name P t or Type NET e
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to SCJC-e.y 's
Name of Property Owner)
property located at 9WC Cag'F ► /)2/-
on
(Address, Lot, Block, oad, i) /
, in lX�/G �,,�/ , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
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)
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. .
(Pro erty Owner Information) (A ' ent Property Owner Information)
/ _ .
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Si: ,.Lure / ature*
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e
Print or/Type Name / Print or Type Name
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