HomeMy WebLinkAbout74799D - EvansCAMA / DREDGE & FILL No. 74799 A B C
GENERAL PERMIT Previous permit#
Mew Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality )�/y�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / W
c ' ❑ Rules attached.
Applicant Name l�f . rr V � h Project Location: County r . �S ✓ c ��
Address W C s k
l Street Address/ State Road/ Lot #(s) '-?(01
City -ACl�_ J 1 StC ZIP DASD (D
Phone # ( : 0(of &mailer V %n@ (1N co� division
Authorized Agent ill, -k&, �So n City SJ 1?n j� ZIP
Affected ❑ CW )(EW rOTA El ES El PTS Phone # ( ) River Basin L M be l
AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ UM ❑ N/A Adj. Wtr. Bod All
ElPWS. n man 1unkn�
W
ORW: yes no PNA yes / no�
Type of Project/ Activity - 1
Pier (
Fixed
Floati
Finge
Groir
Bulk[
Basin
Boat
Boad
Bead
Othe
Shore
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A building permit may be required by:
( Note Local Planning Jurisdiction
Notes/ Special Conditions
-J^ jw.c llis— C n _ ^1-Y ❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please v� read compliance statement on back of permit
r
*:7511
Apple on Fee(s) Check #
A -OXLr Oe- S� Mi«
r
Pe
i Printed Name
Issuing bate Expiration Date
-24ft Property line extension adjacent to AIWW
Total project length - 150ft
m
Steps 6ft wide pier --135ft
- TBD NT5
Same location as existing pier
-loft
Boat lift
14x14
I I
16x16 open deck
I I
I I
Property line extension adjacent to AIWW -20ft
AIWW
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: S F Ervin
Mailing Address:
Phone Number:
Email Address:
213 West Pocket Rd Florence
SC 29506
843-230-4061
fervin@mcleodhealth.org
I certify that I have authorized Will Richardson
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Installation of docking facility
at my property located at 3611 River View Ln, Supply NC 28462
in Brunswick
County.
1 furthermore certify that I 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 Information:
�• �/i— �//l.. %_`off �.-
�—Signature
���.�
Print or Type Name
Owner
Title
L 1 ! 1 Z Kl
Date
This certification is valid through 1- / 31 1 20
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S F Ervin 's
property located at 3611 River View Ln SW (Name of Property Owner)
on AIWW (Address, Lot, Block, Road, etc.)
in Brunswick N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
initial here I 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 description below or attach a site drawing)
Installation of docking facility
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.)
initial here I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Vlff hardson/ Authorized Agent Sig e
,Ice. Jf11� �-
Print or Type Name Ptint or T pe Name
3235 Seacrest Ave SW q1 Z �,jyu<t i-d S5 Cry'
Mailing Address Mailing ddress
Supply NC 28462 to r Ak� 7 6
Cityy/statelzzipp Cityl late _
910-367-0335
Telephone Number Telephone Number
November 19th, 2019 i g,_
Dare Date
(Revised 6/1 W O 12)
hereby 0* 1 own property ad*Mtt to S F Eavin
(Nam of Propwty Ownr)
3611 River View Ln SW
r AIWW (Adds ",in
M►dy)
andlor County)
The applicant has dssc�to me, as shown below, the &welo� proposed at the
DESCRIPTION ANUIOR D3RAWNl G of PROPOSM DEVELOPWJ
(fnxhi RW propoatng dwWoprntnt must M In du a fptfar below or aMwh a
Installation of docking facility
't
t
.'t
N.C.
WAIVER SE&T?QN °
l understwnd the a pier, dock, mooring pilings, Weak"Isr, boathouse, Rk or groin must be set b
minkntmn dhiance of 95! ftm my eras of riparian access unless waived by me. (if you wish to
the saftftdc, you mint WNW the approprtale blank below.)
_. I do wish to waive the 15 setw& "KF*W'ertt-
1 do not wish to waive the IS setback requvernent.
PPropftV Owner Information)
WiflXkhardsonl Authorized Agent
P�** or Type Marne
3235 Sacrest Ave SW
_ SS ► N#aftvBC 22W2
e
910-367-0335
Telep IOM Number
November 19th, 2019
Date
Sivuvwe
eH len Holden
400'V l raad�son St
' teviMc C 28472
C1ty/5teta24p
TeMphone Number
11-28-19
Dow
(Revised 6-Of ! ; j
Data Recs/ved
Oara Dpo~
Check From Name
Name of PWn* Holder
V der
Check Paanber
Chock
amount
Porm/t NumberAKom—m
R—i t or Refund/Reaao—W
cckann1
Co/umn2
Co/umn3
C h.."
Cakennb
C0/umm7
Co/umM
C01-9
12/122019
Hamid and Sandra Garrett
Town of Sunsel Beach
Rusty Ganed d Eddie Julian
PNC Bank _
First Citizens Bank _ _ -
BUT
BBBT
999
$ 200.00
i 400.00
GP i74586D _ _ _
GP 674833D
TMc rct 9510
88 rcL 9460
127122019
Town of Sunset Beach
1955t1
12/12/2019
Willie Clarence RichardsonfRichardson Consim
Grice Construction of Brunswich CountyInc.
Miles Carmichael Macoueen
S.F. Ervin
7592
S 200.00
GP •74799D
BB rct. 9462 _
12f1220/9
The R Sunset Beach HOA
13464
200.00
GP 974832D
BB rcl. 9481
12f122019
ress Ene
T
7609844
200.00
GP#71850D
Tmac rCt 9091