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HomeMy WebLinkAbout74699D - ParkeriCAMA / DREDGE &FILL No. 74699 A B C GENERAL PERMIT Previous permit # ,%New ❑Modification ❑Complete Reissue El 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 T c", xZ 00 ❑ Rules attached. Applicant Name TnU r�Le� Project Location: County Nt-w 04,y,� Co Address "O eZA 1r41 L i-,.c_ Street Address/ State Road/ Lot #(s) �U City State_ X.- ZIP ,2 �, Ikt 6 . Phone # (10) �1.31 i I li E-Mail @� � co.- Subdivision N A Authorized went [�c�nc t ` '_3f, /U � .� s� • City W ��. �r n ZIP ) V,At I �— � 8 cv �383 El CW NLEW �TA ❑ ES ❑ PTS { � Phone # (`10 River Basin l_.—�, A� COc. Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A t Sc"" at man /unkn AEC(s): Adj. Wtr. Body ��c��t ) ❑ PWS: � ORW: (0/ no PNA yes / cam, Closest Maj. Wtr. 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FYI �■■■■■■■■■■1 �■■■■■ ■/��!i.���.!�►YY��■I�Y�III■1i�►,rl:...r�II��YYY■■■ - �' rr����i ii�■■�i■i ■ice■■■�■■�■�iiiiii „r• Is.?'L R!'l��Yha■■■■■■■■C5�17 ��tPl! . ■■■■WEHip Agent or Applicant Printed Name k-- Snature "Please read compliance statement on backer permit iT� 1 Cl Application Fee(s) Check # 3-&6'-z"q� W/L Permit fficer's Printed Name Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized Tony Parker 8340 Bald Eagle Lane Wilmington, NC 28411 q10 - )19- gj14 tonyparkerinc@gmail.com Daniel Shirley / Overbeck Marine Construction Inc Agent / 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 in New Hanover County. 1 furthermore certify that 1 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 Informati_71 Signature Tony Parker Print or Type Name f(nt v Title / � /-6— Date This certification is valid through 12 / 31 / 19 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name # Overbeck Marine Construction Mailing Address: PO BOX 462 Agent's phone #: Wrightsville Beach, NC 28480 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. Contact information for DCM offices is available at http://www.nccoastaimana_qement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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.) n/a I do wish to waive the 15' setback requirement. n/a I do not wish to waive the 15' setback requirement. (Property Owner form n SiKrn !tire Tony Parker Print or Type Name 8340 Bald Eagle Lane Mailing Address Wilmington, NC 28411 City/State/Zip fro Z 7q - `Z ,7/1 Telephone Number/Email Address 2 /G /_ Date (Riparian Property Owner Information) Signature Print or Type Name Mailing Address City/State2ip Telephone Number/Email Address Date (Revised Aug. 2014) USPS Tracking' Track Another Package + Tracking Number: 70171450000239062654 On Time Expected Delivery on FRIDAY 22 by MARCH 8:00pm Delivered March 22, 2019 at 12:51 pm Delivered, Front Desk/Reception/Mail Room WILMINGTON, NC 28403 Tracking History FAQs Remove March 22, 2019, 12:51 pm Delivered, Front Desk/Reception/Mail Room WILMINGTON, NC 28403 Your item was delivered to the front desk, reception area, or mail room at 12:51 pm on March 22, 2019 in WILMINGTON, NC 28403. March 22, 2019, 9:54 am Out for Delivery WILMINGTON, NC 28403 March 22, 2019, 9:44 am Sorting Complete WILMINGTON, NC 28403 LISPS Tracking"' Track Another Package + Tracking Number: 70171450000236314381 On Time Expected Delivery on FRIDAY 22 by M0 MARCH98:00pm Delivered March 22, 2019 at 4:08 pm Delivered, Left with Individual GREENSBORO, NC 27455 Tracking History FAQs Remove March 22, 2019, 4:08 pm Delivered, Left with Individual GREENSBORO, NC 27455 Your item was delivered to an individual at the address at 4:08 pm on March 22, 2019 in GREENSBORO, NC 27455. March 22, 2019, 1:14 pm Notice Left (No Authorized Recipient Available) GREENSBORO, NC 27455 March 22, 2019, 8:14 am Arrived at Unit GREENSBORO, NC 27498 L . :5CA L C- /it ` 3 0 / pmAm � ) x /641 6AIP OlSrIM G TIC- Pit-`PUC It P'i P-A 'POP) /"kj Date Received ate Deposited Check From Name Name o/ Permit Holder Vendor Chock Number Check amount Permit Number/Comments Receipt or Refund/Reallocated Columnl Column2 Column3 Column) Columns Columne Column? Column8 Column9 7/3/2019 7/3/2019 Overbeck Marine Const./Daniel ShirleyTony Parker Suntrust Bank 5219 200.00 GP #74699 DW rct. 8738