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 }
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■
■■■■■■■■■■■■■■■■■!■
■
\
.i■■■■■■®■■■N■■I
■■■■■■■■■■■■■■■cubic
■\■■■■■■�■■■�■■
yards
ramp
■■■■■■■■■■■■■��
�!!��■■■■■■��■■
I/!■■a�l!�!%!;�!
■■■■■■■■■■■■■
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W:Qs-I:i:IIw
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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