HomeMy WebLinkAbout74896D - Reardon��CAMA / ❑ DREDGE & FILL NO. 74896 A B e'
PEN ERAL PERMIT Previous permit #
New ❑Modification [:]Complete Reissue ❑Partial Reissue Date previous permit issued
As au orized by the State of North Carolina, Department of Environmental Quality ^ , ` On
the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC n
❑ Rules attached.
Applicant Name,,, C- �,` `1. �p (11 Project Location: County��,.
Address 1 1 �� •` �.. L C� Street Address/ State Road/ Lot #(s)
City \ State j �� C . ZIP ''Q S-33 � l J {- CG"^L. (
Phone # ( ) E-Mail r I C (A. rcQ Subdivision
Authorized Agent .� AVA
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Affected ❑ Cw ❑ EtW CTA OS ❑ PTS
AEC(s): ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A
ElPWS: n ORW: yes o PNA y no
Type of Project/ Activity
Pier ( v
Fixed
Floati
Finge
Groir
BulkF
Basin
Boat
Boad
Bead
Othe
Shor<
SAV:
Mora
Phov
Waiv
Gty ZIP w
Phone # ( ) River Basin
Adj. Wtr. Body 04AC ,( (nat nkn)
Closest Maj. Wtr. Body A \ Vow
Px
N
MEME
Platform(s)
r piers
i length
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number
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1■■■■■■■■■�■■■■■■■
avg distance offshore
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max distance offshore
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11
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cubic yards
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ram
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-i Bulldozing
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Rength
fline
not sure
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yes
'Fill
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ks: yes .�
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A building permit may be required by: / .i n �. �� �.i �� y ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions\ 1�� •� �� , n� \ Ut �, �` S
Agent or Applicant printed Name
Signature Please read compliance statement on back of permit
(Tb�� y
Application ee(s) Check#
ks VOC
Permit Officers ' � e
Signature '
"2 k Ica v kvao
Issuing Datq E iratio Date
v7,2 ?j,61 5/h/
Cl c735191"/
06, -
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AGENT AUTHORIZATION FOR LAMA PiRMIT APPLICATION
Name of Property Owner Requesting Permit:! C ie.. �nt'tr1
Mailing Address: _j "
Phone Number:
Email ••• A ~ •• t Qu et
I Certify that I have authorized 1 �D 14 LMS /3AC r y IZ M P, t?sui ecs,t1��
—� / Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: ► I 1 ri1 �� k-h
at my property located �t
in �3104n u�+ K County. N Cr } to aZ.
} J
1 furthermore certify that I am authorized to grant, L nd do in fact grant permission to
Division of Coastal Management staff, the Local Pot 'Officer and their agents to enter
on the aforementioned lands in connection with 6.,in,ating information related to this
permit application.
Property Owner Information:
4�
Signature
Print or Type Name
Title
l.5 l)-0
Date
This certification is valid through 1 I —__
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner,
Address of Property:
(Lot or Street #, Street or Road, City 9 Co nty)
Agent's Name #: 'Pe I-1 Mailing Address: 1 i L' I hi I
J,
Agent's phone #: i I
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.
/J 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 writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httpJ/www.nccoastalmanapement.net/web/crrdstafl=listin_g or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certffled Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back -a--minim um distance of 15' from my area of riparian access unless waived by me. (if
r 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) (Riparian Property Owner Information)
Signature Signature
Print or Type Name -
Mailing Address
City/ ate?ip1
Telephone Number/Email Address
C;2&A a
Date
Print or Type Name
Mailing Address
sl�ovll�►1��, �U, C, ���sg
City/State/Zip
Telephone Number/Email Address
Date
(Revised Aug. 2014)
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner,
l ~ y;' k ecl rc�cfj
Address of Property: e
(Lot or Street #, Street or Road, City 9 Co nty)
Agent's Name #: T ; i ': � 1 Mailing Address: i �'� L`! 1�; i
-J
Agent's phone #:
' J
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 develo_ pment
they are proposing.
/J I have no objections to this proposal. I have objections to this proposal.
Ifyou have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastaimanagement.netlweblcmistaff-listing 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 minimumdistance of 15' from my area of riparian access unless waive_ d 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) (Riparian Property
�Owner
rIInformation)
Signature Signature
Print or Type Name -
b 91 i"kt 1 1 !li
Mailing Address
Citylstat6moi
Telephone Number/Email Address
Date
Print or Type Name
" 0 1 b-)(— l - .S
V
Mailing Address
City/Statemp
9/a-
Telephone Number / Email Address
Date
(Revised Aug. 2014)
Dare RacNvad
Dare ed
Cheek From
Name of P~ Hokler
Vendor
Check Number
amount
Permit Numb -IC —is
R ' t er Rehmd/Reallocafed
CdumM
Co/umnl
Cdumn3
CoWmrN
Co/umne
cok~
Cekarn7
Cdemne
Cdumn9
224I2020'
W 020
2/242020
2242020
42020'
Wellman's Construction, Inc.
_ Grica Construction of Brunswick County InC
_ _ 'Grace Construction _
_ Grace Construction _
Backwater Manne Construction Inc.
wellman's Construction _
Kevin Dunlap-
—
jBranch Banking and Trust _
B88T _
BUT
18869
$ 100.00
GP #76215D ($100 Credit from 9/9/19)
GP #76237D
JD rct 10974
13619
400.00
BB rd. 11459
Chris HaywooC _
13510
200.00
GP #71847D
BB rel.11158
P gy H�hes __.
BUT
13820
S 600.00
GP #76233D __
BB rcL 11460
Derick Reardon
BUT
1448
400.00
GP #74896D
B ra.11 5