HomeMy WebLinkAbout76108D - Acton^� CAMA / ❑ DREDGE & FILL No. 76108 A B C
G t N E RAL PERMIT Previous permit #
�CNew Modification ❑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 I SA NCAC
❑ Rules attached.
Applicant Name c_ Project Location: County 't /L
Address S I OU Street Address/ State Road/ Lot #(s) U,
City "kP" N State till ZIP Z`-(Po OeLAC �
Phone # 0_�Lq) 0 E-Mail Subdivision �g
Agent {� `y ` `� City�.. J� �¢A Q l-, ZIP
Authorized ent � ^ J .�
Affected ❑ CW N EW V PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no '
Type of Project/ Activity �AZ.
Pier
Fixed
Floati
Finge
Groin
Bulkh
Basin,
Boat
Boat
Beac
Othe
Shor
SAV:
Mora,
Phot
Waiv
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Phone # ( ) n River Basin C__ 64_�_
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A building permit may be required by: ,,A Q t )-t &C_ V\
( Note Local Planning jurisdiction) `
Notes/ Special Conditions � I �,� C , C" c � `. k—, , k\ r
1
Agent or Applicant Printed Name 1
Signature lease read compliance statement on b of permit
v"° ( -�rjY
Application Fee( Check #
U See note on back regarding River Basin rules.
t e Yea CIA V. nt.
PermitOffited
Signatur "
8 12'J 8
lssui*ao Expi tiog Date
A
t
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
John E. Skvada, III
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit:
�o k ,J (1 (4 L 7— c1 ^ J
Owner's Mailing Address:
3 o o rlt: I la7-r.A,.. P I
4 t4: q j~ `i C- a 7(,a�
Phone Number f 4 1 `fit 'xr*to SS 9 it S
nnName of Authorized Agent for this project:
Agent's Mailing Address:
6\% la4,A h Dr- is J
M
2$4(0 '
Phone Number(9t6) 6^7Q(-i0cK—
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):
�-NT o� Flc.i r:.4e, TJ"G/<, W"//cw.ti d 1.1.,Ei %/�►,.�
For my property located at 1 "d 0 ( e4 A/11L I /Z) r: -f ,v -6,w r- #43 ,g e 4 �t.0
This certification is valid thru (date) 7S d 3 4!�) n,/3 /, q(.;, N
Property Owner Signature
// -7 )moo
Date
127 Cardinal Dnve Ext., Wilmington, NC 28405
Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.nowastalmanagement.net
An Equal Opportunity l Affirmative Action Employer
t3
L*14iULJ14s17u. I Wil►\ ► ► • •
DIVISION OF OASTAL MANAGEMENT
ADJACENT RIPARIAN PROPOWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: "lUln
Address of Property: 1� CU ^U >�I . e , , kx nig} tt'
rt nt nr Street #. Street 6r Road, City & County)
Agent's Name A 03C`%Xk ^���L�tbn Mailing Address:6ii BQQ6i Dc`
Agent's phone *: ' O— 5TA "gb�rJ' QW I�(
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.
I have no objections to this proposal.
>roposal
K you have objections to what is being proposed, you must notify the D/ of Coastal
Management (OCM) In writing within 10 days of rocelpt o/ this notice. should bo
mailed to 127 Carolina/ Drive Ext, Wilmington, NC, 28405-3845. DCM P i also be
contacted at (910) 796.7215. No response Is considered the same a4 no obje Z ieen
C notified by Cerdfled Mail.
q� WAIVER SECTION
V1 I understand that a pier, dock, mooring pilings, breakwater, boathouse, Ilft, or groin must be set back w
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive the
setback, you Lnust InItIA1 the appropriate blank below.) --
dO 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
)6\N r,
Print or Type Name
-32Wm A'6i
Ma1Nng Address
i�Aet NC
City/sta Ip
cWk -$ s-o--,?I1W9
Telephone Number
2.25-2k)
Date
(Adjacent Prop"
/Owner Information)
Signature �--�
Print or Type Name
Mal ing Address
!Y • e—, -1. 24/9
c►tyistat+errip
Telephone Number
Revised &18/2012
Postal Service"
Timm MAIL' RECEIF
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■ Complete items 1, 2, and 3.;,>y,
■ Print your name and addre$s4)n the reverse
so that we can return the cars) to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
` -&ub 1-a � �u Rtdye
A. Signature
/ ❑ Agent
X ❑ Addressee
B. Receiv by (P i � d Nam �) j of D_,ery
D. Is delivery address di erent from ite ? ❑ Yes
If YES, enter delivery address below: ❑ No
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9590 9402 2219 6193 1037 93
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turn Receipt for
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erchandise
El Signature ConfirmationTm
2. Article Number (Transfer from service label)
❑ Signature Confirmation
7 017 0 6 6 0 000 0 7487
1365 stricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-00o-9053
Domestic Return Receipt
DIVISION OF.POASTAL MANAGEMENT
ADJACENT RIPARIAN PROP OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: ,�n Qc-�t r1
Address of Property:
11 nt or Street, Street 6r Road, City & County) t�
Agent's Name A�"C`1�.�Q n�S��1�L�tJn Mailing Address:W l- t�Q -h ► .-
Agent's phone 4:Q 'rJ�1G'g0�$ �tr N( 2-tu
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 drawin the development they are proposing.
C
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..Q .5:L I have no objections to this proposal. _ I have objections to this proposal. •
N you have ok/ectlons to what /s being proposed, you must notify the D/ of Coastal
Management (OCM) In wridng within 10 days of receipt of this nodce. Co should be
mailed to 127 Cardinal Drive Ext, W11m/ngton, NC, 28405-3845. DCM roprese also be
contacted at (910) 796.7215. No response Is considered the same a$ no obiecifon been
C notified by Cerdfled Mall.
q� WAIVER SECTION
1!1 1 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 trust Initial the appropriate blank below.) pI
I do wish to waive the 15' setback requirement. r 1eaSe- I V1m LtS 'D�
" I do not wish to waive the 16' setback requirement.
(Property Owner Information)
S gnature ``
Print or Type Name
- ) oN 6irerkmVtCL
Mailing Address
i�a\et Nc.2�c��
city/sta ii
Ct,R-Tn--q`j8cf
elephone Number
2-25-20
Date
(Adjacent Property Owner Information)
Signaoke
((�J PHAt oorn'/i 1, Jr Type Name /�^}-
xi J 1 Y 1 i .
Mailing Address
city/Stat600
3Q-
Telephone Number
3 1i �ZO'2-0
Date
Revised 6/18/2012
of 7
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■ Complete items 1, 2, and I
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
nr nn the front if space permits.
Article Addressed to:
mcxtnS��
A. Signature
❑ Agent
X 14—tl ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail ExpresSO
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❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Registered Mailr"
❑Registered Mail Restricted
9590 9402 2219 6193 1038 09
rtified Mail®
❑ Certified Mail Restricted Delivery
Delivery
C'5 etum Receipt for
tJlerchandise
❑ El Cc Collect ct on Delivery Restricted Delivery Signature Confirmation'"'
" he, rrrransfar from service label)
__ .._Delivery
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❑Signature Confirmation
2. Arti-'' "^
7(717 0660 000a 7487
1358 ictedDelivery
Restricted Delivery
Domestic Return Receipt
PS Form 3811, July 2015 PSN 7530-02-000-9053
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CERTIFIED MAID, - RETURN RECEIPT REQUESTED
DIVISION OF.COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: J( Ili Q�
Address of Property: 1 Cu mac= _��t \C-e , S.t n.C4+ 4Q-ttch
II of nr Street #, Street 6Road, City & County) f�
Agent's Name;~ �(`1�Q ������rt�n Mailing Address:6618 �Ah a- Z%)
Agent's phone #: %o- S-G'gb95 &LunT--3�2 tit N( ;-2 %lLq
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.
c- A des C7x oilon r dr�wfnn, wjth dimerrsi ns, tnt ei lad brnyld d wiiftYt>dti Igt r.
_ t7
rI have no objections to this proposn1. -- 1 have objections to this proposal.
C If you have objections to what is being proposed, you must notify the DIvlsJon of Coastal
Management (DCM) In writing within 10 days of receipt of this notice, Correspohdancl should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represealWivas can also be
contacted at (910) 796-7215. No response is considered the same as no objection ffyov'hovs been
C notified by Certified Mail.
WAIVER SECTION
61 I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
c� minitrum 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 )
1=—
I do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
(Property Owner Information)
.S'sliallwe
6\ r,
Print or Type Name
-32W cym PIc,(4
Mailing Address
1f1 1I \-7 G7w+
C i-� r�sp
`�
Cify/Sta Zip
C��R—71gCf
Telephone Number
2-Z 5-20
Dale
(Adjacont Property Owner Information)
$ gnalure
l�iIZ9M J"�r��l 1142
Print or Type Name
r K�Lv /v
Mailing Address
S veld%T Z 6�16H , /t/L e
City/State/Zip
5-7,
Tolephone Number
Dale
Revised 611812012
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1-�,1--'c:� \10---S� \0(361
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Date R"ved
Date Deposited Cheek From Name)
Name or P—t Holder
YW Wor'
Check Number
Chock
amount
Permit N—bsr/C--ta
R t w ReNnd(ROMlocatad
C.1U-1
Cokvnn2 COW-3
Cok-4
Colwmt6
Cold-"
caftm7
Column
CoWmne
4/14/2020
____ _
McPherson Marine Services, LLC Jackie Gawron First Citizens Bank
_ _ Neal and Katherine Forney same State Em o es Credit Union
F and S Marine Contractors, Inc. Mark Chesson PNC Bank
Grice Constriction of Brunswick County In John Acton BB&T
B and B Coastal Construction Corp Palm Cove Holdings, LLC Wells Fargo
B and B Coastal Construction_ Ca�_.Beniamin and CVndi Levine Web Fargo _
1 B and B Coastal Construction C Ann Morales Well Fargo
Donna and WlNiam Beck same _ BB&T _
Willie Clarence Richardson/Richardson Bil and Laura_Sunon BB&T
Overbeck Marine Const./Daniet ShirleyGlen Harbeck Sun7rust
2987
200.00
GP #75865D Bbrink rct. 10413
GP #74655D Bbrink rct. 10414
GP #758171) Bbrink rct. 10412
GP#78108D- BB rct. 10855
GP 075849D BB rct. 10863
GP#75848D BB rct. 10862 _
GP#75850D _ BB rct. 1D884
GP 076113D BB rct. 10851
GP#78112D— BB rct. 10859
GP 976124D BB rct. 9745
4/14/2020
1391
$ 200.00
4/1412020
8521
S 200.00
4/14/2020
13704
$ 200.00
4/14/2020
1117
S 400.00
4/14/2020
1116
$ 400.00
4/14/2020
1118
$ 400.00
4/14/2020
6342
S 200.00
4/14/2020
7677
$ 400.00
4/14/2020
5325
200.00