HomeMy WebLinkAbout75895D - MaynardKDAMA/XDREDGE i FILL
No. 7589-5
A B C
GENERAL PERMIT
Previous permit#
"ew `'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 1 SA NCaC 01 H 1) 00 A a00
Applicant Name N4�k
�PRules attached.
Project Location. County !Y 17�f 1 NQi✓_
Address f r% cS�/(jlrY)�c.� �%r:
Street Address/ State Road/ Lot #(s)
City WIM ` State NVG_ZIP 9940
,t11 — _
/D1 S.. Qnr
Phone # (110 ) _6�5�__E-Mai!
Subdivision
Authorized Agent b2440Qlt12i'1-�-�/1dyJ 10.1+164
t 45 %CI�A`I
?
City-w/� t/i i& &c-A Zip a64g0 - —
Cw ktew k1PTA )%-ES )<r Ts
Phone # ( )_ _.. River Basin
Affected
f� OEA 11 HHF F l IH F; UBA r I N/A
AEC(s}: �
Adj. Wtr. Body_ Sd o� __ na - /man- 1unkn)
U PWs:
f'Q/J/
Closest Maj. Wtr. Body --d1t414/
----
ti'io ORW: yes / ® PNA yes /
Type of Project/ Activity ,p,, /!� ot
CG Sfn%C Q a S/'? pY O4e �� /(iq Cc / j (Scale: N-15
Pier (dock) length ff N 6
Fixed Platforms r1q i
��n f
Floating Platform() -4X Ff 45MIP G1140&
Finger piers)
Groin length _ . ` ��►Y� Mwu/.__. ...
number `
Bulkhead/ Piprap length afar
avg distance offshore
max distance offshore t
Basin, channel r" • j `
cubic yards
Boat ramp
/ Boathous boadi _lJkl5_/_ ' I000
tseach tsullclozing_,-�-- ; i
Other
Shoreline Length &�J _—_..__.
SAy; not sure yes (r!
Moratorium: n/a yes
Photos: yes
Waiver Attached:,4. j yes no 10 $ Gi1Q MGt.t�fl14 -)
A building permit may be required by- Tk� ry( Lf/1fG Lr�G�
( Note Local Planning jurisdiction)
Notes/ Special Conditions Q pear rr9 /( /4—A11 A C [1 71/ .1)170�/-2[
/ - e Z , S %OPyt klcr • i
Agent or Applicant inted Name
Signature "' Please read compliance statement on back of permit
00
Application Feels) Check #
11,
I J " r
Il�J i
>P-
See note on back regarding River Basin rules.
Inch NIto _.
Permit icer's Printed Name
Si nature
9�l ��d all
Isswng ace
�Sf1 ANW —
Expiration Date
XCAMA / XQREDGE & FILL
GENERAL PERMIT
Blew ❑Modification ❑Complete Reissue ❑Partial Reissue
No. 75895
A B C
Previous permit #
Date previous permit issued
H
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 15A NCAC o 1 1 Ca /j 01 too
/ P Rules attached.
Applicant Name I dlk Ma�M �d Project Location: County 1yt,W AX 1*1 D V�i✓
Address% Street Address/ State Road/ Lot #(s)
City ii�/�!Y%lr� Yl State�t/�ZIP 0 iDI �S. o rloell
Phone # (1A)) o E-Mail ,w►.✓w Subdivision
�'� Q
Authorized Agent ��meh4 J to Ga %s,&5pflril!'� City V, P_ CJ(�C� ZIP 9,9490
Affected ❑ Cw SEW Rt PTA RES $PTS Phone # ( ) River Basin %e
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body Ranis a na man unkn
❑ PWS: �� ��``
ORW: yes / n PNA yes /Q Closest Maj. Wtr. Body�/1I�Az
Type of Project/ Activity fJOLY1S/Z�7/LC 7 /�tt/ !/cf/E'lvm_ l �LAifrY �il.S
Pier
Fixei
Float
Fingi
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV
Mor
Phot
Wain
(Scale: W5 )
NUM
■■■■■■■■■■■■■■■a■■■■■u
■■■■,�■■■■■■■■■■
r pier(s)
■■■■■■■■■�r,�■���1■r■!r■
■■�.■■■�■mow■■�
■■■■■■■■■■■■■■r
l
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number
'WORM
distance offshore
�■■■■■■■■■!max
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■■■■
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■■■■■■■■■7
11.
'
/�bn
,
■■■■■■■■■■■■■
channel
■■■■■■■■■■■■i,
tANl■
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■i■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■
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i
■■■■■■■H■■■■■■
cubic yards
■■■■■■■■■■■■■�
_1
■■■■n■■Iw■■■■■■■■■■ONE
■■■■■■■■■■■■■■
s�
■■1■■
■■■■■■
■■■■■■■■■
-i Bulldozing
■w■■■■■■■■
■
L.J
■■■■■■■■■■■■■■
i%ri■■■■■■■
■■■■■■■■■■■■■■■
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notsure yes
yes 4r!
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A building permit may be required by: _;MM 4tgik &C4i
( Note Local Planning jurisdiction) . I
Notes/ Special Conditions B��„Q�� KA 111LI C 127N,! oall
Agent or Applicant Printed Name
Signaat/ture ** Please read compliance statement on back of permit **
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
ZLqMIP'O'I-AiT
Permit0 icer's Printed Name
Si nature
Issuing ate Expiration Date
i
Swim Line
bk—hv moorft
ADIM Pole
ff�fa!
8'
I
X
• mooring
Po/o Moodw
40
PoM
s
20,0001b
Boat Lift
1
Mooring 1
PinQe II Pole
�
1 6'
X
52'
I
WX fa'
o.
6�' o(nwr bu(ldned
1
24" or lux in hunt
of old buJ*homd
irxwbv
Buatmod
Mark Maynard
107 S Channel Dr.
Ferrell Frankie D Brent G
Wrightsville Beach NC I
105 S Channel Dr.
Wrightsville Beach NC
1
Mark Maynard
111 S Channel Or
Wrightsville Beach NC
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _ A f k L--W qlfd --- -
Mailing Address:
Phone Number: q/ O 6 / Z
Email Address: /t'J. /LIl4y�U�-+C� 2 8r Lri'-rArE'K, c�rt
certify that I have authorized
Agent f Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
oaVAJ cloy
at my property located at 10 7 5 C kAh ►tee 1 Jr
in k J o ue r County.
l 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:
or Type Name
D lvn�y�,
Title
—�! v !*_
Rate
This certification is valid through i ;Z oi ► 20 2- O - .k
I hereby oer* that I own property adjacent to Mae k IM &,: ,yl ar c�_ 's
property located at 1 0 7 5 C h A n ne 1 car (Narne of Prop«'ty Owner) --
(Addr+ess, Lot, Block, Road, st+c.
on Lan 1�S nnc 1 in t�J__r_�_ 1.�_+�S_y; 1 2 i3�c.Gi1 . N.C.
(Waterbody) (Cityli'own and/or County)
The apprucant has described to me, as shown below, the deevokpment proposed at the above location.
✓� I have no objedion to this proposal.
I haw obpdions to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
MR&Idrlal proposing dovwlopwant must fld /n des dpdon below or almch a s/tr dromWo
t' ltASe See OAS 4c.Cieel clrc%,-),n3 whack 9116ws
�roc4ock 1c,jov4 o,nd ne—h bulkl.tfac� lexa�ecf
� qw or lf5S of �ro,,4 of
cJ
WA[VEjj SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or gran must be set back
minimum distance of 15' from my area of dgldn acop unless waived by me. & you wish to waive
you must Initlial the a priate blank below.
I do wish to waive the 16 setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner Inf ffn"on) ( jacant Information)
Si I
7�
rt/ r d A"\ 1 •;
Pft ar Type Name Print or Type Name /
I /� �' s- If ,, I L1,�
Meft Add-m
citylsfafta*
Telephone Number
Date
Date
(Revised 611&2012)
I hereby cw* them I oKn property adjacent to 1-0 r. - ; Zj k1CA i''s
PrOpWfy WCafea M j 2 cV, c, 0 nt- I AY
(Addresa, Lot. Stock, Rao etc.)
onIn r ; N.C.
t Y) Ckyffawn AMW Count)
The has desctitlad to rne, as shown WOW, the developmebf prnpoeed at tha OM locaiim.
I trove rto abjecLion to this proposal.
I have objediona to this pry.
DEWRIPT'ION ANOM IRAIA NG OF RROPOR6 AEVELOPMEW
(IdFvIdual proposlrp devnfapmar►t nmM fld In desedpOon below or arch a sft* dnnr nW
see e-4cke, 4-%+Sf(
WAVER sOMO
I undersnd that a pier, dock mooring pifmga, breakwa>W. toad m,ea, lift, or grain must be set be& a
minimum ckMr)Ce of 15 turn my sma of riparian access unins waived by me. (tf you wrsh to waive
tyre sedn do you must WWI this appropriate blank below.)
I do wish to waive the 16 setback requirement
l do not wish to waive the 15' setback requirement.
(Property Owner infamu fort) (Ado rriperty Owner laormadon)
/L��K (G-• Itil `Y��rxM i7 n6.1.� ��DzAtt
Prkt or Type Marne Pri rt T Name
lo
AddMa
Xlc ,440 Addres M 6 + t Le
T^%Dhom Number T '*home MWnber
L.We
(Ravi590 VIM012)
/reema
ORKS
2550 West 5"' North Street Summerville, SC 29483 - Phone: 843-225-1783
BILL OF SALE OF WATERCRAFT
BEFORE US, the undersigned Notaries Public, duly commissioned and qualified in and for the below
mentioned county/parish and state, personally came and appeared FREEMAN BOATWORKS, LLC., a
limited liability corporation herein represented by Scott F. Cothran, Director of Sales & Marketing, a
person of the full age of majority and resident of the County of Dorchester, State of South Carolina,
who declared that for the sum of Two Hundred Eighty-eight Thousand Nine Hundred Seventeen
and 50/100 Dollars ($288,917.50) cash in hand paid on November 28, 2018, the receipt of which is
hereby acknowledged, it does by these presents bargain, grant, sell, convey and deliver with complete
transfer and Vbrogation of all rights and actions of warranty against all former proprietors of the
property herein conveyed unto Pay Tribute, LLC 10 South Cardinal Drive Wilmington, NC 28403 the
following described movable property, to -wit:
Vessel: 2018 Freeman 34VH Hull Identification Number: IGG34058GB18
Binnacle: Yamaha CL-2MB Binnacle Serial Number: 6X6D-1522565
Engines: Yamaha LF300 UCA Engine Serial Numbers: 6CFU-1015132
Yamaha F300 UCA 6CEU-1046935
Seller also declared and affirms that there is no mortgage, lien or encumbrance of any nature
whatsoever against the above described movable property or any accessories attached thereon.
WITNESS:
BY:
Scott F. Cothran
FREEMAN BOATWORKS, LLC (Seller)
SWORN TO AND SUBCRIBED before me, Notary Public for the unty of Charleston, State of South
Carolina, and the above signed witness, on this day of 2018, after due
reading of the whole.
NOTARY PUBLIC
My Commission expires: _00 27 2025
DEPARTMENT OF HOMELAND SECURITY OMB No:1625-0027
U.S. Coast Guard Expires: 0713IM19
BILL OF SALE
1. VESSEL NAME
2. OFFICIAL NUMBER OR HULL ID
STELLA MARIS EOU34Z32A606
NUMBER 1252375
3. NAME(S) AND ADDRESSES) OF SELLERS
Anthony M. Gambee
Sole Owner
900 Crescen= Beach Road
Vero Beach, FL 32963
3A. TOTAL INTEREST OWNED (IF LESS ,THAN 100%): °k
4. NAME(S) AND ADDRESSES) OF BUYER(Sl AND INTEREST TRANSFERRED TO EACH
Pay Tribute LLC
108 West 13th Street iWilmington, DE
10 South Cardinal Street, Wilmington, NC 28403
4A. TOTAL INTERES-TRANSFERRED (100% UNLESS OTHERWISE SPECIFIED): %
46. MANNER OF OWNERSHIP, UNLESS OTHERWISE STATED HEREIN, THIS BILL OF SALE CREATES A TENANCY IN COMMON, WITH EACH
TENANT OWNING AN EQUAL UNDIVIDED INTEREST. CHECK ONLY ONE OF THE FOLLOWING BLOCKS TO SHOW ANOTHER FORM OF
OWNERSHIP.
JOINT TENANCY WITH RIGHT OF SURVIVORSHIP TENANCY BY THE ENTIRETIES COMMUNITY PROPERTY
OTHER (DESCRIBE)
5. CONSIDERATION RECEIVED (ONE DOLLAR AND OTHER VALUABLE CONSIDERATION UNLESS OTHERWISE STATED)
6. 1 (WE) DO HEREBY SELL TO THE BUYER(S) NAMED ABOVE, THE RIGHT, TITLE AND INTEREST IDENTIFIED IN BLOCK 4 OF THIS BILL OF SALE,
IN THE PROPORTION SPECIFIED HEREIN,
VESSEL IS SOLD FREE AND CLEAR OF ALL LIENS, MORTGAGES, AND OTHER ENCUMBRANCES OF ANY KIND AND %ATURE, EXCEPT AS
STATED ON THE REVERSE HEREOF. VESSEL IS SOLD TOGETHER WITH AN EQUAL INTEREST IN THE MASTS, BOWSPRIT, SAILS, BOATS,
ANCHORS, CABLES, TACKLE, FURNITURE.,AND ALL OTHER NECESSARIES THERETO APPERTAINING AND BELONGING, EXCEPT AS STATED ON
THE REVERSE HEREOF. �\
7. SIGN URES FLUER(s)bRPOTON, SIGNING 04 BEN' OF SELLER(S).
8. DATE SIGNED
2r
9. NAME(S) OF RSON(S) SIGNI ABOVE AND LEGAL CAPACITY IN ICH SIGNED (E.G., OWNER, AGENT, TRUSTEE, ExECUTOR)
Anthony M. Gambee Sole Owner
10. ACKNOWLEDGMENT (TO BE COMPLETED BY NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED BY A LAW OF A STATE OR THE UNITED
STATES TO TAKE OATH.)
ON `�- aLr- aO(-1 THE PERSON(S) NAMED IN SECTION 9 STATE /Qt-IItG
(DATE)
ABOVE ACKNOWLEDGED EXECUTION OF THE FOREGOING INSTRUMENT COUNTY: I nA t[an 4Ril)Q -
IN THEIR STATED CAPACITY(IES) FOR THE PURPOSE THEREIN CONTAINED.
NOT RY PUBLIC:
S
f FtoAde4W20�U.2o18
�vIN
MY COM I ION PIRES: d$I��
(DATE)
w-is+u tUunol YreAous Ecutlon UDsolete Page 1 of 2
CERTIFICATE OF FORMATION
OF
PAY TRIBUTE LLC
The undersigned, an authorized natural person, for the purpose of forming a limited liability company, under the
provisions and subject to the requirements of the State of Delaware (particularly Chapter 18, Title 6 of the
Delaware Code and the acts amendatory thereof and supplemental thereto, and known, identified, and referred to
as the "Delaware Limited Liability Company Act', hereby certifies that:
FIRST: The name of the limited liability company (hereinafter called the "limited
liability company'D is: PAY TRIBUTE LLC
SECOND: The address of the registered office of the limited liability company in the State of
Delaware is located at: 108 West l 3th Street, Wilmington, Delaware 19801. Located in
the County of New Castle. The name of the registered agent at that address is Business
Filings Incorporated
THIRD: The duration of the limited liability company shall be perpetual.
FOURTH: The name and address of the member is:
* Mark Maynard, 10 South Cardinal Drive, Wilmington, North Carolina 28403
Executed on December 15, 2015
7
W�
Business Filings Incorporated,
Authorized Person
Mark Williams, A.V.P.
Staff 01 Naware
Secman of State
DMM of Corporation
D&ertd 10:29 AV IZU7015
FLED 10:29 �"l 1216201S
5R 20151377431 - FBe\umber 59091&6
Delaware
The First State
I, JEFFREY W. BULLOCW, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF FORMATION OF "PAY TRIBUTE LW',
FILED IN THIS OFFICE ON THE SIXTEENTH DAY OF DECEMBER, A.D.
2015, AT 10:29 O'CLOCK A.K,
0 J
5909186 8100
SR# 20151377431
You may verity this certificate online at corp.delaware.gov/authver.shtml
Page 1
y1f r, IZZ
+.ten ". wa«•, s...n,.p a live
Authentication: 10629746
Date: 12-16-15
ICNTDS DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
AY TRIBUTE LLC
MARK L MAYNARD SOLE MBR
10 S CARDINAL DR
WILMINGTON, NC 28403
Date of this notice: 01-13-2020
Employer Identification Number:
84-4254073
Form: SS-4
Number of this notice: CP 575 G
For assistance you may call us at:
1-800-829-4933
IF YOU WRITE, ATTACH THE
STUB AT THE END OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 84-4254073. This EIN will identify you, your business accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When filing tax documents, payments, and related correspondence, it is very important
that you use your EIN and complete name and address exactly as shown above. Any variation
may cause a delay in processing, result in incorrect information in your account, or even
cause you to be assigned more than one EIN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and return it to us.
A limited liability company (LLC) may file Form 8832, Entity CIassification Election,
and elect to be classified as an association taxable as a corporation. If the LLC is
eligible to be treated as a corporation that meets certain tests and it will be electing S
corporation status, it must timely file Form 2553, Election by a Small Business
Corporation. The LLC will be treated as a corporation as of the effective date of the S
corporation election and does not need to file Form 8832.
To obtain tax forms and publications, including those referenced in this notice,
visit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office.
I)MRTANT R81@QDERS :
* Keep a copy of this notice in your permanent records. This notice is issued only
one time and the IRS will not be able to generate a duplicate copy for you. You
may give a copy of this document to anyone asking for proof of your EIN.
* Use this EIN and your name exactly as they appear at the top of this notice on all
your federal tax forms.
* Refer to this EIN on your tax -related correspondence and documents.
If you have questions about your EIN, you can call us at the phone number or write to
us at the address shown at the top of this notice. If you write, please tear off the stub
at the bottom of this notice and send it along with your letter. If you do not need to
write us, do not complete and return the stub.
Your name control associated with this EIN is PAYT. You will need to provide this
information, along with your EIN, if you file your returns electronically.
Thank you for your cooperation.
(IRS USE ONLY) 575G 01-13-2020 PAYT O 9999999999 SS-4
Keep this part for your records. CP 575 G (Rev. 7-2007)
Return this part with any correspondence
so we may identify your account. Please
correct any errors in your name or address.
CP 575 G
9999999999
Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 01-13-2020
( ) - EMPLOYER IDENTIFICATION NUMBER: 84-4254073
FORM: SS-4 NOBOD
INTERNAL REVENUE SERVICE PAY TRIBUTE LLC
CINCINNATI OH 45999-0023 MARK L MAYNARD SOLE MBR
loll 10 S CARDINAL DR
WILMINGTON, NC 28403
Dan Received
D•» Dpo~
Check From N"W
Name or Permit Holdw
V-dr
Check Numbw
Cheek
amount
Pamir Nemb-X—.—t.
RecN t w RNund/Redlaceted
Col —I
Ca1amO2
CM-3
COA-4
COA-5
COWmM
CNumn7
Coke "
CW-9
42=120
423/2020'
Dawn and Scott Humphries
same
Alliance Credit Union
8661,
$ 200.00 GP #75878D
JD rct. 10338
4/22/2020
4232020
Randall Caudle
same
Wachovia
45651
$ 200.00 GPaR76221D_
JDrct. 10337
_
Major Renewal #64-W, Turtle, Harbour Association,
4/22/2020
423/2020
Carolina Marine Construction, Inc.
Turtle Harbour Association_
First Bank
1264/
S 100.00 Wilmington NHCo
PA rrd. 9750
4/22/2020
423/2020
Duncan Marine Contractors, Inc.
_ _
William Massey _
Branch BanIdr43 and Trust
_
8323 $ 400.00 GP $75896D
,PA rct. 9748
4/222020
423/2020
Land to Sea Construction, 11C
Mark Maynard
First ClItizens B"
193
$ 600.00 GP 875895D
PA rcL 9747
.
Major fee, South Beach Renowishrtrent, Bald Head Island
4.23=20
Davey Resource Group
Village of BHI
UnNed
1767
3 475.00 BrCo SPLIT 60140
will be TP left receipt book at off