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Home My WebLink About75857D - JordanCAMA J PREDGE & FILL NO. 75857 A B C D GENERAL PERMIT Previous permit # / o XN12W Modification Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality -714 � � � VO and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / I ` , f El Rules attached. Applicant Name S 1b J T d r ki ✓, Project Location: County �Y LAV \ ( L", Address 1 2 LIO) L_Ak Pr(ye— Street Address/ State Road/ Lot #(s) j�yt,t�►�,�Uy� Si-. City L4r i /1b %A r State W_ ZIP Phone # UID) a-7( Og1 E-Mail ', 0 Ce� Ma1 .66Wt Subdivision Authorized Agent G r I C e CONS trtAGb U n 91O--579-70jSCi y 0G ea✓l Srle &60� ZIP Affected ❑ CW /*W 3<PTA [�S ❑ PTS Phone # ( �—� River Basin ❑ OEA [IElElHHF IH /❑ UBA N/A AEC(s): Adj. Wtr. Body Cot ►^ I nat man nkn ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body_ . / 7L �I Onarl, • ■■■ K.W., - ■�!!E ��r:%■■\'w:�.�JiililYlirli■�■!■lL''�� J■!■■!!rr•! l�l�at�■!■■�e��ca!!■■■■■■■■■■�aca■■■■! ■■■!.-;a��■■■■■■e�� ■■■!!!■■■!■!■raffia■!■■! MEN WI&A a ■■■WE"N'llj onnimaidgimiAlpa■■■! maw N■iM■■■ac:a MR, �u��■■c��91cal�a�iA■■■aa■c��a��■i�u • - '► - . �i■■!■r�n�tir>i��Naaa!■rtiE�■a�i�■Na■■c��■■a■�r■emu■ 1 i � ■G�E��Il'G'a.�%'A.��1��■Il■\`��1■i�►i:�!1�'i1,��1I:1�1/7}�''.!■!■ . NMI " - !!!■■■!!lIII.�1/L�•►•��W��V,�Y�!!■■!■■■■!!!■■ / ■■l�� R'R� . Ww-Tr!■M■■■E■■ 1 �' l i i 1 1 ► 1 M Agent or Applicant Printed Name UOn, '., flu, Signature ** Please read compliance statement on back of permit '& yCO. oo ► 3 TAP Application Fee(s) Check # f6o 6,0 V) Pe rmi fficer's Print Name Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �{� �� '�-��?-�'�'-0 Mailing Address: 12 LA' K-E7 y n c, c e-t uG tZ-1" P�U4ZO I C Z 5� Phone Number: q 10 —ZZ-7�, -- -7o?l Email Address: iacc.- C-c ma►1 , CZVo 11 I certify that 1 have authorized 6 R-1 C-tE- Ca. st Agent / d ntra ' Agent /Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: �-�W F ':;'k't4A-L� at my property located at in f3je-uu,,w, cag County. I furthermore certify that 1 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: gnature SHCL 3-( jort?"a) Print or Type Name O W OET - Title Date This certification is valid through • : :, :-193 A 14 A;i*-1111• DIVISION OR, COASTAL MANAGEMENT ADJACENT RIPARIAN `PROP TYrOWNER NOTIFICATIONNVAIVER FORM Name of Property Owner: ae `N4 )6rAa n Address of Property: v �' V G r t 0 L 4 C. (Lot or Street k S t or R6ad, City & County) � Agents Name *G: ICE'. ��o Mailing Address41� 1-. Q6► t� (— Agents phone *: ` VD— S—N -qb tJ �, tIQ ?X"m n N( 1 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. C1 �1 I have no objections to this proposal. I have objections to this proposal. • K you have objections to what is being proposed, you must noft the Di of Coastal Cr Management (OCM) In writing wibVn 10 days of receipt of this notice. zqw, should bo mailed to 127 Cardinal Drive Ext., iWilmingtan, NC, 28406.3846. DCM ss also be contacted at (910) 796.7215. No response Is considered the some a$ no objection been notified by Certified Mall. �y WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back ar minimum distance of 16' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must lli>itial the appropriate blank below.) Alf6 1 do wish to waive the 15' setback requirement. 1 do not wish to waive the 16' setback requirement. (Property Owner Information) �N" Signature E `` ` �hPA 1J6c-cA Print or Type N me \-2-h6\ 1- V-�,w Dr — Melling Address City/State✓Zip (Adjacent Property Owner Information) Signature Print or Type Name 5d6v 'W�uf- by Cr Mailing Address &Ll6y Al C ,� 760 f a4ty tate/Zlp Q.\c- Sore -c�q5}o (1/ 2-8).2-..� �-6 -� Telephone Number Telephone Number Date Revised 6/18/2012 U.S. Postal Service'" CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com . r1— co Iti O O O C3 O .A O f� r-i C3 N ■ 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: 526y A. Signature 1 X L ❑ Agent ` ddres,, B. RQceiv d by (P h d Name) C. D to o eliv, K ) �2 , Z o D. Is delivery address different from item 1? ❑ Y s If YES, enter delivery address below: ❑ No I IIIII I II I�I I II I I II I I II I I I I I IIIII III 3. Service 9590 9402 2219 6193 1037 55 ❑ Adulgn tune Restrcted Delivery 13 ❑ Regist redlMailTM t c rtified Mail® 70Certified Mail Restricted Delivery Del very ` Return Receipt for 2. ArtirlP Number (Transfer from service label) llect on Delivery Merchandise llect on Delivery Restricted Delivery ❑ Signature ConfirmationTM 0000 7487 1402 estricted Delivery ❑ Restricted Delivery lion Ps,fam 3811, July 2015 PS K 700-02-000-9053 1ts':3 i t' f i A.4I 1-4' ."i Domestic Return Receipt P t j u ► ►.! • ! DIVISION OFF POASTAL MANAGEMENT ADJACENT RIPARIAN PROPOTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner:��aa Address of Property: (Lot or Street #, SthWt or R6ad, City & County) r� AgdnrsName* Gr►ct (kr* C.�l�� Mai►ingAddress:6I ��h ►-�- Agents phone * " O- 5-1'y i�35 (�-wn:Z;s[Q 2W s N( 2-co% (, 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 C3 have no objections to this proposal. I have objections to this proposal. + you have objections to what is being proposed, you must no ft the D/ of Coastal or Management (OCM) In wridng within 10 days of receipt of this notice. Co should bti - mailed to 127 Cardinal Drive Ext., *71mington, NC, 28406-3846. DCM repress also be contacted at (910) 796.7215. No response Is considered the same a$ no objection Keen C notKled by Cerdfled Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must,JnMal the appropriate blank below.) I do wish to waive the 16' setback requirement. 1 do not wish to waive the 16' setback requirement. (Property Owner Information) �1" t�T> Signature Print or Type NAme Mailing Address City/Stat&710 Q\y— So4 -C q 1'e1ephbne Number Date (Adjacent Property Owner Information) Signature —Print or Type Name 232 cl %3,,f-/Yer 1,U Mailing Address Alew H, //' , 2.7 50�? CitylState/Zip ' Telephone Number '3-2 -2Gzv Date Revised 611812012 .n ❑- DomesticOnly m For deliveryinformation, our website at www.usps.com'. r, NEI+ 2 co Certified Mail Fee f3 . J J 0472 $ 25 03 r` Extra Services & Fees (check box, add Ies a*6.70 te) ❑ Return Receipt (hardcopy) $ ��UU ❑ Return Receipt (electronic) $ *A0.00 Postmark O C3 El Certified Mall Restricted Delivery $ so _ 17f1_ I�0 Here ❑ Adult Signature Required $ _�0 .. ❑ Adult Signature Restricted Delivery $ O Postage $ I.55 _.0 02/27/2020 Total Postage and Fees $6.95 o $ r— r Sen o �A- 1 � f` -- ---- eta —, or �'`�N�o. -t.- PO -- �� ` I ---- -- -t--- - Crf]1 state, P 1 1 N r 2--75 ■ 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: A. Signatu e / El Agent X � ❑ Addressee ,pSeceived by (Printed Name) C. Date of Delivery r D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No ype 0 I I I I I III I I I I I I I I I I I I I I III3. Service Mail- El0 Adult AdultS gntSignature ure Restricted Delivery ❑❑ Registered Registered ilMaiRestriricted 9590 9402 2219 6193 1037 62 rtified Mails Delivery ❑ Certified Mail Restricted Delivery CMIisturn Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM ❑ Signature Confirmation 7 017 0660 0000 7487 1396 :stricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I - - NA6A- A-o. �-:Cy1R 2.-2&26 oe r � '01, v ,1 v -Y-Nobec-�- 1NA Ja re CUIl� T ,LYN", U'1(� v Check Ch-k 4/21/2020 PFI Construction LLC Mary, Denlse, Michael Thomas Joi Navy Federal CU 7032 $ 4/21/2020 Lighthouse Marine Constrction Doc and GMny Kibler Coastal Bank 3145 $ 4/21/2020 Allied Manne Contractors LLC Charles Carlton First Citizens Bank 88971 $ 4/21/2020 Holden Docks and Bulkheads Frank Atkinson CresCom Bank 3$ 4/21/2020 Gnce Construction of Brunswock Myra Dove BUT 13765765 $ 4/21/2020 Gnce Construction of Brunswick County In Robert Moore BBBT 13767 $ 4/21/2020 Grice Construction of Brunswick County In Shelby Jordan BBBT 13766 $ 4/21/2020 Clements Marine Construction Archie McGirt BBBT 5407 $ UY12020. Newton and Sally Baxter Newt Baxter Wells Fargo 7940 $ #75880D #75881D C.1-8 Column9 rct. 10336 rct. 10335 rct. 10334 Ink rct. 10869 ink rct. 10423 ink rct. 10424