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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) Closest Maj. Wtr. Body A I W V1% • - INN■ ■EX��.�=z�ya�■ayfl��FeEMINNOMMIN■Ails■ SEEN■■■�M■■■■■■■■■■■■■ _ ■■■■■■N■■NNE■■�EN■Nw�E ■■E■NNENN■■■■ ■■■■■■■■■■■■■■■�■■■■-:■■■■■■■■N■■■■■■■■EN NNN■■N■E■��NN■■ESN■■■NN■■■aN■ENNN■��EN■N ore ■■■NNE■■■■■E■�■N■■■■■SEEN■N■■■NN■■N■ten■ NE'wr�'WEEMMERa■■■NN■■■■NNNE■N■■■E■■■■La■ ■■■ICI■■■■■■■■■■_■■■■■■■■■■■■■■■■■■■■■■■E■ _ n�!■E■■N■NE■■■■■■NN ■E■ESN■� ■NNE■ ■� N■�� ■■■■■■����■■ ■ �.�■■•SN■■■■■■■■■■N■■■■■ ■,. w�� ME■►11"WININN ■ SEEM■ EE■ RIM MEN - ■N■■■EQ��;����N■■■■■■ ■■N■NNE■■■N■■■■NNE EIEEE ■■.■NEE■�=■■■■NNE■NNN■E■■■ ■iri■■ENr�MM■ ■■N MESS■ eNN■■NNN■■NNONE EN■■■Nrr�■■iENi�iiSw�i■'' ■I ENNSEE■■ENN■■NN ■■ Q+■■EN■■■■■NNE■■NNN■E■■■■NE■NNENE ■NNNE E■N No MMOMMEMOMMOMMEM Aq 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 0 u@ S�nature RV;j%ttV WSONJI0 1E��Vq OCo/%rIO�D~9//IV ���roy/� �141'U 04r �"N ❑ Priority Mail Express® D Rogisterga M21pN pp� /u n 4� V c�� 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 •r 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