HomeMy WebLinkAbout74329D - Landisr. CAMA / X DREDGE & FILL NO. 74329 A B C
GENERAL PERMIT Previous permit #
XNew ❑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 0 :7 H . 1100
❑ Rules attached.
Applicant Name 11 ea bc:�, La!ld :s
Address 11$ Pa MAe& $(v a
Project Location: County NGN %fQ/ rel -
Street Address/ State Road/ Lot #(s)
City Wt �hfi3�i1�Q State N( ZIP ag480 � ,
Phone # (-4V4) a3 0 90 E-MailSubdivision —
oP'(.K • nC4
Authorized Agent CkMen-8 MAom( (t45ft( tYl INC City
Affected El Cw ❑ EW ❑ PTA wts OPTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ USA ❑ WA
❑ PWS:
ORW: yes / 0 PNA yes
ZIP —"
Phone# (-q fo) 6;D!95OS— River Basin W�'f<CI lc
Adj. Wtr. Body L A &POP /man /unkn)
Closest Maj. Wtr. Body f ��✓
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Agent or Applicant PH Name
�egriaturee Please read compliance statement on back of permit **
9�0'= 51g5
Application Fee(s) Check #
PerrmitOffcery's-PPrintedd Name
IPW
Signature
15 l9 12l1511
Issuing Expiration Date
Letter of agent
C+
1 e retained Mark Clements DBA, Clements
Marine Co coon Inc, 4a t application for any and all permits needed to start
construe ott bn the work reques for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way rclieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
E --V. 0 6
4
tgna date 5 AZ /
Contact in ormation
RECEIVED
DCM WILMINGTON, NC
JbL 16 2019
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: b.Z Z�,CIP.I��► �/�%�j
Address of property:
or street#, street of road)
(City & County)
I hereby certify the 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, should be provided whit this letter.
I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of the notice. 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
sandbags 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 requirements
RECEIVE[
TON, NO
JUL 16 2019
Signature
Date
k e-rw : n S t,,_I It e--4 � Print Name
/ a - oA D k ` 3 q 9 Telephone number with area code
RECEIVED
DCM WILMINGTON! NC
JUL 16 2019
v?a o it ie 6Lo� .
RECEIVED
DCM WILMINGTON, NC
JUL 16 2019
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: E.L>
Address of property: /
or street#, street of road)
(City &
n
I hereby certify the 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
di 'ons, should be provided whit this letter.
I e no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of the notice. 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
sandbags 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 requirements
XV °sILMINGTON, NO
JUL 1 6 2019
f/ Signature
Date
/%�. n0,Z,:Z Print Name
1,5 - Z� �t - �- 7 e B Telephone number with area code
RECEIVED
DCM WILMINGTON, NC
JUL 16 2019
Po,c-n it, [e 6Lvc� .
L'ttjc tYgo F
RECEIVEID
DOM WILMINGTON, NC
JUL 16 2019
Date Received
Date Deposited
Check From Nam.
Name of Pwmit Holder
Vendor
Check Number
Chack
amount
P.— t Numbw/Commantr
Recel f or Refund/R.alloceted
Columnl
Co1umn2
Co1umn3
Columne
Columns
ColumnE
Column?
C.I.—S
C01-9
8/15/2019
8/15/2019
8/15/2019
8/15/2019
8/15/2019
H5 Construction
Michael Kelly _
BB&T_ _
Navy Federal CU
First Citizens Bank
2337
1140
4070
$ 200.00
$ 200.00
GP #74700D
GP #74568D _
GP #74689D
IGP #74329D _
GP #74569D
BB rct 9106_
JD rct 8551
PA rct. 7971
PA rct 9154__ _
JD rct 8552
_ _
Richard Penny Construction LLC
Chet Willis
Eric and Trace Schmidt
Tracey& Eric Schmidt
$ 200.00
Clements Marine Construction
Elizabeth Landis
First Citizens Bank
Na Federal CU
5195
1141
$ 406.00
Richard Penn Construction LLC
Patricia & Thomas Kaznowski
200.00