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HomeMy WebLinkAbout76120D - EquityC CAMA / ;DREDGE & FILL NO. 76120 A B C GENERAL PERMIT Previous permit # NNew ❑Modification ❑Complete Reissue ❑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 15A NCAC n, { ' �Q U� -4 Z�U -7 (, ❑ Rules attached. Applicant NameG v ! / V S'f C'1� K�' ��1 Project Location: County �� N dC Address '��` 0 ✓� C{r. WS Street Address/ State Road/ Lot #(s) City ", L t--t- gg l State /J t �. ZIP Z 'y� f 3 i Vq I � " , Phone #-M _-773 -1-1 � E-Mail Authorized Agent 1-c— L o NS Affected ❑ Cw &LEW ' PTA PCES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes t no; PNA <7 / no Type of Project/ Activity ��7 A�� �% O qT 1 Pier (dock) length Fixed Platform(s), Floating Platform(s)\. Finger pier(s) Groin length number Buhead/ lkprap length avg distance offshore max distance offshore ~ Basin, channel \ cubic yards Boat ramp Boathous t i _ 2 Beach Bulldozing-_p Other r !-/ i 407 Shoreline Length - SAV: not sure yes / no. Moratorium: n/a yes o 17 — Photos: yes Waiver Attached: / es -- A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions 5 Signature ** PI9we read compliance statement on back of rmit ** // 7l Application Fee(s) Check # Subdivision City 4 ""t-K ZIP Phone # ( River Basin i/V O Adj. Wtr. Body ✓�� ItU4FVA,, C &f (.at /�) Closest Maj. Wtr. Body T►ip"Ia' S 0tAl Y1 (Scale: = Z U ) L ❑ See note on back regarding River Basin rules. Perms fficer's Printed Name 4 Sig re 3.�•Zo 7,6•Z0 Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: 167 F:71��►s M��-,.�e. ,2� Phone Number: Email Address: I certify that I have authorizeglrT e. Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: _ +t -1��- at my property located at `�,.,� �,.` j," in County. I furthermore certify that / 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 Print or Type Name D,4n trlL- Title / o Date This certification is valid through y l / I Z�Za RECENED M NR 0 4 220 OCM W ISM►NGTCN' NC Malard Day Ganal 50' Wide =_2 Mallard Bay Drive Randell Mosley f I I MAR 0 4 'rj20 PCM WILMINGTON, NC 766o L6 I:fi IL1►►Z =�Bu1_khead E3 Mallard Bay Drive Equity Trust Robert Green New Bulkhead and boat lift 55 Mallard Or Hampstead, NG F4 MaNard Bay Dr Ken 5es3ions ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to y _ _7(2uz_f- -t tob u, , ec , 's property located at ame of Property Owner) ;. V,�... (Address, L t, Block, Roa c. on ;� in t ^ (W�body) N.C. (City own and/or County) The applicant has described to me, as shown below, the development proposed at the above locati)Qn. �''�`1%� — 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) 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_) 1L I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) S' uture S ure Print or Type Name - Print or Type Name Mailing Address Mailing Address City/State/Zip City/StatelZip Telephone Number/email address Telephone Number/email address _ 1 /te/ l Date _ Date 'Valid for one calendar year after signature* MAR Q 4 2020 (Revised Aug. 2014) DCM WILMINGTON, NC ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �Q �L��.�c�ts � (Name of Property Owner) property located at ��_ �, � .l �y -Y� �r; v� on A` -� (Address, t, Block, R a C. !' 4,ar'ri � C ��c, inalf N.C. (Waterbody) T (City/T wn and/or County The applicant has described to me, as shown below, the development proposed at the above location. -f f S . I have no objection to this proposal. I have objections to this proposal. utbcK1FT10N AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) &rlj� -&-e At W . 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. (Pr . Owner I formation) (Adjacent Property Owner Information) Si atufe ll"'PX Signature `' isK'rrrl Print or Type Name _r'1ZrcLSES.Si2.lS Print or TypeC Name r MarAddress 11 Mat' ng Address n City/state/Lp '13 CityAtat /Zip 33 1l10 $Z� ( i Telephone Number/email address Telephone N mber/email address i 2 •. ! I kio Date Date " *Valid for one calendar year after signature* RECEIVED (Revised Aug. 2014) 04 2020 DCM WILMINGTON, NC Dab R—h d Dab Chad* Name or Perrn/t Noldw Vendor Check Number Check amount Permit Number/Comment R a Ra/und/Reallacatad Cok—I Calumnl c4kNm2 Column4 Cdumn3 Columns Co1umn7 Columns Cok m o 302020 PFI Construction LLC Adam Winstead & Diane Thomas Navy Federal CU _ 7031 $ 200.00 GP #76102D JD rct. 10380 3OW020 Logan Marine LLC Michael & Kathleen Lashlee Coming Federal CU 6871 $ 200.00 GP #76253D TMc rct. 9774 3W020 Coastal Marine Piers Bulkheads LLC Charias E Davis Welis Fa o 23246 $ 200.00 GP #76252D TMc rct. 9772 &W020 Overbeck Marine Const./Daniel ShirleySea Diamond Pier, Inc. / Mike Cox SunTrust 5310E 200.00 GP •76294D TMc rcL 9767 3/62020 Triton ContractingServices, LLC Equity Trust C/o Robert Green . Branch Ban and Trust 1134E 600.00 GP #76120D JD ret 10381 3162020 lOverbeck Marine ConstJDanief Shirlev Joe & Patricia Green ISunTnjst 5312 200.00 IGP#76254D JTMc rct. 9775