HomeMy WebLinkAbout74256D - Dixon:<CAMA / DREDGE & FILL No. 74256
A B C
GENERAL PERMIT Previous permit#
XNew Modification ❑Complete Reissue El 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 01.' 2CD
��// Li: �,xO� El Rules attached.
Applicant Name 1`' V Project Location: County QVNSWILL
Address (P Street Address/ State Road/ Lot #(s) CA
City EAyE-rY,, v1iw, StateA/C /C ZIP 2 a 31 Z
sckusbvRy s'T
Phone # ( 1100) d13 — D22& 2 E-Mail kek ldon;a I!# 56 iClo.kA*Q-Subdivision
Authorized Agent WI) I_ ��AQAS0PJ �.�� City bow'F_'\J ZE k&A ZIP 28%y2
Affected ❑ CW JII EW *PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / 6p PNA yes /6P
Phone # 0335 River Basin LypAaEcL
Adj. Wtr. Body CA NAL_ (nat� kn)
Closest Maj. Wtr. Body A\\Nw
Type of Project/ Activity W5.14UL1 tJ6W or-k1N(P TAuLiTV Cot-J5tS- ("(-9 c)F A GOAT La FT , (7CoAtIN(s
(-1L A t i-u a-, A m o a_A MJ! (Scale: 1"= Z O 1 )
Pier
Fixec
FC
Finge
Groir
BulkF
Basin
Bead
Othe
Shorn
SAV:
Mora
Phot<
Waiv
A building permit may e r�e`quired by: ( J OL DEN �AGIA ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/Special Conditions 1)Ari�jatT10tjS of U}I�.I20c� LotA1.15TATr1AmrA 'FEIC—RAL QCLVLA-rous5 APPLY
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Agent or Applicant Printed Name
Signature" Please read compliance statement on back of permit **
2-0007- 74to 3
Application Fee(s) Check #
1 `I (4E:XZ C C LA1 VLr—
Permit Officer's Priinnt e
#C_ LZ.
Signature
I9
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Kyle Dixon
Mailing Address: 6375 Tabor Church Rd
Fayetteville NC 28312
Phone Number: 910-813-0262
Email Address: kaldoniall5@icloud.com
I certify that I have authorized Will Richardson
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CANIA permits
necessary for the following proposed development:
Floating dock and lift installation
at my property located at 119 Salisbury Street Holden Beach NC
in Brunswick
County.
I furthermore certify that t 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 afanementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
LA
Signatures
Kyle Dixon
Print or Type Name
Owner
Title
05 l 21 119
Date
This certification is valid through 9 / 30 i 19
ADJACENT RIPARIAN PROPERTY OWNER STATE!dENT
I hereby certify that I own property adjacent to Kyle Dixon s
(Name of Property Owner)
property located at 119 Salisbury Street
(Address, Lot, Block Road etc.
Canal
on , in Holden /beach RC 2 462 N. C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above locOtion.
1— 1 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 descript(on below or attach a site drawing)
Installation of boat lift
WAIVER SECTION a
I understand that a pier dock, mooring pilings, breakwater, boathouse, lift, or groin must be set tack a
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to raive
the setback, you must initial the appropriate blank below.)
—Z-�_ I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback ,equirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature
Will Richardson? Autorized Agent Timothy Sherman
Print or Type Name Print or Type Name
3235 Seacrest Ave SW 1018 Twin Oaks Ct
Mailing Address
Supply NC 28462
Citylstatelzip
910-367-0335
Telephone Number
5-22-19
D:x:e -- —
Mailing Address
Concord NC 28027
Citylstatelzip
704-791-9454
Telephone Number
5-22-19
1-,utn
(Revised 611812012)
.....,,,..,...s......., ....,... .. n
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Kyle Dixon 's
property located at 119 Salisbury Street (Name of Property Owner)
(Address,LotBlock Road
one etc.))
in Holden Leach l�C 28462 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
dod0W�r*d
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must flit in description below or attach a site drawing)
Installation of boat lift and floating dock
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 Information)
Signature
Will Richardson? Autorized Agent
Print or Type Name
3235 Seacrest Ave SW
Mailing Address
Supply NC 28462
City/State/Zip
910-367-0335
Telephone Number
_5-22-19
Date
�
0"'7 �♦�i 47131 t14 3:a3 Prd ®T
t CKY-BBP6-NYBf-9'V1i
Signature
Anne Cain
Pnnt or Type Name
1401 Bamside Ln
Mailing Address
Apex NC 27502
Clty/State/Zip
91 M80-0088
Telephone Number
5-22-19
Date
(Revised 611812012)
-6FT---
PROPOSED
13X13 LIFT
CANAL__---
PROP05ED 1OX16
UP
PROP05ED GANGLY
WETLANDS I-1FT
EXISTING
1OX12
KYLE DIXON
119 5AL15BURY STREET
HOLDEN BEACH NC 28462
910-813-0262
WETLAND5
15FT
Check
Date Recepeed
Dafe De oaited
Check From Name
Name or P—If Holder
Vendor
Check Number
amount
Permit Number/Comments
Recap f or Re/und/Reallocated
COIUMPI
Column2
Column]
Colu.M
Columns
Co/umn6
Column?
Columns
ColumnG
8H/2018
1 1
_ !Will Richardson/Richardson ConsWclion
!Holden Docks and Bulkheads
Will Richardson
�Jeff and Joan Miller
BBBT 7463
CresCom Bank 3585
$ _ _200M
5 400.00
GP #74256D _ _ _
GP #74355D
TP rot. 8758
BB rct. 9134