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Home My WebLink About76102D - Winstead-. ❑' CAMA / DREDGE & FILL No. 76102 A B c GENERAL PERMIT Previous permit # '0i� fQNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued .y77 As authorized by the State of North Carolina, Department of Environmental Quality /1 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC - 10 f ❑attached. Applicant Name 1 Sa /� £ �'MX4, Project Location: Countye-tvm- Addres110 V -'�r C CMS CityA "0'� StateNC/ ZIP�3 Phone # 0o )V4" — t)(3;4 E-Mail Authorized Agent �fy Lvn o Affected ❑ CWW ❑AUA ❑ ES ElPTS AEC(s): ElOEA HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: Street Address/ State Td/ Lot #(s) Subdivision City i Qvl�n�i 5 ZIP_ �� Phone # ( --}- n�--- River Basin W • 0 - Adj. Wtr. Body � WN 4116a an unkn Incact Mai Wtr Rnrly -rvIo 7 S v ORW: yes /,ho' PNA yes / o Type of Project/ Activity Y C'�Ati' Pier Fixec Float Finge Groir BuM Basin Boat Boatl Beacl Othe Shore SAV: More Phot, Waiv (Scale: � - G L' ) - - _■■■■■■■■■■■■■■■�w■■■�■■■■■■��■■n ng Platform(s) r pier(s) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®■■■w,�■ i length number ■■■■■■■■■■■■■ ■ ■■ ■■■■■■■■■■■■■■■■■■ v ' tance offshore ■■■■■■■■■■■■i�i 1■I ■�i■■■■■■■■■■®■■■■■■■ ■■■■■■■■■■■■■■� 1■I■■■■■■■■■■■■■■■■■■■■ cubic yards ■■■■■■■■■■■■■■� I■1■■■N■■■■�■■■■�■■■�■■ ■■■■■■■■■■■■■■� 1■■■■■■■■■■■■■■�■■■■■■■ ■■■■■■■■■■■■■■� 1■1■■■■■■■■■■■■■■■■■■■■■ -i Bulldozing__ ■■■■■■■■■■■■■ ■I■1�■■■■■■■■■■■■■■■■■■■■■ not sure yes s_Z MEN mrs: yes . _L law zr Attached: Ye g! A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions Agdnt or Applicant' Printed Name �_ ❑ See note on back regarding River Basin rules. Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit fficer's Printed Name i Sig r ure 5, s ' Zo T 6-- 0 Issuing Date Expiration Date A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions Agdnt or Applicant' Printed Name �_ ❑ See note on back regarding River Basin rules. Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit fficer's Printed Name i Sig r ure 5, s ' Zo T 6-- 0 Issuing Date Expiration Date DocuSign Envelope ID: 614AAD2A-C363-4C3F-BD14-79F6F9EOEAF9 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Adam Winstead & Diane Thomas Address of Property: 120 Hugh Edens Lane, Hampstead Pender (Lot or Street #, Street or Road, City & County) Agent's Name #: PFL Construction/ Josh Barber Agent's phone #: (910) 330-5569 Mailing Address: 135 Virginia Lane Sneads Ferry, NC 28460 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 athttp://www.nccoastaimana-qement.netlweblcmlstaff-iistin or by calling 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 Inform PlSiynedby: SW Signature Adam Winstead & Diane Thomas Print or Type Name 120 Hugh Edens Lane Mailing Address Hampstead NC 28443 City/State/Zip 910-523-0637 Telephone Number/Email Address 12/18/19 Date (Ripad Property Owner Information) 71 Sigr at re Sk, ak,--evi e. Print or Type Name Mailing) Address City/State/Zip Telephone Number/Email Address I/9J2--0 Date (Revised Aug. 2014) ub4mTN -V Eden, 3z 1 Peiss -Q , Wq l K . % - ^ It h o•- LAJ'— L '41" is , C'J IL R u: 4 h090 L9+iE 2000 M-0 6TOL ■ 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: Marv, n Eclen5 32I P-llf(l(an \1\ICAIL ■ 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: l-ny (a t w nu n "Z V Iilllllll111111111 IN 111111111111111111111111111 9590 9403 0208 5146 1221 18 A. S' ture A X tip) L 4/ ❑ Agent 11 Reoelvefby n Name) C. Date of Del 11 c'`{ ' a,P lam- I . D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered Mail- 0 Adult Signature Restricted Delivery ElRegistered Mail Restricted ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ^-" Delivery Merchandise rm Delivery Restricted Delivery Signature Confirmation 2. Article Number (1Ynn1� -' - 7 0 5 9 8 ,il ❑ Signature Confirmation 019 0 7 0 Q 0 0 2 3 4 6 ❑ Insured Mail Restricted Delivery Restricted Delivery (over $500) _ 7PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt A. e X SI ❑ Agent tr i 6i ❑ Addressee 1. R eived by (Printe^d �ame)r C Da e of Delivery D. Is delivery address different from Item 11 ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express® II I �Iil�l I'II ICI I I I I II I I III II III I II I II III I III ❑ Adult Signature El Registered MaiIT^' 0 Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9403 0208 514E 1221 01 Certified Mail@ Delivery ❑ Certified Mail Restricted Delivery O Return Receipt for ❑ Collect on Delivery Merchandise 2, Artlr lR Kh imhar (Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑ Signature Confrmatlonm 7 019 0700 0002 3467 .,a 0604 stricted Delivery ❑ Signature Confirmation Restricted Delivery PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt Cr M C4 C•a \ 9650 L9+iE 2000 OOLO 6`IOL Daft Recdved Date De ad Check From /Name Name of pwit NOMM Vendor Check Number Check amount Permit Numbar/Commenb R—Oi t or RerundiReakacated Cdwmr Co/-2 Cdumn3 CaA_W Cdumn6 C.4—" Cdumn7 CdumM 316/2020 PFI Construction LLC Logan Marine, LLC Coastal Marine Piers Bulkheads LLC Adam Winstead & Diane Thomas Na Federal CU Comin Federal CU 7031 $ 200.00 GP 076102D JD rct. 10380 3/6/2020 Michael & Kathleen Lashlee 6871 $ 200.00 GP 076253D TMe rct. 9774 3/6/2020 Charles E Davis Wells Fa SunTrust 23246 $ 200.00 GP #76252D TMc rct. 9772 3/6/2020 lOverbeck Marine Const./Daniel Shi Sea Diamond Pier, Inc. / Mike Cox 5310 S 200.00 GP #76294D TMc rcL 9767 3/6/2020 Triton ContractingServices, LLC E u' Trust do Robert Green Branch Banld and Trust 1134 S 6W.00 GP t76120D JD rct 10381 3/62020 Overbeck Marine ConstJDaniel ShirleyJoe & Patricia Green I SunTrust 1 53121$ 200.00 1 GP #76254D ITMc rct. 9775