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HomeMy WebLinkAbout76239D - Hockaday.•. TCAMA / ! � DREDGE & FILL No. 76239 A B C en WPENERAL PERMIT Previous permit# N'ew ❑Modification ❑Complete Reissue ❑Partial Reissue 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 15A NCAC f ) ► I ( Z U 0 ❑ Rules attached. Applicant Name (wv' ? Address o �� w �C)C CGv City ��k State ZIP Phone # (25y-� �� E-Mail Authorized Agent W C. � AG L r '('e- Affected ❑ Cw O EW APTA ❑ ES ❑ PTS AEC(s): ❑ OEA /❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / PNA yes /G " Project Location: County Street Address/ State R ad/ Lot W%I S Subdivision ^ �/ City 4 C ZIP of is� log Phone # ( �� River Basin L 1� Adj. Wtr. Body Ilk A C, ( (nat �nkn) Closest Maj. Wtr. Body A ( W Signature* Please read compliance statement on back of permit * Signature Application ) Zc, Zozv AesCheck IssuingD e Eb ratio Date ( J U j UC) ,-POT NCDENR North Carolina Department of Environment and Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Natural Resources John E. Skvarla, III Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM Date: 7 Name of Property Owner Applyin for Permit: �a Owner's Mailing Address: G , Phone Number �4' a 'f :mac! 9 G, i Q czx-\��A 6q Name of Authorized Agent for this project: Agent's Mailing Address: Phone Numbers I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all C\AMA1 Permits necessary to install or construct the following (activity): For my property located at .7 5�7ee f , nem, l 75-/e, 32:c ,!✓� �y�y This certification is valid thru (date) �Ub Cyrnnl�� n Property Owner Sig ture Date 127 Cardinal Drive Ext., Wilmington, NC 2W5 Phone: 910-796 72151 FAX: 910-395-3964 Internet: www.nccoastaimanaaemeiit.net An [gnal Opportunity l AlrinaGve Action ErnplWer E090 I'_9fi2- 0000 0990 ZTo? ■ Complete items 1, 2, and 3. A. ■ 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: D. Is delivery address different from item 1? ❑ Yes 1 vIf YES, enter delivery address below: ❑ No �-�-� ■ 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 Pi> or on the front if spare permits. 1. Article -Address, d Co-. o �)'�x LAO A. Signature X ❑ Agent B. Received by (Printed Na C. ❑Addressee Date of Delivery D. Is delivery address fferent from item 1? ❑Yes If YES, enter delivery address below: ❑ No IIIIIIIIIIIIIIIIIitIIIIIII IIIIIII :4�9 3. ❑ dult3gnturre El Priority 9590 9402 2219 6193 3 ❑ Adult Signature Restricted Deliveryg rtified Mail(D ❑Re steMailExpress® reMad ❑Registered Mail Restricted 9 4 rtirlp NI imhpr fTran.cfpr from ❑ Certified Mail Restricted Delive ❑ Collect on Delive ry Delivery 'Return Receipt for .eprvirp hp/1 17 0 6 6 0 0 0 0 0 7 4 8 7 0115 ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM tsured Mail Cl Signature Confirmation PS Form 3811, July 2015 PSN 7530-02-000-9053 tsured Mail Restricted Delivery ever $500) Restricted Delivery Domestic Return Receipt _ ❑ Agent Addressee C. Date of Delivery IIII III II I II (IIII I I I I I I II I I I 3. Service Type ❑ Priority Mail Express ❑ Adult Signature ❑Registered MaiITM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 2219 6193 1044 24 IRKertified Mai10 Delivery ❑ Certified Mail Restricted Delivery Return Receipt for ❑ Collect on Delivery Merchandise 2. Ariclp Ni rmhor ?rnnof r frn...1-11 ^ ^- - 1 Delivery Restricted Delivery ❑ Signature ConfirmationTM 7017 0660 0000 7487 0603 tail El Signature Confirmation tail Restricted Delivery restricted Delivery I (over $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Ln Domestic Mail Only r-9 r-i . 0 C $469 M1 r Certified Mail Fee $3.159 0470 z1- (L $ 7 O� c 52 Extra Services & FeeS (check box, add fee ,,�o�',,p,��,��r�) 0 ❑ Return Receipt (hardcopy) $ '� . �+L' ❑ Return Receipt (electronic) $ Sul _ flfi Postmark C3 ❑certified Mail Restricted Delivery $ fTI �'I�A Here O❑ Adult Signature Required $.tt fyfy $F.0 ❑ Adult Signature Restricted Delivery $ r3 Postage 50.55 .D OT-W $ i�i /2%/21.I?�I Postage and F,{ s g$ �b $ rq Soillif To Is � �------------------------------------------- -- ~ o., or q��° :ZA-�-------------- r\�Q 1 4C (1 ��� 2-1q(614 M a.2 . rO 4- °C .W ► Ukilai0111 DIVISION OP, OASTAL MANAGEMENT ADJACENT RIPARIAN PROP11IOWNER NOTIFICATION/WAIVER FORM m k I�-"' k � Name of Property Owner: C1 C Address of Property' �� w�� m \ n V, `� S� OC,i vl6� e aoctCY 1 or Street`IM►; Street or Rdad, City & County) Agdnt's Name #: G-Pie-t 014r�5vpuL�I�� Mailing AdTd-ress: 6� Dr a�) 4 Agents phone#: 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 drawing." dbvelopment they are proposing. have no objections to this proposal. _ I have objections to this proposal. y you have objections to what 1a being proposed, you must notify the D/ of Coastal Management (OCM) in writing within 10 days of receipt of this notice. Co should bo malted to 127 Cardinal Drive Ext, Wilmington, NC, 28405-3845. DCM repres also be contacted at (910) 796-7215. No response Is considered the some a# no ob/ectbn seen notifled by Certified Mail. r.w.4b• WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back ta° 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.) --- -- -4L�C ,�I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) �A"' - � R k Signature Print or Type Name -�&0L1 W � \d C �- Mailing Address NC 22 �` CINAtetealp Telephone Number 2-1-2026 Dale (Adjacent 7ro rty Owner information) �F - ti^ Signature r (9) 6V � � ° 7 Print or Typo Name -a- Lv Mailings D cep) 6 049state/Zip (G\�0� � Telephone Number J U e Revised 6✓ W012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIANPROPERTYOWNER NOTIFICATION/WAIVER FORM Name of Property Owner. Mat I� l fcc�ctaaC � Address of Property: 1 1 (Lot or Street AV, Street or R ad, City & County) Agent's Name #: Gr ICE. ir\Ac .C, l 1,�C1 Mailing Address.0 I� ach Dic— 3W Agent's phone #: 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 drawing -the development they are proposing. io s must -b p vid with this letter. Q K--i -- I have no objections to this prgposat. I have objections to this proposal. If you have objections to what Is being proposed, you must notify the Divisjon of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be malled to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representadv" fan also be • C contacted at (910) 796-7215. No response is considered the same as no objection ff you hove 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 (If you wish to waive the setback, you must IMtlal 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 Print or Type Name 0L�& iA uk xl C �- Mailing Address CityAtaitelZip A o— 2-�Lli Telephone Number Date djacent Proverty Owner Information) UCA W VA SR Signulure WN 1 AK(R �k Print or Type Name Po 133x 15 66� Mailing Address bop- lti 1h NL Z 7 7 0 4 City/state/Zip 91 q - 221� 2S Sy Telephone Number F(IR 03 7A U ___-- Date Revised 611812012 F MAILED Dare Received Data De-~ Check F— Name Nerve & P..H Bolder V-W- Ched Number Cr.* smotert Pennit Number/Comments Receipt w Retun&Redl—ted col-- C0111-2 Cdumn3 Calumnl Cdumn5 CalumrM Coh-7 cdumns Cdumn9 2/28/2020 2/2a/202O Grice Construction of Br Brunswick County In Grice Construction of Brunswick County Inj John & Lisa Harrington Mark Hockaday BB&T BB&T _ _ BUT 13622 $ 200.00 GP #76240D B8 rct 11464 228/2020 2/28/2020 13623 $ 200.00 GP #76239D GP #76238D GP •76241D — — BB rd.11463 228/2020 2/282020 Grice Construction Grice Construction Dacrid Miller 13624 $ 200.00 BB rc L 11461 2/28/2020 2282020 Brian Munl BB&T 13621 200.00 BB reL 11462