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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 iCAaoo tl .com 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 er F n Gr Bulk Basin BcW Beac Oth Shor SAV: Mo Phot Waiv (Scale: I // s 2 o -' ) :/`�fi►v..�L�i'L�■L��■ iid::aial�iiiiC:�L' :%��L� .el ■■■I iitriii .`, ■friMlR!■Nirom 11 -Ii■■■[Ad]L!■m ii"Foi ■■■ cha cubic yards ■■■11■■■■ft■■■ ■t•�■i■ii1■■� 111■■■■■■■ ■■■p!■■■.,■■ ■■■I ■■■■■1 I '!■■ ■H■■■■1111■■■■■■ ■■■U ■■■■■ ■■■ �o;use/ �Boatlift ■��■���■r�� �lir�■■■�1111■�■■N■I ■■�C�i■�■i�■ ■���:...,ate■■��■■■�■I■ii�1111ii�a■ter■■�i■li:i�...���■ Bulldozing i • Wx 12. S. swomm■■irnmo/.['7�Tm�17"� moll ■■■ MEN NNE • not sure ■MINI ■■■:■iii r�i�11:mow I�r■�i■■:■::::■ yes :LI:I m■:::::::e:::::..........,. • i� ■I ■■■■■�C'�!7■!!1 !«'l Ii1 ■■■■■■■■■■■■ ■r■ WS: yes V-1; ■■■��i�,■■i1�illi�il iii11V■ii�ll J ■■■■■■■■ ■11�JirAx?.6ed: M,,Rmmmmmmmmm 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