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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 i■■►� z�•�ir ■■■■■��■� .,■■ number 'WORM distance offshore �■■■■■■■■■!max �" Il�l�ti'.l�i':"' ■■■■ ■■■■■■■■ ■■■■■■■■■7 11. ' /�bn , ■■■■■■■■■■■■■ channel ■■■■■■■■■■■■i, tANl■ :t�■1�■■ ■i■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ V■�� i ■■■■■■■H■■■■■■ cubic yards ■■■■■■■■■■■■■� _1 ■■■■n■■Iw■■■■■■■■■■ONE ■■■■■■■■■■■■■■ s� ■■1■■ ■■■■■■ ■■■■■■■■■ -i Bulldozing ■w■■■■■■■■ ■ L.J ■■■■■■■■■■■■■■ i%ri■■■■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■�%��■■■A■■■■■■■■■■■■■■■■■■ ...:. .. ■" '■�; ■■■■�=n. E1=EEE11N !�1■.�..... notsure yes yes 4r! .� , . ■■■■■■■■■■■■■■■lam ,■■ "!�! 7:�1 �s h�. ME ■■■■■ ■■ ■��t � ,_L►�1�C�1iMl5, ■■ . IMEMFIS: 1I■■■■■ ■iI.I��::�a�t33J■ ■■■ ■■■■■■IY ■■■�■�■■■■■' ■■I1� ���■V�!, �! l�rilll! ■■ r�� 9■■■■■ ■■u/�rz irrinmMONNE�1hME� ■ ■■■ ■N■■■■■■■ 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