76206D - Ronnion

CAMA / )� DREDGE & FILL No. 76206 A B C
GENERAL PERMIT Previous permit#
*New ❑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
❑ Rules attached.
Applicant Name i 0 l %xC% C 90
N 0 1 o N 9L (,J "R- "s T
Project Location: County \ le
u
Address 1-411 j S
c�p 1 %L,'- aup) JVt„ J
QE Ac4\ C�sa
Street Address/ State Road//1Lot #(s)
(?' NNAt k,6.S)
City_(tg CNE t.,,, ;
.
State NC_ ZIP 2 5M I,
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Phone #(�)_d) L-131 j E-Mail 1j 1?U9�%\1�,��h,ncSubdivision 41a11 (-�-aU-e'
Authorized Agent 'to
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City _�0 nSE T i AC N
ZIP �2 `6 t( (pg
❑ CW ❑ EW ❑ PTA
❑ ES ❑ PTS
Phone # ( )
River Basin
Affected
AEC(s): ❑ OEA ❑ HHF H
❑ UBA ❑ N/A
Adj. Wtr. Bod
aE'E k- man unkn
❑ PWS:
Closest Maj. Wtr. Body Al LA
N i r,­ nC.FA AJ
ORW: yes Imr, PNA yes /�
Type of Project/ Activity �.M[
a L-k_..ic,-► Sn,Ad n &A (�S
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Pier
Fixec
Float
Finge
Groir
Bulkl
Basin
Boat
Boatl
Beac
Othe
Shon
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Mor,
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(Scale: 1,� -C ' )
ng Platform(s)
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ramp
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Waiv_ -
A building permit may be required by: -t(X,.., N CU f S',J N S F7 4 to L N L] See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/Special Conditions AU1rv1vAf2Q C!�� oT 5AN6AAt,S Qf PLh[.EO tMME_(�YsTEt�1 Al>>1cEN
L9,it(Jil fstr4.9AnW V! AftX"J (AJAPS 1.��LJr�lbicv�!\,tTR►�7 eaciit,E t[o-2S/ �loti4 c�,NTn�T If
_d Name %
Printed Name
Signature ** tl6se read compliance statement on back of permit ** Signatu+&--
Z1 od 00 _ 0/ 7 z I lit t>10 �� «t I w
Application Fee(s) Check # Issuing bat6 Ex rati n Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J t `� A ' �'i
Mailing Address: 1��-� STr �v� LL �uL �4►�c� �Z .
Phone Number:
Email Address:
I certify that I have authorized idC
n1�4�uSa{Q Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
1
at my property located at
in2��u�w+ck County.
I furthermore certify that 1 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:
Signature
Print or Type Name
Title
Date
This certification is valid through �1- / 3k / ?_

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN` PROPERTY OWNER NOTIFICATIONIWAIVER FORM
\
Name of Property Owne;i a� �*��1� �(�I•IAJ I,,D//y Q E 9// - 17,U1S'4
Address of ProperN• �. �a�YY� Lc9 U -`
- °a� 84 " t
f I' st or Road. City & County)
Agents Name #. ry) v U�+�r�Yt Mailing Address,:. ( j v ,MG1� '� 161
Agent's phone #: � (0 3 U /'� J I �"� /V C
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. 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 mustnoW the Division of Coastal Management
(DW in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at htto://www.nccoastaimanaaementnet/web/cm/staff-iistinaorby calling f-888-4RCOAST.
No response is considered the same as no objection B you have been notified by Certriied 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 O er Inf ati K
Signature
i �\ l�latti� QOwnllou 12�v
Print or Type Name
.�,4AJIp-.4lt Oath
Mailing Address
Z�o3l-
QNA'tateMp
(Riparian Property Owner Information)
\1 Signaikle
Print or hype Name
be, 1 / !' IQ )" S� 4--1 300
rC1 Marline Address
City/Matson
2121'Y,a�tq-) be(6ak,A .nzf
Tele,dhone Number/Email Address
// 2/ ,� Zo Zc)
Date —�
q10 5�—, 0-46114
Telephone Number/Email Addrebs
Date
(Revised Aug. 2014)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOrTIFiCAUXIMAIVER FORM
Name of Property Owner: s - t1 N1 r�ct t fir. Jl a Aa I o J kiuT ay d
5 ��A Address of PropW. ,- lm 0,14-1 kc �1 11 l�1
r let or f
Agent's Name # `n IY1 Jkc as 1 4c+� G}'Sf 5' I V-'0h'ar5 W-\ q . P-14f b1
Agent's phone
I hereby oar" that I own property adjacent to the above referenced property. The kndiridual
applying for this permit has descslbed to me as shown on the attached drawing_the development
they are proposing. A description or drawing, wM-&enslons, must be 2mykled with this Wft.
I have no objmdoms to this proposal. I have objections to this proposal.
lfYrnr hew 0k%Ctlorrs to wh tb beitpmpos" you ~noffythe DAdskn of CossW MWuVem et
JDCAQ e In
wrftft wftlrbr 10 dsyx of recet of this r- gir Owdea IrdorrnWon tier DCAI aftm is
.�-------- •-----•--- - -• - - - -- �bYcsllirrpl-dd0•dR'COA97.
WAIVER SECTION
I understand that a pier, dock, mowft pill rgs, boat ramp, breakwater, boathouse, or litt must
be set back a minimum distanoe of 1 V from my area of riparian access unless wairred by me. (if
you wish to waive the setback, you must lit l to appropriate Mack below.)
PrW or
I do wish to waive the 16 setback requiremerc
i do not wish to waive the 15' setback requirement,
,,�(RRiparian/Pr�ojp�er�ty /Owner Infonnatiort)
T7d6V d kva l( Quot
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t or Type Names
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..— PAW COVE
OVAIERS ASSOCIATION INC
SETBACK EXHIBIT MAP
PALM COVE LOTS ,-10
SUNSET BEACH
SNA ffm WISW
BRUNSRCK COUNTY
NORTH CAR"A

DocuSign Envelope ID: EF5ACOB7-4CD6-4B23-A50E-69022382AC8D
NC DIVISION OF COASTAL MANAGEMENT
SANDBAG REMOVAL NOTICE
L Jill understand that sandbags are temporary erosion control
struotures that may remain in place fur up to eight years aftarthe date of approval if it is protecting'$
building and an assooiated septic system, a bridge or a road. l'he 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 gmde•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.- �
Address of the Structure Being Protected:
Lot 5 Palm Cove Plat 84/81
Sunset Beach 284&
Property Owner.
(Firm, Coryoretioa or Individual)
If the property is owned by a Firm or Corporation give
the name of the officer or authorized representative:
2/5/2020
1 l ^ I (�n[Name
6DFD13"956a63..
.SlgnaaIIe
Date
If an agent is obtaining the permit on your behalf the following section must be completed in full:
Jill Marie Ronnion give permission to, Tim Jackson
Prim owner or officer Name Rent Agent Nime
to act as my/our agent in obtaining a CAMA General Permit to place sandbags on the property noted
aWhg ". ",
aoFDi3eae9seaa3.. Tim Jackson
Owner or Officer Signature
PrintAgW*Namc

To whom It May Concern:
I I hereby authorize Tim Jackson to sign on my behalf for any work pertaining to the Sunset
„Beath Palm Coy,e Sandbag project and associated projects of such.
Ow
Bob W Harrelson
Witness

We R—Ov"
Drab
ch-k Fram Name
Noma d P—N Noldw
Vandw
CMck Numbv
Chock
amount
Permit Nu bwlrommrnts
Rac t w RafundNW1ocatad
column!
Column?
Cdumn7
Column4
Columns
Column
Column?
Column!
Column9
2/17/2020
Palm Cove Owners Association, Inc.
Palm Cove Holdings, LLC
First Citizens Bank
1014
$ 400.00 GP #762020
BB rot. 8819
2/17/2020
Palm Cove Owners Association, Inc.
Benjamin & Cyndi Levine
First Citizens Bank
1015
$ 400.00 GP #76203D
BB rot. 8820
2/17/2020,
Palm Cove Owners Association, Inc.
Longleaf Pines, LLC
First Citizens Bank
1016
$ 400.00 GP #76205D
BB rot, 8821
2/17/2020
Palm Cove Owners Association, Inc.
Jill Marie Ronnion Rev. Trust
First Citizens Bank
1017
$ 400.00 GP #76206D
BB rot. 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 Spratt
First Citizens Bank
1021
$ 400.00 GP #76209D
BB rot. 11451
2/17/2020
Palm Cove Owners Association, Inc.
Tatiana McCuen
First Citizens Bank
1022
$ 400.00 GP #76210D
BB rot. 11452
2/17/2020
Palm Cove Owners Association, Inc.
Ann Morales
First Citizens Bank
1013
$ 400.00 IGP #76201 D
BB rot. 8817
2/17/2020
Charles Ducksworth Money Order
Christopher Miller
Wells Fargo Bank
19-0461121
$ 200.60 GP #74891 D
BB rct. 11453
2/17/2020
H5 Construction, LLC
Thomas Holland Jr.
BB&T
2473
$ 200.00 GP #74893D
BB rct 11455
2/17/2020
Jerry Ennett c/o Ennett Marine Constructs
Deborah Kalner
Coastal Bank and Trust
2736
$ 200.00 GP #74878D
JD rct 10965
2/17/20201
Charles & Christine Boise
I Charlie Boise
The Fau uier Bank
2635
200.00 GP #76214D
JD rct. 10964