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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) rah a.YVIA all � S 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 47L��hol-7 Issuing D &piratioh Date \ oz- 1p 2"(,tN �o C�- 2-N 3-y�y�(� M t ZA I I M V-A o 1� -1 �A6� jc-'�5 ��(ALQ �\�,)Vun,� only rr' EO Domestic Mail OnPy cr, For delivery information, visit our website at www.usps.com U S C3 ru Certified Mail Fee $ 3. Zr 0470 CD $ 7 c: Extra Services & Fees (check box; add fee C3 El Rettim Receipt Mardoopy) $ 0ect"c"ic) [I Return Receipt (el $ Postmark r3 [] Certified Mail Restricted Delivery $ $:-I ID Cl Here 0 OAdutt Signature Required $ E] Adult Signature Restricted Delivery $ C3 C3 Postage $0. 49 C3 $ 1.161/21/217117 Total Postage and Fr -Sent o C3 .......... t P i.------ ----------------------------- - 7 Me ---------- ---- ----------------------- — ---------- • 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: C-\-Nac�� CQ'A(N")C- vis 6 � % A(- T1- I r-'W'- VvN C 'y A. S!Wr4-e X ------ , El Agent VAdclre Received (Printed Name) C. Date of Deli ILL- Lf0/%Wdv"L— 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 -- 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 ��-wum v\ �2. \� ah Mailing Address City st te/Zlp \\G � ' y 0� - Telephone Number Date Owner Information) Signature — _ - V v r /�x (?/, r-Y, ir, /P. " 4 Print or Type Name A,S,12 Mailing Address tYz l,I !, 3 zz�� City/State/Zip �T tlZ)� 4,17- z&-, Telephone Number 'rill /, %r7 Date Revised 611812012 C3 Ir a� C3 C3 ru CO C3 C3 C3 C3 0 C3 .A C7 —0 ri C3 r` Postal CERTIFIEDo RECEIPT Domestic STF t I fl N l 6 3 L i Certified Mail Feed' Jc, I i470 Extra Services & Fees (check box, add flea$ -le, ElReturn Receipt (hardwpy) $ ❑ Return Receipt (electronic) $ $ I - I I Postmark ❑ certified Mall Restricted Delivery $ $ i$ .I 11 I Here ❑ Adult Signature Required $ ❑Adult Signature Restricted Dellvery $ Postage 'klv,%tj $ � 16/?1 /2 11 7 Total Postage and Fggee; cr Sent Ted G\1 5 - --- ------ Str -------------- " —�._ nin \� 7/ 01--------------------------------------------- T City, t ZlP+4 l` 8 1 L 2$1 1� r r i rrr ■ 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. C6 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