HomeMy WebLinkAbout76521D - ArantCAMA / ❑ DREDGE & FILL N9 76521 A B
i E N E RAL PERMIT Previous permit #
New Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environmental Quality L
aastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
/�
❑ Rules attached.
AName U 1)1,C' '.,-J-
r
StateNC- ZIP
613) 1 I -��-�- 0 E-Mail
:d Agent "/Y%-V
❑ cW �mw KPTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
Project Location: County l�r w n S.— % c ic-
Street Address/ State Road/ Lot #(s) 2-4 �.
Subdivision
City (J cp-,-^ k�-a(�ZIP
Phone # ( ) River Basin
Adj. Wtr. Body . (na rr
Fes PNA yes n� Closest Maj. Wtr. Body I \"`�
Project/ Activity / C ` II % U \ o �II. , d , c, , T ►1 n ., �` Z
CZ N
k) length j y Y I L
tform(s)
'latform(s) 93 Z 61 A I I I I I I I 1 1#
igth
fiber
I/ Riprap length_
distance offshore
c distance offshon
annel
is yards
p
le/ Boatlift
Illdozing
Length
not sure yes no
um: n/a yes no
yes o
kttached: yes n
(Scale: %*,J T
ig permit may be required by: inca✓1 S'R �'t , c ❑ See note on back regarding River Basin rn
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
;Crory Braxton C. Davis John E. Skvarla, III
rnor Director Secretary
AGENT AUTHORIZATION FORM
Date: 6-1 '- °
)f Property Owner Appl ing for Permit: Name of Authorized_ Agent for this project:
Cr��n �- -CLAyt�Jfl
s Mailing Address:
7 R" dc? cam'
k-�ry 4l rG 29
Number—ZP /-X
Agent's Mailing Address:
131eS--
Phone Number(
that I have authorized the agent listed above to act on my behalf, for the purpose of applying
obtaining all CAMA Permits necessary to install or construct the fol
property located at 4(t� �) C i9e S=
rtification is valid thru (date)
Property Owner Signature Date
(activity):
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual Applying For Permit: (•/
Address of Property:
(Lot or Street #, Street or Road)
(City and County)
hereby certify that I own property adjacent to the a ove-re erenced property. The and vit
applying for this permit has described to.me as shown. on the attached drawing the development
Are proposing. A description" or drawing, with dimensions, should be provided with this letu
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 'Cardinal Drive Extension, Wilmington, INC 28405 or call 910-796=
within 10 days -of receipt of this notice. No response is considered the same as no object!
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breal.wnter; boat house or boat lift must i
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (l
wish to waive the.setback,-you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
ifs I do not wish to waive the 1 5' setback requirement.
Can
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY QWNER NOTIFICATIONIWAIVER FORM
Name of Individual Applying For Permit: r
Address of Property:
(Lot or Street #, Street or Road)
L--- cxrT- �-� ram_ )�t H
(City and County)
L
ere y certt t at own property a acent to the a ove-re erence property, The indiN
applying for this permit has described tome as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this left
I have no objections to is o ) h proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796•
within 10 days -of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break.- nter,.boat house or boat lift must'
bck a minimum distance of 15' from rriy area of riparian access - unless waived by me. (I
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.
n 'Sian Name Date
AW"W- ►&
-fvw
L f-W
19
u
Noma of Pamrlt holder
l4ardor
Chock Numbe/
Chock
amount
Pannit Number7Corrrmanta
Alweipt or ReNndl?"HocaNd
n3
ColumM
Celtllrrn#
columns
Columnl
Column#
Co1umn9
Inc.
Altsmar _
St James Plantation HOA
PNC Bank NA
First National Bank of PA
37120
5 100.00
transfer s46-92, from ARamar to CMT Real Property. LLC
WilMington NHC
PA
Tmae
820E
S 100.00
mirror mod 061.14 St James Plantation BrCp
roiates. Inc.
rvetteville, Inc.
it. _-
cution _
uction Inc. --
Matt and Monica Bennett
same
Tim Jackson
same
John Keene
Jeff and Leslie Benson
Willie Arant
same -_-------'B88T
same
_Mowery
same
FCB
State Employees CU
FC8
BBBT
Coastal Bank and Trust
Coastal Bank and TrAt
BUT _
Wells Fargo
First Bank
Bank of America
15526
S 100.00
minor fee, 141 Atkinson Rd, Surf City PnCo
1 minor fee 438 N Anderson Blvd Topsail Beach PnCo
NOV 020-05DIPermit $25011penalN $350/Investigative S32
Ma'or Renewal Fee i17-M 100 Circle Dr. Hampstead PnCo
GP #74817D _.
GP 1741116101 _ _
GP076521D
GPOM15D
GP#78111D _.
GP 978545D
GP i76533D -
JD rct. 10238
JD m t. 10240
Tmae rct 10992
JD ret. 10237
JD ret 10839_
JD rct. 10841
BB rct. 10208
BB rct. 10206
BBrct.10205
BB rct. 10207
PA mt. 10787
2009
100.00
5328
- 12530.
= 832.00
$ 100.00
3266
400.00
3255: 600.00
53281 $ 200.00
29816' 200.00
30081 200.00
10798 i 200.00
364134 400.00
■ 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.
Article Addressed to:
V16(-1U
A. Signature
X 9--1
Agent
❑ Addressee
B. Received by (Printed Name)
C. Date of Delivery
C 1I
W
13
D. Is delivery address different from item 1?
Yes
If YES, enter delivery address below:
❑ No
3. Service Type
❑ Priority Mail Express
❑ Adult Signature
❑Registered MaiIT"'
I
I'IIII
IIII
III
I II II
II
I i
I I
I I II
III
I II
I
I
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9402 4036 8079 7368 69
❑ Certified Mail(D
❑ Certified Mail Restricted Delivery
Delivery
❑ Return Receipt for
Merchandise
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Signature Confirmation m
7 Artirla Number (Transfer from service label)
_..,,,...+ .flail
❑ Signature Confirmation
7 015 0920 0000 7610
4363 Aail Restricted Delivery
Restricted Delivery
0)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
■ 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.
Article Addressed to:
��as� S� t 1 r►�S��IR-c,e
I II I I III Iilll I I I I III ICI I I I
9590 9402 4036 8079 7368 52
2. Article Number (Transfer from service label)
7015 0920 0000 7610 4356
A.
❑ Agent
❑ Addressee
C.
21
D.1 rs eelivery addrvzsWii(brent from item
If YES, enter delivery address below:
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
0 Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
❑ Insured Mail
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery Restricted Delivery