HomeMy WebLinkAbout71754D - Hyatt,VC, -AMA / `DREDGE & FILL
GENERAL PERMIT CAA-( 4/101I1A T"
) iNew Modification El Complete Reissue ❑Partial Reissue
No 71754 A B C
Previous permit #
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 b 7 14 1 �'-n
❑ Rules attached.
Applicant Name LV w V:11 Project Location: County FjRunl5w 1 ck
Address `//7 9 2 6 Ry.AN5P LA « R D Street Address/ State Road/ Lot #(s) 4 g
City f—Ja0d -5& _M State ZlP 27 104 M OC>Rr .ST rtc�-r
Phone # (33 0 414 --� 9 (0 89 E-Mail 09 A Subdivision NI A
Authorized Agent C'I RIce- CoiJSTPtsa c-rioN City ac-cAL.r B cN ZIP 2 $ 4(s i
Affected ❑ CW [)(PTA ❑ ES ❑ PTS AHeNT Phone # (910) 974 - 9 6 IS River Basin "M y&r_p_
ElOEA ElHHF 1-1IH ElUBA ❑ N/A
AEC(s): Adj. Wtr. Body AnlAt.. (nat_�unkn)
❑ PWS: � I
ORW: yes / PNA yes / Q Closest Maj. Wtr. Body r ' WW
Type of Project/ Activity _�J_ AJ�'T A L_L_ A/S W _F�L O AT 1.&*7 DO C K b[ [ Q A-T L 1 F-r
A -r X 1 s T► el 1D0 C_ I< I "tc-, F-A C I t- I s y (Scale: j", A01)
Pier (
oai
Groir
BulkF
Basin
Boat
Boad
Bead
Othe
Shore
SAV:
Mora
Phou
Waiv
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A building permit may be required by: TO► 4 OF t>LF.4^/ �Sl� It-►GN ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions /2 O O Af/p A LL OT*4 CCt LOCAL • S-T A-rr_ _ Ah tO
VFVrAkAL- QEGtAt.A-riwA APP
i,
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
_A 200 � 12 (09 2
ApplicationFee(s) Check# a
( `t LE?Z 1 G�u IRS
Permit Officer's Print Name
c
Signature
1 1 (0 h2.019 5 I(o �019
Issue g Date Expiration Date
NCDENR
North Carolina Department of Environment and
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
Natural Resources
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUKM
Date:
Name of Pro erty Owner Applying for Permit:
Owner's Mailing Address:
q�2 3,�s-\-kt J,)
Phone Number CLAN - 69
N me of Authorized Agent fpr this project:
Agent's Mailing Address:
( I , 6 vl - Dom. SW
Phone Number1
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 necessary to install or construct the following (activity): c
For my property located at LA
This certification is valid thru (date) _` \ t�4 wm
Property Owner Signature Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.nccoastaimanagement.net
H
An Equal Opportunity 1 Affirmative Action Employer
108/16/2812 18:11 9105799096 GRICE CON PAGE 02
CF.911JR
DIVISION OF COASTAL.
A43EMENT
ADJACENT RIPARIAN PROPE7 (7ER N
TIFICATIONIWA1VER FORM
�i
Name of Property Owner, 1
OQ
Address al Property:
(Lot or Street #, AtmM or R
, City & County)
1lgent'8 Name
4 Cry v�1
Agent's phone 0:
�1 �
I hereby certify that I own property adjacent to the above ref rented property. The individual applying for
this permit has tiesvibed to me ars si*ik)wn an ta-le �Seiasli6�r
Swlni Jne davelopment they am proposing_
scridrawing,with dimensions,.Muetid
I r.
-* I brave no objections to this proposal. I have ob notions to this proposal.
Jf you haven objection* to what is heiny p►vposed,
a must notify Me DIvIslon of Contal
Ahirn&Vamont (CCM) In writing wlth1h 10 days oircelpt
MIA notfcv. Corrospondenve should be
M40hd 9L" 127 C�e 10.,AT—,EYt, M,1mfr;#,r=: ,t4fC-1.. Z-ewf_
Is. DGH repmsontstive'a Can also be
contacted at (97Q) 726.7215 No response fs consldvred
a same as no obfecdon if you have b"n
natltied b Certtf od Mall.
C
-
WAIVER SECT
1 understimd that a pier, dock, mooring pilings, breakwater,
thouse. IA. or groin must be ad back a
minimum distance of 16' From my area of riparian access rani
s waived by me. (if you wish to waive the
setbXyk, you hiltigi the appropriate blank below.)
`
I do wish to waivo the 15- setback
aek regttrrarri
140 not wish to waive the 15' setback requi
ment.
Property Qwna I ormaetonj (A ijUent Property owner Informatilon)
rdA
�ig�att�re +5'!� Kure _
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Print ar Type Narke P orType Name
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Dote �ADark
Revised d(1&2,012
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Rece"d
Deb,
Deposited Check From (Name)
Name or Permit Holder
Vendor
Check Number Check amount
olumnl
/20/2019___
Co/umn2 CoAumn2 ColumM
Jeremy Ridenhour/Coastal Carolina Construction J_�remy Ridenhour
Columnb
BB&T_
Column6
7703 • $
Column7
200.00
/20/2919___
__-
B and B Marine Construction/Brandon Grimes Doug Padgett _
__
! Wells FaT Bank__
_
2003 $
/20l2019
_ Brian Jay Cox
same
_ _
'PNC Bank
971, $
_400.00
200.00
/20/2019
/20/2019
_ Davey Resource Group Inc/Michelle Knott_s__
Michelle Knotts/MGA G ou LLC
_
_ !United Bank
-Wachovia
1272 $
400.00_a
_ Pink Associates/George Pinkston
Ben amin Zucker
__
8748' $
400A0
/20/2019
1Pink Associates/George Pinkston
_ BenjamiL- n Zucker
--
_
LWells Fargg Bank _
8783
_
200.00
/20/2019,
rim _ Shp Lady Seafood M_ ark_et/_Myron Yencha�—
- -_- -
_
BtPlrst
_ _
_
/20/20191
%20/2019i
Daniel Clements
Mark -
Vethoven
Cftizens Bank _
- _ 1088�200.00
! $
200.00 j
Ed Flynn/F and S Marine Construction
Kenneth Sprunt
PNC Bank_
7582 $
200.00
/20/2019:
Charles Fox/Charles Fox Homes, Ltd.
_ _
Lisa Ledford-Crissey __!BB&T
24970, $
200.00
/20/2019;
Grice Construction
--
- Awin Hyatt _
126921 $
200.00
/20/2019
_ _ Dustin Graham/Town of Sunset Beach
--
_- - -
Town of Sunset Beach/Dustin Grahaf First Citizens Bank
- -- -
18498 $
200.00 i
/20/2019
-- Brandon Grimes/B and B Marine Construction John Bata[ _
WB - -
Is Fargo Bank
- -
/20/2019.
Bruce Quaintance _
C esCorn Bank
- 2130' $
200.001
/20/2019'
Richard Penny Construction
Thomas M. Steed
Navy Federal CU
-- --
_ 197, $
— -
200.00 i
s
or Rerund/Realbceted
GP #72363D
JD rct. 7050D
GP #72397D _
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GP #72398D -
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GP #72399D
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GP #71782D .-- --
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JD _
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CS rct. 8337D
GP #71791 D
- TMc rct. 7322D
GP #71754D _ _ --
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TMc rct. 7726D
GP #72710D _
TMc-rct. 7325D - -
G_P #72748D -- -
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GP #71794D
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GP #7274713 -- _
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