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HomeMy WebLinkAbout74542D - Warwick&�A /DGE &FILL ERAL PERMIT XNew El Modification ❑Complete Reissue El Partial Reissue No. 74542 A B C O Previous permit # 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 n rl 1 iZ 0 0 WASVLW I CK FrllRNS L.LC. ❑ Rules attached. Applicant Name Project Location: County PA20,1 -bra R Address A52.4 T�A1nw V .•:1f--006 Ra Vp Street Address/ State Road/ Lot #(s) 14:56 City Wlt-MtNCSTe State ZIP?$4p3 R11 /&9 ,vo ^DRY M Phone # ( Q) E-Mail Subdivision N /A Authorized Agent Ci /CKFig+«sg+c�i� juQG wZIP ?'g4.sCA,ev0.St-�l11tIR'p� Vm ty�Z S --... Affected El XEW XPTA DES El AG rVT Phone # ( ) SI: — %p+7 River Basin CAg ps ItAEC(s): ElOEA ❑ HHF ElIH ElUSA ElN/A Adj. Wtr. Body )C C.A�a !FU OM- - 7%,rlij man /unkn) ❑ PWS: r ORW: yes / io PNA yes le on Closest Maj. Wtr. Body CAPE fg AV R %V Ert Type of Project/ Activity C 0.61:53*"T ID e C Ic I Xr-I FA G I L I T,/ V I MwWww: U F Gr Bulk Basin B Beac Oth Shor SAV: Mod; Phot Waiv (Scale: I // Ia 2 O 1 ) -I length ■■■!■■■11■A 117■■■■■■�■■■�i■■!�f!■■■■!■■ ■■■I ■■■■■I P■M ai■N■omA■■■■ ■■■M ■■■■■ ■■■ ■■■■■■■■it, M= ■Li■NP 1■■■■ 120 ■■■1a■■■■Yr■■ max distance 1 0 ■■■r■■■�■rir�rcn�■■■11■r:�■■ I■ei�■�-��■I��■s■■ cubic yards_ ■■■r■■■■■r.: son Mi-immumms 111■■■■■■■ ■■■�3!■■■t■■■ ■■■I ■■■■■I I '!■■ ■H■■■■■1111■■■■■N ■■■U ■■■■■ ■■■ 7ouse/—Bo:---t'rlift ■��l��■IL�� �lfii�■■■�I it ��■■■�■I I■■�C.�l��!■�■ Bulldozing ■■ ■I,■■■■I ■■■■■■■■■■■ ■■ ■■■■■N■■■■ ■■■■■ ■■■ At ■■■r■■■■li■■■■■■■■■■■■■■■■■■■■■■■i■__■tit■■_■ r■■I s■■■■■■n . mo Mw1rITI %"Tnll T1r— mo7 :^.MMMMMMMME f ry ■ ■I ■■■■■[I►.�11�T�f1�!■':►Thy■'�LS�rI■■■■■■N■■■■ �line Length sure ■not yes L` 4PL6,, tr Attached: A building permit may be required by: &AIVOr Iz COUNTY ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions Q rJ N , i 2 0 0 A)-'. 0T7Nc4 j _(LAl- 7 SrA= 1. jFE us", 12-C G1Jl- ATip'A0c APPLT Agent or Applicant Printed Name Signature ** Please read cor�nce statement on back of permit" S200 -- - 1721 Application Fee(s) Check # Permit Officer's Printed Name Signature I I X? z 21Z1 y 3 122 &20 Issui g Datel Expi lion to AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property ORequesting Permit: l/''-L✓���` / �`f� `L C���G'�� P Ywner q Mailing Address: l on t/G Phone Number: �� Z_" Email Address: ,r/a-G✓��/ �.l%�ceaJ* /Y/.t• fig I certify that I have authorized �"'L" /'� /���5 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 IV3s in f k%le /I— County. A/� Zeyzs-- I furthermore certify that I 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 / / �NJ�� 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 ;V171 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 Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Ari(mington, NC, 28405.3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection tf you have been notified by Certifled 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. �E 1-do not wish to waive the 15' setback requirement: (Prope Own of rmation) t Pr erty r I a io Signature rgnature Chasing the dream LLC Print or Type Name Print or Type Name CJl 1435 River bend Drive N I '5� �_ _ 1 Dr Mailing Address Mailing Address �:+ u� Burgaw NC 28425 ♦ 1 ��� �� City/State2—ip city/statesnJ (910)233-8888 Telephone Number Telephone Number 100/2019 Date Date Revised 6/1 &2012 11/7/2019 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 WARWICK FARMS, LLC Information Sosid: 0501007 Status: Current -Active Annual Report Status: Current Citizenship: Domestic Date Formed: 7/22/1999 Registered Agent: Warwick, Steven J Addresses Mailing 2524 Independence Blvd Wilmington, NC 28403 Principal Office 2524 Independence Blvd Wilmington, NC 28403 https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1i2 11i7!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 Sosid: 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_Results 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 they -are ro osing. A description or drawina with dimpncinnc mutt ha nrnuirl- i \N 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., Wilmington, 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 Mai! 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) Si-anat ure Chasing the dream LLC Print or Type Name 1435 River bend Drive Mailing Address Burgaw NC 28425 City/state/Zip (910) 233-8888 Telephone Number 10/7/2019 Date (Ad',,,at Py Owinftion) }� �ru:!urc Print or T e Name l a515 (?,�-r Mailing Address C/ty/state)?fp 1-0 1� Telephone Number Date Revised 6/1&2012 Dare R—W-d Dab Ch—k From ama Name or Pwmk Folder Vendor C*S k /rYeaeer Cheep emoraf P—if Numh-lCommwrts Rmc pt or Rerund/Reallocated Columnl calkwanz Coh-3 Cplumnl C i C k..W Cok—T Columns Columns 11=019 1112=019 Zanmer Management Copmany Robert W Nason Southern NC Marine LLC ZAC LLC South State Bank Coming Federal Credit Union 5980 $ 600.00 GP s74751D _ GP •745510 PA rct. 8512 TMc not 9504 __- TMc rct. 950 11=019 11222019 Robert Nason 1962 $ 200.00 019 11222019 WarvAck Fanns LLC _ First Bank 1221 200.00 _ _ _ GPfr745420