HomeMy WebLinkAbout75856D - MooreCAMA / DREDGE & FILL
GENERAL PERMIT
'XNV1W ❑Modification ❑Complete Reissue ❑Partial Reissue
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
Applicant Name e&r+ moone
Address 5 nL{ Rice ({y— ('�'
City A ► -, State ZIP 7
Phone # ► 8"► 2 - 2S6 9 �`» > ogre 3 �q
(�) E- ail � W1 S%
No. 75856 A B C
Previous permit #
Date previous permit issued
15A NCAC 91
❑ Rules attached.
Project Location: County )?I, ► n S W /Ck-
Street Address/ State Road/ Lot #(s) p Wj Jr-" j hq +vo
Dill COP9ubdivision
Authorized Agent tjf i C.0- (—,DA f 1 r (,),C+i ph City QGeah Z S It )3eacn ZIP �Z 8 y & 9
❑ Cw
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AS ❑ PTS
Affected
)'PTA
AEC(s): ❑ OEA
❑ HHF ❑ IH
❑ UBA ❑ N/A
❑ PWS:
ORW: yes / 6)
PNA yes /
Phone # ( .-4--� River Basin Lam 6es
Adj. Wtr. Bod(nat an unkn
Closest Maj. Wtr. Body �W
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A7or Applicant pPrinted
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Sig a ure "Please read compliance statement on back of permit"
.00 13�67
App cation Feels) Check #
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Permit icer's Printed Name _
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Signature /
//
Issuing D to E&piratWn Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:o�3�,ti
Mailing Address: S'JDy &4E Y7M 0i
Phone Number: `))9--X/a let_
Email Address: �,346ppe 5 j3 9 i9ek, Cd,-t
I certify that I have authorized g4je� �� ,iUC A3 J
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at %D Gjk1111V60Jr C. t� -ZJ« 3"e,AA C, ,2gy,5
in 04� 431(I( County.
1 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:
Print or Type Name
ot?)Q &-
Title
J /ds / �Z
ate
This certification is valid through c�`J/�
DIVISION OF. OASTAL MANAGEMENT
ADJACENT RIPARIAN PROPOTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: �� ic_� ('f
Address of Property: �^ �•� b..i t'v► / v@G,n 7,-5vt J-e4cv�
(Lot or Street 9,
Agent's Name #: aC ie_t
Agent's phone S-N -,g()06
or Road, City & County)
Mailing Address: W I � aQckc\ ► DC`
Ou
'IQ� NC Z�ay�U
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.
3 sal. _ I have objections to this proposal.
If you have objections to what /s being proposed, you must not ly t/w Di of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. should b#
mallod to 127 Cardinal Drive ExL, Wilmington, NC, 28406.3846. OCM ngpnese atso be
contacted at (910) 796.7215. No response /s considered the some of no objection iaen
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bads a�
minimum distance of 16' from my area of riparian access unless waived by me. (If you wish to waive the
setback, you mLMt Initial the appropriate blank below.)
��- I do not wish to waive the 16' setback requirement.
(Property Ownor Information)
Signature
Print or Type Name
S201-1 fie,- Cav �-
Maliing Address
a1
city/stat !p
o(�c� -� \ 2 _ 25(e!�
telephone Number
3-z.-�_6
Date
(Adjacent Property Owner In-M
Signature
G- Z_ y
Print or Type Name
Mailing Address/
e,!7L�� � � /J
6�19 0
6,-7
Revised 611812012
Postal
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■ Complete items 1, 2, and 3.
A. Signature
■ Print your name and address on the reverse
so that we can return the card to
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you.
■ Attach this Card to the back of the mailpiece,
B. Received by (Printed N e Addressee
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or on the front if space permits.
1. Article Addressed to:
C. Date of Delivery
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PS Form 3811, July 2015 PSN 7530-02-000-9053
Del
Domestic Return Receipt
DIVISION OIi. OASTAL MANAGEMENT
ADJACENT RIPARIAN PROPL�( OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 1 lyb� rt DL),� a
Address of Property: k t-,� 15-' I V CIS. n 2F,:5yt 1
(Lot or Street #, StrW or Road, City & County) s�
Agent's Name #: Gr ICE. � n ih.x i� () Mailing A-ddress:6�� ►✓ � � c-
Agent's phone #: %D- 5-n -9n,5 �n -� "51Q �, N(' ZtU
I hereby certify that I own property adjacent to the above referenced property. The Individual applying for
C, this permit has described to me as shown on the attached,drewin the development they are proposing.
/ 1, have no objections to this proposal. _-__I have objections to this proposal. •
if you have objections to what Is being proposed, you must noft the Di of Coastal
Cr C Management (DCM) In writing within 10 days of receipt of this notice. should bo
mailed to 127 Cardinal Drive Ext., WAmington, NC, 28406-3846. DCM ropresoor 1 �f also be
contacted at (910) 796-7215. No response Is considered the some as no objection n
C notifled by Cert/lled Mail.
q� WAIVER SECTION
Vl 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back at
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.)
CE
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement,
(Property Owner Information)
Iri1�C.Q �4qe n`t�
Signature \
Print or Type Name
52M Zkce 71eac\Ca%►, }—
Melling Address
Clty/State)zlp
(:VR-�\2--25VJ
telephone Number
Date
(Adjacent Property Owner Information)
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Signah#e
Of A
Print ot Type Name
a49/ L 7 & I')4,j Ir 10e,
Mailing Address
City/State/Zip T%
Telephone Number
s.-J-' A U
Date
Revised 6/1812012
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Extra Services & Fees (check box, add fee es�ppropp�je)
❑ Return Receipt (hardcopy) $ i�! tJU
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❑ Return Recelpt(elactronlc) $ *111. Id
Postmark
O❑Certified
Mail Restricted Delivery $ $11)T
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❑ Adult Signature Required $ t i frh
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❑ Adult Signature Restricted Delivery $
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Postage $0.55
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Total Postage and Fees
02/27/2020
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$ $6.95
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■ 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:
1Itko\
A. Signature
(.2Lt] Agent
X ❑ 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
I IIIIII 3. Service Type ❑ Priority Man
I'll 111111111111111111111 I II I l II i III sv
❑ Adult Signature El Registered Maillm
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❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
rtified Mall® Delivery
9590 9402 2219 6193 1041 41 ❑ Certified Mail Restricted Delivery 'Tfieturn Receipt for
❑ Collect on Delivery MMerchandise
livery Restricted Delivery D Signature Confirmation'"
❑ Signature Confirmation
7 017 0660 0000 7 4 8 7 2058 3estricted Delivery Aestricted Delivery
I (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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Check Flom Nerve
Nerve o1 P—it Nolcrw
Vendor
Chock Number
Check
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PermR Numb -Commend
Race/ o Remn&Re Ilocer d
CM-1
CMWW2
Col.-3 _
C.A-4
Co1umn5
Columnt
Column7
Columns
4/21/2020
PFI Construction LLC Mary, Denise, Michael Thomas Joi Navy Federal CU
Lighthouse Marine Conslrction Doc and Ginny Kibler Coastal Bank
Allied Marine Contractors LLC Charles Carlton First Citizens Bank
Holden Docks and Bulkheads Frank Atkinson CresCom Bank
Grice Constructon of Brunswock_ Myra Dove BB&T
Grice Conslrudion of Brunswick County In Robert Moore BB&T _
Grice Construction of Brunswick County In Shelby Jordan BUT
- --
Clements Marne Construction Archie McGirr BUT
Newton and Sally Baxter Newt Baxter Wets Fargo
Susan Watson Cain same BUT
7032
$ 600.00
S 200.00
_ _Column8
GP #76103D _ JD fcL 10336
GP 075880D JD rot. 10335
GP #75881D JD mt. 10334
GP 075804D Bbrink rct. 10869
GP#76118D Bbrink rd. 10423
GP #75856D Bbrink rd. 10424
GP 075857D Bb nk rct. 10425
GP #76126D PA rct. 10356
GPW764080 Bbrink rc. 10422
GP#75879D JD rct. 10831
4/21/2020
3145
4/211M0
4/21/2020
8897
S 200.00
3829
$ 200.00
M212020
13765
S 200.00
421/2020
13767
S 400.00
4212020
13766
S 400.00
4212020
5407
S 400.00
4212020
7940
$ 800.00
IM
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