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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