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Home My WebLink About74806D - Goff)eCAMA / DREDGE & FILL No. 74806 A B C S, 9 �ENERAL PERMIT Previous permit# New (Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality �j /� [L and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 6 r. Zia Rules attached. Applicant Name -Q �U U Project Location: County r,�,��, .4 Address 2(0 l r Street Address/ State Road/ Lot #(s) '(DU3 City �(c.t. 6 i ate —\&—ZIP Phone # DW I 0 X 2UW E-Mail Authorized Agent (JC"n ck , C-Q— Affected ❑ CW WW �OTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: Agent or Applicant Printed me Sign ure Please reacTcompliance statement on backo permit" C) Qv /3ssl ication Fee(s) Check # Subdivision City A a ZIP 28T,28 Phone # ( ) River Basin L-�- Adj. Wtr. Body�(navi-m—wDunkn) Permit 0 i is PnntJ Name n � � Signatur Issuing ate Expiratio Date i i LS LZ 1 I' 1 r I lit -oZ -11 ) -VD -0 S bi'110 x WWI NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C Davts John E. Skvada. III Govemor Director Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUKM Date: 11/21/2019 Name of Property Owner Applying for Permit: Name of Authorized Agent for this project. Kenneth B Goff (;rice ConSMc ��c'1 Owner's Mailing Address: 2658 Jockeys Neck Tr Williamsburg Va 23185 Phone Number 540 808 8768 Agent's Mailing Address: LL- \% B ch �7 SL6 ZN %. Phone Number (CQl j) 0 t 3.0 I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity):floating dock at 1603 Canal Dr, For my property located at 1603 Canal Dr, Sunset Beach, NC 26468 This certification is valid thru (date) April 22, 2019 11/21/2019 Property Owner Signature Date 127 Cardinal Drive Ext., Wilmington, NC 28405 Phone, 910-796-72151 FAX: 910-395-3964 Internet: www.nccoastalmanagement.net An Equal Opportunity t AKrmalive Action Employer U.S. Postal Service'" CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com s Ir• V ❑ ReturnReceipt (hardcopy) _. ' - $ .w 71y: rnp`e) ❑ ReturnReceipt (electronic) $ . fLI ❑ Certified Mail Restricted Delivery $ $ i I . -It i Adult Signature Required Adult Signature Restricted Delivery $ lostage 0.55 :8` 0470 52 Postmark Here 11 /20/2019 �--- 3_ -- �treetVApl. No.. (PjBo N . C tat Zl�P+4��-� ------------------------------- ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: P �Jx cgs lit l\lc Z S�i Is A Si:pnature X ❑Agent B. Received by (Printed Name y o V c�ec A ) C Date off Delivery Delive D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No III'lll�ll'III'IIIIIIIiIiI !8" 3. Service Adult 9402 2219 6193 1044 ❑0 Adult SSgntuPeRestrct 6ertified Mal® Delivery ❑RregsteedlMailpTmss�9590 ❑Registered Mail Restricted 2. Article Number (Transfer from ❑ Certified Mail Restricted DeliveryDelivery ❑ Collect on Delivery petumrch Receipt for andise service label) 7 17 0660 7487 ❑ Collect on Delivery Restricted Delivery Aall ❑ signature ConfirmationTM ❑ Signature Confirmation 0443 flail Restricted Delivery 0) Restricted Delivery PS Form 3811, July 2L)15 PSN 7530-02-000-9053 Domestic Return Receipt 11 CT DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIANPROP�PtTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Qy\(\P-A ) � Address of Property: M3 Ca\A1 #- n aLh (\i (Lot or Street #, Stfeet or Road, City & County) - Agent's Name #: G(- icy- Qr,) V (*Ltaik)r1 Agent's phone #: o-- 5-7G - g e95 Mailing Address:wt &t(-h Dc` ao &-Wr1:TA5[Q �WNC 2116Mg I hereby certify that I own property ilidjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached grawing the development they are proposing. I have no objections to this proposal. I have objections to this proposal Cr Management you have objections to what is being proposed, you must notify the D of Coastal Management (OCM) In writing within 10 days of receipt of this notice. Co should be r mailed to 127 Cardinal Drive Ent., Wilmington, NC, 28405.3845. DCM rspres also be C contacted at (910) 796-7215. No response is considered the some as no objection "on notified by Certified Mall. q� WAIVER SECTION Vl I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16' 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) Cqqe1,A Signature CNGJZ'V"'F Print or Type Name \Asn W zkxNtA 17C- Mailing Address PC C-hL� vN ag6ko Ci1y/St8te21p 5LW-$O'�-'�-7416 Telephone Number Wlq-1 Date (Adjacent Property Owner Information) Signature Print or Type Name 'Ro Apx LY Mailing Address �/� l�t�� `L L � AEG � ��/.}•� 040/State2ip Telephone Number Date Revised 611812012 Postal CERTIFIEDMAILO RECEIPT Q' Domestic Mail Only ru 1% t- COcertreedMalFee $3.50 ilti7il =I- $ 5- 2 � F_xtra Services & Fees (check box, add fee �p+ppr�lyy�ete) 7 Mite) 1�� ❑ Return Receipt (hardcopy) $ C3 ❑ Return Receipt (electronic) $ Postmark O []Certified Mall Restricted Delivery $ SO - lfllO Here C3 ❑ Adult Signature Required $ 60.09 ❑ Adult Signature Restricted Delivery $ Postage $0.55 C3 1 1 /?I I i 2� 11 .A Total Postage and Eaps 8 5 C3 Wb ----- ----------- -- bent r P Box N`�--�11 ud�--- 0- ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: C,V\A 2 A. Signature ❑ Agent X ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No III II III III I II I I II I I I II II I I I II I I I3. Service ❑ AdultSignature pl El Registered ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 2219 6193 1045 92 Iftertified Mail® Delivery 2,ftet Rec i tfor 2 Articles Ni irni fGansfer from service lahal) 701,7 0660 0000 7487 EfCertified Mall Restricted Delivery urn e p ❑ Collect on Delivery Merchandise TM ❑ Collect on Delivery Restricted Delivery Signature Confirmation ❑ Signature Confirmation 0429 I Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt US.PS Tracking Intranet Page I of I ProdUct Tracking & Reporting " e Mamial Entry USPS Tracking Intranet Delivery Signature, and Address Tracking Number: 7017 0660 0000 7487 0429 This item was delivered on '11/2712019 at 15.24:00 Return to -LK.Jki! -.Nurnber View F-. n te r u;-.) tc,35 items separated by commas. Rated PTR Commitments SelectSearch 'Type Qu;:ck Search SUbmit Product Tracking & Reporting, All Rights Reserved Version: 20.2.1.0.0 https:l!'pts-2.usps.govlpts2--webltclntranetT'rackin-NiimResponseldeliverySignatureAndAd..- 1/21,12020 DOM R—Ived Date Dep Hod Check From(Name) Name or Permlf Nclder Wrld. Check Number Chock —nt Pemdf Number/Cammentr Race! t o Refundffl allxsfed Col-2 Column3 CM-4 COMMIO CeAaIVIC CoWmm7 CWumna Column9 1232020 Grice Construction American Manne Construction_, Inc LFP North Carolina LLC Kenneth Goff BB&T 13551 $ 200.00 GP /74806D GP i71897D___ _ GP i71854D BB rct. 8807 1232020 Steven Huel First Citizens Bank 88917 $ 200.00 Tmac IPCL 10980 1232020 Josh Crook Bank of America 1341 8 600.00 Tmec rot. 10976