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Home My WebLink About74775D - Betts-1 CAMA / r-DREDGE & FILL � L6 I Jv v No. 74775 A B C ��NERAL PERMIT Previous permit # --Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized�by the Statert of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name `) A"Co 6 1 t S Project Location: County �� ^ �� % J L /I Address �01 "'"pp.k 4,�� C4 Street Address/ State Road/ Lot #(s) City! J c�X �lc,w State (JC ZIP 20 3 Phone # 0 lV E-Mail Subdivision Authorized Agent \C, QQ . LJ4Ilk,-'r City j � � �-c � ec-c (-1 ZIP ElCW MEW $(PTA ❑ ES ElPTS A Phone # (IX) (02"2 3390 River Basin AEC(s)Affecte� . ElOEA ❑ HHF ❑ IH ❑ USA El N/A - / ❑ PWS: ORW: yes / fti PNA yes / Adj. Wtr. Body 1c: - s — c c A A,, - 7.lpa�an /unkn) Closest Maj. Wtr. Body Nt, k, Oc-.- Type of Project/ Activity _ ?QV/4tP ( . > ^ tor. !t ? C (ce1 of e Pier -(dock) Fixes Flom Fing# Gro�l Bulkt Basin Boat Boatl Beacl Othe Shore SAV: Mora , E■■■■MEMO rIgIrIJ30MONE ijength number —SESSION -ead/.. length avg distance offshore_ max distance offshore M■M■■MEM■ 0 MENOMONEE ■EM■M■■E ■ M■M■E■ME■ C M■■EEM■ ■ ME■E■ ■ ■ M■■■■■ cubic yards ramp 0 MWEEMBE ■ ■■E■PS ■ MOMMOMEME -i Bulldozing MIM®MMI::E MMENE ■■ME■rM dine Length 0 Mok��r;�:�u�u a ,s (Scale: JJ ( j Phot A building permit may be required by: n 5,{ qt -" 3 note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) r(b 3�y Notes/ Special Conditions I I 1 /fJ boC/ w TJ6 CwJSJtt)— rk- 0-c k� Agent or Applicant Printed Name Signatur ** Please read compliance statement on b k of permit ** o do3 6-2 Apple on Fee(s) Check # e '�re r% 4A— Llw Permit�er'sPrin N Signatu e Iq 3 Issuirh WelE iration Date VACAMA / O DREDGE & FILL. No. 74775 A B C ENERAL PERMIT Previous permit # fJ11New ❑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 15A NCAC `' Applicant Name 6 L W ti., G�'� _ ._ ❑ Rules attached. Project Location: County_�� SAAl— Address U k (%�'� , Street Address/ State Road/ Lot #(s)_j'yZ� Met.- j1 S, City) ----State NG ZIP 28 Phone # ) 60 &nf E-Mail "'--` Subdivisions _ Authorized Agent t� �,. plc. r,r Clty—stt'3 . e"t ZIP 29468 C]CW )qEW gPTA ❑ES OPTS Phone # ( V )tgr12"Z '3� 9Q_ fiver Basin Affected AEC 5 : OEA ❑ HHF ❑ IH UBA 0 N/A Ad'. Wtr. Body_— ,. an lunkn) O PWS: ORW: yes /49 PNA yes /< Closest Maj. Wtr. Body Apk++ tl- Type of Project/ Activity i g JO/4CZ Pier (dock) len th KUs Fixe Float Fang Grol Bulk Basin Boat Boat Beac Othe Shor SAV: Mora Phot d PTatform{s) f ''I ing Platform(s) er pier(s) __- n length number — head/ Rlprap length -' avg distance offshore max distance offshore channel - - - -- cubic yards_` - ramp house/ Boatlift -' -- — h Bulldozing r eiine Length M yes- torium: n/a yes os: yes �Waiver Attached. yes A building permit maybe required by: S;4S4Oeawk —'-0 '-r--- ( Note Local Planning Jurisdiction) Notes/ Special Conditions _ n i t/1'(AG7 r .nG..vt�'.✓� SAkeL-ciu- M Ott ackof permit"* AL ff)'3ff,;2 Check #t J 1-5(Scale: J Permit er's- Printed N Signatu Issui Fe� Ex (ration Date �Waiver Attached. yes A building permit maybe required by: S;4S4Oeawk —'-0 '-r--- ( Note Local Planning Jurisdiction) Notes/ Special Conditions _ n i t/1'(AG7 r .nG..vt�'.✓� SAkeL-ciu- M Ott ackof permit"* AL ff)'3ff,;2 Check #t J 1-5(Scale: J Permit er's- Printed N Signatu Issui Fe� Ex (ration Date NC Division of Coastal Management Cashier's Official Receipt Received From: Permit No.: �5 Applicant's Name: A,, —cab t_ Project Address: LTZk -��'� 7938 A $ c& Date: 20 Check No.: fn County: Please retain rece for your records as proof of payment for permit issued. Signature of Agent or Applican Signature of Feld RepressL12-3 Date: !/i Date: �! / AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Applying for Permit: Jacob Betts Mailing address: 401 Poppy Hill Ct. Waxhaw, NC 28173 Phone Number: (704) 840-6796 I certify that I have authorized Jason Walker , Agent / Contractor to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of swimming pool; pier; floating dock; boat lift /1'�2 I at my property located at -IRM E. Main Street, Sunset Beach , in Brunswick County. This certification is valid through December 21 , 2019 Date rty Owner Information) Signature or Type Name Title Date 70� V 0 �_796 Phone Number Email Address 2990 62ET TOOO 06TO Z-M- ■ Complete items , 2, and 3. A. Signal ■ Print your namewd address -on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, X:� or on the front if space permits. . Article Addressed to: Jav, 'D iaM'1yj34nrne 15 t7 E. Alain 64. SZ90 6TET TOOO 06TO z2OZ by (Printed Name) 6690 6TE2 TOOO 06TO Z20z ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. C. Date of • Attach this card to the back of the mailpiece, A L /U _ or on the front if space permits. 0 Ag D. Is delivery address different from item 1? LJ Ye, If YES, enter delivery address below: ❑ Nc Article Addressed to: P'r on -T. r ' (�{d Oee-r C e-ld Fav r n C.-t C-�,,+ fQi is A. Signature / ❑ Agent �f Address B. Received by (Printed Name) C. D e of D live D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No L 3. Service Type ❑Priority Mail Expresso 3. Service Type ElPriority Mail E r II I I I II III II I II III I IIII I III II III ❑Adult Signature ElAdultAdult Signature Restricted Delivery ❑ Registered Mail R ❑ Registered Mail Restricted IIII III II I II IIII IIII I I I I I I I I I ❑ Adult Signature ElAdult Signature Restricted Delivery ❑ Registered Mail ❑ Registered Mail Certified Mailer ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Certified Mail® Delivery 9590 9402 2021 6123 2813 83 ❑ Collect on Delivery Merchandise 9590 9402 2021 6123 2810 24 ❑ Certified Mail Restricted Delivery ❑ Collect on Relive 0 ❑ Return Receipt I Merchandise 2. Article Number !Transfer from service fahall ❑ Collect on Delivery Restricted Delivery Signature Confirmation- ❑ Signature Confirmation rr s_ ti n ❑ Collect on Delivery Restricted Delivery Signature Confi• ❑ Signature Confii 7 0 17 0190 0001 1319 0 6 ? 5 nsured Mail isured Mail Restricted Delivery Restricted Delivery aii 7 017 0190 0001 1319 0699 ail Restricted Delivery Restricted Deliv ver $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return I_- _ n Date Received Date De sited Check From Name Name OfP~ Noldr Vendw Check Number Check amount Pennk Numbr.Comments Recel t or ReturxWeallocatad Columnl Celwrm2 Column3 cohm im CokwO5 Co—6 Column? columns Cokamnt 11/1/2019 Carolina Craftsman, Inc. Leland Helms BB&T 3816 $ 200.00 GP #74544D _ Trnc rct. 8292 11/1/2019 Richard and Susan HutaH 1 of 2 some First Citizens Bank 6123 $ 100.00 GP *74731 D PA rct. 8507 1111/11/201191 Richard and Susan Hutaff 2 of 2 same First Citizens Bank 6054 $ 5W.00 GP 974731 D PA rct. 8507 11/1/2019 Willie Clarence Richardson/Richardson CoStephen & Paula Webb BB&T 7562 $ 200.00 GP 974547D TMc rcL 8294 11/1/2019 Gaston F and Janell LopezGatson Lopez IARY Bank 1198 $ 200.00 GP #74761D JD rct. 9066 11/1/2019 Clements Marine Construction Tracy Shake re First Citizens Bank 5278 $ 200.00 GP 974599D JD rct. 9065 11/1/2019 F and S Marine Contractors Inc Dennis Moeller PNC Bank 8171 $ 200.00 GP 974762D JD rct. 9064 11/1/2019 Thomas G Day III Thomas Day & Madeleine Vanston Wells Fargo 103 $ 200.00 GP #74730D PA rct. 8508 11/1/2019 JW & MT Dowless John Dowless BB&T 8341 $ 200.00 GP #74774D BB rct. 7937 11/11/2019 Carolina Creations Landscapes, Inc. Jacob Betts First Bank 103821$ 200.00 GP #74775D BB rcL 7938