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Home My WebLink About69339D - BowlingVEAMA DREDGE & FILL cb 3 A B C GENERAL PERMIT Previous permit # S,New Modification Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ��%� _ , pp El Rules attached Applicant Name O 4N PEAkel V1 �A � ✓1 Address A City Lotvn i yr State L ZIP Z )- Phone # (IlD) tfa l of 11 E-Mail Authorized Agent L n q (00 <i V-Ch,1 1 Affected XW �W knA ❑ ES ElPTS AEC(s): "EA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / K6 ) PNA es / no i Type of Project/ Activity tSCk hV\f JO t �= M Pier (dock) lenoth V V V-Zh Fixed Floati Fingei Groin Bulkh Basin, Boat i Boath Beach Othei Shore SAV: Moral Photo Waive Project Location: County &MC4 A4 T �� Street Address/ State Road/ Lot #(s) yoll , Skcwe hr, Subdivision �Ciity 6ef, C(-A ZIP Phone # ( 1-0) 7 I+ 1q+01 � River Basin a-VVKhvy Adj. Wtr. Body la na man unkn Closest Maj. Wtr. Body An LA -AA-1 (Scale: C, 30 A building permit may be required by: T(�lA/l O i Si/Vtt�I ��'k( YI El See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) 11 f I / Notes/ Spfcial Agent or Applicant Printed Namd,, Signature ** Please read compliance statement on back of permit ** Zva,O(z I!� Y`� Application Fee(s) Check # Permit Officer's Printed Narrip A7 r_/ Signature Z) A107 IZa Issuing D e Ex iration Date WIRO Date Received Date Deposited Check From Name Name of Permit Holder Vendor Check Number Cheek amount Permit Number/Commenb Receipt or Refund/Reallocated 7/27/2017 8/1/2017 Grice Construction Jonathan Earl BoWlin BB&T 11389 $200.00 GP 69339D SF rct. 4605D AMA- WDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management ,t i�1cCror Braxton C. Davis John E. Skvaiia, III Director Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FUKM Date: Name of Property Owner Applying for Permit: Owner's Mailing Address: R`l �eO G-f oS C�- Lf�t/ aJ r,I(-- z f 3-�;-z Phone Number M 1)0 2— LO N� e of Authorized Agent for this project: l �-r ice Csz� �s�-rt-cc,l`� 6 � Agent's Mailing Address: ch r nUCLO &Lt�l JVC z �-q y Phone Numbera1U) S-7q' 9 6q3i 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): For my property located at O A This certification is valid thru (date) roperty Owner Signature ,G' � Z `f I Date 127 Cardinal Drive Ext.. Wilmington, NC 28405 Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.ncroastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer U.S. Postal Service'" CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www ,en, ,.—o ru co I O O O -11 r-3 a tti ■ Complete items 1, 2, and 3. A. Si ature ■ Print your name and address on the reverse so that we can rr`turn the card to you. X (� ❑ Agent ■ Attach this card to the back of the mailpiece, Addressee or on the front if space permits. p Received by (Ped Ne) Date o D live 1. ArudeAddressed to: �C I� j111 Y j -1 —i _ D. is delive address different from item 1? ❑ Yes G` ` \-I LzVAVZ If YES, enter delivery address below: ❑ No n,A -vv-4L,scckn� \�r- 0-,Vu\ *\\\ N`--z-1sr7 III'llI I II I III I II III 3. lIIIIIIIIIIII1IIIIIIIIIII 9402 2219 6193 0AduISignature AdRestricted Delivery PriorityMail Expresse ❑ RegisteredMail9590 1025 67 'fM ❑ Certified Mail Restricted Delivery ❑ Registered Mail Restricted Delivery 2. Article Number (Transfer from service lahPll ❑ Collect an Delivery ry n C�uarr on De livery Restricted �etum Receipt for Merchandise 1, 6 0 6 0 0 a lc 0 0 8 2 4778 Delivery ❑ Signature ConfirmationT- ❑ Signature lion _ PS Form 3811, July 2015 PSN 7530-M-opp_9053 testricted Delivery Vver0 1 Restricted Delivery Domestic Return Receipt CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: ,) v �--_o A \ - b,,A_ % RC\� Address of Property: aA ' �1� \ C � ��Cl i'� QC' :t)�,t (Lot or Street #, Street or Ro dd, City Agent's Name #: G r icy Agent's phone #: (A DD- S-1, 91395 Mailing Address:" L xACh D'" &�A,) Y,,�AQ N( 2 696q \✓� 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. _� escri tion or drawing, with dimensions, must be provided with this letter. ,—C 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 representadvos Can also be C contacted at (910) 796-7215. No response is considered the same as no objection Ify#d irr" been notified by Certified Mail. qr 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) "Y' Signature \\ Print or Type Name \J Mailing Address 2�352 ,. 1 Cittyl State2icp� (Adjacent Property Owner Information) .sTgnalut,e a vr,A Z Pripf or Type Name Mailing Address I A/YAlt. Cit State/Zip Telephone Number Telephone Number Dale Uate Revised 611812012 '-a Domestic 0 C HftL V L-.a O Certified Mail Fee ru �c CO $ Extra Services & Fees (check box, add fee per, QBate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ I it I 0 Alt' O ❑ certified Mail Restricted Delivery $ El Adult Signature Required $tom ❑ Adult signature Restricted Delivery $ O Postage Total Postage and Fees .-.D Sent _5 � rq ---- 1----G �-- -tre�t 3pd - pt Nr�or PCJ Bo^ x N-- �------- ■ 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: \\-M K� Z�151`i Postmark Here 06/22/2017 A. Sig f /, ❑Agent X (�14ac-, Addressee B. Rec ved y (P ame C. Dat of li e� Ltd% , u t y, r D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No I III' III II I II I I I I II I I I I II I I I 3. Service Type ❑ Priority Mail Expresso ❑ Adult Signature ❑Registered MaiIT'^ ❑ Adult Signature Restricted Delivery 0 Registered Mail Restricted 9590 9402 2219 6193 1025 50 Certified Mail® Delivery ❑ Certified Mail Restricted Delivery return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑Collect on Delivery Restricted Delivery El Signature ConfirmationTM ❑ Signature Confirmation 7 016 0600 0000 8200 4761 stricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt C7 .—a CERTIFIED MAIL. • RETURN RECEIPT REQUESTED DIVISION OFCOASTAL MANAGEMENT ADJACENT RIPARIAN PROPPRTY OWNER NOTIFICATIONIWAIVER FORM Name of Property owner: ,) 9 �0. rl \ ��V J\ R Q �\_ v Address of Property: U�� C\\A \ 3N i-k QS- 5A fL:5 Q " (Lot or Street #, Street or Ro d, City & County) Agent's Name #: Pictru�ii�� Mailing Address:U M aQGh c� ►✓c" Agent's phone #Ayo- s-N -go9,5 N( 2<6%q 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 li.f'n.i Yam,-. :-.a Y.otri.:.d.�..1 s_:.e:. a:v.ta imr:.,.�✓m..v-.:...:.. i>_ ..ter u..:....., ..o....,.... ,� I have no objections to this proposal. I have objections to this proposal. If yPA tfb have objections to what is being proposed, you must notify the Divi ' n of Coastal Ma Bement (DCM) in writing within 10 days of receipt of this notice. Corr , e should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represents aan also be contacted at (910) 796-7215. No response is considered the same as no objection !/p `'I" been notified by Certified Mail. GY 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) -a Mfg Signature �a �CX�1 1JO1�1 \ �l Ul Print or Type Name \i Mailing Address NC Z�35Z city/state/Zip Telephone Number Z -n Date Owner Information) Print or Type Name �1)5 LI-iiEZ110,oz) Lr4.j Mningq-pe Address i.,, 4 LL, K1C a City/state2ip q ► � q(4 Telephone Number elaY/l7 Date Revised 6/18,2012 Zo� --------------------- Li-srS �rDsN AQN * Lv3LZ )N � \\a , Q -- �ZI