HomeMy WebLinkAbout73534D - Davis4CAMA / ❑ DREDGE & FILL No. 73534
AA B C
• GENERL PERMIT Previous permit XNew ❑1Modification ❑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 15A NCAC U r% 1-i ► .2 C)O
F7 Ri.1— arra�horl
Applicant Name MI CMA F-V ',A V t S
Address 0643 CARR Aar-yiacesw ro 'OR
City ��-fARQEwI State ZIP 2_7 313
Phone # (M) SO?- 5108 E-Mail
Project Location: County RR %AMS w t cK
Street Address/ State Road/ Lot #(s) 7—s t
FA EF67-0 15 gE r—:r-
Subdivision
Authorized Agent WAAJPA (� NC_C_ City OGE/W =Stt ZIP 28469
Affected ❑CW )(EW )(PTA DES ❑PTS �� Phone # (310) 5'rq • 904S River Basin LLIpt
❑ OEA ❑ HHF ❑ IH El URA El WA
AEC(s): ❑ PWS. Adj. Wtr. Body CAA/NI (nat mean /unkn)
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body —�A (W W
Type of Project/ Activity -
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Notes/ Special Conditions 07 H , 1200 do ,At.l. ()l11-IF—R I,OGAL . 5ZA- M
IA 11D FC-0Cjt A L R E GU L A-ri o AS it PpLy .
Agent or Applicant Printed
)l Name
Signature ** Please read compliance statement on back of permit **
*200 * 13 072-
Application Fee(s) Check #
`C_ atoll R F_
Permit Officer's Printed Name
1-4 A _ :4.
Signatur
G 2019 I o *I "1
Issuing Date Exp tion bate
Pat McCrory
r • Governor
Braxton C. Davis
Director
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuHm
Date: 5/17/19
Name of Property Owner Applying for Permit
MICHAEL DAVIS
Owner's Mailing Address:
6643 CARRIAGE CROSSING DR
PLEASANT GARDEN NC 27313
Phone Number 036)_508-5908
Name of Authorized Agent for this roject:
Agent's Mailing Address:
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upn ►-:i,-s1Q '�eycV Ill -
2%4 69
Phone Number RtQs) Si cA— quf 5
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Per
KN D-,,-Q N ".Xy
s necessary to install or construct the following (activity):
lI b1�lq �- 1k f�-
For my property located at _31 RAEFORD STREET, OCEAN ISLE NC 28469
This certification is valid thru (date) C-Z) CY\
Property Owner Signature Date
127 Cardinal Drive Ext., Wilmington. NC 28405
Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.nccoastaimanagement.net
An Eaual Opportunay t Affrcmanve Action Employer
1
Postal Service'"
ITIFIFn M011® Pi=rmr-
Hg Mail Only
For delivery information, visit our website at N^:'::, or .Com
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■ 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:
�MS
1111111111111111111111111111111111111111111111
9590 9402 2219 6193 1047 14
A. Sig
ir
X ° ❑ Agent
❑ Addressee
Received by ( finted me) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Expresso
❑ Adult Signature
❑ Registered MailTM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
Q�SQrtified Mail@
Delivery
❑ Certified Mail Restricted Delivery
churn Receipt for
❑ Collect on Delivery
M chandise
^w Rio Ni imher (Tlc7nSfef from service label)
EJ Collect on Delivery Restricted Delivery 11 Signature ConfirmationT'"
7 Q ], 7 ❑ Insured Mail El Signature Confirmation
6 6 0 0 0 0 0 7487 0450 A Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Strei
Agent's Name #: Gr is Q5:-w6V(-QJIv(�
Agent's phone #: %u-
n J�)�
or Road, City & County)
Mailing Address:W0 3QQCV !D`
ale �(" N( Z 6%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 orawingthe development they are proposing.
I have no objections to this proposal
proposal.
ff you have objections to what is being proposed, you must notify the Division of Coastal
cr
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
- 4- mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represenwoves can also be
contacted at (910) 796-7215. No response is considered the same as no objection if you lgre been
notified by Certified Mail.
�y WAIVER SECTION
V 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.)
✓v\
rn I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
�k `emu i,c,
Print or Type Name
(Adjacent Propert caner Information)
Signature
Print or Type Name
�DG�1�r6%f}iy�
Mailing Address Mailing Address
City/State2ip City/State/Zip
33%--- SOBS -- S(C(>y
Telephone
Number
2--1 --
Date
70 5L — b q ;�- it75'7
Telephone Number
_0::&iq
Date
Revised 611812012
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U.S. Postal Service`"
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
■ 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:
IN� z-75i�
A Ste► re f ❑ Agent
X- ❑ Addressee
B. ReB. Re e�b�'ntedlame) C. Date of DeliveryC. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
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3. Service Type
❑ Priority Mail Express®
I
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IIII
II
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II
IIIII
❑ Adult Signature
❑Registered MaiIT^'
❑ Adult Signature Restrcted Delivery
❑ Registered Mail Restricted
9590 9402 2219 6193 1047 90
ified Mail®
❑'Certified Mail Restricted Delivery
-�,a, Delivery
seturn Receipt for
❑ Collect on Delivery Merchandise
""""' 7elivery Restricted Delivery ❑ Signature ConfirmationT^
l El Signature Confirmation
2. Article Number (Transfar frn- --l- 1-�—
7 017 0660 0000 7487 046 7 Restricted Delivery
Restricted Delivery
I (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt i
CER IFIED MAI • RETURN REG IPT RE VEST D
DIVISION OF COASTAL- MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFIGAT14N1WAIYER FORM
Name of Property Owner.
Address of Property- �
{,(Lot or Street #, Stre
Agent's Name #:�
Agent's phone #. %U-
or Road, Gity & Coutlty}- -
Mailing AddremlDIti�, 4v\ D—
i'
i
1 hereby certify that !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.
r� tiara r drawinj -wlltt dtrxiensio�us bar tSrovidstx wiih`tiris Iettbr.
( have no objections to this pmposei. _ _ _ 1 have objections io this proposa;.
!f you have objections to what is being proposed, you must notify the Division of Coastai
Management (DCM) in writing within 10 days of receipt of this notice. Correspoiltce should be
-�' mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represent eon also be
- contacted at (910) 796-7215, No response is considered the same as no objection 1f la" 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
minimum distance of 15' from my area of riparian access unless waived by me (if you wish to waive the
setb ou mu inttia4 the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) ;acent Prop y w r Information}
Signalurc
Print or Type Name Print or Type Name
Mailing Address �J Mailing Address
Citylstate/Zip 6!y1S te1Zip
Telephone Number T ^ Telephone Number
Dale -- ---- "--- -T -- Date
Revised 611812012
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TT
Date Received
Date Deposited
Checlr Rom (Naml
Name of Perrnlf Hokler
Vendor
Check Number
Check
amount
Pemif NumbenComments
Receipt or Rerund/Realbcated
C.1—ni
Column2
Colunat3
ColumM
Co1umn5
Columns
Cokam7
CGIUmna
Co1umn9
6/26/2019
6/26/2019
6/26/2019
6/26/2019
6/26/2019
6/26/2019
6/26/2019
6/26/2019
6/26/2019
Wellman's Construction, Inc.
Wellman's Construction, Inc.
BB&T
18133
15935
16130
$ 100.00
$ 100.00
$ 100.00
minor fee, 7716 8th Ave Lot B North Topsail Orwo
minor fee, 334 Caswell Beach Rd Caswell Beach BrCo
minor fee 1808 N Shore Dr Surf City, Onco
Jd rcx. 8781 _
Tmac rct. 8471
JD rcL 8250
JD rcL 8778
Solstice Builders LLC
Martha O'Neill
First Citizens Bank
Charles F. Riggs and Associates Inc.
William O'Grady
_ _ _
_
First Bank
Wells Fa Bank _
Coming Federal CU _
Coastal Bank and Trust
Circle O Equity
Circle 0 Equity
25362
S 100.00
Iminor fee, 911 Bumble Bee Ln TB PnCo
Circle 0 Equity
Circle 0 Equity_
Margaret MacKay
25361
$ 100.00
1 minor fee, 938 Observation Ln TB PnCo
GP #74333D
JO rcl. 8779
Heaven Scent M mt Services
7320
200.00
TMc rct. 8755
Sonia and Brian Nunn
Sonia Nunn
7376
$ 200.00
iGP #73548D
PA rcL 7970 _
PA rct. 7972
Kenneth McDaniel
Kenneth McDaniel
1126
$ 200.00
_
GP #746851D
Lighthouse Marine Construction Inc.
Mark Calculi
2724
$ 200.00
GP #746921)
JD rct. 8777
6/26/2019
Jerry Ennett / Ennett Marine Construction
_
Haywood Parker
Coastal Bank and Trust
2280
$ 200.00
GP #74610D
JD rct. 7925
6/26/2019
6/262019
6/262019
6/262019
6/262019
6262019
AMW Docks and Marine Construction Inc.
Joel Klass
Joel Klass
Shelton and Jennifer Chaney _
Lighthouse Marine Construction Inc
_
Tricfa Gosnell
BB&T
B B&T
BB&T
Wells Fargo Bank _
lCoastal Bank and Trust
United Community Ban_ k _
Coming Federal CU
Branch Banking and Trust Company
5500
$ 200.00
GP #74257D
Tmc rct. 8489
Deborah Fish —
604
$ 400.00
GP #72303D
Tmc rct. 8499
Brian and Rage Daigle
600
$ 200.00
GP #74232D
TMc rct. 8500
Shelton Chaney
John Moore
Clarence Junior Allen
309
$ 200.00
GP 073539D
TMc rct. 8761
2713
$ 6W.00
GP 974622D
JD rct. 7923
Clarence J and KathyAllen
Logan Marine, LLC
9545
$ 200A0
GP 074626D
JD rct. 7920
6/26/2019
Adam Lauber
Debbie Smith
6561
$ 200.00
GP #74304D
TP rct. 8271
_
6/262019
Charles Fox Home, LTD
25562
7912
7913
7914
S 200.00
$ 200.00
$ 200.00
$ 200.00
GP 072243D
GP 97469511)
GP #746960
GP #7463831)
Tmc rct. 8492
TP rcL 8737
TP rct. 8736
TP rct. 8735
6262019
6/262019
6/262019
6/26/2019
_
F & S Marine Contractors, Inc
F and S Marine Contractors Inc
F and S Marine Contractors Inc
JBH Lawn Care and Landscaping Inc
Duncan Marine Contractors, Inc.
Grice Construction of Brunswick County Inc
Brandon Grimes MO
David Swain PNC Bank
Susan Culp PNC Bank
Joel Killion PNC Bank
Jonathan Holland Fidelity Bank
IlEmmett Aldredge Branch Banking and Trust Company
Michael Davis BB&T
Murray and Ann Crawford i Wells Fargo Bank
13792
$ 200.00
GP #74315D
TP r2..8734
•626/19
8278E
400.00
GP #74686D
TP ret. 8733
626/2019
13072E
200.00
GP 073534D
Tmc ret 8493
6262019
8.74E+t)<J
400.00
1 GP #74667D
JD rct. 8782