HomeMy WebLinkAbout69209D - Bostic-. � C'AMADREDGE & FILL A B C (J
GENERAL PERMIT Previous permit #
XNew 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 I SA NCAC 6 7
ElRulesattached.
Applicant Name �GI/, !� �fiZO //G'S //G Project Location: County
Address �s� rya(iryC ''ll
City !/ l ' `/ Stater ZIP 2 v( S
Phone # /_A 1 7 - l E-Mail
Authorized Agent A t�-y//1 � z,/ ,, f
Affected ❑ CW �'j EW )Q PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes no) PNA yes no
Street Address/ State Road/ Lot #(s)
Subdivision
City !/✓ ZIP 7e`��,�,
Phone # ( "`j` River Basin
Adj. Wtr. Body �'►�� 4 1 e G na a ' unkn
Closest Maj. Wtr. Body-
111
e&, � � , , looAr
AgeAt or Applicant Printed Name
Signature Please read compliance statement on back of permit
(,IFer it Officer's Printed Name -
na ure
l 7 - / 7 //• 17, /
Application Fee(s) Check # Issuing Date Expiration Date
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: K '(, _ q- �folo N 41 C
Address of Property:
95 11 6r6odwag Sufi 0_ Q jUC I PK_
(Lot or Street #, Street or Road, City & Cou
Agent's Name #: WeUi o Mailing Address: c� 77 0/0y 411eJ
Agent's phone #: c2gl e
Agent's email: vv1old but Ider @ ix 07
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
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 representatives can also be contacted at (910) 796-7215. No response is
considered the same as nq objection if you have been notified by Certified Mail.
WAIVER SECTION
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.)
A
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adja,c.ent Property/OWper Information)
Signature
Print or Type Name
Mailing Address
SUrf
City/State/Zip
Telephone Number
-7kP /,
6I m ,- i? La LLPT
Print dr Type Name
33�D Oaaac� C4
Mailing Address
City/State ip
�r9-9/ 9_ 4&;__
Telephone Number
Dat
Date
Revised 611812012
7/14/2017
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Postal
CERTIFIED o. ECEIPT
r`
Domestic
0
m
•
C04f FIC 27521 K
E3
rp
01-60 Remove X
Certified Mail Fee
$3.35
Tracking Number: 70150640000466C
$
( 17
Extra Services & Fees (check box, add tee s8 y ate)
❑ Return Receipt (hardcopy) $ 11° I I
❑ Return Receipt (electronic) $ $u . VU
Postmark
C3
E)
❑ Certified Mail Restricted Delivery $ j o) 00
❑ Adult Signature Required $
Here
d
❑ Adult Signature Restricted Delivery $ _
LJ
Postage
$0.49
Product & Tracking Inform o
$
!16/23/?C117
See Available Actions
Total Postage and $3. V4
a
L11
rZI
Postal Product: Fe
Sent To
Q
First -Class Mail Ce (�
Street and Apt. No., or Pd $ox No. -------------------------------------- -------""--
------------------ -------------------------------------------
City, State, ZIP+4�--------------------------
DATE & TIME
PS ForM 3800, April r7530-02-000-9047 See Reverse tor InstruCtiOns
STATUS OF ITEM
LOCATION
Juty 3, 2017, 10:19 am Delivered COATS, NC 27521
AL
Your item was delivered at 10:19 am on July 3, 2017 in COATS, NC 27521.
June 30, 2017, 10:38 am Available for Pickup COATS, INC 27521
June 30, 2017, 10:34 am Arrived at Unit COATS, INC 27521
June 29, 2017, 8:40 pm Departed USPS Facility RALEIGH, NC 27676
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: r Q o S7 1
Mailing address:
95y 13rC,0d �= 4 v
su (-- C�, �4 # P- -
Phone Number: 2/ y - -
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of G2 L' 4 -,-- eh (I f ,ST
00 g do c1L aL kid Q bo ci / Li f �-
at my property located at
in on 5/ -0 6't) County.
This certification is valid through
Date
(Property Owner Information)
Y tcJ
Signature
_ Fron s71C� -
Print or Type Name
Title
Date
716 �7$�- 7
Phone Number
�a4 ba,0f1C CO- 14+'� /Qi�
Email Address
-uf Svc'
Date Received
Dare Deposited Check From Name
Name of Permit Holder
Vendor
Check Number
Check amount I Permit Number/Comments
I Receipt or Refund/Reallocated
7/612017,
Western Union MO from Sandra Bettenhausen
'Sandra Bettenhousen
Wells Fargo Bank
17-605897321
$200.00�GP 69208D
JD rct.4220D
7f7/2017
Richard or Sue Hayes
same
BofA
484
$200.00, GP 69292D
CS rct. 4589D
7/10/2017
F and S Marine Contractors
Jim Vithnalani
PNC Bank
6400
$200.00GP 69265D
CS rct. 4581 D
7/10/2017
CMS Tool and Die Inc/Nick Chambliss
Nick Chambliss
BB&T
22493
$200.00 GP 69316D
CS rct. 45787D
7/10/2017
Clements Marine Construction
William Normann
First Citizens Bank
4470
$800.00 GP 69317D and 69318D
CS rct. 4588D
7/11/2017
Charles Riggs & Assoc.
Capital Assets Property Development
First Citizens Bank
15167
$100.00 transfer fee, MP 38-06 (DB Il, LLC)
SS rct 4045D
7/11/2017
Buff Builders
Chad Morris
BB&T
7345
$200.00 GP 67285D
TM rct 28690
7/11/2017
Lanier Family II LLC DBA
Wayne Lanier
BofA
1321
$100.00 renewal fee, MP 3-07 OnsCo
SS rct 4046D
7/12/2017
JRW-RDW Corp/West Enterprises
Jerry Hartsell
BB&T
1207
$200.00 GP 69261 D
BS rct. 4633D
7/12/2017
F and S Marine Contractors
Richard Fisher
PNC Bank
6438
$200.00 GP 69319D
CS rct. 4590D
7/12/2017
Clinton Lanier and Andrea Garnett
David Komegay
BofA
2838
$100.00 minor fee, 6024 6th St., SC OnsCo
JD rct. 4222D
7/12/2017
Overbeck Marine Construction
Timothy Bodeman
SunTrust
4854
$250.00 major fee, 2 Cedar Island NHCo
CS rct. 4579D
7/12/2017
W.K. Dickson & Co.
ONWASA
Fifth Third Bank
74243
$400.00 GP 69295D
JD rct 4221 D
7/12/2017
Zachary Salmon
same
Essex Bank
2788
$200.00 GP 69249D
JD rct. 3874D
7/17/2017
Logan Marine
D and Lara Logan
Corning Federal Credit Unic
547
$250.00 major fee, 7 Auditorium Cir., WB NHCo
no split (III.A.)
7/17/2017
Steel Anchor Construction LLC/Kevin Woods
Fran Bostic
BB&T
1507
$200.00 GP 69209D
JD rct.. 4224D
7/17/2017
USPS Money Order from David Jordan
Amy and David Jordan
USPS
1971392183
$100.00 minor fee, 171 Famingo St. NTB OnsCo
JD rct. 4223D
7/18/2017
Patrick Antinon
Silvio Mossa
First Citizens Bank
1028
$200.00 GP 69296D
JD rct. 3875D
7/18/2017
Fat Burgers Sports Bar & Grill
William Uzzell
BB&T
2338
$200.00 GP 69297D
JD rct. 4702D
7/18/2017
NA Money Order from Burl Sniff
Burl Sniff
BancFirst
113433412
$200.00 GP 69298D
JD rct. 47010
7/18/2017
Frank Williams Building Co
Chet Willis
First Bank
3669
$100.00 minor fee, Lot B, Long Point Estates, Hamp Pn
JD rct 4225D
7/20/2017
Charles Riggs & Assoc.
Ridgestone Construction LLC
First Citizens Bank
15175
$100.00 minor fee, 525 Ocean Drive, NTB OnsCo
Jo rct 4703D
7/21/2017
Clark Environmental Services, PC
Old Shipyard LLC
Yadkin Bank
7724
$100.00 renewal fee, MP 154-08 NHCo
SS rct 4047D
7/21/2017
F and S Marine Contractors
Bill King
PNC Bank
6458
$200.00 GP 69348D
CS rct. 4593D