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HomeMy WebLinkAbout76274D - SnelgroveCAMA /J DREDGE & FILL GE14ERAL PERMIT XNew ❑Modification ❑Complete Reissue ❑Partial Reissue No. 76274 A B C Q Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality LJ and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �%�-H ❑ Rules attached. Applicant Name —)e IC) Address �S r ,.. A f e „ ( . r . City State SC ZIP Phone # E-Mail G�"�e • �- Authorized Agent , c t `L G S S Affected ❑ CW ❑ EW X"A [YES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A C PWS: ORW: yes `1:�) PNA yes no Project Location: County � t ..r .0%, S ..0- k t' \e— Street Address/ State Road/ Lot #(s) Subdivision City L) V . ZIP 4e LZ Phone # ( ) A River Basin L A b< i Adj. Wtr. Body dM/man /unkn) Closest Maj. Wtr. 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EEEE■ EE■■■■E■i■ ■MEE�1![SIE:1■EEO ■�,MaeMra�NONE AOil Agent or Applicant Printed Name Signa�tdre ** PI ase read compliance statement on back of permit Application Feels) Check # 1/1 � S4 -e ^ &,^' PermitOffice� Name Signature Issuing Date Expirati n date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Camp Delores Snelgrove Mailing Address: 532 Brown Arrow Cir Inman, SC 29349-8865 Phone Number: Email Address: P s C @ Me e, am. I certify that I have authorized Joel Klass Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: replace bulkhead at my property located at Sunset Dr. SE: L-1A Howells Point PID#2341DO42 in Brunswick 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 evaluating information related to this permit application. Property Owner Information: IRA WITM10-1 �e1nrP s �Cam:� Print or Type Name o w�ne,r Title Date This certification is valid through ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Camp Delores Snelgrove s (Name of Property Owner) property located at Sunset Dr. SE: L-1A Howells Point PID#2341D042 (Address, Lot, Block, Road, etc.) on ICVVVV in Brunswick N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above to tiog . > I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 Owner Information) Signature Camp Delores Snelgrove Print or Type Name 532 Brown Arrow Cir Mailing Address Inman. SC 29349-8865 City/State2ip Telephone Number/email address Date *Valid for one calendar year after signature* (Adjacent Property Owner Information) Signature Thomas & Donna 'ea or an Print or Type Name 677 Saint Paul Dr. SE Mailing Address Bolivia. NC 28422-7837 City/State/Zip Telephone Number/email address Date* (Revised Aug. 2014) 2/27/2020 B&J Const..jpg A0 ACLN 1 fill'AI(IAN PRUPI It I y OWNE-R STAILMENT I><•r+•by ce ftify'ha' 1 awn prupefty adjaceflt to Camp pe-kns Snel9rove (Name of Property Owner) property located at Sunset Dr SE L-IA Howells Point PID823410 2 (Address, Lot, Block. Road, etc ) on �CWW _ — „ in Brunswick (Walerbody) (City/Town andlor County) The applicant has described to me, as shown below the development proposfail 4t !r,.• 4tjr,.fP ocab I have no ob)edeon to this proposal I have objections to this proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fell In description below or attach a site drawing) WAIVER SECTION 1 understand that a pier, dock. moonng palings. boat ramp, breakwater• boathouse let 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 ) 1 do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement (Property Owner Information) ��acent Proity or Information) Camp Delores Srelgrove Deborah Sessoms Hall Print or Type Name Print or Type Name 532 Brown Arrow Cir 211 W. Arrowhead Dr Mading Address Mailing Addfess Inman. SC 29349-8865 Clinton. NC 28328_-3003 fart /statwt Crty/Statwip 86y4-706-6�596 deesc@me.cortl sessomsiewelry0ahoo corn Telephone Number / erriad address Te/ephone Number / em d addAA11 re te (Rurtscd Aug 2014) '1la4d for one calendar year after signature' https://mail.google.com/mail/u/l t#inboxlQgrcJ HrnsbcwbhjghdnzVpxgCMpSdvClSsB?projector-1 &messagePartld=0.l 1 /1 �3ys��y � .�sy�Doyl or !!��# 0? Data Rec~ Date Doem0fed Check Frwn Name of Permit Ho der Vettlw Chock Number Cheek amwrnt Permit NumbanC —ft R w Re/und/ReelMcetad C.1—i Cdumn2 Cdumn3 C f mn_4 Cok,0106 Coh-ho Cok~7 Column! CoktmnD 3/10/2020 3/10/2020 3/10/2020 B & J Construction of NC LLC 3/10/2020 ' Pippin Marine Cansbucfion LLC 3/10/2020 Pippin Marine Construction LLC Cam Delores Snelgrove_ _ _ Dale Brodeur Jr. Ralph & Jackie Penn in ton BUT 2170 $ 400.00 GP #76274D GP #76251D BB rcL 10906 TMc rcL 9771 Wells Fa 5402 $ 200.00 3/10/2020 Wells Famo 5389 200.00 GP 976259D TMc rcL 10382