HomeMy WebLinkAbout76201D - Morales�KCAMA / 1PREDGE & FILL NO. 76201 A B C
GENERAL PERMIT Previous permit#
New Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As aut orized 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 �nn 1/�'1 / u' ( U! r�� Project Location: County C
Address ac- lL S Street Address/ State Road/ Lot #(s) ( _o -t I- PA ir. ,
City ►JEw State PC ZIP ZZ� C,'JC S i.
Phone # ( ) — E-Mail
Authorized Agent 7r(..,% IA C (&S o A✓
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF )_ )jH ❑ UBA ElN/A
❑ PWS:
ORW: yes 'G� PNA yes Go
Subdivision
City 6 E/A G { \ ZIP
Phone # ( ) \ River Basin
Adj. Wtr. Body J'wk� Cxl-c�k. Q�man /unkn)
Closest Maj. Wtr. Body (A i L A441, (_ C.E AN/
Type of Project/ Activity
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Name
Signature T/ read compliance statement on back of permit
v4A 10 13
Ap ication Fee(s) Check #
Permit Officer's Printed Name
Signature
Z. it L oiC) 7 1 IIA202.0
Issuing Date I Ex rat n Date
CERTIFIED MAIL • RETU N� RECEIPT REQUESTED
DocuSign Envelope ID: 924103C3-19B3-482B-BA1A-9AOD2BD40780
OMSM OF COASTAL MANAGEMENT
ADJACENT RIPARM X PROPERTY OWNER NOT*ICATIONIWANER FORM
Name of Property Owner: P-' '%4 ;4 ./Yip 2 A I
Address of Property:. ":)r 1 -N\m % vim. `8 4/91
(Lot or Skvd it, SWW or Flood, City a County)
Agent's Nam-, Tim PC pwftyl C , ,'d I
AgertY's Phone Fa,- _
,s
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as sham 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.
/ y0, Nave 04%db= to wtrat is baling P+npos@4 you m&W noft ffie DM!Bbn of Coeso t MWM9&Fnent
PXM In wilting WWAV 10 days of mc*t of M notice CmAwt lyfonnatbn for DCM offtes is
avaii a61! st ttim:/ttivwrr crrr✓staff-listing or by cailibg 1-d884RWAS T.
Ab nm ponce is owuNlrsd ft camp as no objection # you have been notlffed by Certl/led MaN.
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 InfonnuMM)
Signature
Print or Type Name
o Riparian Property Owner information)
Signature
r.
Print or Type Name
Wing Address Mailing Address
�J �w lJ C Z&qro 4° 4z- _C-,emu }a» S , �a 2ZO(pl
Qty/5tatei0P Citylvaftq- p
Telephone Number/Ema#Addresa
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Dee
Telephone Number / Emai Address
►►�
(Revised Aug 2014)
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 4 N KJ
Address of Property: � L -i>w1`YY� lac? Vq-- 4 IQ
C /I of nr Rtrppt #. Street or Ro— 1' — o
C I
Agent's Name #: T1 W JQ&+-,S Jy-x,
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 httn✓Iwww.nccoastalmanagementnetlweb/cm/staff listingorbycalling 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 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)
Signature
Print or Type Name
D r) I,2
Mailing Address
City/State2ip
Telephone Number / Email Address
/,/Z9 M0 7-o
Date
( ipa . n roperty Owner Information)
A- �" 4�u�
4Signat e
r 0i u� Z I u LL C'
Print or Type Name
I Is Q ;Q� �A- S� �
Mailing Address
M � 2 qo l 4o9l,
City/StateM
Telephone Number/Email Address
Date
(Revised Aug. 2014)
DocuSign Envelope ID: 2E53488C-443F-4298-B22D-BB4541A3E8B4
AGENT AUTHORIZATION FOR CAMA PERMT APPLICATION
Name of Property Owner Requesting Permit: Ann Morales
(Nailing Address: 209 Pollock St
New Bern, NC 28560-4942
Phone Number:
Email Address:
I certify that 1 have authorized Tim Jackson
Agent /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 alon
Fact Main St Palm Caw- S, ihrlivicnn
at my property located at _ Lot_1 Palm Cove Plat 84181
in Rn in -,wink 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 aforementioned lands in connection with. evaluating information related to this
permit application.
Property Owner Information:
DocuSigned by:
Qta.ln t. hbrab_s
50CA7C931F35489... Signature
Ann Morales
Pant or Type Name
Owner
2/5/2020 Twe
1 1
Date
This certification is valid through 12/ 1 311 1 2020
February 12, 2020
To whom It May Concern:
� *t
I hereby authorize Tim Jackson to sign on my behalf for any work pertaining to the Sunset
v Beach Palm Cove Sandbag project and associated projects of such.
Bobb<w Harrelson
Witness
DocuSign Envelope ID: 2E53488C-443F4298-B22D-BB4541A3E8B4
NC DIVISION Of COASTAL MANAGEMENT
SANDBAG REMOVAL NOTICE
11 Ann Morales , understand that sandbags are temporary erasion control
structures: thatmay remain in place for up to eight. years after the date of approvalif it is protecting a
building and an associated septic system, a bridge or 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 end 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. _70-0 I
Address of the Structure Being Protected.
Lot 1 Palm Cove Plat 84/81
Sunset Beach, 28468
Property Owner: Ann Morales
(Fum, Corporation or Individual)
If the property is owned by a Firm or Corporation give 21512020
the name of the officer or authorized representative:
Ann Morales
Docusi9ned by: Print Name
Qv u.c, NWatt s
Signature
Date
If an agent is obtaining the permit on your behalf the following section must be completed in full:
I, Ann Morales , give permission to, Tim Jackson
Print owner or Officer Name Print Agent Nerve
to act as my/our agent in obtaining a CAMA General Permit to place sandbags on the property noted
above.
DocuSigned by:
50CA7C931 F35488... Tim Jackson
Owner or Officer Signature Print Agent Name
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Columns
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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
211712020
Palm Cove Owners Association, Inc.
Jill Marie Ronnion Rev. Trust
First Citizens Bank
1617
$ 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
88 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 rct 11451
2/17/2020
Palm Cove Owners Association, Inc
Tatiana 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
119-046112111,
$ 200.00 GP #74891 D
BB rct. 11463
2/17/2020
H5 Construction,_ LLC
Thomes Holland Jr.
BB&T
2473
$ 200.00 GP #74893D
BB rct. 11455
2/17/2020
Jerry Ennett c/o Ennett Marine Construc_ti
Deborah Kalner
Coastal Bank and Trust
2736
$ 200.00 GP #74878D
JD rct 10965
2/17/2020
Charles & Christine Boise
Charlie Base
The Fau uier Bank
2635
200.00 1 GP #76214D
JD rct. 10964