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. Body ASS
■�1■OE■EEO■■■■■■■■Vr■1!�1►�r\v■■`■RE
MMM■■■■
■ii■■E■■■E■■EEE■E!!m[!
mwmmuEEu■■■■E■■■■E■■
!�■■■I■■��1�'out■■»■►�f�'fii®■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■ii�
1U'�I'�'10MIM■■■■■■■■■■■■■■■■
EMMMEEMEMMMMMM20MICOW,
ME■EMEM■M■MEME■■■■■
ME■■E■■
■MMEMONEM
OM
I
►►.rr.
ngE
E■M■ME■■EM■M■■EE■
■■■■■■■■ME■■mGI■■m1/
amE.■■■E■■■■■mM■M■■E■
MM■■EE■■■
MEM■MMME■■1I
MMEiMMMM1:►+�i■1l!■t■■■■■■■■■■■■■■■■
■OMMOMEMMEMM■■■■■■■■■
■■■MEMO
■E■M■M■■EMMERNMEMB11
p".1WO■■MMMM■M■■■MEMEM
. ■■
ME■O■■■MEIiL�■■■Ilhl:
IEEE■EE®J■■■�■Et■M■
• ■■■MEMO
EEE■■Ei■■
■1 fi t'?E![!�E!!!!!E�II'��lO�■E■IEM■■
EM■MEMO■■EEO■!/���Gk'j��'�c:.�!'r���1/.L�:►:!1i7�9ilW�����
MM■■M■■■ME■■■■M■■E
■ME■■■■■E■■■E■■■■
■■■■■■■■■■■ EMEMM■ME
c�EEt��I■
'`'
■i.�!i!Il�111lE�19
■■■■6�1A1lJ_IrlA'2�■fd!E■■ ■�■■■■■■
(�.
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