HomeMy WebLinkAbout39352D - BrittCAMA / DREDGE & FILL 115V
GENERAL PERMIT Previous permit # A B C /b)
New __Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources C%� j (' 1 Vn
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC -f /fl
❑ Rules attached
Applicant Name ('(A
Address -Z V
City_ - Sta eA/( ZIP a
Phone # ('1. ! �'` ` E-Mail
Authorized Agent ��� �� A l
Affected � Cw )<EW *TA ❑ ES ❑ PTS
AEC(s): ❑ OEA 7 HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / do' PNA yes /
Agent or Applicant Printed Name
►, 1 �1
Signature "Please read compliance statement on back of Dernlit JP L-I0-7
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
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Subdivision
City ( QQ(A ► 1c1� Af41( 1 ZIP 2'?',
Phone # ( ) 51 �b River Basin IIL-,M jb'W
Adj. Wtr. Body f/( VIA] / (nat / i_ a n)
Closest Maj. Wtr. Body I'✓�✓
PermitOffic 's Pr*it gd Nam
Signature
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Issuing D &piratioh Date
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[I Return Receipt (el $
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• 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:
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Received (Printed Name) C. Date of Deli
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D. Is delivery address different from item 1 ? 0 Yes
If YES, enter delivery address below: 0 No
3. Service Type
0 Adult Signature
El Priority Mail Express@)
9590 9403 0603 5183 4331 62
El Adult Signature Restricted Delivery
Z"Certified Mail®
0 Registered Mail -
11 Registered Mail Restricted
0 Certified Mail Restricted Delivery
Delivery
eturn Receipt for
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2. Article Number (Transfer from Service label)
0 Collect on Delivery Merchandise
R Collect on Delivery Restricted Delivery El Signature Confirmation-
7016 0600 0000 8200
4983 ted Delivery
13 Signature Confirmation
Restricted Delivery
PS Fo
Domestic Return Receipt
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION Oil COASTAL MANAGEMENT
ADJACENT RIPARIAN' PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Ga
Address of Property: UU TRkr Mor)A f)\-, OCQa� 4Q & Q t 1
(Lot or Street #,
Agent's Name #: Gr icy. Ck r*U.C, i� q
Agent's phone #: %13- 5-vz� - 9 4(1,5
or Road, City & County)
Mailing Address:6I� aQCh
&W ,T6tQ �� VA 2--6469
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 drawin the development they are proposing.
6
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 Div/ qn of Coastal
Management (OCM) in writing within 10 days of receipt of this notice. Correse should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represent can also be
C, contacted at (910) 796-7215. No response is considered the same as no objection ffy* been
notified by Certified Mall.
q� WAIVER SECTION
VI 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
Obac ou must Initial the appropriate blank below.)
v do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si nature
Print or Type Name
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Mailing Address
City st te/Zlp \\G
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Telephone Number
Date
Owner Information)
Signature — _ - V v r
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Print or Type Name
A,S,12
Mailing Address
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City/State/Zip �T
tlZ)� 4,17- z&-,
Telephone Number
'rill /, %r7
Date
Revised 611812012
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CERTIFIEDo RECEIPT
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Extra Services & Fees (check box, add flea$
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ElReturn Receipt (hardwpy) $
❑ Return Receipt (electronic) $ $ I - I I
Postmark
❑ certified Mall Restricted Delivery $ $ i$ .I 11 I
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❑ Adult Signature Required $
❑Adult Signature Restricted Dellvery $
Postage
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■ 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:
r1 �\cA WC Z`%i�3
0
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery addSess different from item 1 ?? ❑ Yes
If YES, �PW.Jq@1�v��d� ss below: ❑ No
1 CO
i JUN 2 6 2017 fix°
II I IIIIII IIII III I I I I I I I I III II I II III III III II III 3. O Adult S ggna"Knat ree t Nvery O Mai:r. ss®
9590 9403 0603 5183 4331 55 ❑Certified Mail® eg ered Mail Restricted
Delivery
❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
2. ArtlrJa Nt lmher (Transfer from service iabe0 ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationrM
nature 7 01 L 01,00 11000 82011 4 9 9 0 ricted Delivery O Riestricted Delivery lion
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
CERTIFIED MAIL - RETURN RECEIPT REQVESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN1 PROPSRTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Ga
� 1 b �-�
Address of Property: LV f"OrA al OCQA �6Q CQ
(Lot or Street #, ;
Agent's Name#:G Ct ck-lr1SA UC. w� )
Agent's phone #: (VD- SSG -9OTS
or Road, City & County)
Mailing Address:"I� 3QctCh 1 c-
,1jl �Q S,�QU1 N( 2- 6%9
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.
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A descriati�int+tina, with dimert;91i1ui3 must be provided with this letter.
Jc _ _ 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. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representativ" can also be
C contacted at (910) 796-7215. No response is considered the same as no objection Ifyou hire been
notified by Certified Mail.
M
1 WAIVER SECTION
V1 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.
1 I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si mature
Print or Type Name
�2. uAW S)�g m V,\
Mailing Address
yq�A-�l� �\\ e \ .� Z'--6-30�
City/St te/Zip ( b
Telephone Number
Date
(Adjacent Proppperty(6"ner Information)
tt Signature
Print or Type Nailhe
Mailing Address
City/State/Zip
Telephone Number
Date
Revised 611812012
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 FuKm
Date: 7/18/2017
Name of Property Owner Applying for Permit:
Carl L. Britt, Jr., Jennifer J. Britt
Owner's Mailing Address:
6882 Uppingham Road
Fayetteville, NC 28306
Phone Number ( 910 ) 489-,;640
Name of Authorized Agent for this project:
Grice Construction
Agent's Mailing Address:
6618 Beach DriN e `;N'
Ocean Isle Beach, NC 28469
Phone Number (910 ) 579-9095
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):
�n t ilu, A / M ma_i0 can L4
For my property located at 60 Fairmont Street, Ocean Isle Beach, NC 28469
This certification is valid thru (date) 12/31/2017.
i 07/18/2017
Prope y O r VSign*.t.r Date
WIRO
Date Received
Date Deposited Check From Name
Name of Permit Holder
Vendor
Check Number
Check amount
Permit Number/Comments
Receipt or RefundlReallocated
8/2/2017
H5 Construction/Matt Hon
Derek Williams
BB&T
2029
$200.00 GP 54460D
TM rct. 3580D
8/2/2017
Johnson & Johnson PLLC
Alan Johnson
BB&T
1797
$600.00 GP 69359D
SF rct. 4271 D
8/2/2017
Varnam's Docks & Bulkheads
James Keen
BB&T
7267
$200.00 GP 69365D
BS rct. 4639D
8/2/2017
Grice Construction
Carl L. Britt
BB&T
11407
$200.00 GP 69352D
SF rct. 4606D
8/2/2017
Grice Construction
Stephen Pouask
BB&T
11385
$200.00 GP 69334D
SF rct. 4672D
8/2/2017
Backwater Marine Construction
Craven D. Milligan Jr.
BB&T
2976
$200.00 GP 69351 D
SF rct. 4609D