HomeMy WebLinkAbout74728D - Brazil'� CAMA l DREDGE & FILL NO. 74728 A B C D
G N ERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorize 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 i
Rules attached.
Applicant Name Mvv A Project Location: County 61
Address VAC Street Address/ State Road/ Lot #(s)1
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11 Subdivision
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Waiver
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent
1 �a) 1 FI
❑ See note on back regarding River Basin rules.
Iu/Ai <'h40 �.
Si nature * Please read compliance statement on back of per it * SignatYe t/
Um 1 \&A ! 0 �S I
Application Fee(s) Check # Issuing Die Expiration to
Name of Property Owner Requesting Permit: Mariah & Michael Brazil t
Mailing Address: 113 SE 15th Street
Oak Island, NC 28465-6514
Phone Number: (910)448-2299 ,- 10—;
Email Address: Madahbrazill3Qgmail.com
I certify that I have authorized Joel Klass
Agent / Gontrarbor
to art on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: pier, deck, floating dock, alum ramp,
and vinyl bulkhead
at my property located at L-23 SE 15th Street Oak island, NC
in Brunswick
County_
I furthermore certify that l 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 Infomwtion:
f
U-? I 13 1c-t- fi l
Signature
Print or Type Name
cc*�ee
i
1 1 3 l
Date
This certification is valid throughlI
f
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby cerfify that i own property adjacent to
Mariah & Michael Brazil
(Nacre of Property Owner)
properly located at L-23 SE 15th Street
(Address, Lot, Block, Road, etc.)
on Montgomery Slough in Oak Island , N.C.
(Waterbody) (CityfTown andtor County)
The applicant has described to me, as shown below, the development proposed at the above
I
� I have no objection to this proposal.
I have Objections to this proposal.
DESCRIPTION AND[OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fell in desc dptirnt below or attach a site dr^aWng)
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 16 from my area of riparian access unless waived by
me. (if you wish to waive the setback, you must initial the appropriate blank below.) J (w,rK V 0"-
�Acca��1� �
I do wish to waive the 15' setback requirement Pr W���K. �
nt�thl�s �e?µt�,cs
I do not wish to waive the 15' setback rectuarement_
(Property Owner Information)
Signature
Mariah & Michael Brazil
Print or Type Name
113 SE 15th Street
Mailing Address
Oak Island, NC 28465-6514
Citylsiatel
Telephone Number/email address
Date
"Valid for one calendar year after s
Ar
(Ad" e t Propeer Information)
Signature *
Roger Paul
Print or Type Name
105 SW 1 st Street
M*Address
NN Island, NC 28465
city/Stats&ip
Telephone Number/entail address
Date*
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY MER STATEMENT
I hereby certify that I own property adjacent to
property located at L-23 SE 15th Street
(Address, Lot, Block, Road, etc.)
on Montgomery Slough in Oak Island N.C.
(Waterbody) (City/Town and/or County)
Mariah & Michael Brazil
I
(Name of Property Owner)
The applicant has described to me, as shown below, the development proposed at the above
locatioV.
W. ! have no objection to this proposal.
It V
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(indMduai proposing development must ffft in descM*on beefbw.cr-WW-hA-SUe�di WzWW
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 vnsh to waive the setback, you must initial the appropriate blank below.)
f do wish to waive the 15' setback requirement_ *hccandli npojpS P (?01Qq A- WKLVVv, �
I do not wish to waive the 16 setback requirement_ sb+ bftK-
(Property Owner Information) (Adj e t Property y}wner,Information)
signature Signature * (^
Mariah &Michael Brazil Roger Paul
Print or Type Name Print or Type Name
113 SE 15th Street 105 SW 1st Street
Mailing Address M '/.'ng Address
Oak Island NC 28465-6514 Island NC 28465
eitylstateOp Q40statelzip
Telephone Numberl emaf7 address
Telephone Numberlemaif address
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adacent to Mariah & Michael Brazil ,s
(Marne of Property Owner)
property located at L-23 SE 15th Street
(Address, Lot, Block, Road, etc.)
on Montgomery Slough in Oak Island , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING Of PROPOSED DEVELOPMENT
(lndhridfral proposing development musi iW hi descdptkm below orattach a site drawing)
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 ri�!quiremertt_
I do not wish to waive the 16 setback requirement.
(Property Owner Information)
Signature
Mariah & Michael Brazil
Print or Type Name
113 SE 15th Street
Mailing Address
Oak Island, NC 28465-6514
Citylsutmop
Telephone Numberl email address
Date
*Varxd for one calendar year after signature*
(Adjacent Property Owner Information)
Signature
William & Alicia Waddell
Print or -Type Name
PO Box 68
IVlailing Address
Oak Is{and, NC 28465
city/Siataop - -
a \ n gC51 k `Z c) S
Telephone Number/email address
(Revised Aug. 2014)
h
Ix
Date Received
Date Deposited
Check From Name
Name of Permit Holder
Vendor
Check Number
check
amount
Permit NumbanComments
Recto t or Re/un&Reallocated
Columnl
Column2
Co..
Co/umn4
Columns
Columnd
Column?
Columns
Column9
10/282019
10r182019
is 8 J Construction of NC, LLC _ _
IJL Moms Enterprises
Lighthouse Manne Construction Inc.
Mariah & Michael Brazil
William PopeAJeff and Noame Morris _
carol Holcomb s Jean McLendon
BB87 _
2104
S 600.00
GP N74728D
Tmac rct. 9200
JD rq. 8539
JD rcL 8542
South State Bank _
1353
S 200.00
GP 071623D
10282019
Coastal Bank and Truitt2901
400.00
GP 074525D
Saltwater Landino A
S I LLC
North State Bank
1)
JO lot. 8540
Name of Property Owner Requesting Permit: Mariah & Michael Brazil Ot
Mailing Address: 113 SE 15th Street
Oak Island, NC 28465-6514
Phone Number: (910)448-2299
Email Address: Mariahbrazill 3gpgmail.com
I certify that I have authorized Joel Klass
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development pier, deck, floating dock, alum ramp,
and vinyl bulkhead
at my property located at L-23 SE 15th Street flak Island, NC
in Brunswick County.
1 furthermore certify that 1 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 Infomation:
Ca-1 l C-� /� 7n- ,
Signatu
M62,A0 13"7-,L
Print or Type Name
CLt le4e
MR,
This certification is valid through lI i