HomeMy WebLinkAbout74835D - WRC State of NCCAMA /alIEDGE &FILL
NEL PERMIT
XNew Modification ❑Complete Reissue ❑Partial Reissue
No. 74542
Previous permit #
A B C a
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 (� 7 }� 1 g o 0
W^Rw#CK FARMS LLCM ❑ Rules attached.
Applicant Name Project Location: County r
Address Z Z 4 'T A1nw M VEM,,;cE-13LVR — Street Address/ State Road/ Lot #(s) 14 35
City J4�t_u1�* State ZIP ZT403 9.1V69 8T-ub �tt1�/tE
Phone # (-q") E-Mail Subdivision At /e
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Authorized Agent Nf C �6AsF 1 Cil� T C'' 31&st 6 sA W ZIP 'L�'4 S
Affected ❑ CW XEW XPTA ❑ES ❑ PTS ��� Phone # (1,10) 15I Z - %v+ 7 River Basin C! pg V A PC
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. BodA/F_ C A RIE ��R R%,rjl &man /unkn)
❑ PWS: IF
ORW: yes / io PNA yes /� Closest Maj. Wtr. Body '-APE VgAlt 124V >E.V
Type of Project/ Activity C 06J S3n1Uwz- 12 4t IL ION oft FA r- a Lf Y
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A building permit may be required by: &#JVgC n COtAA13!y ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions (� 7 j�, (2 D D 8�—,4 _14 OTJFc 4 - (L ,477�— j
Agent or Applicant Printed Name J
Signature ik* Please read co a statement on back of permit
Application Fee(s) Check #
Tys� M c Gu %ai&
Permit Officer's Printed
Signature
IssuiAg Date' Expifation Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
P Y
Mailing Address: �C�U�� ��D� ✓ `�
Phone Number: Z_"
Email Address:
Ll
I certify that I have authorized %"'L� /`"� f ,
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 / 7 3-5--
in A�le I,— County.
l furthermore certify that l 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 Information:
Signature
Print or Type Name
Title
Date
This certification is valid through / I
I
Y
, " (��, xj
7�� fo,�I�o
bey
,Iyj
- - - - - 31.5.
q��M
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Chasing the Dream LLC
Address of Property: 1435 River bend Drive Burgaw NC 28425
(Lot or Street #, street or Road, City & County)
Agents Name #; Southern NC Marine/ Nick Fulbright Mailing Address: 714 Hughes Road
Agent's phone #: (910) 512-7647 Hampstead NC 28443
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
;Vlv7f
posing. A description or drawing with dimensions must be provided with this letter,
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 Managemont (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
N/mington, NC, 28405.3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no objection.. ou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, It, 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.
�E I do not wish to waive the 15' setback requirement.
(Props Own of rmation) t Pr erty r ! a to
Signature Igrtalure
Chasing the dream LLC � yl ^
Print or Type Name Print or Type Name
1435 River bend Drive , 1 � l �/' - / D
Mailing Address V-11�
Mailing Address
Burgaw NC 28425
City/State2ip City/State G`b`'t
(910)233-8888
Telephone Number Telephone Number
10/7/2019
Date
Date
Revised 611812012
11 /712019
North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Fiiing -
Order a Document Online • Add Entity to My Email Notification List • View
Filings • Print a Pre -Populated Annual Report form • Print an Amended a
Annual Report form
Limited Liability Company
Legal Name
WARWICK FARMS, LLC
Information
Sosld: 0501007
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 7/22/1999
Registered Agent: Warwick, Steven J
Addresses
Mailing
Principal Office
2524 Independence Blvd 2524 Independence Blvd
Wilmington, NC 28403 Wilmington, NC 28403
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1 /2
11/T'2019
North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing -
Order a Document Online • Add Entity to My Email Notification List •View
Filings • Print a Pre -Populated Annual Report form • Print an Amended a
Annual Report form
Limited Liability Company
Legal Name
Chasing The Dream LLC
Information
Sosld: 1560594
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 12/14/2016
Registered Agent: Kerler, Jill
Addresses
Mailing
664 Pine Branches Cir SE
Leland, NC 28451
Principal Office
664 Pine Branches Cir SE
Leland, NC 28451
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1/2
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Chasing the Dream LLC
Address of Property:
1435 River bend Drive Burgaw NC 28425
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Southern NC Marine/ Nick Fulbright Mailing Address: 714 Hughes Road
Agent's phone #: 910 512-7647 Hampstead NC 28443
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
�1. they are proposing: A description or drawing with riimpncinnc miic4 he nrnuirl- i ,.
I have no objections to this proposal. I have objections to this proposal.
if yo 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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
fImington, NC, 28405.3845. DCM representatives can also be contacted at (910) 796-7215. 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 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 Own In ation)
Sipnrrture
Chasing the dream LLC
Print or Type Name
1435 River bend Drive
Mailing Address
Burgaw NC 28425
City/State2ip
(910) 233-8888
Telephone Number
10/7/2019
Dare
(Ad'acent Pr 7prty Ow er Infor ation) Q
Print or T e Name
145ts'- qlt�
Mailing Address
City/StateRrp
Telephone Number
Date*
Revised 611812012
Date R-1—d
Data Had
Check From (Name)
Name of FW.H Hold-
Vendor
Check Number
Ch—k
anrormt
Permit Number/Cpmments
Reee/pf or Retund/Reallocated
Columnl
CdummS
Co1umn9
CdumM
_
Column6
CdumM
Col umn7
Cdumnd
Cdumn9
11/22/2019
11/22/2019
11/22/2019
11/222019
_
Zimmer Managtwinent Copmany ZAC,LLC .;South State Bank
Robert W Nason Robert N_ason IComing Federal Credit Union______ _ _
Southern NC Marine LLC Warwick Fanns LLC First Bank
5980
1
E. 600.00
GPi74751D
PA rcL 8512
TMCfU. 9504
rct. 9507
112212019
S- 200.00
GP i74551D _____
_
OP 0745MIDTMc
11222019
_962
1221
--
200.00