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HomeMy WebLinkAboutDavis Islanders LLC 77330CQ0CAMA / —1 DREDGE & FILL NERAL PERMIT fJeW ❑Modification ❑Complete Reissue As authorized by the State of North Carolina, Department of- Em and the Coastal Resources C mmission in an area of environmen i Applicant Name I 'y II ; 1 U c y City v .1 -".A, t or, State/ ( ZIP_ 'i i Phone # (� ?� E-Mail f Authorized Agent (/" CY Affected ❑CW EW ❑P'TA ❑ES ❑PTS AEC(s): ❑OEA 'I]HHF LIH ❑UBA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no N9 77330 A B C D Previous permit # Partial Reissue Date previous permit issued nmental Quality,�- concern pursuant to 15A NCAC El R Project Location: County [ l•„ ulr�.r:a Stree ddress/ State Road/ Lot #(s) Subdivision . City � " ^ r ZIP c i Phone # ( ) River Basin Adj. Wtr. Body i ( (nat /man /unkn) Closest Maj. Wtr. Body H■■■■■■f� ■■■ ■■■■�_Ci■■r,■■■� ■■■C■■■■■i1C SEEM ■■■■■■■tip■■ ■■■■■ ■■■ ■■■■�� ■■C■C ■CCCCC1 CCI IN .■ 1110111 ..... ■films■■■■ ■■1. •■■■■■. ■■q■■■CCC0 10C■CCCEM ■■■■■■■■■■■a■■■■■■■�■■r11�b�lrti■■■�■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■r■�■ r■■■■ ■r�■■■ ■■■■■■■■■■■m■■■■■■■ ■■o■a■ ifn■■■■■■■■ M.■ CM MEMO: ®■CNEEMEMOSEEMECCCCCC ■CCC■■■■■u■ i ■ MEMEEM ■■■■■■■ NECC■■M■.�•�. ■■ ■■■flu ■■■■ ■■ MMM 0 CCC ■� CCCC iCCCCCC • GM ■■f1IUM..�! ■ No �A1�1 ■■ �r■t ;C■■■ ONES ■■�■C■■N■W■■■■■■ ■■■■■■■■■■■■■■■■ SM C ®S1 ■■■■■■ ■ ■■■■H■■■■ ■■ CCCCCCC■■■■�C�iCi i�CC®N� ��®��'CCCCCC ■■■CCCCCC'�fr'i�1i �C CCC®�CCCeC Agent or Applicant Printed Name Signal re -j Please read compliance statement on back of permit" Fee(s) Check # PROPERTY LEGAL DESCRIPTION: LOT NO. STREET ADDRESS. 1 0 0 Please print: Property Owner: Property Owner: PLAN NO. �5 774 PARCEL ID: 2 L S 7 d a y 4347b'-676 a-33c� 4P-V'� LPL The undersigned, registered property owners of the above noted property, do hereby authorize lk �' �� of i (Contractor Agent) (Name of consulting firm to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this permit or certification and any and all standard and special conditions attached. Property Owner's Address (if different than property above): Telephone: 3 d 'L I i5 o i r.�C—a—Z We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Authorized signature Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Davis Islanders, LLC s (Name of Property Owner) property located at (formerly Tract 2 John & Ann Humber) off E. City Road (Address, Lot, Block, Road, etc.) on MiddensCreek in Carteret County near Smyrna N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above 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) Please see attached plans. 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. F. �. L'1 do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Davis Islanders, LLC Print or Type Name Mailing Address 4060 Blumenthal Road City/slate/dip Greensboro NC 27406-9202 Telephone Number/email address Alle (Adjacent Pr erty O ner Information) h � ,Signature" John L. Humber. ETAL Tract 1 John 8 Ann Humber Print or Type Name Ro f344T- L$"E Mailing Address 756 Christopher Road City/State/Zip Chapel Hill NC 27514 Telephone Number/email address 'r L. 2sz - zYr- G /8S AR X411c YKrrrwNe- ,#0 Date" CC/)^ 2-!5- 2O 2-CD (Revised Aug. 2014) 'Valid for one calendar vear after signature" MIDDENS CREEK PIER PROJECT REPLACEMENT APPLICANT Davis Islanders, LLC 4060 Blumenthal Road Greensboro, NC 27406-9202 AGENT J.S. Mitchell Gary A. Mitchell 1693 HWY 210 East Ivanhoe, NC 28447 910-279-6587 LOCATION E. City Road (Tract 2 John and Ann Humber) near Smyrna SIZE 2.9 Acres NAD 83 Coordinates 34.758534 -76.518228 HUC 03020301 WATERBODY Middens Creek QUAD Williston DEED Deed Book 1661 Page 79 Plat Book 31 Page 301 PARCEL 7347-02562-339000 DESCRIPTION OF WORK Repair and replace existing pier. Pier consists of an approximate 85' long x 8' wide structure. TYPE OF PERMIT General Permit Proposed I S ate Eastern r Coun t `e of North Carolina DOT, Esr� HERE, Garn U) C X W N U cu Q C M ca C NW 0L MJ • a �. �i. �tir}�. t I I I p 1 l 1 • MR C)