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HomeMy WebLinkAbout76599D - SuttomCAMA / ❑ DREDGE & FILL N9 76599 A B iEN ERAL PERMIT Previous permit # New ❑Modification El Complete Reissue ❑Partial Reissue 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 El Rules attached. Name ��C� Cl ? If �� ��U n Project Location: County ��/ J n S , � \ `' Street Address/ State Road/ Lot #(s) ,�/��►����(�, tate NLZIP 6Z E-Mail Subdivision :dAgent JctU `,//"" / CityJCe—"^^ 1S1C- e-C ZIP fiacw ❑ EW PTA ❑ ES ❑ PTS Phone # 0 ( D )4 N S 11 ti; River Basin G ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A 1 Adj. Wtr. Body l z-A (nat X, ❑ PWS: ees / nG PNA yes / O Closest Maj. Wtr. Body A w Project/ Activity Y +c /_ a -k :k) length tform(s) 5 wo, Natform(s) er(s) igth nber I/ Riprap length distance offshore K distance offshore annel 4c yards ip >e/ Boatlift illdozing Length JTCY b6r't�-< (G",I, not sure yes I' u um: n/a yes o I yes _ ktached: yes n Q ig permit may be required by: O (lam 11, I t ", (Scale: N 1 ❑ See note on back regarding River Basin r -ocal Planning lurisdictionl 15 ri S 091 Crtos a-� Ag NCDETIR North Carolina Department of Environment and Natural Resources Division of Coastal Management ry Braxton C. Davis John E. Skvarla, III Director Secretary AGENT AUTHORIZATION FORM Date: roperty Owner Applying for Permit: Name of Au orized t for this project: lei grill failing Address: sl f:h W Or ke, nber (c11t 1019q I Agent's Mailing Address: b ,S L Phone Number 10) !Ale it I have authorized the agent listed above to act on my behalf, for the purpose of applying ainin all CAMA Permits necessary to install or c nstru t the follow' g (activity 4/1 v i Dperty located at r — ,ation is valid thru (date) v — I��LcVc, Sw��PL Iroperty Owner Signature Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Flame of Individual Applying For Permit: Address of Property: -4� 1 5�5— C— "I'/' �-` S� (Lot or Street#, Street or Road) VeACA-1 vvilo (City and County) hereby certify that I own property adjacent to the a ove-re erence property. The indi, applying for this permit has described to.me as shown on the attached drawing the developmer are proposing. A description or drawing, with dimensions, should be provided with this len 114 J� d Y-2k� I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of C Management, 127 'Cardinal Drive Extension, Wilmington, INC 23405 or call 910-79E within 10 das•s•of receipt of this notice. No response is considered the same as no objec you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breai.iynter,�boat house or boat lift muss bck a minimum distance of 15' from my area of riparian access - unless waived by me. wish to waive the.setback,'you must initial the appropriate blank below.) I do wish to waive the l 5' setback requirement. X—AX l I do not wish to waive the 1 5' setback requirement. 2� 7-/J _ Sian Name Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORT` Name of Individual Applying For Permit:.. Address of Property: ) (Lot or Street #, Street or Road) (City and County) hereb y certify that I own property adjacent to the ab ove-re fere nee property. The ind applying for this permit has described to.me as shown on the attached drawing the deve[opmc are proposing. A description or drawing, with dimensions, should be provided with this le t� I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Management, 127 'cardinal Drive Extension, Wilmington, NC 28405 or call 910-79 within 10 days -of receipt of this notice. No response is considered the same as no obje you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, break,-%Ynter, boat house or boat lift mu: bck a minimum distance of 15' from riy area of riparian access - unless waived by me. wish to waive the.setback,-you must initial the appropriate blank below.) I do wish to waive the 1 5' setback requirement. y I do not wish to waive the 1 5' setback requirement. Sian Name Date ANWKWA 7/23/2020' ;H5 Construction, LLC Wade Coleman 7/23/2020 Steven T Fanner Michael Keith Sutton 7/23/2020 Blue Sky Builder Company LLC Stephen & Laurie Cook 7/23/2020 Grice Construction Stephen Russ. 7/23/2020 H5 Construction LLC ABJi N Properties LLC 7/28/2020 Scott P Werstlein same 7/28/2020 Howard J Von Kaenel same 7/25/2020 Clements Marine Construction Ann Sneeden 7/28/2020 Clements Marine Construction'An" Patterson 28-Jul Southern NC Marine LLC Kurt Taylor 7/28/2020 Logan Marine, LLC Paul Maki 7/28/2020 Logan Marine, LLC same 7/28/2020 Harold and Vickie Pollock same of America � Federal Savings Bank First Bank BB&T BB&T Stale Employees CU Check Number I a=.t N—ber/Comments 5486 $ 200.00G P 076529D 2435 $ _ 200.00 GP #75893D 5332 $ 200.00 GP #76599D 16997 $ 200.00 GP #76516D 13944 $ 200.00 GP 076573D 2434 $ 200.00 GP $76598D - - - - - — 1436 $ 200.00 GP 076428D - - - - - 4831 $ 200.00 GP 076437D 5507 $ 200.00 GP 076566D 5505 $ 200.00 GP #76563D 1305 $ 200.00 GP #76591 D 7053 $ 400.00 GP #76585D 7044 $ 200.00 GP #765850 2025 $ 200.00 GP #76584D ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse A. Signature IV �t ElAgent X / L so that we can return the card to you. ❑ Addressee ■ Attach this card to the back of the mailpiece, B. Received by (Printed"Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1 ? ❑ Yes If YES, enter delivery address below: ❑ No oZ�V 13 `.w Service Type ❑ Priority Mail Expresso II I I I III II I I I 1111111 I IIII III I III I I I I I L1 ❑ Adult Signature ❑Registered MaiIT'" ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 4906 9032 2660 65 ❑ Certified Mailo ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery El Signature Confirmation- 7018 0680 0001 41363 8103 �icted Delivery ❑ Signature Confirmation Restricted Delivery 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. 1. Article Addressed to: yy rA'A-x 111d 11%.T,4-: C>1 A. Signature j� ❑ Agent 4z -k' ❑ Addressee B. received by Tinted Name) I C. Date of Delivery D. Is delivery address differenTfrom item 1? ❑ Yes Pal � If YES, enter delivery address below: ❑ No Pal 3. Service Type ❑Priority Mail Expresso I I 111111 II III II I II I I I( III I I I I ❑ Adult Signature ❑ Registered Mail - El Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 4036 8079 7368 45 ❑ Certified Mailo El Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from sa—r— 1^1 ° ` ct on Delivery Restricted Delivery Signature Confirmation- 7 0 18 0 6 8 0 0 0 01 4663 8110 A Mail d Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery (over $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt