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Home My WebLink About74866D - SandiferJCAMA / - DREDGE & FILL f) NO. 74866 A B C GENERAL PERMIT Previous permit # *L%w _ Modification GComplete Reissue El 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 0111.2C60 (' ❑ Rules attached. Applicant Name �.� ^ J C' r Project Location: Countyt, rw ^ ,4 i Address �� `'� JA, sw Street Address/ State Road/ Lot #(s) S'A n^ E City C J00( State N(.— ZIP Phone # 0-4) LD E-Mail r^^ SO, n,, j r 3 , �•ct,,., Subdivision "— Authorized Agent uA \ City ZIP Affected ❑ CW VgW PTA ❑ ES ❑ PTS ❑ OEA ElHHF ElIH ElUBA ElN/A AEC(s): ❑ PWS: ORW: yes / 46' PNA yes / 6D Type of Project/ Activity �t r , 4 Q.s_. k l Pier Fixec Float Finge Groii Bulkl Basir Boat Boat Beac Othe Shor SAV Mor Phoi Wain Phone # ( River Basin Adj. Wtr. Body 1\ � —J "`/ doman /unkn) Closest Maj. Wtr. Body (Scale: N = S ) ■■l�■■■■r�!�■w■1�■■��r�■ ■■■■ ■■■■■�■■■■■■■ ng Platform(s) ■■■!�■■■■■■�!■■■■■ ■ _!r. _■�i■■■■■■�■■■■■■■ � length ■■■■■■■■■■■■■!�![I■■■■�■■■■■■■■■�■■■■■■■ number 'N ■■■nce L�6�■M!71[�1■�I ■��■■■■■�■■■■■■■■■■■■ offshore 2vg distance offshore ME max distance offshore ■■■■■■■■N■■■I!■■�1 ■■■■ ■[��Il1lIL��■■■H■■ ■■■■■■■■■■■N■■■■ ■[!■■■l�r'��■■■■■■■■■■ cubic: yards ■■■■■■■■■■■■■ ■!■■�1■■■■■■■■■■■■■■■■■■ ramp ■■■■■■■■■■■N■[i,I■ ■� 1!■■■■■■■■■■■■■■■■■■ MEN ■■■■■■■■NEE ■■■■■■ �� !�!N■■■■�!!�■■_■■■■■�■■ Mona !�■�l��t�M ��■■M1■v■■■■■■■■ WI NSERNOWN ■■��■�■�r��r�� ■�■■�■■■■■■■■■■ OMNI ME MEN =ME MEN -line Length not sure yes ■■■■■■■■■■N ■■■■■■■■■■■■■■■■ ■■®■■ "M 1�v oil IN ■■■■■■■M■■■ ■�■■�■■■�■■■�■■■��' A building permit may bequired by: \� �/^ S v' �- o�^ } ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) 11 Notes/ Special Conditions �p� 1� �� ., M �-- �� r��.-, �1A c r •'�� Agent or Applicant Printed ame Signature Please read compliance statement on back of permit ** r e..,-,/ Application Fee(s) Check Signature 1 02U '/ Issuing Dat Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Robin Sandifer Mailing Address: 3737 Windy Point Rd SW Supply NC 28462 Phone Number: 972-467-6080 Email Address: rmsandifer37@gmail.com I certify that I have authorized Will Richardson Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Replacement of floating dock at my property located at 3737 Windy Point Rd SW, Supply NC 28462 in Brunswick 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 Robin Sandifer Print or Type Name Owner Title 12 1 09 / 19 Date This certification is valid through 02 / 28 1 20 As.►ACENT RIPARIAN PROPERTY OWNER STATEMENT i hereby certify that I own property adiacent to Robin Sandifer g property located at _3_737 Windy Point Rd SW (Name of Property Owner) 4rt AI�1'�4' (Address, Lot, Block Road, etc.i :n Supp1:}- NCB N C (Vilaterboo,d ;Cit:yffoven- ar filar County) The applicant has described to me, as shown below, the developrnent proposed at the above locar, initial here I have ?10 objector to this proposal. have z�o`e, Uons to this pro^csa - . DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT '7ndhridual proposing developmentmust fill in de scripfion below or attach a site drawing Replacement of floating dock in same location WAIVER SECTION i understancs that a pier. dock, mooring pilings, breakwater, boathouse. lift, or groin trust be set ba minimum distance of 157 from any area of riparian access unless waived by me. (If you *sh to w the setback. you must initiai the agproonate blank below.; initial here f;1, I do wish to }.naive the 15' setback reauimment_ I do not Irish tc Huai ,,e he 1 5' setback ^equirer€;ent. (Property Ovv-,e information" 'Adjacent Property Ohms► In onnathm) Co®p Signature �ie/7Clture 1�iN Richardson/Authorized Agent r„ a Print or Type Fame 3235 Seacrest Ave SW :+Mailing Address Supply `'C 28462 Ci4oVatslZip 910-367-MS Telephone Number December 19th, 2019 Da:.F — — LL ►��1 7 a P:7F,i Cr Type NaaW f c MalNng AalQ. =f..--. Telephone Nun, rer r; iat_- (Re ✓ised 611 &T 012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to Robin Sandifer Is Property located at 3737 Windy Point Rd SW (Name of Property Owner) on AIWW (Address, Lot, Block, Road, etc.) , in Supply NC N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. initial here 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT 004vidua/ proposing development must !ip in descrlption below or attach a site drawling) Replacement of floating dock in same location WAIVER SECTION 1 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.) initial either I do wish to waive the 15' setback requirement. place I do not wish to waive the 15' setback requirement. (Property Owner Information) ( jacent Property Owner Information) l t llJ w 6�v .✓vlt� Complete Signature Will Richardson/Authorized Agent J_xuro Print or Type Name P t or Type N 3235 Seacrest Ave SW � D Y Malting Address Maili Address Supply NC 28462 OR / /(,! L Z C*State2�p c vsra p 910-367-0f35 C//Q_ ?q 2 _ a Telephone Number Tel773 N mber December 19th, 2019 7& 2 C Date Date (Revised 6118/2012) EMSTIN& STRUCTURES 7 4RT PIER NTS __ ROo1N SANpPER $151 "NOY POINT RO 9W SUPPLY NC 36W lbxlO UP STATIONARY DOCK REPLACE 6X16FT FLOAT IN 5AME POSITION