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HomeMy WebLinkAbout76205D - LongleafCAMA / /(DREDGE &'FILL NO. 76205 A B C GENERAL PERMIT Previous permit# lim New Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As au orized by the State of North Carolina, Department of Environmental Quality �� r ,1 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I (._% n � � ❑Rules attached. Applicant Name Luny V l E nF 0� /v E S C L C (/O v ! ffYt(1Cr` SunlProject Location: County �0_✓^J S V_ I Address �� 5 N . ¢� S t. S -t e 3 Street Address/ State Road/ Lot ##(s) City State, ZI P -�? 01 G- �`�/ kl At ✓i � 1 % P C' Phone # (ALO) �)t�j ti$3 E-\Mail / Authorized Agent T. J ON c_I c,S o n./ Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF NH ❑ USA ❑ N/A ❑ PWS: Subdivision City UNS ET V�E A C t ZIP ow-k-3 �p Phone # ( ) \ River Basin C ,' (SE 2 Adj. Wtr. Body 1 t tVk S C 2 E C d at�nan `//unkn) (" Inccer Mai Wtr Rn/�� rly / (_A.Pj-i , �- ()_r C • - - ME mom I■■e■■■ ►ll■■■■■■■ ■■■■■ ■■■E11112 1■ ■�� ��'�a■I■■■■ %■�r111�����J►`ll��'�Sc��!!■®\ice■■■■ ■■ENNOM■■I I■■■■■■■■■■■■■■■■■■ r■■■N■■r■■■■■ ■■■■EM■■■■OM■■■■■■■ ■■■■■■■■ ■■■■e■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■� NNE ■■■■■■®■■■■■■■e■■■■■■■■ ■■■■■■■■lMom, i�l���i�ii�l�rli�:� ■■m■■■n13s-!old; 1.lLV{��I�3linI�,IIII/Ufl11111�!��1I�tiTMENNEN ..'�11'll'�I��e■■■■■ Je■�■ `iii�■■■■�■ee■■■■i!■err■■err■ram■r■fir ■e■e■■e■■■■■■■■■■!f i9rRl�'ti�i!'ZSl■■■!■■■■■■■ uD ®■■l�����������Ile wMEMMMEi! .■■■■■■■■■■■■■■■■■■■■■■■■■■■■■!■■■■ J/n Jc e 6-;J,1 �rb(_ Agen or Applic Printed Name Perm' rinte Name �C __ l.>�-.- Signature, / PI a read compliance statement on back of permit ** Signature Application Fee(s) Check # Issuing bate gxpiration Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: (j �ln T tic�1. hG� Address of Property: " ► �'a Y� l.d t%`t— 7-A A-� O 4` 9 n .r....-) Ca- t $ C1rmt nr Rnarl rity P. rountvl Agent's Name fl rll y) v� Cl� 0%l / 957 Pi. 4to ) Agent's phone t C"l / U), --5 D-7 Z % R3 I hereby certify that 1 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. A description or drawing with dimensions must be provided with this letter. 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 htta://www nccoastalmanaaement neyWeb/cm/staff-listing or by calling 1-888.4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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) (Riparian Prope Owner Info ation) Sign re j gnature (� I �OJAG J��CA �li.l �C JlI� �AZIrt ' ON/l/10l� ��y au5 Print or TJpe Name Print or Type Name zoo Mailing Address Mailing Address W,im1'A4"A-0rJ W 0 )()G Z�D�J 7S9�r City StatelZip City/State/Zip )✓ 7 �20 SCcf� `i %37 Telephahe Number/Email Address Telephone Number/Email Address ZO Date Date (Revised Aug. 2014) CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTYNO OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: j L-A n� 1 . N i l� g / Address of Property: ►-s_ t �\VY\ lac) uq- � a- 4! 9 rn Agents Name # l /`� /� 5 ��` �� / , / 1� -7 A Agents phone# q1D 5d/ e��� � NG 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. A description or drawing, with dimensions must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. N 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 ht?o://www.nccoastalmanaaementnet/web/cm/staff-listinnorbycalling 1-888-4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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) (Riparian Prop rty Owner Information) SignaUre N Ctwe ti�s A -;,A I AJ Prin�ype Name Print or Type Nanfe Mailing Address Mailing Address I t`rl�lr�la�N, 22�0'� ► 7te Faye cur I coif Ald 29�s SQ"1J City/State/Zip City/ atelZip Telephone NumberlEmall Address Telephone Number/Email Address / l z/ 120 wzo Date / Date (Revised Aug. 2014) `ieT n�n.�nromM��.u= oXi.4AA •rn wmw ®�,•axrnm 11 w-uoma,awn �_ iriumrra�ner _ _ \ \ t w \ rJlM vmm VS- i\ C�V�\ ry Esc i `y�'� mow( "[r�i.noxem M33ND SJIMf --"- i� DocuSign Envelope ID: 2AF8763F-4D5C-4EBC-B46A-EF12A6B82FOF NC DIVISION OF COASTAL MANAGEMENT SANDBAG REMOVAL NOTICE 1, _ Bobby Harrelson , understand that sandbags are temporary erosion control structures that may remain in place for up to eight years after the date of approval if it is protecting a buflding and an associated septic system, a bridge of a road. The property owner shall be responsible for removal of any portion of the temporary erosion control structure exposed above grade within 30 days of the and of the allowable time period. Any portion of the temporary erosion control structure that becomes exposed above grade after the expiration of the permitted time period shall be removed by the property owner within 30 days of official notification from the Division of Coastal Management In this case the sandbag alignment may remain in place up to: Permit NO.U� Address of the structure Being Protected: Lot 4 Palm Cove Plat 84/81 Sunset Beach 28468 Property Owner: (Firm, Corponkloo or Individual) if the property is owned by a Firm or Corporation give the name of the officer or authorized representative: Bobby Harrelson ,Q� Print Name F9FB3B989fifi1CFE... signature 2/6/2020 Date If an agent is obtaining the permit on your behalf the following section must be completed in full: ,give permission to, Tim Jackson Print owner or Officer Name print Agent Name to act as r/our agent in obtaining a CAMA General Permit to place sandbags on the property noted EDocerne OPF9:-!1989�66�14FE Tim Jackson Owner or Of ioer signatm print Agent Name DocuSign Envelope ID 2AF8763F-4D5C-4EBC-846A-EF12A6B82FOF AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Longleaf Pines LI r ; Mailing Address: 115 N 3rd St Sta Inn ki)K,28401-4076 � 2 U tl Z�t , 2Z Phone Number:. Email Address: I certify that I have authorized Tim Jackson Agent i Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Install sand bags along Fact Main Rt Palm .nva C1 ihriiviicnn at my property located at Lot 4 Palm Cove Plat 84/81 in Rmngyvirk County. 1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division ofCoastal 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. Co /flwrrer Information: F9FE399998814FE... Signature Bobby W. Harrelson Print or'Type Name Mgr 2/6/2020 Title L I Date This certification is valid through 12/ 1 31/ 1 2020 )ru y 12, 2020 whom 1t May Concern: I hereby authorize Tirn Jackson to sign on my behalf for any work pertaining to the Sunset Beach Palm Cove Sandbag project and associated projects of such. Dab Racalvad Dafa Da Ud Cheek From Nama Nama at P—N No/dw Vndor Check Nu bw Chock amount P.—ft Numbw IG— ante Rau Apt or RarunMtw9ocatad W-1 W-2 C-1-3 Column/ Columns Column9 Co1umn7 ColumnN Co1umn9 2/17/2020 Palm Cove Owners Association, Inc. Palm Cove Holdings, LLC First Citizens Bank 1014 $ 400.00 GP #76202D BB rct. 8819 2/17/2020 Palm Cove Owners Association, Inc. Benjamin & Cyndi Levine First Citizens Bank 1015 $ 400.00 GP #76203D BB rct. 8820 2/17/2020 Palm Cove Owners Association, Inc. Longleaf Pines, LLC First Citizens Bank 1016 $ 400.00 GP #76205D BB rct. 8821 2/17/2020 Palm Cove Owners Association, Inc. Jill Marie Rohnion Rev. Trust First Citizens Bank 1017 $ 400.00 GP #76206D BB rct. 8822 2/17/2020 Palm Cove Owners Association, Inc. Howard Beach House LLC First Citizens Bank 1018 $ 400.00_ GP #76207D BB rct. 8823 2/17/2020 Palm Cove Owners Association, Inc. Donna Conner First Citizens Bank 1019 $_ 400.00 GP #76204D BB rct 8824 2/17/2020 Palm Cove Owners Association, Inc. Finley Efard, LLC First Citizens Bank 1020 $ 400.00 GP #76208D BB rct 8825 2/17/2020 Palm Cove Owners Association, Inc. David Tendler & Susan Sprott First Citizens Bank 1021 $ 400.00 GP #76209D BB rct 11451 2/17/2020 Palm Cove Owners Association, Inc. Taliana McCuen First Citizens Bank 1022 $ 400.00 GP #76210D BB rct. 11452 2/17/2020 Palm Cove Owners Association, Inc. Ann Morales First Citizens Bank 1013 $ 400.00 GP #76201 D BB rct. 8817 2/17/2020 Charles Ducksworth Money Order Christopher Miller Wells Fargo Bank 19-0461121 $ 200.00 GP #74891 D BB rct. 11453 2/17/2020 H5 Construction, LLC Thomas Holland Jr. BUT 2473 $ 200.00 GP #74893D BB rct. 11455 2/17/2020 Jerry Ennett c/o Ennett Marine Constructi_ Deborah Kalner Coastal Bank and Trust 2736 $ 200.00 GP #74878D JD rct 10965 2/17/2020 Charles & Christine Boise _ Charlie Boise The Fau uier Bank 2635 200.00 GP #76214D 1JD rct. 10964