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Home My WebLink About72783D - Kendal)(CAMA / ❑ DREDGE & FILL NO. 72783 A B C GENERAL PERMIT Previous permit # C)lev ❑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 I SA NCAC 67H. 1200 ❑ Rules attached. Applicant Name gAF"s Kr_ t/DAL1 Address 15 W E,ST VI S; A I tV E City C-AX �iLii_x State ZIP 2 8 71 S Phone # ( 9217& 9 39 92E-Mail �j N.- Authorized Agent ICI ACIDA 914At l j 1Z I \ _ Affected ❑ CW EXW ETA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / <D PNA yes / Type of Project/ Activity Fixes Fingi Groi Bulk Basit Boat Beac Othi Shor SAV Mor. Phot Wain ICE .A C,1:. L)o GK g/ x 20 / Project Location: County l3 R W iJ S W I CIK Street Address/ State Road/ Lot #(s) V"* f n-F o P-D 7-r-P r-r--r Subdivision NIA City OC4-_AAJ LstX_ gr.AcN ZIP 2-14( y Phone # (` Its) 571 - 9015 River Basin Adj. Wtr. Body CA4A t- (nat /man nkn) Closest Maj. Wtc Body A 1 w w (Scale: V = 2.o • ii ��i■ii■ii■■■i■■iii■i■i�■■■i■ii■iiii' i length number ■■■■■■■■■■■■■s�.�s�■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■��.�_■_ ►:pew. ��■w■�■■■■■■■■■■■■� th ■■■■■■■■■■■■�■�■■��■■■■�■■■■■■■■■■■■I . avg . ■■■■■■■■■■w■■■■■■■■�■■■■■■■■■■■■■■■■■■■■ max distance offshore- ■r■r■r■r■r� �i■ram :.:.■��■:I:: ��i■i�t�i■i��i■ii�i■6�i ■■■■■■■■■■(l■■■m M■■ I■ 1■111 1■■■■<j■■■■■■■■■■■■i' cubic yards ■■■■■■■■■■■■■AI■� INnot i�r■■■■■■■■■�■■■■■■■i -i Bulldozing dine Length sure ■■111}II■1'P�!!!■I ■■■■■■■■■■■■■■■ I■■■!��■■■■■■■ yes torium: yes noyes ■■■■i�;■■■■■I nn��r-■T��■■ I■■■■■■■■■■■ A building permit may be required by: tJGEA/N -rlwLtv- IS15-ACA ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions 07 H . 1 200 AIA- 07-MIC t L.00A L j STA-rc i C FE1DOKAt- RE C--PLk%-*-,I0N'' ArPLY. �r Agent or Signature Please read compliance statement on back of permit 41200 013074 Application Fee(s) Check # -Tye M C (21w itf- PermitOf�Printed Name Signature 10 -tZoly Issuing Date Expirati n Date KDENR 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: 1T—` � � Cq Name of Property Owner Applying for Permit: Owner's Mailing Address: 16 Wt�&+ CcY U&( I Phone Number (`g R9 �-- 7me of Authorized Agent for this project: N &yl5� V-14St a <A Agent's Mail' g Address: oc-- 5w Phone NumberA16 ) 5`7cf-liUc(5J 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 necessary to install or construct the following (activity): L For my property located at ai I� ate/ ncC L42 This certification is valid thru (date) '� 1 s—/9 Pr arty Owner Signature Date 127 Cardinal Drive Ext., Wilmington, NC 28405 Phone: 910 796 72151 FAX: 910-395-3964 Internet: www.nccoastalmanagement.net An Equal Opporluniy 1 AfTrmaLve Acbm Employer / I CERTIFIEQ MAIL, • RETURN RECEIPT R9QUESTED DIVISION OF COASTAL MANAGEMENT - - ADJACENT RIP RI PROP&TY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: u �ei1C Address of Property: 15� c2C (Lot or Street #, Street or Road, City & Co//u'n__W----- 1,� Agent's Name* G � ICE. hj�t`uC,�1��1 Mailing Address:(.Qll t auC� 1 Dc- Agent's phone #: `��' rJ�� "qbq$ &-W0:TA5tQ &" �( --mg I hereby certify that I own property idjacent to the above referenced property. The individual applying for this rmit has described to me as shown on the attached drawing -the development they are proposing. C 6 ' I have no objections to this proposal. — I have objections to this proposal. . If you have objections to what /s being proposed, you must notify the DI n of Coastal rr�' Management (DCM) in writing within 10 days of receipt of this notice. Corms a should bo 4��- - malted to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM repros so also be contacted at (910) 796-7215. No response Is considered the same as no ob/ect on *been C notified by Certified Mall. Gy WAIVER SECTION Vl 1 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) n4gen�� Signature aq ��- Ct Print or Type Name \ 5 lK) \It 6 V ��- Mailing Address C..g6\AV-e I X2�71547u3 City/stat&eio _�Z7--7Qt Telephone Number Date ce t v7 Information) N t� Lac —Print or. Type ame r ?� Alc z, 4 MaJhnq Address - ity/Statemp Telephone Number Date Revised 6118/2012 . Postal Service- V RTIFIED MAIL° RECEIPT estic Mail Only elivery information, visit our website at www.usos M1 M1 C3 O C3 C3 C3 -a .a O f` ri C3 M1 ■ Complete iterM f, 2, and 3. A. S ature "rint your name Iand address on the reverse gent hat we can return the card to you. 'Y�— Addressee ■ ',i, c-1 to the back of the mailpiece, B Received by fPri d Name) C. Q e of D livery or on tno . space permits. 1411; AU' L- y /Vf9- n � �� 1. Article IAddressed to: \ I �tOU r\ Is delivery addtess different from item 1? L Yes If YES, enter delivery address below: -az'No Service Type 11 Priority Mail ExpressO I I I I I III II I II I I I I II �I I it I I3. El Adult Signature El Registered Mail — ❑ Adult Signature Restricted Delivery ❑ ReO teredMail Restricted 9590 9402 2219 6193 1045 85 fied Mail® Delivery El Certified Mail Restricted Delivery ❑ Collect on Delivery Return Receipt for Merchandise ^ - ••-• -• n Delivery Restricted Delivery ❑ Signature ConfirmationTM 7 017 0660 0000 7487 0795 vlail ❑ Signature Confirmation Aail Restricted Delivery Restricted Delivery (over$500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ; CERTIFIED MAIL • RETURN RECEIPT REQUESTED ADJACENT Name of Property Owner: Address of Property: 1 DIVISION OF COASTAi. MANAGEMENT -- RIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM l u �s Kehcctl &1M (Lot or Street #, Agent's Name #: V (' ►C Ozs r '+Llcii o Agent's phone 5-n -qn,5 Gco-c� n Is Ce l�Qcech itor Road, City & County-)--- Mailing Address: tt ?Jxx\- 1 Dc' CQW,)�AQ kX" NC 2-c6%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 orawin the development they are proposing. 6 ,i I have no objections to this proposal. _ 1 have objections to this proposal. { N you have objections to what Is being proposed, you must notify the Di n of Coastal r Management (DCM) In writing within 10 days of receipt of this notice. Cor a should bo -T - - - mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM repr�es also be contacted at (910) 796-7215. No response Is considered the some as no objection been C notified by Certified Mall. qi WAIVER SECTION V1 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) Signature 11gF�,5 �-.Act Print or Type Name Mailing Address C qf\A V-q r- N-2� -7 703 City/State/Zip � 2-� - -7 Telephone Number t " _S.lc Date Property "nor Information) I 'Pri&-or Type Name Mailing ddress ity tatimp -_lo -- -1 / k -5 Telephone Number ate Revised 6 1 &2012 CO 0 r` CID C3 C3 C3 C3 C3 r- a C3 N ■ Complete items 1, 2, and 3y ■ 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: �uV�A (-�n W , \ \ \aYYL5 A. by (Printed Namef t ( , 1 e. . ❑ Agent ' ❑ Addressee C. Date of Delivery D. Is delivery address different from 1116 t 17 ❑ Yes If YES, enter delivery address below:,No _ ❑ 41 N co III I II I I III'I I II I II III I III 'yP. ElPriority Mail Expresso ❑ Adult Signature ❑ Registered Mail- 9590 9402 2219 6193 1045 78 11 Adult Signature Restricted Delivery El Registered Mail Restricted ified Mai10 Delivery ❑ Certified Mail Restricted Delivery 4GURaturn Receipt for ❑ Collect on Delivery Merchandise 2. Attirlq Ni mnhor rrran.cfer frnm gAmirp iahnll ❑ Collect on Delivery Restricted Delivery El Signature ConfirmationTM 017 0 6 6 0 0 0 0 0 7 4 8 7 0 7 8 8 ❑ Signature Confirmation rkked Delivery Restricted Delivery F b Form ddl 1, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Q1 �>] ,h I Z) ,o2 h1 Date Received Dafe Deposited Check From Name Name of Permit Holder Vendor Check Number Check amount Pe —if NumbeMComments Receipt or Refund/Reallocated Column) Co1umn2 Co1umn3 Column) Col-5 Column6 Column? Column8 Column8 611312019 nc Constr— of B—wxk Co—Im RNus K-U 11 BUT 13074 S 00.00 GP 072783D T rct 8495