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Home My WebLink About76208D - Efard;*CAMA / & DREDGE & FILL NO. 76208 A B C GENERAL PERMIT Previous permit # New ❑'Modification ❑Complete Reissue El 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 I SA NCAC ❑ Rules attached. Applicant Name ( t n it-`i LTG(. Y U �-. Project Location: County iZyN 5/"•�% c 1G_ Address o ��'T%*_1'4Lo r —�� EL $E � �Q �� TfStreet Address/ State Road/ Lot #(s) CityT_„( KA M State_ ZIP ZI +01 t f, Phone # (4a) 'M (RIGS E-Mail %ACtJ�w�r,nle .�a�oo. Subdivisionpaim �Ve Authorized Agent _�. r-. ':� R ctt's un/ Affected ❑ CW ❑ EW ❑ PTA ids ❑ PTS AEC(s): ❑ OEA ❑ HHF XIH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / 49 PNA yes / City SyoySE '11 86ACt-A ZIP `J_K4('9 Phone # ( ) River Basin -s , ne& Adj. Wtr. BodC[L&NK_ Oman /unkn) Closest Maj. Wtr. Body A ,(,AN-L c OLL-A J Type of Project/Activity SA-vp 124LA t o 94o i c- c-t iL+Lti= oF- wAy �Z OAZ� Pier ( Fixed Float Finge Groi Bulk Basin Boat Boat Beac Othe Shor SAV: Mo Phot (Scale: N T S ■MVwMwTMMIO■■■■■■■■■■ ■■MOO■■�■■■ ng Platform(s) :1c.0W1r 111�:■■■■■■E■■■ E■1■■■O�■■■.IH��■ pier(s) mwllitellvlm length number ism ■■■■■■■■■■■■■■■■ channel MEN ■■■E■MEMO■■■■■MEEEM■■■ME■■M■ME■E`cubic �I ■■■M■■■■■MM■■■■■■■■■■■■■■■■■�®■■■■EIS yards ■■■■■■M■■■■■■■■■O■■■■MM■■■■■■■ �1�1�'rifil �i■1� ce��!7l�O■■■■■■■■■■M■■N■■■■■O■■■:tO \'�I�! �i! ��I ■■E '' ��.,■■■■■■■■■O■■■■■■■■■■■■�■�=�i■Li ■ low""�■■■■■■�■�!!I�M MENEM�►ili��■�IPi � i`ii ■ i �■�O■■M■E�i�iEl ■'■ �T111 r "" w N ii� 7M. E .9 01■ ■ iC-1■■■.bra■M■H0:3 RKWE _�I111i MEME■MEN Bulldozing -a OEM ■ ■E■MEM■ ■O■■■■■■■ ■■■■�■MEMO■■ not sure yes ' ■■■■■■■� ■■ f'!w T :[1RiiS1llRl�llli�►I■■■■ ■■EE ■■■■' m ■■■■■E■■■■■M■■■■■M■�■■■■■M■■■■■■■E■■■I M■■■■ M■■MMEME■ME■E■■�■■EE■MM1 Waiv r _ : A building permit maybe required by: TO.-J N dF Si H S CI Ge A CH ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions pjl UNh! tty A� a � QttitAP MrC t U- V c r .t�yrb P¢ .c,2 T o Se" IJQA(o 0 STA AS 1(�n1 h)ln lk"M. LAE" Kt(.N`,JAJea QEAtiieS r ,E or- 9k+ , rAwp4(ji E)ArFf_D 10 FEF't Tie Ft,an ct.._r /Al CIS AQ/M-1 ewtf S (,J,LAA%m6-i va _N-.-t2tt,T 6JFn CC 41` 91[}-ZSf-4OLf i TmJOCIc_�:G1 Agent dr Applicant Printed Name Signature* Plea read compliance statement on back of permit'« Application Fee(s) Check # Per � e� rated Name Signature 2 �3 z.nZo 3 (y Zo2.0 Issuing Date ExP'iratil6n Date DocuSign Envelope !D: 5F4788FD-7A7E-4050-8A9B-82C0736FC5EC AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: F' Mailing Address: 2808 Chelsea Circle Durham, NC 27707 Phone Number: 919-383-6165 karenwtriplett@yahoo.com Email Address: Tim Jackson I certify that I have authorized Pigent 1 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 aloe Fact Main et Palm r c thdivi.nn at my property located at Lot 8 Palm Cove Plat 84181 In Rninswick County. I furthermore certify that I 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 aforementloned lands in connection with evaluating information related to this permit application. Property Owner Information: D—Sig,wd by: t — Tkio 8897607994"Ure < Karen Triplett Print or Type Name Owner T1de 2/6/2020 1_� Date This certification is valid through 12l 1 L 1 2020 D Sign Envelope ID: 5F4788FD-7A7E-4050-8A98-B2C0736FC5EC NC DIVISION OF COASTAL MANAGEMENT SANDBAG REMOVAL NOTICE 1 Karen Triplett �_� understand that sandbags are temporary erosion control l if it is protecting a structures that may remain in place for up to eight years attar the date to ,w shall be responsible for building and an associated septic system, a bridge or a road: III a ppe � above within 30 days of removal of any portion of the temporary erosion oonuol structure expo grade that becomes the end of the allowable time period. Any portion of the temporary erosion control structure on of the permitted time period shall be removed by the property exposed above grade after the expirati owner within 30 days of official notification from the Division of Coastal Management. ali ent may remain in place up to: > V c " Permit No. In this case the sandbag !�► Address of the Structure Being Protected: Lot 8 Palm Cove Plat 84181 Sunset Beach 28.. property Owner. Kara oa Of mtiv;aDei) (Finn. �� If the property is owned by a Firm or Corporation give the name of the officer or authorized representative: 2/6/2020 a Karen Triplett CPtit« Name 88978D3993ED'"B... Drte If an agent is obtaining the permit on your behalf the following section must be completed in full: Karen Triplett , give permission to, Tim Jackson Print owner or offim Name Print Agent Namo to act as my/our agent in obtaining a CAMA General Permit to place sandbags on the property noted above. E1Am Oo<uSignd by:, T �,� Tim Jackson aB978D3993EDNB...'Owaer er Officer Stgrtahne Print Agent Name CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. Address of Property: Rnad Agents Name #� r' v�%,�"`G,5 bill Agent's phone #: ql 4 ✓ i)q 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 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.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notiited 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 o; 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. (Pr rty40er inform tion) S afore /_l12 Print or TypelName fI 7Rd� l-i?d s-f Mailing Address 'bo6i ta_i i , xJ C 2770 04,/State/Ztp Telephone Number/Email Address I / a&ZO Date (Riparian Property Owner Information)) Sign e i2 Prim or Type Name 32 1. ti -fir &/7-7 ZAAI� Mailing Addre s boa- ►AM City/state/Zip ats►�-� I�i 'Z- (f 72— Telephone Number/Email Address Dale (Revised Aug. 2014) CERTIFIED MAIL . RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 11.p� ��1 �� k1— C / Address of Property: F.�� `V11\ l:c� U c, <340 c�n Agents Name #: _' 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. 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 http://www.nccoastaimanagement.net/web/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' frorr; 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. (P ®party Owne Info ation) (Riparian Property Owner Information) .Sign Signature aoA/ 4 1 Print or Type Name Print or Type Name 2kv2 6ids&4 Mailing Address Mailing Address �t:t ,�►�\ , go Z-1-10il 'o►mot -sue 1 2o.�S Cib#StatelZip 91� �fs'� zssz City/State/Zip ILA �vo� . Telephone Address ( Tel phone Number/Email Address /Number/Email // Z/IZy zo ( / -00z� Date a7te o (Revised Aug. 2014) LIMITED LIABILITY COMPANY ANNUAL REPORT 1012017' NAME OF LIMITED LIABILITY COMPANY: Finley Efard, LLC SECRETARY OF STATE ID NUMBER: 14n`1R7R STATE OF FORMATION: Nr REPORT FOR THE CALENDAR YEAR: gn9n SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: Triplett, Neal Finl 2. SIGNATURE OF THE NEW REGISTERED AGENT: Fling Office Us Only E - Filed Annual Report 1403678 CA202004101177 2/10/2020 02:00 Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 2808 Chelsea Circle Durham, NC 27707-5133 Durham Countv SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: home rentals 2. PRINCIPAL OFFICE PHONE NUMBER: (919) 383-6165 4. PRINCIPAL OFFICE STREET ADDRESS 2808 Chelsea Circle Durham, NC 27707-5133 2808 Chelsea Circle Durham, NC 27707-5133 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 5. PRINCIPAL OFFICE MAILING ADDRESS 2808 Chelsea Circle Durham, NC 27707-5133 6. Select one of the following if applicable. (Optional see instructions) ❑ The company is a veteran -owned small business ❑ The company is a service -disabled veteran -owned small business SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: Neal Finley Triplett TITLE: General Manager ADDRESS: 2808 Chelsea Circle Durham, NC 27707 NAME: karen Williams triplett TITLE: Managing Member ADDRESS: 2808 Chelsea Circle Durham, NC 27707 NAME: TITLE: ADDRESS: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. karen williams triplett 2/10/2020 SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. karen Williams triplett Managing Member Print or Type Name of Company Official Print or Type Tide of Company Official This Annual Report has been filed electronically. MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525 11 •mow ie y�•ro y �• �. CREEK a� '��----•------ - -- -- ----- - - <� _..._� _ .Lwysr v ems'°" �"� ° a-F. �'��, Q �� fit• °°'�' �W..«.�,..... �aW�—c'- Jl- �- •, `•`, ``�� :,'� '�'' �eQ�`r.`F�Y"�r` a �i�� \�� .`" .� ��J�..` .nee' �...a.a..�. X, X� INOX a ` 1 ` ` 1 1 % 1 1 ) % vow ' CAPE FEAR -`� • ENGINEERING 4 noun �a�sx. raa ai.r.wr.. nn*.we " ^.c.c is mma�.aa��ruww�+a. __ ..wro..orr.w«��smm� •••r..v�.a U' M..rMwrr «..rRxxvM IIL'x, PQ. xao reLIMP11 1 1pilY, ?IV Rom'. PALM COVE OWNERS ASSOCIATION INC �^'",p" ;o',•n, p��,,,,,,�. n, o,.,� SETBACK EXHIBIT YAP PALM COVE LOTS 1-10 SUNSET BEACH /./ / �aP��`551� ��- w•.Yuaen unn®.mau.f,.v.artawomae5 �� AY'a i.'m'��m SHALLOTTE TOWNSHIP BRUNSWICK COUNTY .co.sc.wouwr •�.�r ,LS` "'"vm. `..m �. .•u ..amurm NORTH CAROLNA ____ 05- 03 1 OF 1 To whom 1t May Concern: 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. Date R-1yed Daro DP,,Itd Ch-k Fran Name Noma ar Pwmlr Hokror Vendor Chock Numbw chock amount Pamir Numbw/Commonro Race f or RWundiRwllocarod Coh-1 Col-- CWu-3 CWumn/ 0o1umn5 Columns Cdumn7 Cokrmn9 Column9 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 Ronnion 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 2/17/2026 Palm Cove Owners Association, Inc. Donna Conner First Citizens Bank 1019 $ 400.00 GP #76204D BB rct. 8824 2/17/2026 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 rct. 11451 2/17/2026 Palm Cove Owners Association, Inc. Taliana McCuen First Citizens Bank 1022 $ 400.00 GP #76210D BB rct. 11452 2/17/2026 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_-0. 461121 i $ 20l).00 GP #74891 D BB rct. 11453 2/17/2020 H5 Construction, LLC Thomas Holland Jr. BUT 2473 $ 200.00 GP #748931) BB rct. 11455 2/17/2020 Jerry Ennett Go Ennett Marine Constructi Deborah Kalner Coastal Bank and Trust 2736 $ 200.00 GP #74878D JD rct 10965 2/17/2020 Charles & Christine Boise Charite Boise The Fau uier Bank 2635 200.00 1 GP 062141) JD rct. 10964