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Home My WebLink About76277D - Sischoly,,CAMA / ❑ DREDGE & FILL GENERAL PERMIT Mevr Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant too 5A NCAC No. 76277 A B C Previous permit # Date previous permit issued Q-+µ,t1Oo ` o--KQCO Applicant Name S t S Orlo Project Location: County Address Z uti ✓bu z Street Address/ State Road/ Lot #(s) !! ww City ��nr t n LL State N ZIP Z $` ZI A I ` .I VNA Co .S►ewion- Phone # �) Z M Authorized Agent —re �t nr ; t �M S city�asL('n i ZIP Z (i', L' Affected El Cw J(EW E�PTA ;<ES ' ❑ PTS Phone # ( ) River Basin L-\D L.,i AEC(s): EI OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body 0 e.^C- k (nat m/unkn Q ) C PWS: ORW: yes / � PNA yes / Closest Maj. Wtr. Body Type of Project/ Activity ��4�-e_ �fi �� n r�.,\ �( _G o,rf� oc(C.- a n1V �u. (• nT (Scale: T S ) Pier / `L Fixed Float Finge Groir Ikl Basin Boat Boad Beacl Othe Shon SAV: Mora Phov Waiv ■ ■■■■■■■■■■■■�■��►►11■■ A ■��■■■■�■■■■■�■■■i�'■■ ■■■■■■■■■■ i length number WRiprap ■■■■■■■■■■■■■■■■■■■■�n■■■■■■■■■■■■■■■■■ avg distance offshore ' ■■■■■■■■■■■■■■■■■■1l�I■■■■■■■■■■■■■■■■ max distance offshore ■■■■■■■■■■■■■■■■■■■■1l�I■■■■■■■■■a■■■■■■■'. cubic yards ramp ■■■■■■■■■■■■■■■■■■� 1■■� 1■■/l�wre�!■�r�:��■■■ -i Bulldozing ■■■■■ ■■■■ter ■Evil=mow • Ai ii■ii� e�� KwllmaO■■ mill ■1■!1■■\I■■►H■■■i■■■1�■■\■■■tl■■ �■ not sure yes'�' . U.'' iD ■i►OW■■i�i■■ii■i'■■EIVE i■ w�i� a�121 A building permit maybe required by: (Ce&^ (S(e Gete-c 1 ( Note Local Planning Jurisdi Notes/ Special Conditions i ,J ,kr i to (1. �t t' 0 ? (Vyl S Agent orApplicant Printed Name ;'Zia Signatu ** Please read compliance statement on back of permit" `�' - ► o Applicati ee(s) Check # ❑ See note on back regarding River Basin rules. l Signature 3- I tr2o�d � - P 5 -2oZP Issuing Date Expiration Date F1 -14 ti 3 M %X 5I 4(r C e ac ::�a Z -. s 10 tZ E ?L AC.E 19 U L HCTA D. r i xE D pTE j', ?AMLUA7ZN(r VTfJVL- 1 to flO4TTn4(- DocK 1U F-I T ty F�xr� —1Z'- XTS TJ-NF BU c K 1JE,t D Sa ' 7� AY,-", S i s� t#o 1 L1 \&aL T PJGiO ' 5T Di i� CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: ,)ap ift ►0 Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: 1'?-.'A Mailing Address: Agent's phone #: i t�, - 3 - `-� :��; Lot✓) 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 drawin the development they are proposing. Z21-- I 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 wrftfng within 10 days of receipt of this notice. Contact information for DCM offices is available at http //www nccoastalmanagemeninet/web/cm/staff-lisdn_g or by calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift must be setback a mUlllYtu)ttdistance 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.) — ,vim I do wish to waive the 15' setback requirement. g'r ,7A AAVC'AC �.J j=-a acca �L.. I, do not wish to waive the 15' setback requirement. (Property OwnerInformation) Signature Print or Type Name cri Mailing Address City/'ate/Zi� y 10 .- L-L43 -. '43 C1' Telephone Number / Email Address - o Date (Riparian Property Owner Information) Signature z: �/,/,v. s < . 2-1 Print or Type Name Mailing Address City/State0p Pj� 9 G9G �S/ ��' OL / God Telephone Number / Email Address z z 8Pz Z n Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Jai i'ri�C ��isC_! r0 Address of Property: U (Lot or Street #, ttreet or Road, City & County) Agent's Name #: z ; i'tZ l�,n'� Mailing Address: (` �i�'� hi i Agent's phone #: ` i i `1- 3 - Q 1�q I hereby certify that 1 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 proposing. . le �I I have no objections to this proposal. I have objections to this proposal. t r� ff you have objections to wh is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 s of receipt of this notice. Contact information for DCM offices is available at h ://www.ncc imana ement.net/web/cm/staff-listin or by calling 1-888-4RCOAST. No response is considered W same as no objection if yog have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If y'ou wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not w& to waive the 15' setback requirement. (Property Owner Information) 41�,- Signature Print or Type Name - Ld Mailing Address Sl0D City/S ate/Zip� Telephone Number / Email Address Date (Rippria Property Owner Information) :-k z Jlk Signature tM��S rint or Type Name Mailing Address Cityr/State2ip i jo V-0, Telephone Number / Email Address '?i2Vzv Dater T (Revised Aug. 2014) AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: CAM �S C IAG Mailing Address: �7 <✓� �i►�' TOn `�T. Qcea^- _T'/` 3eaa �/'G, 28 V 6 9 Phone Number: Email Address:�- I certify that I have authorized T c.: b EL Nl 5 ftLt�w AIE?Z Mt} -T ftj C , Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: EMA(z i3QLiL1AEAD, tZl 7 A N1 P --Lc: -rT L k at my property located 1 I l \J -Ti-MT A)Q-'1(= S 1 d r 6 in 1 )?t, NS "d.� (� k County. 1 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 eve.-luating information related to this permit application. Property Owner Information: Signature Print or Type Name C%/ 4e/` T tle a? D"ZC-) Date aoav This certification is valid through Ae? 13 / I __ Date Recelved Dab Cheek Fmm ame Name of Pe it Holder Wndor Check Number Cheek mount Permit Numbe comerents Recei f or Rerundffl allocated cok—I Cok-2 coanms calm." Cokann6 col-6 cohrmn7 Columns Column9 3119/2020 Willie Clarence Richardson/Richardson Cc Re olds 8 Ma Lisle BUT 7663 b 200.00 GP #76282D GP #76235D BB rct. 10920 3/19/2020 Grice Construction of Brunswick County Irt William Cox BUT 13539 $ 200.00 BB rcL 10918 3/19/2020 Backwater Marine of NC LLC Jamie Sischo BUT 1004 $ 600.00 GP #76277D BB rct. 10909 3119/20201 1 Dale C Funderburk Jr. Isame I South State Bank 1 15021f 200.00 IGP #76265D IJID rct. 10393