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HomeMy WebLinkAbout76221D - Caudle\CAMA / -- DREDGE & FILL NO. 76221 A B C ENERAL PERMIT Previous permit# ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality { -� �� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC l/ ` % ules attach Applicant Name `� Project Location: County - Address , I City State_/V?-,^-ZIP Phone 40 �� —694-7-1--t-Mail Authorized Agent Affected ❑ Cw '�aw ETA ❑ ES ElPTS AEC(s): ElOEA ElHHF /❑ 11H ElUSA ElN/A ❑ PWS: ORW: yes [`no PNA yes ' V Type of Project/ Activity (/V15 Street Address/ State Road/ Lot #( ) Subdivisio City 1,24 ZIP Phone # River Basip 0 Adj. Wtr. Body _ S I� man unkn Closest Maj. Wtr. Body b ANFinge .Ah maxclistanceoffs re- Cill■I■!i�!lib:� 1■■■�■�■ ■i��1"'■■■16�!A■■�%■■■'J!>f'�1a!�■■■■`!■ ■■■r■■■■■■■I■■■I■1■■■■�iul�JlR: M■ ■■■■■■■■■■■ ■f�■1■1■■■■■��■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■I■■■1■■■■■■■! yKJAIP AP.2►'.!IA■■■ cubic yards Boat ramp ■■■■■■■■■■■■11■■■ 1■ ■■■■■■■■■■■■■■■■■■■■ 1>■■■■■■■■■■■1/■■■ 1■ ■■�■■■■■■■■■■■■■■■■ Other J�A Length"d■ SAV: not sure yes Moratorium: n/a yes ■■■�■■�■■■■■■il■■■■■■■■■ ■■■■■■■■■ SOME C W -0.0 2 d 0 0 0 0 M ON M M 0 0 0 0 M 1 K V F MN I MA P r, PIN 1.00 M M 1 nil ■.■■MEN ■�■Emma Id ■:l■■■■■■■.■■■i�l■1Shoreline V .� ■■l �7�Jft1 /I�! ■V'/■■■■ IL!!■ 1►�i1Tn'> ■1%■r■i�ii� ■■■■IILI■■■■■■■■■I■■■1■■■■■■■■■■■�■V■■■MENEM A building permit may b ere quired by: �\ ( Note Local Planning jurisdiction) Notes/ Special Conditions rlv Name ❑ See note on back regarding River Basin rules. Sigr{atu� _ Please read compliance statement on back of per mi Signay(y�e Application Fee(s) Check # Issuing Date Expiration Date I* AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: CJ 16 r Mailing Address: —)OS- reel- Cove /.-e,,4d j. /1l/G �-CSq Phone Number: ( [ o - D-'�o - 4 Q 24 Email Address: I certify that I have authorized M Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: f 6 � P I C. r rr ies 4f oUeJ 6/ �L,f(�,'/a�C FI o re• -ALB at my property located at t U S L in et4el County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: i Signature Print or Type Name Vw/l,/- Title f �O Date This certification is valid through I I CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Own Address of Property: I WO1 it►I / / rare (Lot or Street #, Street or Road, City n Agent's Name #: Mailing Address: Agent's phone #., 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 setter. I have no objections to this proposal. I have objections to this proposal. N 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 malted to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 79&7215. No response Is considered the same as no objection If you have been notified by Certified Mall. 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 I Ial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pyaperty Owner informagon) Signature' �2 b)I Cti Print or Type Name lD�- -I-) r/� Mailing Address City/State tp 1 Telephone Number (Adjacent Property Owner Information) Signature �Yl i i?Ma EJ Print or Type Name Y rLto-- Mailing A ress yb City/Sta e2ip Telephone Number a u:1 lU;1.nktl11;R1VAsJ4r;E1aT91TT=e DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner:1 Address of Property: I w�` (Lot or Street e, street or Road, City 3 County) Agent's Name #: Agent's phone * Mailing Address: I hereby certify that 1 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 lefter. I have no objections to this proposal. 1 have objections to this proposal. If you have objections to what is being proposed, you must notlly the DI vision 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) 794.7215. No response Is considered the same es no objection if you have bow nodMd by Certified Mal. 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.) _ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Propat'WOwner In"atbn) Signature / ���►�ic�l Cr�dt� Print or Type Name ailing Address C /Stat ip 10 612-19,103 Telephone Number L4 -d-ID --- Data (Ad)se t Pr rear Into ationI SjgltA re 1 hlnlrt Print or Typb Name —� f Vol Iku Cov Melling Address Ciry/Sta p T— Telephone Number "T' !e -2-0 Date Revilesd ifNti/2012 ADJACENT RIPARRIAN PROPERTY OWNER�STATEMEN �r I hereby certify that I own property adjacent to y)d . ll t—AU A 1 i✓ a of Property Owner) property located at i b C 6 on (Address, LA Ipock, Road, etc.) in , N.C. (Waterbody) (C own andlorCounty) The applicant has described to me, as shown below, the development proposed at the above location. a' �5 I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must flit In descripdon below or attach a site drawing) 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 with to waive the setback, you must Initial the appropriate blank below.) I do with to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement 403 ling Add e C S H 4 3k Cl Ip / Telephone {Vymber � D Dols Le (Oe (Revised tV19/2012) 0 i .�ltPraJ _ lot o� � 1 aFf F. rev eo Data Racalvad Dab Chxh From ama Name or RrrnN Molder Vanow Chsck Number aChockmount Permit NambaNCwnmanra R w RerundIR"flocabo CQkNM1 C099mS Cdumn4 C.A-4 Columns Column9 Column? QW-8 C01umn9 492/2020. 4/132020 Dawn and Scott Humphries same Alliance Credit Union 8661 $ 200.00 GP 675878D JD rct. 10338 4/2 020 4(1 20 Randall Caudle- same Wadpvia 4565__ $ 200.00 G_P—Or 76221D_ JD rct. 10337_ Major Renewal 014.00, Turtle Harbour Association, _ 4#22/2020 _ 423/2020 Carolina Marine ConstructionInc. Turtle Harbour Association._ First Bank 12ti41 $t00.00 Wilmington NHCo PA tot. 9750 4/22/2020 423/2020 ' Duncan Marine Contractors, Inc. William Masse Branch Banking and Trust First Citizens Bank ti32 i S 400.00.GP#75896D 193 S 600.00 GP #758950 Major fee, South Beach Renourishment, Bald Head Island PAtoL9748 PA reL 9747 _ 4n2WWJ 4aWMM __— _Land to_ Sea Construction LLC Mark Ma and 423/2020 Davev Resource Group villa a of BHI United 1767 475.00 BrCo SPLIT 60140 1 VAN be TP left receipt book at ofFic