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Home My WebLink About74242D - Faulk-VCAMA / ❑ DREDGE & FILL NO. 74242 A B CO C EN E RAL 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 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC o 7 14 . 2 Q o ❑ Rules attached. Applicant Name 14EA19Y , LAN Fi{(AuL Address ;ZO 5 5 RAMS£y Foy Ry City AA K I MA State ZIP 2.84 5 S Phone # (_q1O) &+0- 2491 E-Mail MIA Authorized Agent WANDA 6P.ic.0 Affected )(CW )(EW )(PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / io , PNA yes / r Project Location: County Street Address/ State Road/ Lot #(s) 7 O WI LIA 1 A/GTo A! OiREAF—T Subdivision N A City OCGA.V 5-_k .]F_ BtA-.N ZIP 2_g *64 ACir_nit Phone # (40) 5719 - 90 19 River Basin Lµµoem Adj. Wtr. Body C AAM L. (nat mean /unkn) Closest Maj. Wtr. Body A ( w W t - - ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■� I■■■■!"�' ■r gym■ I ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■L��PIM. �� ■ _: __ �� I \■■L�li.ii�■■■■■■■ �.r��`�,■■■■��■■■�� ■� �t�■��■■��►�■■■■�■ ,IFS'' ' - �' ■■■� i■■■■■■t►■■r;■■■�■ ■I �■■■■�■■■■■■■■■■■■ �■ ■■■■■■l�►�■■�1■■ill■■■i�■ ■I O■■■■■■A■■■■■■■■■■■ :: ■i ■■a■1��sa■w■�■�■1�c�c�.1:�■■ ■iii■■■liilii■i■■ 1� ■��■tea■ cZs' y-)QV\I ��-� Q Agent or Ap icant Printed Name Signature ** Please read compliance statement on back of permit* yLEtL c ci"I _ Permit Officer's Printed Name Signature JV S13�2o1q 9 /3 4019 Issuing Date Expiration Date A ZOO 1-5OoI Application Fee(s) Check # 0 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis John E. Skvarla, III Governor Director Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUKM Date: 04/29/19 Name of Property Owner Applying for Permit: Henry Alan Faulk Owner's Mailing Address: 2053 Ramsey Ford Road Nakina, North Carolina 28455 Phone Number (910) 640-2691 Name of Authorized Agent for this project: Grice Construction Agent's Maili7 clt Adds: C�— a� Phone Number (l 10 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 Permits necess�'bct�trvlk ry to install or11c--onstruct the follow`in(g(activity): k,wgAwc-.N , t--cvmn CK A ; b(�e 1+�"' For my property located at 70 Wilmington Street, Ocean Isle Beach, NC 28469 This certification is valid thru (date) \��h he u y Ala. Faulk Property Owner Signature April 29, 2019 Date 127 Cardinal Drive Ext., Wilmington, NC 28405 Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 0\c),y-\ Address of Property: I v P (Lot or Street #, Street or Road, City & County) Agent's Name #.&' C . � �lu r) Mailing Address: Agent's phone #: iilk" 5 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 drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (21Q) 796-7215. No response is considered the same as no objection if you have 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 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) (Adjacent Property Owner Information) Signature Signature _CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. Nan FaU 1 Address of Property- :2. W i a rr` 1`r*� i,� •, -.S*' ,-64ctr) Tb (� �QU6 n- (Lot or Street #, Street or Road. C}`ty & County) (��, Agent's Name #: Gmq G�5�(`tC.�i �n Mailing Address: �. ' t LJ Agent'sphone# ql(�- 510�-gygS CkkG,'\ li h NC zqq 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 drawing the development they are proposing. I have aU ubjccticnc in tt:'rs a+1v,P.usal. T have objrc€Mng to lhts proposal, If you have objections to what is being proposed, you must nobly the DivjsFon of Coastal 1118M gament (DCM) in writing within 10 days of receipt of this notice. Comespondence should be mailed to 127 Cardinal Drive Ext., WNmington, NC, 28405-3M DCM nepresentadvQS can also be contacted at (910) 796-7215. No response is considered the samo as no objection 1t you have Won notified by Certified Mail. L WAIVER SECTION I understand that a pier; dock_ nwring pilings, breakwater. boathouse, lift, or groin must be set back a Minimum distance of 15' from my area of riparian acoess unless waived by me. (if you wish to waives the setback, you Mgst i i iial the appropriate blank below. I do wish to waive the 15' setback requirement. € do not wish to waive the 15' setback requirement. (RYOwn Information) n Property Owner Information) .Si�nilf�l'e _� fi • rI Pnn�Akan �-au�k �SQi Jr.�s ype Name Print or Type game Mailing Address ``►► J r Marling Address \- aAtr�q l`Lc. 2 `►l1S t n N c-- a� City/Slate%.'1p Cil�ta1W2 TolWione Number Telephone Number Dam Revrsod &� &2012 � W (:�, \�L w f ) 1� �e- 6 X�v Print or Type Name Print or Type Name 2uS3 'io Mailing Address �\\0X\, 1N,(�2-9CyS5 City/State/Zip "A`y--2(��\ Telephone Number 3-151!A, Date Ln r- m O r%- cc N C3 C3 C3 0 0 0 r- r-1 0 N Mailing Address - CZI LZ& - 6- � 4 f City/State/Zip D-� 1 2(,I�, z Z) I - Telephone Number Z li�-- i 9 Date Revised 6/18, 2012 Postal CERTIFIED o RECEIPT Domestic CLA OTN 215 , Certified Mail Fee r 1 Extra Services & Fees (check box, add tee i tare) ❑ Return Receipt (hardcopy) $ 1 �i ❑ Return Receipt (electronic) $ .) I) Postmark ❑ Certified Mall Restricted Delivery $ $U . UO Here ❑ Adult Signature Required $ _#! . rr' ❑ Adutt Signature Restricted Delivery $ Postage $ i �2/2C(/2019 Total Postage and ess $ M35 s a t e and Na, or lj v- - 4? 4-------`�4 2 2 r r , r .r - L�c9 7 ,CS-H�z ) X, ,zz �Z S I -Z N u aXh1� h2�� 1'IZ� � s�►bn� la',��bLa 7L Date Received Date De osited' Check From Name Name or Perm/f Nolder Vendor Check Number Check unt Permit Number/Commenfs Revel f or Refund/Reallocated Columnl Column2 Column? Columnl Columns Column6 Column7 Column6 Co1umn9 582019. Grce C nstruction of Bnmswick Coun Inc Hen Nan Faulk SQ&T 13001 20000 'GP k7C C T rp. 6191