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�CAMA / ❑ DREDGE & FILL
GENERAL, PERMIT
New Modification ❑Complete Reissue [-]Partial Reissue
No. 76117 A B
Previous permit # �1-11
Date previous permit issued
•ized by the State of North Carolina, Department of Environmental Quality
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7N 2 �(�
r (� El Rules attached.
Name l iA r" ' G I U I e Project Location: County {-A n � w{ _
rrp olk ed Street Address/ State Road/ Lot #(s) /L// Q
C h a r 1 04C State IBC ziP 9,';-"70 _
( %1 607-08 y $ E-Mail Subdivision
ad Agent (9r 1 (Q CV v) ShLAJ, or, 9/�- r�9 - 909 S C;ty �h scd- P e&J zip d 8 q&
❑ CW XEW AFTA ❑ ES ❑ PTS Phone # ( !—jam/' River Basin L— I J M
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A f
❑ PWS:
Kes / [' l PNA / no
e
Project/ Activity
:k) length_
aform(s)
Platform(s)
igth
nber
I)tipra9ole<th EX I (i 1 ✓1
distance offshore ()
(distance offshore��
Length t so
not sure yes
Am: /(!�> yes no
yes (roo
[[ached: yes
Adj. Wtr. Body 9'(/1'i�p�-L re en�
Closest Maj. Wtr. Body —_GT— L-L/J1A)
/ %n+
(Scale:
g permit may be required ed by: u h S �� e ❑ See note on back regarding River Basin r
ocal Planning jurisdiction)�t / I iiill
All -7,w ,..1_ _.0 l I__ I I.L.
Ain
a
North Carolina Departnoent of Environment and Natural Resources
Dos& of Coastal Managemerl
Pat fkCrn:Y Braxton C Davis JOM E Sovaria ill
Cio,emar Drester Secretary
AGENT -AUTHORIZATION FORM AGENT AUTHORIZATION FuKm
Date
Name of Property Owner Applying for Permit
Owners Mailing Address J
}� Cx f
Phone Number r t 6 S
Name of Authorized Agent for this project
Agents Mailing Address
Le(el's akcii,c- 50
4ck%_-WC
I` n-2Ss-ty
Phone Number RO) .� r c{ CP� S
i certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (actrvdy)
For my property located at
This certification is valid thru (date)
Property Owner Signature Date
'27 Cantina D1W EA .'A*ft W. NC 213 5
CERTIFIED MAIL - RMR(V RECEIPT REQUESTED
DIVISION Olt COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPffRTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: QamI�Q
Address of Property: �T2-
(Lot or Street #, Street or Road, City & County) ram— t
Agent's Name #:lCICt' Q.1 *Qji,�c) Mailing Address:WlU1�
Agent's phone #: 0�V)' CJ-Ci' gb9rj
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this permit has described to me as shown on the attached drawing -the development they are proposing.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Dl yl n of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Corres a should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represen also be
contacted at (910) 796-7215. No response is considered the same as no objection been
notified by Certified Mall.
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.)
2 I do wish to waive the 15' setback requirement.
4J� I do not wish to waive the 15' setback requirement.
(Property Owner Information)
%�U 6qg A>
Sr�,nnture
CAm►1�G �'��
Print or Type Name
5,a5 CV--eU\CA YA
Mailing Address
C-�16�t N. C 2-62-76
City/Statelzip
Cdj r ty Owner Information)
Signature /
Cc See�� GC1fCf c
Pr. t or Type ame
--3,of
M 7ing Add ss
t�t
rt 2
Ctty/state,00
� LLB_ ,_ • � • �
DIVISION OF.COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPLORTY NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
1y
d`
Agdnt's Name # Ga, IC{, � C (`l�L ('�o
Agent's phone
. -- - -----
Mailing Address:LQ &xh Dr -
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this permit has described to me as shown on the attached drawing the development they are proposing.
I have no objections to this proposal. I have objections to this proposal.
K you have objections to what Is being proposed, you must notify the DI of Coastal
Management (OCM) In wrldng wWn 10 days of receipt of this nodco. Co should bQ
melled to 127 Cardinal Drive Extr, Wilmington, NC, 28405-384& DCM repo, also be
contacted at (910) 798-7215. No response /s considered the some a$ no objection h,.
notit7ed by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back at
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. lie.
I do not wish to waive the 15' setback requirement.
5 eA
(Property Owner Information)
�R—tol
Signature
Q13 rv\ t I �q lb-x'k�
Print or Type Name
503S o to\cc
Mailing Address
Yp 1Ac� e WC 2co276
(Adjacent Property Owner Information) V"t-,
66-� l - --
Signature
Print or Type -Name
1 c.
Mailing Addrdas ^
Citylstatagip
Crty/State/Zip
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
5�Z Ce f-
mcti ec Ft ekS I",((- TT65 b
A. Signature
X /t f '-P � v� ❑ Agent
f+� �1,� Addressee
ttReceived b (Pri
Y 1nted Name) C. Date of Delivery
ay�3&-'1�t5c,�1
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: I'No
I I I I I I�I �I I II I I I I 'I I II II II I I 3. Service Type ❑ Priority Mail Express@
❑ Adult Signature ❑ Registered Mail-
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
9590 9402 2219 6193 1037 31 ORPertified Mail® Delivery
❑ Certified Mail Restricted Delivery c9 Return Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 11 Signature ConfirmationTM
❑ Signature Confirmation
7 017 0660 0000 7487 1426 Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
E - PU
$3.`,5 �✓ 0472
0s
,turn Receipt (hardcopy) $ iy . V V
iturn Receipt (electronic) $ Sri . 00 Postmark
irtified Mall Restricted Delivery $ i to Here
lult Signature Required $-
lult Signature Restricted Delivery $
e
9 $I73.rc
Postage and Fee6g 112 / 27/ 2020
t .95
--------------------- ---- - -- -------------------------------------------------
d a A . No , or P x o.
�� r w- l :�q- � --------------------------
State, ZIP+4® -mac
Postal
CERTIFIED o RECEIPT
p- Domestic Mail Only
ra
,BE 7777
r, Certified Mail Fee $ 3
j� Extra Services &Fees /check bar, add ree 6p❑ Return Receipt (hardcopy) $ VJC3 ❑ Return Receipt (electronic) $ Sn -C3 ❑ Certified Mall Restricted Delivery $ —
0 ❑ Adult Signature Required $—
C3 ❑ Adult Signature Restricted Delivery $
.3 $ stage $0.55
02/27/2CI20
...D Total Postage and F�eebs. 95
O $
Se�t�o
Stre and Apt. 1 o�o13 x o•
---- ----------
City, 1'l stI �4aI'71 r Q( 2-U,5(p"2-t 12—
■ Complete items 1, 2, and 3. A. Signature I
■ Print your name and address on the reverse X 1 ` nt
so that we can return the card to you. r�ssee
■ Attach this card to the back of the mailpiece, B. Re ved y ted N ') I C. ate of Dgyvery
or on the front if space permits.le!` G i l� 1e10
1. Article Addressed to: D. Is deliv ry address differe from itemitem4lP ❑Yes
rr\czrsti
\ecti�ceoa� In �1-e
�2
(:�N\ e-J�5i %
`CAMA / DREDGE & FILL No. 76117 A B
GENERAL PERMIT Previous permit# -1110,
INew 'Modification ❑Complete Reissue 'Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality 1 f l�l j I2bo
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
{� ❑ Rules attached.
Name CA r" I I G 1 U I 'e Project Location: County r&A ►ACkjf
!j 1 � S C"?o I A. c- Street Address/ State Road/ Lot #(s)
C k 4 r I 01"e, State N(-. ZIP 99;--70
(% W -D$ N $ E-Mail Subdivision
ad Agent llCe &InSRIA.C4110-1 9/,)-r�9-909 S City_ 111Ksr' ea
(f ZIP
❑ CW XEW APTA ❑ ES ❑ PTS Phone # River Basin L..Um
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 0( kIe, L,r-f fie- )— nat /r
PWS:V" VV
yes / PNA Oe / no Closest Maj. Wtr. Body
C:/
Project/ Activity KP,+P lac., K 61(
•L11.,....«L. V.076we J`k2il
(Scale: �
•
i:iA"PAE-0nber
■■
�lLil1�:■ur`l�i■■■■■■■�
a>
distance offshore L
offshore •
■■■■■■■■■■
■:�lN■■
■■
..,�.� ,r�l�=��■N�.c�■■■■■■
' ■■■■■■■C\distance
■�■■■■.'1■■■■■■■
IVi 1■■ i■■■�!�■■■■■■
, c ■
���■■■
■!{■■■■■■■
OCR■■■■■■/,A
''
►�
oic yards
ft
tlift-tL
illdozing
■■
MWWA,f
■MEN
a�iZ1�
_
NONE
AMEMNE■■■■■■
MEN
NONE
■
■■■■■E
tr11,7!R1
,MK
�
■■■■i�aiN■■■■■■■■■■■�■■■ice■■a■■■■■
Length —■not sure yes no
um: es yes no
yes
■■■■■r�■■■■R�i:!:■■■��i,►�■■■■N
.:sir
,;NOON■■■■■Or■iY■O®■�■■�■�■ii
ig permit may be required by: U-h S e� �" ' ❑ See note on back regarding River Basin r
_ocal Planning jurisdiction)
.. �. .... �I� _..l_. ..-L %�-i. �%/1/1 �__ � wl .-�. �... n/`Y7r ae✓ � r n...InL'�.n i• _ nnl�
CMck
Date Rece/ved
Date
Check From Name
Name of Permller Permit Ho
V.1.W
Choek Numeer
mount
Perms NumbeNCommonb
Cdumnl
Column2
Co/u-3
Cdumnl
Coaarrrl6
CdumM
Cdumn7
CoN1mM
5/13/2020
Shannon Miller
same
South State Bank
1011 $
200.00
GP #76225D
5/13/2020
Raymond and Barbara Klimas
same
_
Fast Citizens Bank
_ 1338 $
200.00 �G0476224D
-_
_
5/13/2020
Richard Penny Construction_ LLC_
Chet Willis/Jeff Durham
No Federal
1348 $
400.00 GP #74825D
5/13/2020. -
_
Teddy M Johnson _
-
same
State_ Employees Credit Union
854868 $
200.00
GP #76223D
5/13/2020.
Richard J Smith
same
Bank of America
_ 2110 $
200.00
GP #74784D
5/13/2020
AMW Docks and Marine Construction LLC
Steve Grouse
BB&T
5802
2W.00
GP 07WMD _
5/13/2020.
Delmar & Dixie McGowan
same
_
State Employees Credit Union
1497 $
400.00
GP #761990
5l13R020
_
B & J Construction of NC, LLC
Marian and Michael Brazil
BB&T
2225 $
600.00
GP #75809D
5/13/2020
Charles F. Ripgs and Associates Inc. -
anlhony ricciardi
First Citizens Bank
16430 $
100,00
minor fee, 1801 In shore dr, suA Oily OnCo
_
5/13/2020 �.
Frank and Patricia Voli
Topsail Cove HOA, Kristin Tortonci
_
SunTirust _
$
100.00 : minor fee, Anchor Dr &Wilmington Ave, Surf CRY PnC0
_ _
5/13/2020'1
B-& B Coastal Construction Corp.
Lots 1,2,3,4,5 and 10 Palm Cove
_
Wells Farqo Bank
$
100.00 minor fee, same as permit applicant Sunset Beach B1G
5/18/2020
Cindy Linton Levasseur
Same
first Citizens Bank
$
600.00_. GP #745620 _
5/18/2020
PFI Construction LLC
John Blakeney
_
NAVY Federal CU
$
_ 200.00
GP #76200D _
5/18/2020.
James and Lauren Trogdon
same
Far Og_200.00
4216
GP #76106D5/18/2020
Ten Moore
Reqqie Moore
_Wells
Tliant__
$
200.00
GP#75894D
5/18/2020
Chades Duckworth Money Order
Chris Miller
Wells Fargo
$
200.00
GP#75851D
5/18/2020
Backwater Marine of NC
Bobby and Debbie Kirby
BB&T
$
200.00
GP#75889D
Logan Marine, LLC
Bert Lea, Jr
Coming Federal CU
$
200.00
GP#78298D
5/18/2020
Land to Sea Construction, LLC
Bnan Moose
First Citizens Bank
$
200.00
GPi76299D
5/18/2020
Grace Construction of Brunswick County Inc
David Clark
BB&T
1370e $
800.00 GP #76110D
5/18/2020
Grice Construction of Brunswick County Inc
Camilla Buie
BB&T
1 13764 $
200.00 GP #76117D
5/18/2020
Henry J Butler
same
Piedmont Advantage CU
2274 $
200.00 GP #75891 D
5/18/2020
FYJYNM, LLC (1 of 2)
_
Mare Roscoe
First Bank
10793 $
20000 GP #75887D
5/1812020
FYJYNM, LLC (2 of 2)
same
same
10791 $
400.00 GP #75887D
5/18/2020.
_Kirk Percy
same__ _.___ ____ __;SunTrust_
3380.$
200.00 .GP#75888D