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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 tf �11µY Wei w I 6� "e , roo� �j --� 17— !q44f Exl 5� A Sea Ala 11 95- `1 �raaa wq j F- R(S4-k T) de -pro/el-4 I toe w at I'ar.- 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 USPS.com® - USPS Tracking® Results USPS Tracking® Results FAQs )(httpJ/faq.usps.com/?articleld=220900) 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 $ox No. -------------------------------------- -------""-- ------------------ ------------------------------------------- City, State, ZIP+4�-------------------------- DATE & TIME PS ForM 3800, April r7530-02-000-9047 See Reverse tor InstruCtiOns STATUS OF ITEM LOCATION Juty 3, 2017, 10:19 am Delivered COATS, NC 27521 AL Your item was delivered at 10:19 am on July 3, 2017 in COATS, NC 27521. June 30, 2017, 10:38 am Available for Pickup COATS, INC 27521 June 30, 2017, 10:34 am Arrived at Unit COATS, INC 27521 June 29, 2017, 8:40 pm Departed USPS Facility RALEIGH, NC 27676 See More \/ Available Actions Text Updates v Email Updates See Less ^ Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. FAQs(http://faq.usps.com/?articleld=220900) https:lttools.usps.com/go✓TrackConfirmAcbon?tRef=fulipage&tLc=4&text28777=&tLabels=70150640000466073047%2C%2C%2C 1/2 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Applying for Permit: r Q o S7 1 Mailing address: 95y 13rC,0d �= 4 v su (-- C�, �4 # P- - Phone Number: 2/ y - - I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of G2 L' 4 -,-- eh (I f ,ST 00 g do c1L aL kid Q bo ci / Li f �- at my property located at in on 5/ -0 6't) County. This certification is valid through Date (Property Owner Information) Y tcJ Signature _ Fron s71C� - Print or Type Name Title Date 716 �7$�- 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