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Home My WebLink About74722D - Brittan, CAMA / .AaREDGF, & FILL No. 74722 A B c GENERAL PERMIT Previous permit # ANew Ej Modification AComplete 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 I SA NCAC ❑ Rules attached. Applicant Name 1,;�,{(LI vroc-VC-K ba rT -z - V Project Location: County \,(L,-)wS Address 11 Z S A I L (7% S H S Z , Street Address/ State Road/ Lot #(s) 112- City `��,+�SEZ QCA64 State NLZIP '294LQ5 Phone # (101) 400 R9T1 _ E-Mail Authorized Agent LAt [ eL Gam• i Z itj c 'I 10 Al City S�, N$ E Z C t A C H ZIP a 4 I(o$ A(.,C,"rPhone # 90W River Basin t �— Q6t2 Adj. Wtr. Body A L (nat df h-a-ankn) Closest Maj. Wtr. Body A j w w Affected ❑ CW ❑ EW ❑ PTA N ES 19PTS AEC(s): ElOEA ❑ HHF ElIH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /601� PNA yes /(01 Subdivision Type of Project/ Activity Ce L Ar G CN Z ,P- E% � *. -j &,AM E E'"nc, t PCZ\OJT (Scale:v Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger p4r(s) Groin length number Bulkhead/ Riprap length_ avg distance offshore max distance offshor, Basin, channel cubic yards Boat ramp _ Boathouse/ Boatl Beach Bulldozing Other / 00o �f'T r[ x or t� d bV.1k �� rrlr�rrlrrl�G� M��N ■i .OM■■■11■■■■■t-PtHIMIMM ■■■■■t�®KEUMM■■ NN 0 11MININIMIAN ME MESON ■■■■■■■■I 1■■■■■■■■■■■■■ ■■■■■®■■■■■■■ �+ ■■■■■■■■I 1■■■■■■■■■■■■■ ■NNE ■■■■■■■ ■■ NEE ■■M■■■■■■■■■■■■ ■■■■■■ r (wb Signature 4 Please read compliance statement on b k of ermit ** o ►M Application Fee(st Check # Permit Officer's rinteMamey Signature �} 2 -1-/20 Issuing Date Expiration Date an.�� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis John E. Skvatia, Ili Governor Director Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM Date: 2 Name of Property Owner Applying for Permit W r^ n1, i3r I� I n Owner's Mailing Address: `�\2,,I��sh Sucy�_ Q-eucln (\I( Z ItLAO Phone Number t763) u{dO — $ci" Name of Authorized Agent for this project: Agent's Mailing Address: 4(kk% (!W_ctch �3rr. SuJ 4ud-�_ Nc ZBLI6 Phone Number % _ 6_7 C16 (1S_ I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtainiall CAMA Permits necessary to install or construct the following (activity): n For my property located at �� li 5CAA ,orl 6'i'� 5drl a - &Ud L This certification is valid thru (date) C6m �le�toV1 f 4 ` Property Owner Signature Date 127 Cardinal Drive Ext, Wilmington, NO 29405 Phone 910-796-72151 FAX 910-396-3964 Internet. www.ncooastaimanagement.net An Equal OppWunrty 1 Arhmaeve Action Employer CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT�IONIWAIVER FORM Name of Property Owner: t k5 7�� 01'� Address of Property: � t 5kt tS r 1 `) (Lot or Street #, Street or oad, City & Co unty}- Agent's Name #:~r ict (-)�s r�s�ru(. i C) Mailing Addresslkt BQQCh ►D" 3W Agent's phone #: �� 0- s-�q - q o95 C Lr) Y'Itk k ct( ( Z, S%q 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. C` A description or drawing, with ensigns, must be {provided wjthAhis letter. t3 ,r 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. Correspoti'dWo� a should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representedvoo can also be C contacted at (910) 796-7215. No response is considered the same as no objection lf'yy0a A%" 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 cL minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the n setback, you must initial the appropriate blank below.) 1 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) q �> nature Print or Type ame <5 i Mailing Address City/State/Zip Telephone Number Date (Adjacent Property Owner Information) (/ Signature Joti �'l-'�i` Print or Type Name Mailing Address City/State/Zip 316- 2 ►s Telephone Number `-f /L ! - Date( Revised 611812042 CERJIFIED MAIL. - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NO jT TIIFICA T ION/WAIVER FORM Name of Property Owner:C-*\)Ct5 01 I.�1 f't I Address of Property: L\ 1 4k vs fq.� � � C (Lot or Street #, Street or oad, City & County) Agent's Name #: G r ►ct RS�ruC,�lU�1 Agent's phone #: Aw- sag gLn,5 Mailing Address:l( 3Q(-h NC Z'6u V� 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 grawing_the development they are proposing. C- A Le- croon or drelCT wing with d - - r. :a— - -- I have no objections to this proposal. _ 1 have objections to this proposal. N 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. CorrespondiWke should be — " mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representaftloas can also be contacted at (910) 796-7215. No response is considered the same as no objection N`yWJi"been C 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 setbcA, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. '� I do not wish to waive the 15' setback requirement. (Property Owner Information) Nature r«�� Print or Type Name Mailing Address City/state2ip Telephone Number Date dja t Pr erty Owner Information) 4igc fure AW Print or Type Name J ailing Address City/State/Zip 919-aI? Telephone Number Date - Revised 611812012 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. 7��4("r xC- ❑6wnt Addressee B. tjeivYed by (printedd'me) I C. Date of Delivery J"Ny D. Is delivery address different from item 1? ❑ es If YES, enter delivery address below: ❑ No I I I I I III II I II I I I I ( I I 3. Service Type ❑ Priority Mail Expresso Mill 9590 9402 2219 6193 1048 51 ❑ Adult Signature ❑ Registered Mail — El Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ CertiTied Mail® Delivery tied Mail Restricted Delivery ',Emwurn Receipt for ❑ Collect on Delivery Merchandise n r^'�^' ^ ery Restricted Delivery El Signature ConfirmationTM ❑ Signature Confirmation 0283 stricted Delivery Restricted Delivery Lover ybw) 2. Article Number (Transfer from service /a bell _ 7 17 0660 0 0 0 0 7 4 8 7 PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 7017 0660 0000 7487 0�. E a' e a m s Da o 3 Mal EL I in ID a n m to C. 14 m y T N ■ • � %y(�c'o'LC m a d x» A9 • _ ; G 0: 'A 8 0 5 •- o i co to to r n g 'r� d.Fn•ww4 �. �? Nd w=o ti m� ci �iL N01Ld�� 7017 0660 0000 7487 0283 cl C o E m u n 3 3 $m sm $ a x 21 m CL C @ 8 S M E, • • °mi 0-3 G $ D W h °O s X' n _n m g g2 K •� f to to tN fw (n a ^I �iV I ^\` O . %m m a �)Dy�c\ 1p� cUru� �-\\Z < ,tW � NA sca n3vAk <16 z�c�� Date Received Daft De sifed Check F m Nama Name of Pemrit Holder Vendor Check Number clrent amount Pennlf NumbenCommenfs Receipf or Refund/RealMcated Columnl Column2 Column) Cphlmfll Columns CCWmfM Column? Column8 Column9 9/30/2019 9/30/2019 Grice Construction James and Diane Filer Christopher Brittin Mildred Willoughby BB&T BB&T BB&T 12911 $ 200.00 GP #74723D GP #74722D BB rct 8283 Grice Construction 13298 8 4 00.00 BB rct. 8282 9/30/2019 Grice Construction 13297 400.00 GP #74721D 11313 rd. 8261