HomeMy WebLinkAbout76259D - Pennington4New
CAMA / DREDGE & FILL NO. 76259A B c
ENERAL PERMIT Previous permit#
`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 �i / (� Gnu' f dun I Project Location: County__ /CN �5F'/�
Address ((2 �% x / / Street Address/ State Road/ Lot #((s)
City State Ar- ZIP 7k�,b2'
Phone #/Q )2�OZ ���5 E-Mail Subdivision
Authorized Agent City% l ZIP Z?"W
Affected ❑ CW KEW N TA ❑ ES ❑ PTS Phone # ( River Basin d
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A I , . ! .
❑ PWS: V� W
ORW: /ye) / no PNA yes C✓
Type of Project/ Activity 7
r t
Pier
Fixes
Flom
Fingr
Groi
Bulk
Basir
Boat
Boat
Beac
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Shor
SAV
Mor
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Wain
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r pier(s)
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cubic yards
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-line Length 6 0
not sure
yes
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A building permit may be required by:N�j�
( Note Local Planning jurisdiction)
Notes/ Special Conditions
or plicant Pnnted I a 2
** Plefase read compl'fance statement on
U --
Application Fee(s)
❑ See note on back regarding River Basin rules.
M
Printed Name
ermit** Signatur V
' = z. Z 2eD ZO
Check # Issuing Date Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date January 8, 2020
Name of Property Owner Applying for Permit:
Ralph and Jackie Pennington
Mailing Address:
Post Office Box 2149
Wilmington, NC 28402
I certify that I have authorized (agent) Trip Pippin of Pippin Marine Construction to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) pier, dock and boat lift
at (my property located at) 2390 Scotts Hill Road, Wilmington, NC 28411
This certification is valid thru (date) December 31, 2020
Janua 8 2020
Ralph S. Pennington J. Pennington
Property Owner Signatu ngton
r Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ralph and Jackie Pennington s
property located at 2390 Scotts Hill Road # (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Inland Waterway in Wilmington, Pender County N.G.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio�l.
t/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
064l+Jdual proposing development must fill in description below or attach a site drawing)
See attached site drawing
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
(Property _ W Information)
(Ad'acent Prop rty Owner Information)
Signature
Signature*
Ralph S. Pennington'/
Bert Singletary
Print or Type Name
Print or Type Name
Pb Box 2149
2376 Scotts Hill Loop Rd
Mailing Address
Mailing Address
Wilmington, NC 28411
Wilmington, NC 28411
City/State/Zipp
910-262-5825/rsp@psatty.com
� y /State/Zt
�-Ev
�lOJ�BY� e
Telephone Number / email address
T2Le�ohone Number / email address
January 8, 2020 _ _
✓,a-�r� /� �Q26
Date
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature'
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Ralph and Jackie Pennington s
property located at _2390 Scotts Hill Road (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Inland Waterway in Wilmington, Pender County N.C.
(Waterbody) (Ctty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
DK I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
See attached site drawing
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15' setback requirement.
i
I do not wish to waive the 15' setback requirement.
(Property Dwn Information) (Adjacent Property Owner Information)
Signature - Signature's
Ralph S. Pennington Deborah Kalnen
Print or Type Name
PO Box 2149
Mailing Address
Wilmington, NC 28411
C/State1z,
p p0-262-5825/rsp@psatty. com
Telephone Number/email address
January 8, 2020
Date _—
*Valid for one calendar year after signature*
Print or Type Name
2400 Scotts Hill Loop Rd.
Mailing Address
Wilmington, NC 28411
�Ci !St /Z
Telephone Number/ errA it address
0/--_ o2-0 20
Date*
(Revised Aug. 2014)
Dare Received
Date De Jtad
Cheek Rom
NrM orPMmR Hold.
Vendor
Check Number
Cheek
mount
Pernik Number/Commenre
ROCOlpt or RelundRteNlocated
C.k.ml
Cokmm2
CokamJ
Cok-"
Cclumn6
Cok—"
7
Columnd
Column9
3/1=020
3/tOR020
B & J Construction o1 NC, LLC
Camp Delores Snalgrove
BUT
2170
$ 400.00
GP $76274D _
GP 976251 D
GP #76259D
BB rcL 10906
TMc rcL 9771
Pippin Marine Construction LLC
Dale Brodeur Jr.
Wells Fargo
5402
S 200.00
3/10/2020
3/10/2020
TMc rcL 10382
Wells Fa o
5389
2l)D.IXI
Pippin Marine Construction LLC
Ral h & Jackie Pennin ton
3/10/2020
3/102020