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Home My WebLink About74800D - CookACAMA / CJ DREDGE & FILL NO. 74800 A B C GENERAL PERMIT Previous permit# N2w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As autl1orized 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 pC(JV i L ❑ Rules attached. Applicant Name h a. Project Location: County V�-J A J w i c IC - Address i a O c6o ✓_P— Street Address/ State Road/ Lot #(s) �? ')_ I City CNGP ^S ho f0 State N (- ZIP I;?T/ t �\A e Phone # ( (6 7 E-Mail —` Authorized Agent < < c.(^� r &C u/A ❑ CW �� 4� 'p�A ❑ ES ❑ PTS Affected rr/' AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: ORW: yes / PNA yes Subdivision city In zip FsY(D:L Phone # ( ) River Basin Z'.' ._ 1-" Adj. Wtr. Body wl Qg /man /unkn A,) Closest Maj. Wtr. Body �P W14-" Type of Project/ Activity "q -c"t Pier Fixes Float Finge Grok Bulks Basin Boat Boatl Beacl Othe Shon SAV: Mora Photo Waiv (Scale: • ■i �■■■■■■■�■ ■�■■■■■®■■■■■■■■■■■I ■ ■ ■!1 �l■■■■■■■■■ INMEMEMEMEM r pier(s) i length number ■■■O■■■■■■■■ENe/� 7� rNaM■■■■■■■■■■ ■' ■■■■■■■■■_■_■■■■■ ■■■■■■■■■■■■■EE■ ■■■■■■■■�FOWNEME■ ■■■■■■■■■■■■■■■■■ iead/..., lengthavg ■■■■■■rit.en■■■■■■■i■■■w■■r��a:■■■■■■■■ distance offshore- max distance offshore- ■■■■■ ■■❑! �.nu�l� 1 ■■■■�■ ■■■■��I ■■■■ ■fir 1 ; ■■■■ ■■■I ■■!!■■■■■■N■I ■�■■■■■■■■I ■■■■■ ■■RI I■ �! 111 cubic yards ramp ■V! WW!! WWWr■ ■■■■■■■r■■ ■■ 21■ !vim -i Bulldozing ■r■ ■■■■�■■■■■■■■■ ■■ ■.■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■lWN■■■■■■■■■ ■■■■■■■■■■■■■■■■N■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ MEMEEMEMMEMEMEN .line Length notsure yes tPININIMEMEEMENE IMEE NEW MIMME FIS: yes MM - • I .s - - - %I -ems A building permit may EWSquired by: A kw %C �- ,� ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) w t r' Notes/ Special Conditions r� �� 1 y 'tom lyA�� ucf c:ie cF- C( 6A �-Z o, e " r V 3" �J SI'� r7 LkJ ent or AIcant Printed Name Signature Please read compliance statement on back of permit - , 9 C'zw &0 4--- - -/- Application ee(s) Check # 1-e acl—1�nC'I. — Permit Officer's Printe�l�am� Signature / 2�sl2�to lD) s12oZ0 Issuing Date Expir4tion Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: lohnna Cook Mailing Address: 1207 Pebble Drive Greensboro NC 27410 Phone Number: 434-987-6567 Email Address: I certify that I have authorized Will Richardson 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: Docking facilty at my property located at 3711 Windy Point Rd SW Supply NC 28462 in Brunswick County. 1 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: Signature -��,,,�o. L o a fL Print or Type Name 0 w v\"e V- Title Date This certification is valid through 02 1 28 1 20 AIWW ADJACENT RIPARIAN PROPERTY QMER STATEMENT initial 1 hereby certify that I own property adjacent to Thomas & Johnna Cook 's property located at 3711 Windy Point Rd Sw (Name of Property Owner) on AIWW (Address, Lot, Block, Road, etc.) in Supply /Brunswick N C (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. � I have no objection to this proposal. �.1�' I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must flit in description below or attach a site drawing) Modification of Docking facility WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) Initial !!,,"� i� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Will Richardson Print or Type Name 3235 Seacrest Ave SW Mailingg Address Supply NC 28462 City/State/z�p 910-367-0335 Telephone Number January 27th, 2020 Date (Ad' ent Property Owner Information) Complete i e C � Print or Type Name Mping Address — it City/Slb&246 nI Telephone Number Date (Revised W &2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Thomas & Johnna Cook S (Name of Property Owner) property located at 3711 Windy Point Rd Sw AIWW (Address, Lot, Block, Road, etc.) on , in Supply /Brunswick N C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 'n'tW i have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must Ril in description below or attach a site drawing) Modification of Docking facility WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) Initial I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Qwner Information) L[/c rL Complete Si nature ature Richardson Si e i ii -hfI F I -•,-e— Print or Type Name Print or Type Name r 3235 Seacrest Ave SW _ 71 7 t,Zc S(1 Mailing Address Supply NC 28462 Mailing Address -51LIIZ) J I , Al C '� 4' I,. City/State/Zip 910-367-0333 Cify/Pale2 n /� r r Telephone Number , �,vpnone Number January 27th, 2020 / 'L�')L? _ ;t �, v) Date Date (Revised 611812012) Data Received Dart Deposited Cheek From anti Norm or Parmir Holdv _. Vend— _ Chuck Ntrrrraar 0—k amount Permit NumearIComrmntr R or Rehrndmea5ocated CoNrmnl Cdumnt Columns _ CulumM Cotumn5 Cak." Cohnnn7 Columns Column9 2/8I2020 Stature Engineering, PLLC Willie Clarence Richardson/Richardson Construc Allied Manne Contractors LLC Tangle Oaks Manna Club Johanna Cook _ George Robert ShirleyFirst Branch Bankina and Trust _ _. _ BUT 122 400.D0 GP X74840D_ _ _ _ . GP974800D__ GPf74858D_ PA rct. 9733 BB mt. 8816 _.. JD rct. 10827 rct 15 2MM20 7831 S 200.00 216*= Citizens 8659 $ 200.00 2WO20 I Backwater Marine Construction Inc, Jeannes Harper (at my table IIC BUT 1 1438 1 400.00 IGP#74900D