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Home My WebLink About74863D - MandCAMA / ❑ DREDGE & ILLNo. 74863 A B C GENERAL PEAMIT Previous permit# New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality (� I 4 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC li ❑ R-les attached. Applicant Name--�-C cy, i'NPNb Project Location: County— Addresss \-nc h p Street Address/ State Road/,Loot #(s) City 7ti � �' State NC ZIP V 1\ ' 1 � � c`-0 r Phone #�) E-Mail Subdivision Authorized Agent City ZIP Affected ❑ CW SEW /W" ElES ❑ PTS Phone # ( River Basin % (� AEC(s): ❑ OEA ❑ HHF ❑ IH [IUBA ❑ N/A Adj. Wtr. Body XU VV t p SOON D iflat /man /unkn) Clncest Mai- Wtr. Bndv ORW: yes / (ro� PNA ;yam no ■■r,■!■■■■!■�■■■!!■■■�■■■!■■■■■■!■`►g■ ■■■■■■■■ ■iMRQtrii C�J■�■■l�!■■■111■■■■■■■■■w!r1*1�11!!■■■1 ''1�rii►■!\\!!■■!i�■� ■ ■_■!■■iili:riliii■■ice!■■■■!■ ■■■■!■!��■■■■��:�!'RI�! a':7■!!!■■■!!■� ■■■!!■■■ MEMMEMEMOL ■■■■!!r■■!■■■!■■■!■■■!■!■■!■iJ■� ■!!!'il:■■!■ M. ■■■!■■■■rE!■::■■�il��'% ■■■■■■■■■■■■■■■■■ ��!■■� - �r��i■i�rilii�Mil■rl�■■I�lilri�■■�■HERH■MMli■!■■!■ GY:isZl�■l�.al■�i�aR-�i►'E:1 ?.r► �a/'��li�ll ►i�liL�■t��■■■ !!!< �' I.l��l'7■II►+.IJ■I'i►��L�G iZ■sib �i�.-'�ac: WM- NIMX TL w"NA►U■KHold!91 `MMeW0liku"OOME NO—O rU!/E!'.5- ►�• 11PFit : W � 1 CAN 5 Nt K 1� Nlf'� Agent or Applicant Printed Name ignature* Please read compliance statement on back of permit **� Application Fee(s) Check # PeFm Officer's Printed Name Sign#6je �-f .3p, �l •Zc7 Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Jessica and Michael Mand 's property located at 117 Anchor Drive on (Waterbody) (Name of Property Owner) (Address, Lot, Block, Road, etc.) in Surf City, NC 28445 N.C. (City/Town and/or County) Th eapplicant has described to me, as shown below, the development proposed at the above location. 5 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) See attached. 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.) ems_` I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) I 'r Property Owner Information) iMit�t�r*�, �j(aC(cWt��tY ignalure Si nature Jessica Mand Michelle Blackwelder Print or Type Name 117 Anchor Drive Mailing Address Surf tCity, NC 28445 Q'M'a�Z�1001 Tele hone Number TY20i2020 Date Print or Type Name P.o. Box 268 Mailing Address Sanford, NC 27331 City/State/Zip 919 260-4082 Telephone Number 4/21/2020 Date (Revised 611812012) Water Property Address: Jessica and Michael Mand 117 Anchor Drive Surf City, NC 28445 0 N Adjacent Neighbors: Topsail Cove HOA Michelle and Chad Blackwelder 115 Anchor Drive Surf City, NC 28445 Notes: 4' Structure will be 3 feet above the water/ground Structure will extend to the water's edge Materials: wood + metal rust resistant bracketing Water depth at low tide, at the end of the proposed pier: 6 inches Distance from the end of the pier to any federally maintained channel: N/A AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized 117 Anchor Drive Jessica and Michael Mand Surf City, NC 28445 443-244-1001 rimand9l@Iive.com Jessica and Michael Mand Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: wooden kayak walking path at my property located at 117 Anchor Drive in Pender County. APR 2 4 2020 1 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: LA JV A. ut� II Signature �oK SS t ra � . iUaA Print or Type Name I�omPnU) Heir Title 04 20 / Zo Date This certification is valid through / / ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to Jessica and Michael Mand s property located at 117 Anchor Drive (Name of Property Owner) (Address, Lot, Block, Road, etc.) on , in Surf City. NC 28445 N C. (Waterbody) (City/Town and/or 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 fill in description below or attach a site drawing) See attached. 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. K7 1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) IISi natureSignature Jessica Mand _ Y ei - P" 5,6te4 Tf5aA Lure Print or Type Name Pnnt or Type Name iA 117 Anchor Drive �,n, l (, ► } bA t u, 0, Aria {nor �� Mailing Address Marking Address Surf City NC 28445 ��' cl'}' m C 2Ay4 � Crty/Stat�/Zin1001 City/State2►p TelephoneNumberTelephone Number 4i20/2020 _ —� / Date Dare (Revised 6/1 &2012) CJRV: TAB-E C1 R=35.00' T=29,47' L=48.99' CB=S16'50'24'7 CH=45.08' C2 R=35.00' T=3.41' L=6 BC' CB=S62'30'16'E CH=6J9' 111ECa p 0 l pHP, INC. AMEN vP� DB 363C, ?G 93 4 %53'00'01'E 128.64' _. ]5- 4 I--K •-� _ __ `P f LOT 2 WC/NITYMAP" NTS DB 1532, PC It- MB 47, PG 54 - NOTES - V 1 . This plot pier ra of an mLOT exstlrg parcel of tend s 1,43 A2. Suoleettorestricuw DB 1532, covenants easenlenta a MB 7" record, zoning ordmanoe.8 ; underground utilities. M arty. 3. No Me searcn by surveyor, 4 Referenoss; MB 47, PG 54 ? 2 DB 1532, PG 155 a N55' 26":37"E b Flood Zono - AE P 60.00' C. Communrty Panel 0370186 4245 K u, o � 6. Weeands scele0 from MB 47 PG S• r. V ti� VCf�NI rS HP, ;NC N Proposed location to DB 3630, PG 93 0 \ - ? Q ty E I p KaEAt:ty1 0 ,�� S.f�3� O -Y7 58' CDN55'26'55'E " CP S55.26'55'a 140 38' ET y c rn ri N tASE/Eh+ -LEGEND- SIR - 112' Set Iron Rod EIR - Existing Iron Rod r.P - Ceim latex Point Certificate Of Completion Envelope Id: C3A760B23F5A4C69AO2EE89DDC5F4A9D Subject: Please DocuSign: Adjacent Neighbow-Blackwelder.pdf Source Envelope: Document Pages: 1 Signatures: 1 Certificate Pages: 1 Initials: 2 AutoNav: Disabled Envelopeld Stamping: Disabled Time Zone: (UTC-05:00) Eastern Time (US & Canada) Record Tracking Status: Original 4/21/2020 12:43:07 PM Signer Events Michelle Blackwelder michelle.blackwelder@dhhs.nc.gov Senior Auditor DHHS Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Witness Events Notary Events Envelope Summary Events Envelope Sent Certified Delivered Signing Complete Completed Payment Events Holder: Michelle Blackwelder michelle.blackwelder@dhhs.nc.gov Signature [oocusig-d by: n1��t BFE6B85201F3401 Signature Adoption: Pre -selected Style Using IP Address: 199.90.157.13 Signature Status Status Status Status Status Signature Signature Status Hashed/Encrypted Security Checked Security Checked Security Checked Status Docu150M 0 SEC YR a Status: Completed Envelope Originator: Michelle Blackwelder 695 Palmer Drive Raleigh, NC 27603 michelle.blackwelder@dhhs.nc.gov IP Address: 199.90.157.13 Location: DocuSign Timestamp Sent: 4/21/202012:43:51 PM Viewed: 4/21/2020 12:44:02 PM Signed: 4/21/2020 12:47:20 PM Freeform Signing Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Timestamps 4/21/2020 12:43:51 PM 4/21/2020 12:44:02 PM 4/21/2020 12:47:20 PM 4/21/2020 12:4710 PM Timestamps 6E-n04/2531 1073 JESSICA L MAND 117 ANCHOR DR. SURF CITY, NC 284459402 DATE OM PAY TO N Cip 15 0, , THE ORDER OFF �}- / t h(4'hfkrzd d ��/(/ DOLLABS State Em loyees' Credit Unions Jacksonville, North Carolina 42 MEMO j/ i V► �m r IYP 1:2531770491:0864637085 11' 1073 RECEIVED APR 2 g 2020 DCM WILMINGTON, NC D.I. Racalvad Dab Chock From Noma Nama of P—It Hold- VerMor Chock Numbs Chock amount Parmrt NumtroNCommenb R for RefurKW-lixafed Colk—I Co1umn2 Column➢ C.A-4 Co1umn5 ColumrM Ceaserr7 Columns Cclumn9 5/5/2020. 515,2020 Jessica Mand same State Emoloyees Credit Union 1073 $ 200.00 GP t74863D JD rct. 10832 8/512020. 5/5/2020 Allied Marine Contractors LLC _ AI Gribben _ First Citizens Bank 8911 200.00 GP F74815D JD rct. 10833 5I5f2020 5/5/2020..Jerry Ennett 0 of 2) Carton Dail -- Coastal Bank and Trust 3088 200.00 GP t74877D _. _. JD rct 10333 _ _ 5/5/2020 5/5/2020 Je_rfY_Ennett (2 of 2) Carlton Dail Coastal Bank and Trust _ _ 3038 _ _ 200.00 GP i75877D t 5/5/2020 5/512020. ES Freedom, LLC Eric Sabounn (ES Freedom) Bank of America 1593 _ 200.00 JGP 175847D PA 10751 5/5/2020 5/5/2020 F and S Marine Contractors. Inc. Tommy West PNC Bank _ am, _ _ 3 #76403D 1 PA ML 10432 Data R—aved Date )fed Chock From Nsme Name or FMmR Nadw V—dw Cheek Numbw Check mount Plump WinbwiCornmente R wRefun&Re 11—rad Caumnr 5/5/2020 slsnozo 5/5/2020, 5/5l2020 5515/2020 /5l2020 Caamnz Corn 5/5/2020 Jessica Mand 515/2020 Allied Marine Contractors LLC 5/5/2020 Jerry Ennett (1 of 2) 5l5/2020 Jerry Ennett (2 of 2) 515/2020 ES Freedom, LLC 5/5/2020 F and S Marine Contractors Inc. coUmns same At Gribben Carlton Dail Carlton Dail Eric Sabourin (ES Freedom) Tommy West CaOurrsnb State Employees rr*M Union First Citizens Bank -Coastal Bank and Trust Coastal Bank and Trust -Bank of America PNC Bank Columns caemn7 Columns Caamns 1073 5911 S 200.00 GP t74863D �- 20000 GP i74815D . _ 200,00 GP t74877D 200.00 GP i!75877D S 200.00 GP •75847D S 200.00 GP t76403D JD tct. 10832 JD n:t. 10833 _ JD rct. 10333 ' IPA rat, 10751 30M 3035 1593 I wal