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Home My WebLink About69238D - Griffith,LAMA / ❑ DREDGE & FILL GENERAL PERMIT AQ lew ❑Modification ❑Complete Reissue El Partial Reissue A Previous permit # Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources ^� Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ( H j ❑Rules attached. nt Name �� }-fX t � • �� i�!'1 �j Project Location: County �/�/j/ti� 1�, sip t� }ly�� o� 1�� Street Address/ State Road/ Lot # s) 7-- r State �, ZIP � 0 L l �� rf Gt # ( ) C 7 ZZd E-Mail Subdivision I ized Agent �' �(,�/�� 1 City 0 it ZIP ( ❑ CW ` t ;(PTA ❑ OEA ❑ HHF ❑ IH ❑ PWS: yes / �0) PNA yes / A Project/ Activity _ ock) length_ 'latform(s) _ g Platform(s) ength umber ad/ Riprap length_ ✓g distance offshore iax distance offshor :hannel 1 jbic yards imp 'use/ Boat, Bulldozing '� ' ne Length not sure yes ,rium: n/a yes yes Attached: yes A- (' El ES ❑ PTS Phonne� qW) 1'I — 7 River Basin t-L/OA ❑ UBA ❑ N/A Adj. Wtr. Body CG( r1h _ (nat Closest Maj. Wtr. Body LA/ (,1 1 (Scale:'I'-- ling permit may be required by: �(�� 1 /l,. Q 0 ��fT f.�Z �{C V � ❑ See note on back regarding River Basin Local Plannina luricriirtinnl A V1I/ZVIf VI IUC%,UI RflI UGUUI I rClC1 VIIIIILII DDOII I ILO'+ 1MUU.UU Ur MIZiOU 6/7/2017 Grice Construction Frank Ward, Jr. BB&T 11282 $200.00 GP 69233D 6/7/2017 Holden Docks & Bulkheads Town of Holden Beach CresCom Bank 2996 $400.00 GP 69232D 6/7/2017 James or Mary Hartsell same SunTrust 2173 $200.00 GP 69231 D 6/7/2017 Grice Construction Mom's Revocable Trust BB&T 11283 $200.00 GP 69234D 6/8/2017 Jerry Ennett Richard Stanley Coastal Bank & Trust 641 $200.00 GP 69182D 6/8/2017 Paul or Christine Minervini Rich Balot Marine Federal Credit U 2216 $100.00 minor, 146 Oceanview 6/8/2017 Frank R. Bellini same LG Federal Credit Unior 7239 $200.00 GP 69141 D 6/8/2017 Carolina Bluewater Construction Co Robert Purcell BB&T 17781 $200.00 GP 69240D 6/9/2017 Will Richardson Wrenn Patterson BB&T 6735 $200.00'GP 69239D 6/12/2017 Permit Pals Michael Ervin CresCom Bank 1580 $400.00 major, 10 Monroe St., 6/12/2017 Permit Pals Julie Elkin Fisher CresCom Bank 1578 $400.00 major, 6 Monrose St., 6/12/2017 Permit Pals Alonzo Pringle CresCom Bank 1579 $400.00 major, 8 Monroe St., O 6/12/2017 Permit Pals Michael Green CresCom Bank 1577 $400.00 major, 4 Monroe St., O 6/13/2017 Allied Marine Contractors/Hal Fogleman Louis Cox First Citizens Bank 5734 $400.00 GP 69183D 6/13/2017 Allied Marine Contractors /Hal Fogleman Donald Waters First Citizens Bank 5733 $600.00 GP 66324D NC Division of Coastal Mgt. Habitat Impact COMI Applicant: v or" ��f/1' Z ' Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FIB (Applied for. (Anticipated final (Applied for. (An DISTURB TYPE Disturbance total disturbance. Disturbance disl Habitat Name Choose One includes any Excludes any total includes Exc anticipated restoration any anticipated res restoration or and/or temp restoration or tern ternimpacts) impact amount) temp impacts am Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other 0 t27 Cardinal Drivc Ext., Wilmington. NL 2840 Phone: 9,'>_0- 796- 215 \ FAX: 910-395-3964 Internet: v ti� �.uc. oa talmal a��Zcment.uet Au Equal Uppu.^.nnil�- ` .1Tianatire ,lclion Ftipi�'n WNW North Carolina Department of Environment and Natural Resources Division of Coastal_ Manai4ernent Pat McCrory Governor Braxton C. pay John I:. Sk-varla, III Director Secretary AGENT AUTHORIZATION FORUM AGENT AUTHORIZATION FORM Ad' Cb North Carolina Departn-lent of Environment and Natural Resources Division orCoast6,l ManagementPat McCrory Braxton C. Da\ John. E. Skvarla, III Goverrlor Director Secretary Date:.; Name of prope�rtyy 0 mg for Permit: Mme of AifflKorized Agent for this project: /'fib ! . �1A Owner's Mailing Address: / Agebnt' ailing '� Ad ess:C. �LC� �Z Flo Phone Number !r�/ vs�� Phone Number( r.e - q•v ire% eS'Kr 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 (activity): For my proplocated at �l !�,/�.� Sr�� /7 r� �✓ �.J/�, "�:<:, / /f, erty i This certification is valid thru (date) CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner:Rke_v &6�T 1i_\r_1 Address of Property: 211 LqlA t_ . (Lot or Street #; Street or Road, City & County) Agent's Name cz l 6 ) Agent's phone #: Q� �" 5- g -c1M5 Mailing Address: ill f-140 r C& fie &QCc NC 2`6 9 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 Divi ' a of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Corres � e should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represenF *an also be contacted at (910) 796-7215. No response is considered the same as no objection ItiOlth"been notified by Certified Mail. 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 nformation) cent Prope wner Inform ion) I ZX n;ure V � Sig ure V 7 Print or Type Name Print or Type Na .;� Mailing Address Mailing Address NC 2�►b�I-`�qo5: >-� City/State/Zip City/State/Zip ■ Complete items 1, 2, and 3. A. gn re ■ Print your name and address on the reverse X Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the mailpiece, B• eiv d by ri d Name) Date of Delivery or on the front if space permits. Jd 1. Sicle Addressed to: D. Is delivery add itgtt� ? ❑ Yes 6� \ Cl 1 CYl Q n� If YES, ante a e(�{C�..� 0 No MAY 2 3 2011 -701(6- Il I �III'I I'll l�l l I l I l l I I III I' l lI III III II II I III 3. Service Type iority Mail Express® 1 ❑Adult Signature (7 Registered Mail- 9590 9403 0603 5183 4331 93 ❑ Adult Signature Restricted Delivery ertified Mail® ❑ Registered Mail Restricted Delivery ❑ Certified Mail Restricted Delivery �;eturn Receipt for 2. Article Number (Transfer from service label) ❑ Collect on Delivery Merchandise ❑ Collect on nwlivery Restricted Delivery ❑ Signature ConfirmationT" 7 016 0600 0000 8200 �� 4921 testricted Delivery —T-1�•er-a�ov� ❑ Signature Confirmation Restricted Delivery PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt • Postal o RECEIPT Flestic, mail Only Gti r ix!w '2 7.6061 3 Mail Fee i $3.35 -7C' 10 )rvices &Fees (check bar, add lee te) m Receipt (herdcopy) $ Ill. 11 m Receipt (electronic) S gl I; l l Postmark red Mail Restricted Delivery $ ,t p , ftQ Here Signature Required $ Signature Restricted Delivery $ i � i� )stage and Fees .49 05 / 1 6 / `1-11 $6.59 Imes agr�ypfl Drib i3nox` nsq -------------------------------------- re, Z1P142 �1:\----J----------------- ?� ) ) r r )r) •). `J L '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. Postal `a CERTIFIED o RECEIPT r Domestic Mail only Ir C3 Certified Mail Fees $3.35 IvCO $ c Extra Services $ Fees (check baradd fee ti47ti i C3, q� pp� ❑ Retum Receipt (hardcopy) $ C3 ❑ Return Receipt (electronic) $ 1-3 0 ❑ certified Mail Restricted DeliveryPostmark $ �:i�i i ❑ Adult Signature Required Here $ k i r -r i ❑ Adur Signature Restricted Del Wary $ C3 C3 Postage —�— $0.49 C3Total Postage and Fibs c9 l i5/16/2017 a r-q Se o�`i5'�5i�t 55 tndA . No.. or ------ - ----------------------------------------- f _ Ail ,4 i i C� Zij�> i `J`' 3003o ❑ Agent ❑ Addressee VVZV,-11' j l Na V ' Cf Delivery g 1. Article Addressed to: Is delivery addreskc1ifferint from item 1? ❑ es If YES, enter delivdq address below: