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Home My WebLink About76219D - ThompsonF_CAMA / DREDGE & FILL NO. 76219 A B C PERMIT Previous permit# ?ENERAL New --Modification El Complete Reissue ❑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 15A NCAC l ^ ❑ Rules attached. Applicant Name (��: 5 N�PCt �0%%��-, Project Location: County I/'J�/✓('C �-- � 01103 M/ City i-ti State /t- ZIPZKlro Phone # f-/O) VW ' I �� E-Mail Authorized Agent t t- l`l7C ✓1 Affected ❑ CW nEW IOTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes , no PNA eyes/no Type of Project/ Activity 1„ - Pier ( �Y Fixes Float Finge Groii Bu`lkl Bas'r Boat Boat Beac Othf Shor SAV Mor, Phot Wain Street Address/ State Road/ Lot # ) Subdivision City / �'Y� 1? 7 ZIP 3 Phone # River Basin y✓ ' Adj. Wtr. Body ► ►^ (nat man unkn Closest Maj. Wtr. Body- S ; (Scale:•' It�D ) � ar "■1l11�■■■■■■■�■■�■■ ■�■�MEN ■■■ ■�\IflP�fl� ■ii�l!::1!�!1►I�■■ ■iv/�1A■■�■ WERE �■_�■■■■■vull�■rw■■■■■■� u�ci■�:�►��:�s�s■■■■ i length G■ ■■�■■■�� ■��j�r��■■■■MEM■■■■■■■ ■■■1■■■■■■■■■■■�� ■®■■■ ■■■■■�■■■■■■■ numb - ■■■■■■■■■■■■■■■■�I�■■■■■■■■■sue❑■■■■■■■ ■■■■■■■■■■■■■■■�I■�■■■■■■■■■■■■■■■■■■ a,4g s c:e.ff.,h.re ■■■ ■■■■■■■■■■■■■��■■■■■■■■■■■■■■■■■■■■ •i ce offshore ■■■■■■■■■■■■■■■■■l�■■■��■rT/1MW_w/J■■■■ ■■■■1►■■■■■■■■■■■■■■i�■■■ ■■are■■��•■■■■ ramp ■■■■■■■■■■■■■■■■■I�It=i1�11 %�!'�►�1/1■r■■■■■■ louse/ Boatlift ■■■■■■■■■■■■■■■■■I�1�►�■■■�/■��r��■■■■■■■■ -i ME Bull zing .I• ■■■■■■■■■■■■■■■■■■��■■■■■�■■��■■■_ �- ■ _ ■■■■■ ■■■■■■■■■■N MIN 1n1■■■■_■OW—W.9il//_��i ■ ONMEMEME ■i■■■■■■■■�1■�■■�i/■■■■■■■■Ci/■■��%■■■■ ■■IM-EMI ■■■■■■ ��■■■■■!�!I■/�■■■��■■■■■■' MW - ��■■■■■■�—ilA�■■N■��MM■ awMEM ■■■■■ A building permit maybe required by:t ( Note Local Planning jurisdiction) Notes/ Special Conditions Ag�� I , �T_f 4ft- -Dil vll(__� 0 f1J ent or Applicant Printed Narhe S' n re ** Please read compliance statement on back of permit rc Application Fee(s) Check # Issuing Date ❑ See note on back regarding River Basin rules. Printed Name 7, 5(. ,Z, v Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �1 Mailing Address: f10.Yr D 5• Q.U- '�i' ��-�� Phone Number: b - q� D - Email Address: IY1�t'�t�VS�n��Y�nt��r(5 gmo�t- , CAD M I certify that I have authorized "�(`(� �CC► l J� 1Yl l ,�'i �ht t�t�-� �' Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 0136y-�- at my property located at b 0 ( O 1- �NY , Raxx '\)e, in aQACounty. a� 3 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: Signature mo f tG- i�AaV . 00 Print or Type Name Title / I /'awx Date This certification is valid through I I RECEIVED !X"'R 2 5 2020 DCM WILMINGTON, NC ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -1i M property located at (Naofof {.FC4 , ' (Address, Lot, Block, on I� j��, N ►G_ �_ / , in (Waterbody) (C 6 MAR 3 0 2020 a N 's l�1-�Sry�3 ity/Town and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above I�tion. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) RECEIVED MAR 3 0 2020 DCM WILMINGTON, NC WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, iat, 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 n rmation) (Adiacent Property Owner Information) Signat ignature * ++ CXT So1� Zr—in9tr'�-Ty�ppe 'U- A .d�r5D,v Print r e Na e Name co `2j2 -j ing Addr s Ma Ying Add s �s�ead.NC a� 3 ,>vf)s-4J . N-L. 16-yy-3 City/State ip C' /Sta /Zip ��o-�t��-1�5 r��-1►��,��,u�r�ners�jmatl,eorn � Telephone Number/email address Tele one umber/email address ' 1a&I l a Date Date * (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT `) I herebycertify that I own property adjacent to fY r Y J iu_..... mf Drnnarty r)wnar► property located at on P/A'//V (Waterbody) (City/Town a r County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description 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 wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. L T 1 do not wish to waive the 15' setback requ (Property Owner Information) Signat ref Print br T e Na M Ting Ad es ^� of Cityl& lZip Telepho e number 311-7 WaU Date Property Owner information) M rli p,C' 1,m,2,Bol� MW'/MdCity/Stai I kK 151 Telephone inber Date (Revised 611812012) Ch-k Columnl C.1-2 I Column] I Column/ I Columns W-6 1 Column7 0o1umn9 Column➢ 4/3/2020 4/3/2020' McPherson Marine Services, LLC Rick Carlisle First Citizens 2986' $ 200.00 GP #758620 BB rct. 10409 4/3/2020 4/3/2020 Holden Docks and Bulkheads James C Lewis CresCom Bank 3821 $ 400.00 GP #75869D BB rot. 10404 4/3/2020 4/3/2020 Mitchell Anderson Construction James and Martha Thompson PNC Bank 1042 $ 200.00. GP #76219D JD rot. 10326 4/3/2020 4/3/2020 Carolus Building Company Chris Chleborowicz First Bank 1424 $ ! 200.00 GP #74890D PA rct 9740 4/3/2020 4/3/2020 Evolution Optical Communications, LLC South Carolina Telecommunicatior Branch Banking and Trust 1586,$ 400.00 GP #76256D TMc rct 10354 _- 4/3/2020 4/3/2020 Evolution Optical Communications, LLC South Carolina Telecommunicatior Branch Banking and Trust 1587' $ 400.00 GP #76255D TMc rct 10363 42020 /3/ 4/3/2 020 Jerry Ennett Ray Nell Pearsall Coastal Bank and Trust 3002 $ 200.00 GP #76220D JD rct 10327 4/3/2020 413/2020 Charles F Riggs & Associates, Inc. Willard and Paulette Jackson First Citizens Bank 16431 $ 100.00 minor fee, 2713 South Shore Dr., Surf City PnCo JD rct. 10406 4/3/2020. 4/3/2020,AIlied Marine Contractors LLC Randy Moseley First Citizens Bank 8796 $ 200.00 GP #75868D Bbnnk rct. 10410