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Home My WebLink About76238D - Miller-. NCAMA / DREDGE & FILL No. 76238 A B c ENERAL PERMIT Previous permit# 7orized ew. ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As aut 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 Rules attached. Applicant Name � � t, , ,��e� Project Location: County /,. n S,N, c Address 2 0 L1-4 f L', i . M o Y la �N l2 '� Street Address/ State Road/ Lot #(s) � City 9 c,Ltll \ &' a State 0 CZIP -Z L 42 11 Vr Phone # () S21 -Mail Subdivision Authorized Agent ��An „ G Q , City Ocir 1 �c 1^ ZIP Affected ❑ CW EW PTA ❑ ES ❑ PTS 1 Phone # �3 c 1 b �l �� Q,n�1 fi1Q), � `iC�� AEC(s): ❑ OEA ❑ HHF LJ 1H ❑ UBA ❑ N/A Adj. Wtr. Body (nat JIikn ❑ PWS: Closest Mai. Wtr. Bodv ORW: yes /,no0 PNA yes / no • U10 III•1 11- - •ver MEMOMMEMEMMEEM -reline Length not sure yes tos: yes C_'�c �' �� i ■��■ i ■■■■■■■c��ir�i�sw.��iIri�'!i �'■■■■ �;n i�i��1� �* ww■■■■� 1 ■ww■ i ■■■■■■■■11■■■■■■►�■■■■■ ■�ui��l■I�f!►fi _ �' ■■■%■■ i ■i■ in ■■■■■■■ice■■■�■■■■■■�i■■■�■■ L+J (A \c\q (_ i'\\ Qk ent or Applicant Printed Nine Signature ** Please read compliance statement on back of permit (f Applicatio ee(s) Check # P �� c. •• —V�� r o c Permit Officer's Printed Name Signature 2 2�- zoZU 2 Issuing ate Ex iratio Date FWA A . A AMWR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis John E. Skvarla, III Governor Director Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUMM Date: 2 — / 3 — a D Name of Property Owner Applying for Permit: ., W /A - r'7/rL 1 Phone Number ( -" , Name of Authorized Agent for this project: f ,f,'C'Zc7 G'oA/ST/1k-cT.' w Agent's AkWng Address: t4 ( 5 I3eck� ► D (-- SC>�' �s(e (fie Ch /VC 2-i-%Y Phone Number R0j S7 Y'qO q I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaini"f� all CAMA Permits necessary to install or construct the following (activity): Cud rlckcv Ce3u/rJ ctqj Yl'tvo 6\14"- k I. For my property locabd atT• Q C f 4A:/ .r7 S L F This certification is valid thru (date) Property Owner Signature Date 127 Cardinal Drive EA, WdnUnoon, NC 28405 Phone: 910-796.72151 FAX: 910-395-3964 Internet: wwwnccoastaimanagement.net M Egwl oPporlunAf' 1 Aftn*4 ACOM Employer DIVISION 019 COASTAL MANAGEMENT ADJACENT RIPARIAN PROPIIATY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: � 1C1 m k4wl(� M' f e i' Address of Property: !l � VcAq r- 4 n\) q f-cl �- (Lot or Street *, Street or Road. C-6 8 County) Agent's Name *:Gr ict Agent's phone #: " Z— 5 Mailing Address:6I � t. xy-\ 1 D"' 33) ,):TA5IQ & . N( 21t%q I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perm, it has described to me as shown on the attached drawing_the development they are proposing. have no objections to this proposal. I have objections to this proposal. if you have objections to what Is being proposed, you must notify "th"e& of Coastal Management (OCM) In writing within 10 days of receipt of this notice. Co should b6 mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM repres also be ' contacted at (910) 796-721 & No response Is considered the same as no objection ff been notNled by CorMed Mall. .+rsrr... G]' WAIVER SECTION v, I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back s minimum dis of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, YOU M Inglal the appropriate blank below.) *671do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property(Owner Information) (Adjacent Pro rty Owner Information) Signature Signature Print or Type Name Print or Type Name Mailing Address Mailing Address in - A NC City/Stat&Zlp City/State/Zip (:11 l 0- a,--31 a5 telephone Number Telephone Number�� 2-)Z� - lx�-, Date Date Revised 611 &2012 wta 1.t. ;-' • DIVISION Oir OASTAL MANAGEMENT ADJACENT RIPARIAN PROPdftTY NOTIFICATIONIWAIVER FORM Name of Property Owner: � lC' Mc Y\QQ� M M e r Address of Property: �� VkAgr 1, n `J q C-c":�A cM� � (Lot or Street tk, Str`et or Road, City' & County) t,� Agent's Name #: f ICE.. t ('t�(,�j�c� Mailing Address:6I � + D'' Agent's phone 0: S-M - 9-U 5 &wn -F6tQ �w1 NC 2--D%y I hereby certify that I own property adjacent to the above referenced property. The individual applying for this Permit hasudescribed to me as shown on the attached drawing the development they are proposing. I have no objections to this proposal. I have objections to this proposal. IN you have objections to what /s being proposed, you must noft the Di of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Co should bd mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3m. DCM repress IF also be contacted at (910) 796-7216. No response /s considered the same of no objection been C notified by Certified Mall. 0 WAIVER SECTION v1 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, 11 you 1 the appropriate blank below.) I do wish to waive the 16' setback requirement. I do not wish to waive the 15' setbac k requirement. (Property Owner Information) �a" bg—,�J Signature ��t� ��t �e� �►`ter'. Print or Type Name Mailing Address N(- 2c 383 City/State210 Telephone Number i-277-)c6 Date Owner Information) Print oi Type Name DIZ— Mailing Address 57-5 ooVC-272- City/Stat&20 `3.3 6 2(� 3 % mi l Telephone Number —z-Z-02.0 Date Revised 611&2012 Ilb �) h �z -LZ -1 Its g lop 0 S��b-bLS-Otk c ru 117p For delivery information, visit our website Certified Mail Fee43 $3' cc $ o r%- Extra Services & Fees (check box, add fee �re) ElReturn Receipt (hardcopy) $ C3 ❑ Return Recelpt (electronic) $ 10- i 0 C3 ❑ Certified Mail Restricted Delivery $ $ 0 I � C3 ❑ Adult Signature Required $ C3 ❑ Adult Signature Restricted Delivery $ C3 1—yn C $II.:iS S $ -a To Poge and F s a tsta CE ' e � �/�1�E�hl�u z C� $Phi�.A ) ct'XIC ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. c ■ Attach this cird to the back of the mailpiece, G or on the front if space permits. 0470 1. Article Addressed to: 52 -1� 16-,Q q 5 Postmark Here 01 /27/2020 11111111111111111111111111111111111111111111111 1 j 9590 9402 2219 6193 1032 98 ---Z-S-383------------------ ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 2-12-53 `15G► A. Signatur%ir-- 2. n..a:nin e6(Transfer from service label) 7017 0660 0000 7487 I PS Form 3811, July 2015 PSN 7530-02-000-9053 ❑ Agent X ❑ Addressee B,,Receive b (Printed'Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No ice Type 0 Priority Mail IIII III III I II I I I I II III I I IIII3. e ❑ duitvSignature Restricted Delivery ❑ RRegistered egistered Mail Restricted 9590 9402 2219 6193 1032, 81 rtified Mail® ❑ Certified Mail Restricted Delivery Delivery AL7.Retum Receipt for ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature Confirmationr^' ❑ Signature Confirmation Q Artirla Ni imhar fTrancfnr from �nrvirn fahnll 7017 0660 0000 7 4 8 7 0085 ail ail Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt u7 CO O C3 r%- AID rt O CO E3 ED .0 ..D E3 r'6- ra C3 A. Signature X ❑ Agent ❑ Addressee B. Re9ely7by�PrZd Na{ne) Dat; o9 alive D. Is -delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑ Registered Mail— ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ertified Mal® Delivery ❑ Certified Mail Restricted Delivery Return Receipt for ❑ Collect on Delivery MMerchandise ❑ Collect on Delivery Restricted Delivery 0 Signature ConfirmationTm r1 Insured Mail ❑ Signature Confirmation 0092 Restricted Delivery Restricted Delivery ❑ Return Receipt (hardcopy) $ 7 V�.i _rur ❑ Return Receipt (electronic) $ ❑Certified Mail Restricted Delivery $ ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ 'otage $0.59 btal Postage and 'fr. s c It Tor Pt - --- -- 128 ..'1(ZirPM ` Domestic Return Receipt 0470 52 Postmark Here 111 /27/2020 Dab Recarrad Dab Cheek Fran ame Name of Permit Ndder Vendor Chock Numbef Ch.ck amount Permd NumberlCommenb R a Rofund/Rea/locafed Cclumnl Cdumn2 Cdumn3 COIU-4 Col—S CdumM Columnr Columns Cdumn9 2/28/2020 2/28/2020 Grice Construction of Brunswick County In John & Lisa Harrington _ Mark HY David Miller I Brian Munle BB&T _ BB&T BB&T BB&T 13622 $ 200.00 GP #76240D 8B reL 11464 BB rot. 11463 2/28/2020 2/28/2020 Grice Construction of Brunswick County In 13623 i 200.00 GP #76239D 2/28/2020 2282020 Grice Construction 13624 $ 200.00 GP #76238D BB rcL 11461 22MO20 228/2020 Gdce Construction 1 136211 $ 200.00 1 GP #76241D I BB rcL 11462