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Home My WebLink AboutQuicksill 72211 r ‘4,141-6, %\\ \i }CY-f �/ CAMA / El DREDGE & FILL No722111 2211 NERAL PERMIT Previous permit# A BCD New -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina,Department of Environmental Quality j ( �(�l Q I and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC ( 1�( V V • [2.6 ❑Rules attached. Applicant Namee„, / JJ) Q NCI �L,' Y • Project Location: County NA()0 f Address I rip k . . . ► ,A )i.11.al IS _ A Street Address/State Road/Lot#(s) City t _ -i- State N ZIP a U' ' Phone# (_i 'L)) .., / I�•i ail Subdivision �_ Authorized Agent /� C Y1 City �OJU I ZIP }`-fin`"" CW �I,� ,• TA ❑ES ❑PTS Phone# ) _ River Basin �j Affected ❑ �`^ AEC(s): ❑OEA ❑HHF ❑IH ❑UBA CI WA if J, A Adj.Wtr. Body .. - 1 _ man unkn [11 PWS: — ORW: yes / no ) PNA Cy no Closest Maj.Wtr. Body �v Type of Project/Activity l/ da 1 AN A.V k d _ ♦ th., — •..Ls. •- .. (Scale: /IL " & I ) Pier(dock)length Fixed Platform(s) I Floating Platform(s) --- I J. I Finger pier(s) _ �_ �! Groin length - --- r-- i, 69—7 f number j ( Bulkhead/Riprap len: • i oll avg distance offshore �`�+ v `i t max distance offshore -- • —, Basin,channel I ` ~ j II r / . N i kb. I illi a ,� cubic yards 4 _ r ® 17 Ir I Boat ramp AMP I Boathou I— `L `f Beach Bulldozing Other I / v Shoreline Length \ ! SAV: not sure yes 4 - j . 1 6 Moratorium: n/a yes — ,P I e . , , Photos: yes f� !MR Waiver Attached: yes 40 t V ,7 tl A building permit may be required by: `/� 4 AAA i A _.i _ik-- • n See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions \ `► 11• ! Li .. ' (. ) VII\ VVAI44,.,fri - • . �?1-� �3\n ori 1 S\-i�-�G' fi■liM ► AI 0 l IR U YVJaf-,(1 k ki(v& ritkccrvey . 6-).‘ Dx-pc -Iii Tai4 luocAttibir- e or plicant Printed Name ermi h 'rs Printed Name Signature "Please read compliance stateme n back of permit** Sig ur 02n, u0 11 11t 1 \1711ApplicationFee(s) Checkit Issuing ate Expiratio1ate AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: G KaY kCS 0 S:1\ 3-Y • Mailing Address: (Q4'E'3 W a1 , ?►,'d L.r . po%r iN c, 212 419 Phone Number: t Slo Email Address: I certify that I have authorized rAc -Steav-crye.. v Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: "vs }G` 1‘ -} 1t at my property located at L9 4 VV Mcc\ PY\d L in Bvwel9 C- - 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: J Y Signature •i AUG 03 2018 Print or Type Name rA Title I I Date RECEIVED DOM WILMINGTON,NC This certification is valid through \ I « I B AUG 0 6 2018 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Ckav-\e..s L9‘.A.t ete.s►'1\ J v Address of Property: L- 45 , S -2. , s SW aider.l - Lv . So t-h-, t t Eyvtnsw-c .. (Lot or Street#, Street or Road, City&County) Agent's Name#: CV.l..-5,- Mailing Address: 1t?1 N• G�'h'c, Agent's phone#: %ID 493311 Pvt.— -h,, p✓k NC 28'-1.&i I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. Livti I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. 4 I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) -- `. cJ4 --- Signature Signature C Myles Qhl l cics%r I L0✓zi V114, Print or Type Name Print or Type Name 1� �5 WG�ldt-r. d Lh SE tt3s ectr trr Cli,�b Rd. Mailing Address Mailing Addres A"tkriD Me- 243x-Ito 1 Wmlv'vulr NH I City/State/Zip City/State/Zip C\10 Stab c35(o 8 Ott)) 1110-4415 RECEIVED Telephone Number Telephone Number DCM WILMINGTON,NC ,3o Sul ?Ott AUG 0 6 2018 Date Date Revised 6/18/2012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT • I hereby certify that I own property adjacent to Ci'vvteS Qu‘.ctcSti', 1 Jr• 's (ABS (Name of Property Owner) property located at ( 1c3•tel Nd LA, L. 45 5a on w 1� +� Cv c.c ta. (Address, Lot, Block,Road,etc.) in So„k -r /V C- , N.C. OVaterbody) ii/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) p'o c.n.V, d i oa+ L '-('-} w t--v, 4 pi 1 t s u..ck sf 1r E'x-iS1) �t r�i c 0—� D Pk. � Cr,c41 e- F-a4 r A i�`a- ;\��. WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 Infor . ion) (Adjace/t 'r•perty 0 ner Information) Siggnature Signature ' 105014 Print or Tpe Name Print or Type Name� y�3 �.frtS , t4 42i, p4SS W16k1r3ev,.'S d L-n, yL L1 ) .444 ikks ,4x, v c_ sem. /{C . - MailingAddress Mai``ligqg A fires + ., y�� A- N 21341-1 Mor- �V 54, 'sG azo ) City/state/Zip Cit /State/Zi 411117, lip 1260127 g9 ��C��'RECEIV ON, NC Telephone Number Tel hoope�N; e Date Dale ) AUG 06 208 (Revised 6/18/2012) II ME 1111111111111111 IIIMMEMEMMEMERIIMMOMMIIMPWITIVONIMEM 111111111111iiiiiilliiii611111111111111111111111111 MIONINMININIMMEMINMINEEMMIIIMMENMININIMENIMMIMMINTAITIMIEN REMMOMMOMMEMMEMOMMEMMEMEMOMMOMMEMOMMEMMOMMEMMEMMOM 4 ammmmmmmmmmmmmmmmmmmmmsmmmmmmmmmmmmmmmmmmmmmm mu Immwommommummummummuommimillimmil RIM mmommiMMOMMIsmumummommaMMOININJEMMINEE mum mommuulizammomummommummummimmill Immo 5 mar MINIMMINEMIN MUNI MOM MI 11111 ME IMAIIMINEN a� RfWI 1121112:1111111111 III:1111111m imummomma s missom..------111ifiln III Illiiiiiiiimrp iffiriti, limilm Nim JIIIIIIIIIIII 1111111 ••1•111111.10..111116mmo mums 11 11 imam'''. 1111111 1111111111111111111 ii 1111111111 1111111111111111111111111111111111111111111111111111 111111111116iiii EIMERMILMIMIEVERIEME N Date Date Received Deposited Check From(Name) Name of Permit Holder Vendor Check Number Check amount Permit Number/Comments Receipt or Refund/Reallocated Columnl Colurnn2 Columna Column4 Column5 Column6 Column7 Column8 Column9 8/13/2018 McPherson Marine Services,LLC Charles Quicksill Jr. First Citizens Bank 1414 $ 200.00 GP 72211D Tmac rct.6311