HomeMy WebLinkAbout71855D - First❑CAMA / DREDGE & FILL No 71855 A B C D
GENERAL PERMIT Previous permit#
❑New —Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality -1 j (� I
and the Coastal Resources Commission in an area of environmental coincern pursuant to 15A NCAC I 1, U lJ
\ ttached.
Applicant Name JU.w� 1 VWJA V V^' -Project Location: County&6mv"-�A4—
Address—,i StreetAddress/ State Road/ Lot #(s)
City StateW— ZIP
Phone # () E-Mail
Authorized Agent ���0►\Q _ 1, �i��
Affected ❑ Cw ❑ EW ❑ PTA �kiS ❑ FITS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes 0 PNA yes / no
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 offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other k
Shoreline Length -t 1 ` J l J
SAV: not sure
yes
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Age or Applicant Printed Name
S' ure ` a read compliance statement on back of permit"
Application Fee(s) Check #
Subdivision rr
CityfAk�� ZIP t3'i
Phone # () River Basin 0 Z.
Adj. Wtr. Body 1 V nat unkn
Closest Maj. Wtr. Body —
( r
(Scale:
❑ See note on back regarding River Basin rules.
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _FL it a � S�. 5c, m -es Tn c
Mailing Address: Q 13 Qak. ekae Urtve
C al-22 a
Phone Number.
Email Address: V-eANO.+r\ W r► 9�T e �-r;CLo� Twc ac C'0 YV'
I certify that 1 have authorized tkc l'kUS00% {rnar►nc
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:
at my property located at _S T Ta me_S Nc n� aA ,vn ,2.735 P w c re skl uf,13
in _C�u�nsw�c_�c County.
I furthermore certify that f 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:
P�es�c�ew-t
Signature
Print or Ty Name
Title
Date
This certification is valid through
� 1 1. � i i ��� j � . l ►
I hereby certify that I own property -adjacent to L R-s� St, Tok meS T n c 's
(Name of Property Owner)
property located at _ �. 3 q Pine C res� �� r k ✓ c
on z (,J (Address, Lot, Block, Road, etc.) '
In owvr 4 S- . J-aamr-s �SunSG! ,��5 N.C.
(waterbody) (City/Town and/or County)
The apoicant has described to me, as shown below, the development proposed at the above location.
J I have no objection to this proposal,
l have objections to this proposal.
I 1
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In descrfption below or attach a site drawing)
Se �i0.fi
WAIVER SECTION
undeWand that a pier, dock, mooring pilings, breakwater; t oathouse, lift, or groin must be set back a
minimum nce of 15' from my area of ri ccess unless waived by me. (If you wish to waive
he setback, you hmot Initial the appqpRwe blank below.)
i do wish give etback requirement.
I do not wish to waive the 15' setback redtrit;ement.
(Property Owner Information) (Adjacent Property Owner Information)
Sin lure ` Signalur
Print or Type Name Pdnt or Type
Mail' Address Ma Addresf
Fr�er. II�C ���SR
c tyislatelzip cityis4fl�qip
.136 sue- 2 7S .1�66 0 777
Telephone Nu be
s r Telephone Number
3 0 .�-------- �� �o - /`l
Date 1 Date
(Revised 6/1812012)
w Complete items 1.2, and 3.
■ Print your name and address on the reverse
so that we can return the car t ou.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
45�Qfe0 f NO�?✓ul�npk.�
I l lv Wtsk Sty S srl- -
I't rj r,, N-11, 03
A. Signature
X
B. Received by (Printed Name)
D. Is delivery
If YES.en
❑ Agent
❑ A d ssee
rof De 'very
1? ❑ Yes
digress below. ❑ No
1�
3. Service Type all
❑ Adult Signature `� �J� Registered Ma lTm
TM
❑ Adult Signature R 'cted ❑ Registered Mail Restrlcted
9590 9402 3542 7305 6970 03 ❑ Certified Mail® Delivery
❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
Artinin Niamher (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature GonfirmaftnT m
? 0 Z?-SY8U 0000 8629 5 �-- cured Mail ❑signature Confrrrnataon
14 ❑ sured Mail Restricted Delivery .,,,od Delivery
ver $500)
4
PS Form 3811
_---....�,a.�...�..�....._,._., . ,.July 2015 PSN 7530-02-000-9053 Domestic Return ReceI
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8/23/2019
8/23/2019 Allen Peale Construction Co Inc
Robert Peale
_
First Bank
_ _
15655 $
200.00 GP 74587D
8/23/2019
8/23/2019 Town of Oak Island
same
BBBT
77062 $
400.00 GP 74572D
8/23/2019
8/23/2019 McPherson Marine Services
Frank Hippel
First Citizens Bank
2836 $
400.00 GP 71837D
8/23/2019
8/23/2019 McPherson Marine Services
Vernon Martin
First Citizens Bank
2838 $
200.00 GP 74589D
8/23/2019
8/23/2019 Ted Helms Backwater Marine Constr
Jonathan Conner
BBBT
1288 $
600.00 GP 74532D
8/23/2019
8/23/2019 Ted Helms Backwater Marine Constr
Roger Walker
BBBT
1289 $
600.00 GP 74533D
8/23/2019
8/23/2019 McPherson Marine Services
First S. James Inc/Kennan Wright
First Citizens Bank
2837 $
400.00 GP 71855D
8/23/2019
8/23/2019 Joseph and Tara Milligan
Jim Putnam
First National Bank
6715 $
200.00 GP 74530D
8/23/2019
8/23/2019 Harold (Rusty) and Sandra Garrett
Rusty Garrett and Eddie Julian
PNCBank
992 $
200.00 GP 74586D
Tmac rct. 91840
Tmac rct. 91800
Tmac rct. 9182D
Tmac rct. 9186D
TMcG rct. 9108D
TMcG rct. 9144D
Tmac rct. 9183D
Tmac rct. 9142D