HomeMy WebLinkAboutTetterton, Hilton 76700CAMA / ❑DREDGE & FILL N9 76700 A B C D
ENERAL PERMIT Previous permit#
ew ❑Modification [-]Complete Reissub ❑Partial Reissue Date eviou permit issued
As autho ized by the State of North Carolina, Department of Environmental Quality i
and the Coastal Res ur es P;;7ission in an area of envi onmental concern pursuant to I SA NCAC
t ules attac d.
Applicant Name Project Location: County
Address` / StreeS Address/ State RoaALot #(s)
City / State fl/( ZIP D o �AZt2 / t f
Phone Mail Subdivisi0
Authorized Agent City G
Affected El Cw w TA ❑ ES ❑ PTS Phone # )
AEC(s): 71 OEA HF d IH ❑ UBA ❑ N/A Adj. Wtr. Body
❑P
ORW: yes / `io PNA yes /�it Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length`---'
Fixed Platform(s)
Floating Platfor
Finger piers)
Groin length
Jenh
Bulkhength
ffshore offshoreBasin,
Boat ramp
i
Boathouse) atlift
Beach Wlldgzing—(�--
ZIP
(Scale:
W
l
Shoreline Length
SAV: not sure yes o I f ✓���/ - - -�
Moratorium: n/a yes o
-_ —. Photos: ye o r
Waiver Attached: � no -------
A building permit may be required by: l ❑ See rote on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Signatu a i`sF a r dcompliancestatementon ,p7Vry7*�(1 Sign{
Application Fee(s) Check# Issuing
Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. 11/1-7-DAJ TfT r �
Mailing Address: 1 6, S. C
[<ho 1�arj�C 285 l Z
Phone Number:
Email Address: �,f co � -
I certify that I have authorized ANDRE W�BR
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at Sob ArGal%oVe- QhocAl 00jYrr w'
in 66RT6eE� 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:
AM 0'm
Signature
t t"an 7�
Print or Type Name
C
Title
Date
This certification is valid through j�l_l 2aZd
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own property adjacent to 1111-r6Ns
Cn (Name of Property Owner)
property located at �8 /�i�Ni /cAUJ �ovSFh,4Y__
(Address, Lot, Block, Road, etc.)
(Waterbody) (City/Town andior County)
The a plicant has described to me, as shown below, the development proposed at the above
lcc n
1 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)
lwr.SFp Z/'- r?' 1;,.V6& -Poet'
Etr5rir6 'boar( LIFE povp oko/- ('/`t )y-� 0
�/G o
Eir,STiNb
SDB Rlu li-of chow 6015h-m'
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/y(If y/9�wish to waive the setback, you must initial the appropriate blank below )
ti PSl / / I do wish to waive the 15' setback requirement.
qIke
�t4 I do not wish to waive the 15' setback requirement.
(Adjace'n'Prooperrtyy owner
rIIInnff ation))
Type
rele i er entail addr s
I (Revised Aug. 2014)
*Valid for one calendar year after signature'
this pr ,f r
A ,N,P
�ij ---- i t :e c n ,a io ,iir, proposal
DESCRIPTION .',.ND/OR DRAWING OF PROPOSED DEN/EL0f'r-,1F; I'
(Individual proposing development must till in description below or attach a site drawing)
lg077>5Fp Zrr rT' fp-4174 -70C-
E}rSTrG ,OPTUFY �AAP°sFa jibGiFr );ten
E)1rSTrNb
2tZ�'
�rbH-D�� �y /'�rs7iNc
SD; M14iTie d[Aw (Pr4h'01'
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.
(Adjacent Property Owner Information)
Cjty/St�te2ip r 3$s f
Tele hone Nf ber/email address
(Revised Aug. 2014)
'Valid for one calendar year after signature'
Styron, Heather M.
From: Andre Webb <webbddc@gmail.com>
Sent: Tuesday, June 30, 2020 6:27 AM
To: Styron, Heather M.
Subject: [External] Cama App.pdf for Hicks
Attachments: Cama App.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to report.spam@nc.gov<mailto:report.spam@a,nc.gov>
Hey Heather,
Here is another one. Maybe I should apologize for sending so many at this point? Hahn. Hope you have a good day!
Thanks
Andre
252-665-4378
Sent from my iPhone