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Williford, Ct 76607C
61 CAMA /-DREDGE & FILL 'N(} ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC p Rules attached. `/V(0 Applicant Name Project Location: County Address ek Street Address/ State Road/ Lot #(s)= 6EMJ D�I jje, City StateOCZIP Phone # ( 3 E-Mail Subdivision. Authorized Agent s� City Affected ElCW W PTA � ElPTS Phone # O Riv Basin AEC(s): El El [IIH ElUBA El N/A El PWS: /I Adj. Wtr. Body ! Ili na /man /unkn ' Closest Maj. Wtr. Body a r Ca / ORW: yes Q no) PNA yes / no' Type of Project/ Activity Pier (dock) length a Fixed Platform(s) r Floating Platform(s) Finger pier(s) Groin length number `s Bulkhead Riprap ength—M avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift r -' Beach Bulldozing Other Shoreline Length SAV: not sure yes no — ........_:.... Moratorium: n/a ye no -- Waiver Attached: ye no A building permit may be required by: ( Note Local Planning jurisdiction), , Notes/ Special Conditions fI1�11... or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # (Scale: / J _ go ) 0 See note on back regarding River Basin rules. nA f() IA IA%/A Phone Number: a5�- 373..471 Email Address: I certify that 1 have authorized �Dfl `�ryAe 'fin , �rx�l llar,c% �Tlr i1. 4 ejkv- Agent/ Conaackw to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the fallowing proposed development at my property located at !oU(/ 231z g 1l) Trj ve 1-b(in�rqve-,r) 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 Irdonnation: si_gn&V e Print or Type Name 7-We 67 l- �S l/ 2 Date MAY 0 6 2020 I hereby certify that I own property adjacent toAl)i.>i' l s ) r� "Drive Pr perty Owner) property located at /0�02� rJ�lle��11 d iS/2 ,l- A"I - 1`> �- (Address, Lot, Block, Road, etc.) on k1►/,--y' in t1:1/�ID��Ci N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location.-' 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) PIS j 4ORC 1 — %__, C.J '--� — 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 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) S' a Signature W P int or T e Nam jj Print or Type Name cHYr YCE�' 35.�y- I3f:�llRtUL Mailing Ayddress Ma? ing Address Cirpte ►p t, City/State/Zip Telepho . Nu er/email address Telephone Number/email address '� f Date Date (Revised Aug. 2014) *Valid for one calendar year after signature* RECEIVED MAY 0 6 2020 9horeJinC-- l�►�17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 67 %�il�l�l(jt �� 's 1ryiA111 71 r1 NcI 7VV1 property located at 1,,,UD ,� �3i1Gc- dI (Address, Lot, Block, Road, etc.Y on %�i :'.Lc �/ :_a YC'y" _, in lJ-) �e=1a')i ke ��A1/C�J N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. L= 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) v NA 11 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.) -1 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Oyvner Information) -I/F--, PJ Pri or Type We/ r Mailin dress civt�e/Zi -7;L Telephone Nu bed/email address Date *Valid for one calendar year after signature* (Adjacent Property Owppr Information) Print or -.- ----917T- ' � 7 Telephone Number/email address &1'?019 Date (Revised Aug. 20 Ilk C E I V E D MAY 0 6 2020 DC M,-MHD CAGY Phone Number: q/�� f 'X=21 Email Address: I certify, that I have authorized , - (/A / to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my properly located at in ���, County. I furthermore cei* 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. Properly Owner Information: Signature - Print or Type Name Tide 0n%lK—)� I Date This cerdficatiort is valid through r I - - RECEIVED MAY 0 6 ZOZO 3�2— DCM-MHD Clip I UL 64m- � Jr property located at "t-�/r�eJ (Address, (waftrbody) Propertir yefx),, �5-3 —L-- andfor County) N.C. The applicant has described to me, as shown below, the development proposed at the above location., ✓' I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (IirWON, pig dev pnjent must W in description below or attach a site drawing) V 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. (Property Owner Info , ation) Signature ('//) //' D Print or Type NIr►p /% , a-72- Telephone Nu ber/email address l r Lo Date *Valid for one calendar year after signature* IhvJIa -will r1lapanyy er In n) e> /7� iA A 0 V J; , SO Pr) or Type Name _ M Ad*ws v Oty/s181600 02� Telephone Number/email address Dale` f (Revised Aug. 2014) MAY 0 6 Ion AUJAGENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to )/)WAO 's (Name of Prop"V Owner) property located at (Address, Lot, Block, Road, etc.) on ���, ._S'�' d�`y / 3 in Hop,- Nt-l- C',49k� �(J , N.C. (Waterbody) (Ci*ffown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal_ DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT i�P9 dev�elbpmentmtttflY�n destxir► below or adtech a site drawing► -[ ��-�� �,�� �-t,..f-,-�.---..��✓ �-mot-.� 150OK-0 J LAO 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.) U . I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner InformatiWI (Adjacent Property Owner Information) Dote sigma , * Print or Type Name Maibng AddrW c 257 - 373 - th7L/ /email TT_ Telephone Number/ 7 ?4` � 15 1 �. D,we* *Valid for one calendar year after signature' (Revised Aut iv n AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: I hJAPiT Mailing Address: Phone Number:23- e37 7 Email Address: {bY olade- ig., I certify that I have uthonzed /�C% C������ �`�y r q ` ) Yent Contractor G to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 1'2'�/21#11: �5,20,Z�LPJE v , at my property located at /cx in 2zzynj 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: Signature rllA Gv�- Print or Type Name Title / %5 / /l Date This certification is valid through 153'ez- EC I' MAY 0 6 c lu, 91FM*1 i 'Rives LAKID �, O_ 00 /-) /-) O 0 co 1 hah'4 Gfid- O wY-) 'DrpCv�i MI Pr�opeity Owner) property located at %O %tc 6, 11 f i v� %A16'U53 2 (Address, Lot, Block, Road, etc.) on / V .:G' P i/e� . In _ AJ- W JVZ N.C. (Waftrbody) (City/Town andlor County) The applicant has described to me, as shown below, the development proposed at the above localion- C- I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT n n� poposing davelopment must fit in dan'be%w or attach a site drawing) va Lc- i-) f,6)D ©©/) 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. (Property Owner Information) (Adjacent%Property Owner Information) FWntor ,s "it wo I� T -bV i y in ins �1 Telephone Number/email address Telephoi Date mite "Valid for one calendar year after signature* i31 J10- 933j email address (Revised Aug. 2014) RECEIV MAY 0 6 1010 GM-MIAD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (")C r0AJ to �A I hereby certify that I own property adjacent to /b //1 �11 ' =�i' I j (Nalne of Pro�pe Owner) property located at /a�/U tl�i� ��6 /�ifV e /�1c- �c lax' %/ 'P. C'- 5 3 (Address, Lot, Block, Road, etc.) on N4aek- 'Riyey' in %'l.� Vp-loe li JVC aVet') N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location.. 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) 0v U U � CJ `� (-/`--� v' 0C)OC-) 0000��© 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. (Property Owner Information) (Adjacent Property Owner Information) Signature T Print or Type Names Mailing Address NG City/State2ip Telephone Number /email address �6 '-/ -1/ / Date *Valid for one calendar year after signature` No Signat - ) tl Print or Type Nye Mailing Addre� s e- 9- b * D� -z City/State2ip 2--5 2 . 375 AI Telephone Numbe / email address Date (Revised Aug. AAIV` DCM-MHD CITY