HomeMy WebLinkAbout74648D - Beddingfield�1GAMA�i DNEDUF_ is FILL I
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�ENEfiAL PERMIT Previous permit # A B C ®O 1
ew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality -7' t 1 t ` oO
and the Coastal Resources Commission in an�area
�of environmental concern pursuant to I SA NCAC arc
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Applicant Name W f �/ Wh�' �JL+�W i �k; J __PaProject Location: County_ i_Nt� W A CJ(_
Address SQL l�_.� e_ Street Address/ State Road/ Lot #(s) 1J& 2 j< YgCi_4-
City_ __-..S.dC1�� StateZIP f t V e.
Phone # (704) q g` b E-Mail �p + Subdivision -�^
Authorized Agent 1' 1 ed M/ 1 y��,-11�—a32'� 3 i Ott— r ZIP 9- S_
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Affected cwEW *TA )US OPTS Phone # { __ River Basin
AEC(s): ❑ OEA D HHF ❑ IH ❑ UBA ON/A
Adj. Wtr. Body (na /man /unkn)
Cl PwS:
ORW: yes PNA yes no Closest Maj. Wtr. Body
Type of Project/ Activity
Scale: '
Pier ( Ion
Fixed
Float
Finge
Groit
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Bx�
Boat
Boat
Beat
Oth
Shoe
SA\
Mot
Pho
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A building permit may be required by:
( Note Local Planning Jurisdiction)'
Notes/ Special Conditions r ! r ►"tQ f,Z
.w,� �n/'1,� t,...ie R►�IJ F-I�D1tn 1 fPDIL� OhS .iM�
Agent or App nt
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Signature ♦* PIE
A tic ? . I
cation Fee(s)
read compliance statkmenton back of permit" .-7
Check #
See note on back regard tg River Basin riles.
a S• Ail r K I eu
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Priced Nwr
Signature
Issuing Dat Expiration Date
)(CAMAREDGE & FILL No. 74648 A B C
GEN91- PERMIT Previous permit #
ew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality (f n
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r]'' �V
pp ❑ Rules attached.
Applicant Name D r xy ► �► Project Location: County f7rNr S OJ1 C le —
Address Soo max 5k Street Address/ State Road/ Lot #(s) 7JO Z
City Ci aM \Okke, StateeL
Phone # (�)sdi //g� E-Mail Subdivision ,J
Authorized Agent °lA l 1 ea Mar, vq � IIo--m72S ity oak-- TS lANJ ZIP
Affected ElCW XEW XPTA �US ElPTS Phone # River Basin L LA Vlvl�
AEC(s): LiOEA ElHHF ❑ IH ❑ URA ❑ N/A Adj. Wtr. Bod/man /unkn)
PWS:
ORW: yes ^ PNA yes no Closest Maj. Wtr. Body
Type of Project/ Activity R,p aM oV t f;-C r S VI nq f 0 L JL li n
Pier ( length
Fixed orrwtv
Floating Platform(
Finger pier(s)
Groin length
ulk ead Riprap length
avg distance offshore
max distance offshore
Bakin, channel
Boat ramp
Beach
Other
Shoreline Length ti G
SAV: not sure yes o FL L --
Moratorium: n/a yes no
Photos: yes o
Waiver Attached: yes no
A building permit may be required by: Q� Q'h
( Note Local Planning jurisdiction)) - ,,/
Notes/ Special Conditions P(DDOS ii✓ �14t A
dl= lord/ a�, and ftderaI re9ulA-4 DrJ
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kent or Applicant Printed Name , F
N --? e Q- M°`UNA10
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale: (►` ' 3U` )
❑ See note on back regarding River Basin rules.
S. All (KIeS
aCCofa(ar
bol/\ � r I YY\
nit Officer's Printed Nam
Signature
-� -7/3VioZo
Issuing DatA Expiration Date
Y^J /U,4y
CER IL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
Address of Property: jpoZ �� )Lwh� Aer
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Ail Mailing Address:
Agent's phone #: If() -
T
hereby certi y that I own property adjacent to the above referenced property, The indi ua
applying for this permit has described to me as shown on the attached drawing the development
they are ppposing. A description or drawing, with dimensions, must be provided with this letter.
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. Contact information for DCM offices is
available at http://www.nccoastaimana_qement.neVWeb/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.) (` &d tr.
I do wish to waive the 15' setback requirement. �C ovi1)1' -� �""`��
I do not wish to waive the 15' setback requirement.
(Prope Ow er I formation)
St at re
JV/ / -
U01411
Print o Type Name
sW 1'�g14 S f
Mailing Address
��alaAC,
Cita te/Zip J
-7 N / ! �- ed' 0 _ Gt.olf-&
Telephone Number/Email Address
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
OUt T-1
City/StatelZip
e5IFL/0—a al—
Telephone Number/Email Address
�&12,0 2a
Date
L",
(Revised Aug. 2014)
3
_ oy
~'1`` ■ Complete items 1, 2, and 3.
■ 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,
or on the front if space permits.
1. Article Addressed to:
p ��'�I t
W
1
aoej- Roa r
A. Signature
Agent
X Addressee
B. Received by (Printed-Na e) C. Date of Delivery
�IIt-� U) Z•22--�
D. Is delivery address different from item 1 ? ❑ Yes
If YES, enter delivery address below: ❑ No
3, Service Type ❑ Priority Mail Express®
❑ Adult Signature ❑ Registered MailTM
❑ adult Signature Restricted Delivery ❑ Registered Mail Restricted
Certified Mail® Delivery
9590 9402 3952 8060 7433 35 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTm
n 1noj tr wA hAail ❑ Signature Confirmation
7017 3380 0000 8631 1215 :stricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
Dote ReceNee
Date Deposited Check From None
Name or Permit Holder
V new
Check Number
Check
amount
Permit Number/Comments
R—Iptor RefuncIVR lloeoted
Column!
Column2 Cdumn2
Column/
Columns
Columne
Col-7
Columns
Columnv
411 /2020 4/1/2020 Maritech, LLC Fredericka Goldberg
Bank of America_
2411
$ 400.00 GP #75871 D
BB rct. 10858
4/1/2020 4/1/2020 Grice Construction of Brunswick Coui James & Ann Casey
BB&T
13703
$ 200.00 GP #76236D
BB rct. 10857
4/1/2020 4/1/2020 Grice Construction of Brunswick Cow Twiford Family Trust
BB&T
13705
$ 200.00 GP #76234D
BB rct. 10854
4/1/2020 4/1/2020 Grice Construcion of Brunswick Coun Kenneth Johnson
BB&T
13706
$ 200.00_ GP #76109D
BB rct. 10853
4/1/2020 4/1/2020 AMW Docks and Marine Constructior Bob Branan
BB&T
5770
$ 200.00 GP #758546
BB rct. 10852
4/1/2020 4/1/2020 B and B Coastal Construction Corp Longleaf Pines
Wells Fargo
1131
$ 400.60 GP #76279D —
BB rct. 10914
— --
4/1/2020 4/1/2020 B and B Coastal Construction Corp Jill Marie Ronnion Rev. Trust
Wells Fargo
1128
$ 400.00 GP #76281D
BB rat. 10917
4/1/2020 4/1/2020 B and B Coastal Construction Corp DaVID Tendler & Sausan Pratt
Wells Fargo
1130
$ 400.00 GP #75803D
BB rct. 10915
4/1/2020 4/1/2020 B and B Coastal Construction Corp 'Tatiana McCuen
Wells Fargo
1129
$ 400 00 GP #76280D
BB rct. 10916
4/1/2020 4/1/2020,AIlied Marine Contractors LLC Alex Simpson
First Citizens Bank
8794
$ 600 00 GP #75864D
BB rct 10406
4/1/2020 4/1/2020 Allied Marine Contractors LLC Bryan Beddingfield
First Citizens Bank
8797
$ 400.00 GP #74648D
BB rct 10407
4/1/2020 4/1/2020 Allied Marine Contractors LLC Jonathon Adams
First Citizens Bank
8793
$ 200.00 GP #75861 D
BB rct 10808
4/1/2020 4/1/2020 Allied Marine Contractors LLC Randy Moffitt
First Citizens Bank
8798I
$ 200.00 GP 04649D
BB rct. 10405
4/1/2020 4/1/2020 Allied Marine Contractors LLC Lisa Moulton
First Citizens Bank
8795
$ 200.00 GP #75859D
BB rot 1.0403
4/1/2020 4/1/2020 Pattishall Construction LLC David Pattishall & Kim Davids
BB&T
2180
$ 600.00 GP #76222D
JD rct. 10328
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: a f r1
d) - -
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
.:,22 z2k k u
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CIAMA ermits
necessary for the following proposed development: u�%G A1.
at my property located at
in _... A'14nS�-46L County.
l furthermore certify that / 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:
Z 1
Title
Date
This certification is valid through (o / 30 I
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