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Home My WebLink About74579D - Rush,CAMA / -DREDGE &FILL NO. 74579 A B C GENERAL 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 I SA NCAC 2.0 ❑ Rules attached. Applicant Name CkAi%LE 5 S1'1 Project Location: County ! J e__AJ%W 4 cic- Address k`kll '-J % r. WA-,,N T IcNa city kmcacAo State_ ZIP 7_'}'2uS Phone # (2Aa )Jg7.to I U 0 5— E-Mail Authorized Agent ONs 7 R C_ 71 J N Affected ❑ CW NEW * PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ WA ❑ PWS: ORW: yes ; PNA yes Street Address/ State Road/ Lot #(s) 14 Subdivision City kSLE (3UCAA ZIP ;11LA(V t N t, f,., iPhone # ('110) 9 711 2c-A 2 River Basin (, �,...,, cp_ Adj. Wtr. Body C a,,,,A%- (natt unkn) Closest Maj. Wtr. Body A S! • ■■■■■■■■■�w■r�■w■w■■■■■■■■■■■■■■■■■■■■■I M. � Eon mom 00 Elmo Emit=NONE NONE it■■■■■iit■i■■■■■■ill■■■■■■■■i�ii■■■■i �a■■■■■■■■■■■i■ui■■■■■■■■■■■■■■■■ iw ■ ■■■■■■■■■■■■� E■■■■■■■■■■■■■ Agent or Applicant Prim Name Signature "Please read compliance statement on back of ermit t 100°°- * /321I Application Fee(s) Check # Permit Of i aW� l Signature Issuing Date /2 -/2 -!9 Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner- Requesting Permit: Mailing Address:— 1 - Z3 \ 1 -P1 yv-o R 7" r - - Phone Number: Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose -of -applying for and obtaining all CAMA permits necessary for the following proposed development: X luct 1 kwc�I Y'�a TUC- \::)�V \� at my property located -at in County. I furthermore certify that l am a—utt'Farized to grant, and do in fact grant permission to Division of Coastal Management staff, the Locaf Permit Officer, and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. - -_ ProQerty_Owner Information: /1 Signature _Print or Type Name -- - Title Date This certification is valid through Cc� 1 m Domestic Mail Only Er �D For delivery information, visit our websit GR SB Of7 iE, Y vFeCO Certified Mail e $3 50 =r $ i (t Extra Services & Fees (check bar, add tee a tr .rpfiy pre) C:l ❑ Return Receipt (hardcopy) $ (� C3 ❑ Return Receipt (electronic) ❑ Certified Mall Restricted Delivery $ . $ $0 - O(1 0 co []Adult Signature Required $ $0.00 ❑Adult Signature Restricted Delivery $ C3 Postage $ i t , 55 -0 $ -D Total Postage and Fees C3sC.85 Sent To V� ^ YY' 047(I 95 Postmark Here i 16/1(1/2019 No � n t NT_��nV_(n/SIV��-! C Cjy-Crar�l�P-+Y�V 1f T -- - -- -- --- —-----•-,_ - .-Tom;_-_. ■ Complete items 1, 2, and 3. ■ 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. T. Article Addressed to: CAC\ C-111-3\�� a A. Signature X 'i T Agent v ❑ Addressee B. ceive y (Printed Name) C. Date f Del' ery �i t^ r D. Is delivery address different from item 1? U Yes If YES, enter delivery address below: ❑ No II IIIIII III IIII II I II I I III II I I IIIII i it I I I lPriority llTess@ RegtoedMailTM 9402 2219 6193042 57 El dulsnuSignatune Restricted Delivery ryRyistered Mail Restrict ed0 m 959rtifed Mail® Ctelivery❑ Certified Mail Restricted Delivery eturn Receipt for TEl CooDelivery Merchandise2 Artinle Nnrservice la ❑ coect on Delivery Restricted Delivery ❑ Signature Confirmation - Signature Conirma 7 017 0660 0000 7487 1693 Restricted Delivery ❑ Restricted Deliveryy tion PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: CVQS) ' Address of Property: J ` '5 (Lot or Street #, Streef or Road, City & County) -- Agent's Name #: Gr ict ozs �rctal�o Mailing Address:66M 1. U&N Agent's phone #: %0- 57�-90R,5 Q �Wc N( 2-tu I hereby certify that I own property Adjacent to the above referenced property. The individual applying for this E2rmit has described to me as shown on the attached rawin the development they are proposing. I have no objections to this proposal. I have objections to this proposal. N you have objections to what /s being proposed, you must notify the*Dln of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Ce should bi mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3845. DCM ►epresalso be contacted at (910) 796-7215. No response Is considered the same as no objepeen C notKied by Cerdfied Mail q� WAIVER SECTION V1 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.) `—%1 do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) ��_ M Rk .D S' ature Print or Type Name %2,",� % -e-� Dc Mailing Address W ZIMS-Z') City/State/Zip 3� - (-OZ( -9 (> 5 To/ hone Number —� Date (Adjacent Property Owner Information) v Signature Thf Print or Type Name Mailing Address City/State&ip ' Telephone Number -:2z-0 Date Revised &1812012 M ttiM4i la , ' DIVISION 00 COASTAL MANAGEMENT ADJACENT RIPARIAN 1PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 6 Address of Property: 1 Q)1�5 (Lot or Street #, Stree or Road, City 8 Coouuntyty) Agent's Name #: r ICt U14 rN u �q Agent's phone #: Mailing Address- IM P—ac:.tC`i Dc - Z �xt AO -L61Q UA&An M Z-sytcj — I hereby certify that I own property ddjacent 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. �i have na objectiow to this proposal. _._ I have objections t/) this proposal. Cr N you have ot;/ectlons to what is beln YOU must notify Me 4ts"49ement (DCM) In writing within 10 aroys ofroc pit of this notice. Cori Di Of Cosstel mailed to 127 Cancfilnal Drive Ext., Wilmington, NC, 2 M5.3846. DCM rep s Sul br be ncontaeMd at (910) 79li-7216. No response Is considered the same as no ob action otified b Certlf/ed Mati. been I understand that a ier. dock, WAIVER SECTION Q minimum distance of 15' from mooring of pilings, access unless waived by mhouse, lift, or e (If you wish to waroin must be get ive the setback, you Ittust Inldal the appropriate blank below.) 7 A01� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. I I-OPOrty Owner Information) s' tuturc w d 1 Slc� Print or Type Name �c-- MaH/ng Address 606 �Ac�,2( cityistate2ip 33� - o2�'�(aU5 iaie hone Number Date (Adit ra%erty Owner Information) Signature Print�rrje Name Mailing ress Clty/StaJt�e/Zip V r v Te ephone umber Mat��O- Revised 8H8/2012 '� I�LJ� b Scu iP 3(0 3Ati(� \\c �50co Uid Cam% Rc( C��2�.�v,1tP t�lC I � . y p --- 'I wit 0 CC n % r:r�� r P� 32-- QNvxes \L 1 jc- as1,e..\�� o� L." Q. btr t E. �- h P-" 633 t Date Received Date Deposited Check From (Name) Name of Permit Holder Vendor Check Number Check MMOunf Parmlf NumbaNComments Receipt or Relund/Reallocated Col—1 Column2 Column? ColumM Columns olumM ColumnQolumn7 ColumnO Column➢ 8/12/2019 TRW Construction Co Inc. Caroline Taylor Bank of America CresCom Bank BUT IBB&T _ 2061 2610 $ 200.00 $ 200.00 GP #74529D _ GP #74578D GP #74579D _ 1 GP #74581 D TMc rct. 9139 BB rat. 9104 BB rot. 9103 BB rot. 9102 811212019 8/12/2019 8/iwml _ Permit Pals Grice Construction IGrice Construction Patricia Wright Charles Rush 13211 $ 200.00 Paul Heffemaw 132101$ 400.00