HomeMy WebLinkAbout68086D - BranickCAMA / ❑ DREDGE & FILL
IGENERAL PERMIT � ^D Previous perr i #� A B C ( j
C^Vew 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
Applicant Name
Address 2 o L 1 ��~ t—,A
City INai(ond Ck State ZIP Log"I
Phone # (Vi — "t (1()E-Mail
Authorized Agent s `� � L k iae 611
Affected ❑ Cw F)Ikw )<PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA Ll HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no) PNA yes /
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshc
max distance offsh
Basin, channel I
cubic yards
Boat ramp
Boathouse/ oat if
I.
S
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes o'
Moratorium: n/a yes
Photos: yes
Waiver Attached: no I I I I
A building permit may be required by:in 01 h
( Note Local Planning jurisdiction)
Notes/ Special Conditions j,Ai C G
RV
Agent or Ap ' ant Printed Name
t
Signature ** Please read compliance statement on back of permit **
lxo,ob 11m(I
Application Fee(s) heck #
❑ Rules attached.
Project Location: County]�-
Street Address/ State Road/ Lot #(s)
Subdivision City
ZIP Z gar Z
Po0# (U) — ' River Basin L'VM blz
Adj. Wtr. Body (et ►'1 J (nat / is /unkn)
Closest Maj. Wtr. Body Al 1. / U
DASD )' a.
(Scale: f " q a I )
I Li
❑ See note on back regarding River Basin rules.
- 5-1c A 0 E-A
Permit Officer's Prin�
Signature
Al uO 0 931 A o)
Issuing Date E4piratioA Date
Date Received
Date Deposited
Check From (Name)
Name of Permit_ Holder_
5/31/2017
Will Richardson Construction
April Branick
513112017
Rusty Russ/Allstate
Wiliam Russ
5/31/2017
_
Will Richardson Construction
Matthew Ingold
6/1/2017
TK Cable
Kelly and Thomas Williamson
6/1/2017-
BBBT Bank Check/Ingrem Walters
same
_
6/1/2017
Roger or Lathe Pierce
same
_
6/1/2017
Steven T. FermerfTRA COM Services
Harold and Meredith Muse
_
6/5/2017
Jerry Ennett
Jeff Lowry
6/5/2017
Palmetto Marine Construction
Mark Crissey
6/5/2017
Overbeck Marine Construction
Jahn or Tracy Kane
6 5-/2017
The Landing at Snows Cut/Donna Gurganus
same
Vendor
Check Number
Check amount Permit Number/Comments
BB&T
6726
$200.00 GP 68086D
First Citizens Bank
7485
$200.00 GP 89220D
BBBT
6727
$200,00 GP 85113D
BBBT
2725
$200.00 GP 69142D
B88T
5009388848
$200.00 GP 69165D
BB3T
5712
_
$200.00 GP 69221D
BBBT
4908
$200.00 GP 69223D
Coastal Bank & Trust
632
$600.00 GP 69176D
First Palmetto Savings Bank
3430
_ $200_.0_0 GP 69230D
SunTrusl
4836
$400.00 GP 69229D
First Bank
30088078
_
$100.00 renewal fee, MP 68-07 NHCo
SFrcL4259D
SF rct. 4252D
BS ret. 4827D _ ---
SS rct. 4029D
SF rct. 4255D
SF rct. 4260D
JD rct. 31i83D
SF rct. 428315
CS rct. 4577D
SS rct. QUD
Jn,ci 4208D _--- -- - --
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: /�,,��y/U'1 �Z �o go
Date: s /a. d (, -
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
`
�Q
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge El Fill [I Both ElOther ❑
A�A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
AGENT AUTHORIZATION FORM
Date: 3-29-2017
Name of Property Owner Applying for Permit:
I Branick
Owner's Mailing Address:
2674 Heron Lone
Wauconda, IL 60084
Phone Number f 224� 587-4410
Dee Freeman
Secretary
Name of Authorized Agent for this project:
Will Richardson
Agent's Mailing Address:
3235 Seac rest Ave. SW
Supply NC 28462
Phone Number( 910 ) 367-0335
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):
Installation of Boat Lift
(my property located) at
122 Sailfish Drive Holden Beach
This certificati is valid thru (date) 8-31-2017
Property Owner Signature
Date
127 Cardinai Drive Ext., Wilmington, NC 28405
or.— o+n-7aa-79i.r,1 FAX 91(1,195-3964 Internet: www.nomastaimanagement.net
NornethCarolina
�C.4.1►Jl JJ2T J, '% 1
(FORA PIERIMOORxiYG PI LBVG,SIBOATLr,FTIBOATHo usE)
here:
I hereby certify that I own property adjacent to April Branick 's
ame of Property Owner)
property located at 122 Sailfish Drive
.(Lot, Block, Road, etc.)
on Canal s Holden Beach N
(Waterbody) (Town and/or County)
.Applicant's phont#: (224) 587-4410 bailing Address: 2674 Heron Lane
Wauconda, IL 60084
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift I boathouse
must be set back a minimum distance of fifteen feet (15� from my area of riparian access unless
waived by one. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement -
DESCRIPTION .A NDIOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Install a boatlift. Please see the attached drawing.
(Information for Property C wvmer Applying
for Permit)
3235 Seacrest Ave, SW
Mailing Address
Suply, NC 28462
City/State:/Zip
_ (910) 367-0335
Telephone )lumber Authorized Agent
U/ rL Apr 3, 2017
(Riparian Property Owner Information)
S.
p
Alexandra Hornof
Print or Type Name
613) 747-2214
ti Telephone 'Number
Signature
Date
04423/2017 23:11 6017356407 WAYNESBOBOROLIBRARY PACE 01/01
ADJACENT JU7A IAN PROPERTY OWNER STA.TEMNT
(FOR A PIEWItOORWO PZLWG"0AnrF 1BOATl 0VXE)
I hereby certify that I ovauproperty adjacent to Agril Branick is
(Name ofProp" Owner)
property located at 122 Sailfish Drive
.(Lot, Block, Road, etc.)
on Canal , in Holden Beach N C
(gVata.xbod y_) . I (Town and/or Conuty)
App1icant'aphon+2{f:2:24) 587-4410 Maw Address: 2874 Heron Ln
Wauconda, IL 60084
He bas desm*ed to rne, as shown below, the development be is proposing at that location, and, I
have Do objections to his proposal. I understand that a pier/mooring pilings / boatU / boathouse
must be set bade a mhiftm m distance of 0teen feet (15) from my area of nipauart access unless
waived by me. (If yvu wish to waive the setback, you must iniW the appropriate 1 ah
below)
I ao,,.W wish tc, waive
Initial Here I do wish to waive that setback requireznea
4�w
DESCRIPTION A1VD/OR. DR&WING OF PROPOSED MELOPMENT:
(To be filled in by individual proposing development)
Installation of boatlift. Soe revised drawing,
(Informabo7o for Proper y 0"er.A.pplying
for Perm t)
3235 Seacrest Av, SW
Mailiung Address
Supply, NC 28462
C'rty/State/2ip
(910) 367-0335 _
Tel1lephone dumber Authorlzed Agent
Lvs,�.9�t• April 14, 2017
Signature
Date
(Riparian Prnp" Owner Information) -
Signature
Ms. Martha Wailer
Print or Type Name
(910) 232 - 8835
Telephone Dumber
Date
Adjacent Property Owner South
Alexandra Hornof
613-141-2214
Client Property
122 Sailfish Drive
Holden Beach NC 26462
Shift gangway over
Contractor:
Richardson Construction LLG
q 10-361-0335
richardsonconst@atmc.net
Approx 20ft
this section
Existing Structures
UP
CANAL
Z:>-- -�
i
I
Proposed
Boat Lift
Z
ApproxIft
Adjacent Property Owner North
Martha Waller
q 10-232-8835