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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 numb ■■■■■■■■■■■■■■��li� �I.�i:M■M■■■■■■■■■■■■■■■■■'' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■w ■■■■■■■■■■■■■■■C3y!■■■■■■■■■E■■ cubic yards IV ■■■■■■i' Il■1 �i�i ii I■■■■■�M� 1■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■ ■MI I■I ■ ■� I■■!■ !i' 7t ■■■■■■■ 0■11■I■■II■■■■I■■■ ■■■■■MM■■■■■ ■■■■■■■ ■EII&WHI1■ ■■M■■ ■E■■■■■■■■■ ■■■■■■■ HEr IM1111 ■� MEMO ■MEMO■■■■■■■ i Bulldozing ■■■■■■■ En��I1■E■ �iM■M■ EME■■■MEEM■ MEN• ■■■�lill� E■EE■iMl�•�■m■■MEE MM■MMEMMMMEM OMEN �iii�ii► .line Length •not sure yes - � r�E�i►Ma■ i■■■i �� ■���_EiiE MIT o�'1R3I ffi■■■■O�ES�■■ �f'�rE11�1�+�(��iM■ 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