HomeMy WebLinkAbout74671D - Hicks',CAMA / DREDGE & FILL No. 74671 A B c
GENERAL PERMIT Previous permit #
Mew `Modification LJComplete Reissue EPartial 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 I SA NCAC 0'7N
❑ Rules attached.
Applicant Name R tc lc 5 Project Location: County NGVJ NAN 01JE
Address S144 3ALD CP L-,LE LA4E
City kN10A%NGtOAI Stated (- ZIP 28y 11
Phone # (-"I ) (o(a. 551 E-Mail CN+CkSAT@ (-r1A►L. c4AA
Authorized Agent R+C.HAfzD PL=NWJ
Affected ❑ Cw 9EW tKPTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS:
ORW: yes / PNA 0/ no
❑ ES ❑ PTS
❑ USA ❑ N/A
Street Address/ State Road/ Lot #(s) 87 4 y
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Subdivision
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Type of Project/ Activity QeApVC- UJ C- Awlt N (p eoAI L � F T. fZCVLAc.& (310L IMRALCE_GA'ZEQo A yD PAa AC W i UL
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A building permit may be required by: 9EV k0dVE(Z C6 ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/Special Conditions ] VXX-QgE C-_Y15TQJb QuAl UFT PRioR To AM4 C)TNER W0421L
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Ager(rtvr•A�plicant Print
Signature* Please read compliance statement o t
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Permit Officer's Printed Name
Signatur
/Z / /D /Z
Iss ng D e Expiration Date
Application Fee(s) Check #
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Charles Hicks
Mailing Address:
Phone Number:
8744 Bald Eagle Lane
Wilmington, NC 28411
(910) 612-5511
Email Address: chicksat@gmail.com
I certify that I have authorized Richard Penny, RPC Marine, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Repairs/replacement of
finger piers, floating dock, and covered platform
at my property located at 8744 Bald Eagle La, Wilmington, NC 28411
in New Hanover County.
I 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:
Signature
s III
Print or Type Name
Title
Date
09 15 2019
This certification is valid through I I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Charles Hicks s
(Name of Property Owner)
property located at 8744 Bald Eagle Lane
(Address, Lot, Block, Road, etc.)
on Intracoastal Waterway in Wilmington NC 28411/New Hanover County. N.C.
(Waterbody) (City/Town and/or County)
Th 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)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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 Owper Information) (Adjacent Pro erty Owner ormation)
L--
Signature Si natur * J
L� ice C- I,- r I
Print or Type Name
Mailing Address
Cam' c�.wy4 1� � C 23
City/State/Zip 10M (-&, @ b; (�
UP')SI(*-lpob clark��ec,
Telephone Number/email address
54IN9
Date —
*Valid for one calendar year after signature*
.g e
Richard L. Penny (for Charles Hicks)
Print or Type Name
133 Sound View Drive
Mailing Address
Hampstead, NC 28443
City/State/Zip
Lam,, 910 362-1317 / rick r cmarine.com
Telephone �Vumb�r/email address
s Jz i
Date
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Charles Hicks s
(Name of Property Owner)
property located at 8744 Bald Eagle Lane
(Address, Lot, Block, Road, etc.)
on Intracoastal Waterway in Wilmington NC 28411/New Hanover County, N.C.
(Waterbody) (City/Town and/or County)
The ap ant 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)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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) (Adjacent Property Owner Inform\ ion)
Signature I. Signature * �.
HCt ( cTcn`kq V`- Richard L. Penny (for Charles Hicks)
Print or Type Name Print or Type Name
133 Sound View Drive
Mailinq Address �1 ( Mailing Address
Lo� ,2 l E 1 Hampstead, NC 28443
City/State2ip J Q City/State2ip
-- �, . � (� 910 352-1317 / rickOrpcmarine.com
Telephon Number / email address 6e Telephon Num er / email address
Date Dare'
`Valid for one calendar year after signature'
(Revised Aug. 2014)