HomeMy WebLinkAbout74868D - AardemaCAMA / ❑' DREDGE & FILL
GENERAL PERMIT
XNew• ❑Modification ❑Complete Reissue El Partial Reissue
No. 74868 A B C
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 I SA NCAC .0 rl . 2 O O O
❑ Rules attached.
Applicant Name !' ` A G 611 E AA R V E M __ Project Location: CountyIJ E VJ kAn10V C 9-
Address SA Mt- Street Address/ State Road/ Lot #(s)
City _ State ZIP So O FzV- DR WE
Phone # (q10) ZUZ - 319Z E-Mail rn&wqft tSi�n��SSuciarFeS Subdivision 5OtxTla OAVZ0R
i4c ,cam
Authorized Agent E D FL` IVA/
Affected ❑ CW XEW )(PTA ❑ ES ❑ PTS
ElOEA ElHHF ❑ IH ❑ UBA ElN/A
AEC(s):
❑ PWS:
ORW: yes / no PNA yes / no
City V-16HrJVlw-L 'BEACH ZIP 2 94 F O
A Gt,JT Phone # (q 10) 25(o - 3062 River Basin V4 rT r- OAK
Adj. Wtr. Body $ANKS CN^n/f/Elr nat /man /unkn)
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No MMOMMEMOMMOMMEM
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Agenntp Applicant Printed Name
/
Signature * P e read compliance statement on back of permit
t2oo * 83g5
Application Fee(s) Check #
M ( CIu I r-E-
PermitO icer's Printed Name
C—
Signature 61
Isswng Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
1 i1 i�6! J i7'rn c�,o
Name of Prooerty Owner Requesting Permit: /
Mailing Address:
v
Phone Number:
r
`mail Address:
i certify that I have authorized C� i��` y►�r1 v�� ��''�rt,�U ��` �ft ;%1
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
-;ecessary for the following proposed development: 'y%Ylk?
at my property located at )�' 1 �' �1��31� �� • �����'
f
in ,�x xJ ll2y i;A1U PL, County.
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:
�I
Signature_ - - -
Al yk'&Lt 1� r_ e SENDER: COMPLETE THIS SECTION
Print or Type,, ■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
01/V' 4 i so that we can return the card to you.
Title • Attach this card to the back of the mailpiece,
or on the front if soarp nprmitc
i ) i lv
Date
1. Article Addressed to:
J SQ �i�o�mil� LLC
his certification is valid
II I �III'I I'll l�l I IIIIIII IIIIII III III IIIIIII III
9590 9402 5330 9154 7601 13
a"rrreNumbei/Tansferfi
A g ture /J
Xj"_j-6Cvl/`�' Agent
�(� Addresse(
B. d byaPrinted N e) C. Da of D livery
Gttc - /`sC
D. Is delivery address different from item ❑ YES
If YES, enter delivery address below: No
o. oervice Type
❑ u I Signature
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FOR-M
Name of Property Owner:
;:dress of Property:
j.:r�%L ICJ✓ } (/✓lLa�I �f/iij'lV I/r /i/!',
of orStre4t t. Street or Road, City & Q unty%
Agent's Name r: Mailing Address:
r"+4en� S phone LiiLa�
i hereby certify that 1 own property adjacent to the above referenced property. The individual
aoplying for this permit has described to me as shown on the attached dravJnq_the develooment
they are proposing. A description or drawing. with dimensions must- be , ith this
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.,
Wrimington, 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. (I) 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 Owner information)
Print or Type !Name
,'Jailing Address
J%y1�iLl •jI'Z I/L'r/
!�i
Cit. - StateiZip
Tei8ohone Number
J., inn•. �U jI
(Adjacent Property Ow -information
.5!•�Il Ct it l i'C'
Print or Type Name
l939 S& Q
ex
!;tailing Addre
City/State/7
Telephone Plumber
Revised e:`I
Beach, N.
C. 28480
i existln foor
rint.
JJJ _
b r
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K
• '•�♦
1• � s��i
Go e rarth .
0
30 ft
Deft Resolved
Dab Dqpo~
Check From
Name of Pemdt Holder
Vendor
Check Number
Check
amount
Parm/t NumbenCammend
R—lot w Re/und/Realkxefed
Cokrmnl
Cokmm2
Ceknel2
C km.14
Coknnn6
Columns
Column?
Cah-.w
Column9
2JI012020
2/10f2020
2/10/2020
Allen G Edwards
CSOG Ventures LLC
Allen Edwards
Ray and Marina McDonald _
MaQo,e Aardema
First Citizens Bank
1008
119
$ _ 400.00
S 200.00
GP i74883D
GP 674880D _ _
GP (74868D
JD fcL 10958
JD rcL 10959
TMC mL 9756
BB&T
__ _
F and S Marine Contractom Inc.
_
PNC Bank
_
8395
S 200.00