74300D - Cox

I CAMA / ❑ DREDGE & FILL No. 74300 A B C d
GENERAL PERMIT L� (01 q -01) Previous permit # �i M-47--3"
New :Modification } Complete Reissue ❑Partial Reissue Date previous permit issued 1 1 C3-11G1
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 0 P, CI
r ( ❑ Rules attached.
ApplicantName (a,� t��X _ Project Location: County
Address P ah Dr • Street Address/ State Road/ Lot #(s))2)•2a-h
City IA State ZIP W. ✓t
Phone # (o) Qi 3 E-Mail b< OYrPj J VVt W S. L VMubdivision r'
Authorized Agent Ni A( City (A i. I OAA A Mh n ZIP'L 5LP
Affected ❑ CW �EW PTA ❑ ES ❑ IFTS Phone # ( ""'—) River Basin CfP2-
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ uBA ❑ N/A D C 6
❑ PWS:
ORW: yes / no) PNA yes /
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshor
Basin, channel
Adj. vvtr. Body at Iman unkn
Closest Maj. Wtr. Body 1 14/ L1
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Signature
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Issuing Date Expiration Date

MCAWiA / DREDGE & FILL
GENERAL PERMIT
(xi New L-Modification -JComplete Reissue El Partial Reissue
?T0 72397 A B C C,
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality j
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC L (• I Z L
% ❑ Rules attached.
Applicant NNCl�}ame �, {{ q�n l:,-)x Project Location: County_ ,.J
Address IC �L j Street Address/ State Road/ Lot #(s)
City �:�v�n; State /l;(, ZIP �� j,;4v �' ,.�, V
_ J
Phone # (1/ t) 3C4- W S E-Mail k6r,K 4 to LAV" s- CLM Subdivision
Authorized Agent
Affected ❑ CW V EW WPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
City —`
Phone # O �—�Rjverin L T
Adj. Wtr. Body 1�'t nat /man /unkn)
Closest Maj. Wtr. Body i"i ) t'i
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Signature , ** ease read compliance statement on back of permit **
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Application Fee(s) Check #
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Per ' fficer's Print ame
Signature
Issuing Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to * 9.02 Arj ean Drive ,s
(Name of Property Owner)
property located at . 836 Santa Maria Drive
Pa es Creek (Address, Lot, TIock, Road, etc.)
on g in Wi mington 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 nd objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must 1711 in description below or affach a site drawing)
Revised sketch eliminating small finger pier walkway to deck_.
Relocated boat lift now closer shifting towards riparian line
Riparian line shall be recognized and 15 Foot rule shall not be waived.
(attachment)
WAIVER SECTION
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 Inform lion)
Signature
Brian J. Cox
Print or T. e Name
902 AVfean Drive
Wi1TgAng on , NC 28411
City
/Sfafe/Zip
910-367-6083
Telephone Number
7 10 19
Date
nt Property Owner
c�J� ? KIC4-AGt zz ilv
Print or Type Name
836 Santa Maria Drive
Mailing Address
Wilmington, NC 28411
Qty/StateOp
910-232-8645
Telephone Number
Date
w•y"'
`_ .(Revised 6118r2012)

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ALE

Date Received
Date De stied
Check Fom Noma
Name of Permit Holder
Vendor
Check Number
Ct—k
amount
Permit NumbenComments
Recel t or Refund/Reallocated
Col umnl
Column2
Column3
Column4
Co/umnd
Columno
Column?
Columnk
Column9
7/17/2019
Charles F Scanlon _
M. Sniff
Charles Scanlon and John Lup
South State Bank
1696
$ 200.00
GP #74515D
GP #74518D _ _ _ _ _
GP #74516D
PA rct. 9155
CS rct. 7935
PA rct. 9166
7/1712019
HenryBatton 111
TD Bank
5624
$ 400.00
7/17/20191
----Emmett
Signature Building Solutions, L_LC
Randy Beardsworth
First Citizens Bank
1118
S 200.00
7/17/2019
Andrew A Callihan
Andrew Callihan
First Citizens Bank
1041
$ 200.00
JGP #71800D
jTMc rct. 8774
7/17/2019
_
AMW Docks & Marine Const./Rick W
RodneyNorton Sr.
BB&T
5533
$ 200.00
GP #74239D _
TMc rct 8775
7/17/2019
Brian Jay Cox
I Brian Cox
IPNCBank
1 980
200.00
1 GP #74300D
I CS rct. 7933