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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) Cary J State A-, ZIP 7511 ']90( , V L"d' Qf iVt. •( /II) (oOs- &1 ' E-Mail / Subdivision .edAgent Atlied RAfiAQ. City () \" Ic1a • ZIP 2 g& ❑CW (EW J PTA XES ❑PTS Phone# ( River Basin C F R ❑OEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body T�w 01 ❑ PWS: , - I Closest Maj.Wtr. Body A=w�/ yes /� PNA CO/ no f Project/Activity U kaLI r A Fi,C 1 t►Ty • ck)length ?( 00 � _ tA5 � S Ck y ( 'Scale: —c — atform(s) lyX9 1-1 Uova ,off Platform(s) S X lb,' Ktl n1 ld� l► Dt 13 X j `Q. 7......AKAX) 1 ngth � � • N --...— - tx mb 1................_..... = _.._.....__.._._........ -- I _ s d/Riprap length -.---_...._. 1 —_.....__.._._....._ - .._.... ._.. �_ __ I �._ f j 4 I_ Dn 1°' g distance offshore lard' ,x distance offshore ` _ i I t� �� j.1/ cannel �� i i bic d MM • \ np ( &x ,�p _ _ ulldozing / _ v l e Length Z(o k% not sure yes G , ' ---- . . urn: n/a yes ....G._. Swiest4: ...if...if 06S4 Attached: yes GO bkP4 i ' (,.w„v.,Jt1 ng permit may be required by: 10wr 0� Z Oak- -S` 7 See note on back regarding River Basin r 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 4i< F..-lAa,.l D '-r1 n o t fltA j/_ ►tlb y c8 IZ8 1Z 3qC IA") .. _ k------ -1)6 -___________> 1'A \'(51)5A-C4 ) 1 lI' r ! , ,, � ! f 1,,1,I f i 3 i , 1 i 1 , 1 ,-0 ,: 1. . 3 4.1 , i, , . .,,,,. ! 1 1 1 , 7 ( i I 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) / _ . Alf A Si: ,.Lure / ature* ",RAJJ .i/ ,ne`� f i<ia , anler e Print or/Type Name / Print or Type Name 46 /er cliow Qz' LA )U P. \lacht-