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HomeMy WebLinkAbout74789D - Mikkelsen�� 4-2?• 2oZa �Yll.v -. >e'CAMA / F DREDGE & FILL No. 74789 A B c GENERAL PERMIT Previous permit#_ New Modification Complete Reissue I 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 15A NCAC 020- A nnn r I Rules attached. Applicant Name Bv* & Owhr mlkkdw Project Location: County NWj'1a v]Q,A- Address ��Q_ �7 Street Address/ State Road/ Lot #(s) City - State ZIP-916/9- pQ Phone # (SQL)404 E-Mail SDM Subdivision _ Authorized Agent �% `jJ_ - _ _ _ City _ _ ZIP � Affected L]CW NEW )('PTA ElES ❑PTS Phone # ( ---j OAk yRiver Basin AEC(s): ❑ OEA EIHHF I IH El L) WA Adj. Wtr. Body /� unkn PWS: ORW: yes ,(® PNA yes / ® Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length v Fixed Platform(s) _ Floating Platform(s) — Finger pier(s)"'w �((q Groin length number Bulkhead/ Riprap length avg distance offshore _ max distance offshore �t►�,�►�- � � 'X 15�boct� li¢t a Basin, channel i cubic yards Boat ramp _ ^^ BoathousBoadlft 'A,tt 15, ........... r.`r v Beach Bulldozing �1 Other V h9w Shoreline Length SAV: not sure yes ®� i- I Moratorium: n/a yes ® i i I Photos: yes Phi Waiver Attached: yes fo r"G l� I;k i A building permit may be required by: �6m (/,J— ( Note Local Planning jurisdiction) Notes/ Special Conditions QZ mzym._, 4w ew. ,Q /Sy Lf t at M Heather Mikkelsen Brian Mikkelsen Agent iPnted Name Signature "Please read compliance statement on back of permit aO 00--- -- -- - 131--- Application Fee(s) Check # v (Scale: Ar See note on back regarding River Basin rules. ermit Officer's. Printed Name Signature IssuiI Dac 01 � ;R094_ Expiration Date ',<CAMA / ❑ DREDGE & FILL GENERAL PERMIT New ❑Modification Complete Reissue ❑Partial Reissue No. 74789 A B C Previous permit # 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 15A NCACy_ nnn B Rules attached. Applicant Name &'4 Address ����� �Wf C, a0 i/li City State ZIP A Phone # (-WL)404 RAT E-Mail r 49 N�, COM Authorized Agent Affected ❑ CW NEW WPTA ❑ ES ❑ PTS AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes 49 PNA yes / Type of Project/ Activity Pier Fixe( Flom I Groi Bulkl Basir Boat Boat Beac Othe Shor SAV Mon Phot Wain Project Location: County N&V f7Crg].� Street Address/ State Road/ Lot #(s) Subdivision —_ ZIP a�g� Phone # ( ----j---- River Basin Adj. Wtr. Body/ro n m unkn Closest Maj. Wtr. Body � J 0 (Scale: / V is } ■■!■■■■■■�1�■■�■■■^■■�.�!■■■!!■■ ■rI'wi'��ilION ■■■■■■r,.,7rf;;7:,A■p—.Fpd■!■Frd■ipI■IVi■ ■ ■■■■■■■■■■■■■■■■■!■ ■ \ .i■■■■■■®■■■N■■I ■■■■■■■■■■■■■■■cubic ■\■■■■■■�■■■�■■ yards ramp ■■■■■■■■■■■■■�� �!!��■■■■■■��■■ I/!■■a�l!�!%!;�! ■■■■■■■■■■■■■ ..C7■■ !■■■■■■■■■■■■■■ W:Qs-I:i:IIw i 0 ,.use5 '- ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■I ■■/%■15"WhIr, fi'I■■■■ g%!■C.......�.....■■■■■ i� i Bulldozing !!!!!■■■!■■■■■ \L%��■■■■ ■!!■■■■�■■■ - ■■■■■■■■■■■■!■■■■r■■�■■■■■■■■■■■■■■■ ■!■■■■■■■■■■■■■■!■■■fir/■■■■■■■■■■■■■!!■■ Length not sure yes 19 !1ls1!!NI-line MEN.gIMIJIMEnRIMMaJIMEMIMMEIM Fs: yes 49 /M■ WT97 27722M■■■ME■■ U A building permit may be required by: -&-11 % l ti-4 ( Note Local Planning jurisdiction) n Notes/ Special Conditions A_�/�� �{' e?WW1 ?rA �"y U im_ 2 w ❑ See note on back regarding River Basin rules. IF If. . . - - 7 /i //- ..J_ _ MZ - - m / ] /i - _ . U . . / -- - . ­A-1— Aln . /I - iI i , o . Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** ;� 7)n 131 Application Fee(s) Check # Permit Officer's Printed Name AM%c n Signature 11 /aa /aaig 3/ao Is uVg Dat Expiration bate DocuSign Envelope ID: 816F7OD8-BEOC-4F7C-AEC4-75523C6EAC41 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Brian Mikkelsen 's fp?4((N a of Pro erty Owner) property located at 1217 Canal Dr. Carolina BeacFi, ew Hanover Carolina Beach Yacht Basin (Address, Lot, Block, Road, etc.) on in Carolina Beach, New Hanover 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 Drawing 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.. I do not wish to waive the 15' setback requirement. (Property Owner Information) ae lenb!Aroperty Owner Information) er Signature Si904WHardison Brian Mikkelsen Print or Type Name PrPetrem aNfflon 1808 French Dr MaiingAddress Maf1 RVd[ Park Blvd Raleigh NC 27612 City/State/Zip Ci4y6fQQPBeach NC 3017048364 Telephone Number Telephone Number 11/6/2019 11/7/2019 Date Date (Revised 611812012) RECEIVED DCM WILMINGTON, NC DocuSign Envelope ID: B5AOF2A3-EB82-4AE5-A8E2-CC3B7530455F ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Brian Mikkelsen s WK((N a of Pro erty Owner) property located at 1217 Canal Dr. Carolina BeacFi, ew Hanover (Address, Lot, Block, Road, etc.) on Carolina Beach Yacht Basin in Carolina Beach, New Hanover 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 Drawing 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. - I do not wish to waive the 15' setback requirement. (Property Information) 41bcent Property Owner Information) yOOwner Signature ,1E . Brian Mikkelsen B n MCHorney Print or Type Name P M or T Name 1808 French Dr lg� Ca Dr. Mailing Address in�A I�Iarailo i naddress Beach NC 28428 Raleigh NC 27612 City/StatelZio Cjt S �/Zf$77 3017048364 Telephone Number Telephone Number 11/6/2019 6 Nov 2019 Date Date (Revised 611812012) RECEIVED NOV 13 2019 DCM WILMINGTON, NC Date Received Data Deposited Check Fmm Name Name of Penult Holder Vendor Check Number Check amount Permit Number/Comments Recelat or Relund/Reallocated Column! Column2 Co1umn3 C.1-4 Columns CMumnB COWmn7 Co1umn8 Column9 12/6/2019 12/6/2019 Eric and Viva LaChance Brian and Heather Mikkelson Mona Black Marina LLC USAA Federal Savings Bank First Citizens Bank BEST IState EmDlovees Credit Union 1064 9 200.00 GP *74807D _ GP €74789D GP i74812D IGP f74810D PA rct. 8522 PA rot. 8514 BB rcL 9457 IPA rcL 8524 12/6/2019 12/6/2019 same Marsh Walk by The Sea POA Julia Crouch Christopher Duke 131 2418 1005 $ 200.00 $ 200.00 200.00 12/6/2019 12/6/2019 H5 Construction LLC 12WO191 12WO19 I Daniel Crouch Julia Glew