HomeMy WebLinkAbout68544D - Brown- CAMA / DREDGE & FILL o" u I " Y 1,38
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GENERAL PERMIT Previous permit # `—/
-New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources (� j /-�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 7 1 ' , 1 Z 0V
❑ Rules attached.
Applicant Name
7 /��\t—�1 J ' U� 1 ��`rbVJVI Project Location: County Q �� U A C
Address �`5—y V CjU Ij� W� ► L(A lq S �. `` Street Address/ State Road/ Lot #(s)
City D V h 5 SUMS %� Stater"'L ZIP 2i 2 11'1 2 L 1 t (Ayrw S f
Phone # ("3 � )(c E-Mail Subdivision
/� I r T I !
Authorized Agent CkN C A �r �-Q, V Y `�Q 61S) l'Volwtity 6( a V1 Isk (xp�� , k ZIP Z 6
Affected ❑ CW �W A ❑ ES ❑ PTS Phone # (W) 51 r 1 �' ! 5 River Basin �Vm 6tye
AEC(s): ❑ OEA HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body nat unkn
❑ PWS:
ORW: yes / ;16mi PNA yes / p6) Closest Maj. Wtr. Body i.I/SLIA/
Type of Project/ Activity
rnr��1M
Pier (dock) length
Fixed Platforms)
Floating Platform(s)ZD,
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength T;
avg distance offshoire
max distance off$hore
Basin, channel
f'
cubic yards /
Boat ramp
Boathouse/Jatlrift_
Beach Bulldozing r
Other Xlu
�\
Shoreline Length J
SAV: not sure yes
Moratorium: n/a yes t
Photos: yes
Waiver Attached: yes
A building permit may be required by: OT
( Note Local Planning jurisdiction)
Notes/ Special Conditions 0 �w� h.V'C 1✓} U �h C
;1 s S of ak a .ti O-T�
O'"� a 0 +V"b"?NI 0 V Q XiS�
0( r- - (Scale: I " ::: Z 0 )
14�] See note on back regarding River Basin rules.
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CCNo 1 e �Cf.GC d e5 .\L)1 fVr d n iT+r I�e•, .
Agent or Applicant Printed Name
Signature Please r d compliance statement on back of permit
�00. 00 11559
Application Fee(s) Check #
5f C10 ! 't yr r I ",
Permit Officer's Printed IlAme
Signature
0 Zola 01 0� Zo(
Issuin Date E +ratio Date
•
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuRm
Date:
Name of Property Owner Applying for Permit:
Ni(VVkkh ;rDwh
Owner's Mailing Address:
3100 5yrr,r4 C416 (r.
RrLwr)
Name of Authorized Agent for this project:
Gy ` C-4 (�211)'irV (— D ►7
Agent's Mailing Address:
C Lel g Vc. uk ter. 5W
t(,+c u', 1sIt
Phone Number (33t) 30 — G313 Phone Number (J I t7) 5711-1095—
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):
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t >1 � � _(<t � ri �1 � u G,. �--i f!, r� (� OC G G-r, r: i.sl-v Gt,h i
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For my property located at
This certification is valid thru (date)
Property Owner Signature
1
I / kl
Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
U.S.
Postal
Service'"
CERTIFIED
MAIL°
RECEIPT
Domestic
Mail
Only
For delivery
information,
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our website
at wrvw.usps.com
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■ Complete items 1, 2; and 3. • • DELIVERY
■ Print your name and address on the reverse A Si lure
so that we can return the card to you. X ent
■ Attach this rarr4 fn .i _ _ t
Addressee
or On i r (4
Printed Name) p
e of peljue
idress different from item 1? ❑ Yes
J•\ delivery address below: No
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❑ Priority Mail Expresso
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❑ Registered Mail Restricted
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2. Article Nu JVi ; 5
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Signature ConfirmationTM
❑ Signature Confirmation
PS Form 38 flocs N (:)T
ad Delivery Restricted Delivery
Domestic Return Receipt
CERTIFIED MAIL. • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROP TY OWNER NOTIFICATION/WAIVERFORM
�1 e �
Name -of Property Owner: 1 �lQ � h
Address of Property: 2i-%M—o O sy (1QwI�QctLh
(Lot or Street #,
Agent's Name #: Camr is oc�'RSi('uail�,)
Agent's phone #: 4 � rJ�� cm,5
Road, City & County)
Mailing Address:6
:T,�sIQ �V l
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.
I have no objections to this proposal. ,� J[- I have objections to this proposal. - -
O - If you have objections to what is being proposed, you must nothh W- Dlvf ' n of Coastal
Management (DCM) in writing within 10 days of receipt of this -notice. Corres R .. e should bo
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represenffifto can also be
contacted at (910) 796-7215. No response is considered the same a$ no objection ilrW been
notified by Certified Mail
q► WAIVER SECTION —
t/1 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.)
_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
��&(y�p
Siign`ature
Print or Type Name
G-10 yg
Mailing Address
Ci4v&atelZip
Telephone Number
Date
(Adjacent Property Owner InformatlonL
Signature
Print or Type Name
Mailing Address
Citylstate)2ip
�/9- 7�'-- ",Ue
Telephone Number
9-
Date
611812012
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■ Complete items 1, 2; and 3. 1—
■ Print your name and address on the reverse 'r--
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:
Qk5e )ckm rne-N
`�3a�1 Sic deg tcA
i �r�tcr�r�t e�cl N� 273S<6
❑ Addressee
C. Date of Delivery
i_ J p_/-7
D. Is delivery address different from item 1? LJ Yes
If YES, enter delivery address below: ❑ No
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Signature
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Restricted Delivery
❑ Registered redMail Restricted
9590 9402 2219 6193 1026 28
rtified Mail®
'very
very
Certified Mail Restricted Delivery
eturn Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
❑ Signature Confirmation
7 017 0660 0000 7486
5067 Restricted Delivery
8estricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
CERTIFIED MAIM - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER-FORM
�1 e Namef Property Owner: I �tQ� 11
Address of Property: W—Cmun<6y)
(Lot or Street ,
Agent's Name #: Gr icy, (ks vN5�ruL�i�0
Agent's phone #: D— 67A - C1 09,5
Road, City & County)
Mailing Address:6I� B
�T�,451Q L1&t
I hereby certify that I own property adjacent to the above referenceed operty. The individual applying for
this permit has described to me as shown on the attached -drawing. -the development they are proposing.
C. _
JP I have no objections to this proposal. I have objections to this proposal.
- If you have objections to what is being proposed, you must notlfe Dlvfsugn of Coastal
Management (DCM) in writing within 10 days of receipt of this_aotice. Corres 9 should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represenudiveeon also be
C, contacted at (910) 796-7215. No response Is considered the same as no objection tl 0h"been
C notified by Certified Mail.
q� WAIVER SECTION
Vt 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.) -- ---
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
1 %t�J CC 64
Siignatur1e\
Print or Type Name
L�u &� yq
Mailing Address
City/State/Zip
Telephone Number
(�-w ,
Date
(Ad- cen Prope y Owner Infoi
Signature
Print or 7ype Name
Mailing Address
tty/ ate/Zip
Telephone Number
Date
Revised 6118,2012
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Deb Received
Daft Deposited
Cheek From
Name o/Pamit Holder
Vendor
Check Number
Check amount
Permit NumbMCommxntr
R@c*W orRshrmYRsdboaW
10/6/2017
Grice Construction
Nathan Brown
BB&T
11558
$200.00
GP 68544D
SF rct. 5044D
10/6/2017
Maritime Coastal Construction LLC
George Brady
CresCom Bank
2552
$200.00
GP 68545D
SF rct. 5045D
10/6/2017
I.P. Norton
James Faircloth & Ira Norton
BofA
8648
$200.00
GP 68522D
SF rct. 5047D
10/6/2017
Backwater Marine Construction
Robin Craver
BB&T
3064
$200.00
1 GP 68543D
SF rct. 5043D
10/6/2017
I
I Cape Charters LLC
S. Gay Adair
I BofA
1078
$200.00
1 GP 68521 D
SF rct. 5046D