HomeMy WebLinkAbout77609D - Moss I,CAMA/ L ,DREDGE & FILL N° 77609 A B
aEN ERAL PERMIT Previous permit#
thew i Modification E Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environmental Quality i N' I(CO
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
(' (�/� ❑Rules attached.
t Name Gar LI• i `DC (Project Location: County 1. fa r‘S(,J l C.k
T2;3 Sk'P°v-"/ Or • Street Address/State Road/Lot#(s)
.JaXInRw State ZIP g$ 17- 12-, ()kare C •
(joy ) (009 -2loS E-mail gy i trio 4 d'C° % Subdivision edAgent V\S (�ot^SVcuc.k•-•••oIn City
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❑CW 'EW XPTA - 8iS X PTS Phone# ( -‹*--/' River Basin G CIM t
❑OEA ❑HHF 0 IH 0 UBA 0 WA Adj.Wtr. Body Gam 0.' (nat
❑PWS:
yes /� PNA yes / no Closest Maj.Wtr. Body w
Project/Activity R p pl alb. P x 1 c+ ►•�q 1j u I ./
"f J (Scale: I
:k)length
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atform(s) i I
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Platform(s) 1 I t I6
ier(s) '4'� 0igth ! 1 1 "" i
nber — ....... L i- - j-..
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Zt'prap length So I
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distance offshore CZ 1 j '
x distance offshore 42% 1 I j I � 1 S A l
cannel
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)ic yar� I ' j �� I
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s soatlift ---_ __ __.__ _� _ , ^ _ Y
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Length SO �,.K M / ' 411"L. v 1 Eqixt 'tod „e_i 4.,(.c)
not sure yes �_. XIS AVAIIIIIIIIMIIIIVAIV
wm: (�li/a ' yes no 1 _ I
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yes �—�. i , L.
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\ttached: yes tipice, J1 ,2( i % M.ySS) 1 i l
ig permit may be required by: H e �`CiU ol d , H See note on back regarding River Basin ri
Local Planning lurisdiction) - 1 1 t r . .
•
411>CCAMA / REDGE & FILL N9 77609
GENE L PERMIT Previous permit# A B C (i
)C ,• ew ~=Modification 'Complete Reissue JPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality —/II, I i C
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ( `
Applicant Name LjRu es attached
pip Goo'� OS S Protect Location: County_ tin i (f..
Address 1?23 7k.9 5 41 Or• Street Address/State Road/Lot#(s)
City (/Jc9(6.10- ( State s- ZIP $17 S `2--I CI,Nnrk crkkt, C-A
Phone#(701 ) L( -11°S E-Mail___143al90 SS OrAil•col" Subdivision
Authorized Agent V\S Co'"S{'rwc. :otn City_ 4ke1Gt€" geoti-t ZIP _}$L{(QZ
Affected C cw Y.EW , ?TA As fj PTs Phone # ( _ River Basin G J,f Apt V,l'
AEC(s): °� HHF IH ❑UBA j�N!A Adj.Wtr. Body Car`A` r�1t nk
O PWS
ORW: yes /E) PNA yes /gip - Closest Closest Mal.Wtr. Body
Type of Project/Activity Refla(,rt, e xl S-1-t.•.� blA1F>u'rI
"T (Scale: (• _)-G
Pier(dock)length
Fixed Platform(s) JIM _ --- I - f i 1
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Floating Platform(s) $ �{ �
Finger pier(s) t 1 1 ; _i. 3 / rt t 1 :
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1
Groin length J �
iiii
number , ^t --4 t l' , fjj :
PraP lengthi — I ig t ' f �
east So 1
avg distance offshore(2/ Y'-- ; I �O-1�-� i�is
max distance offshore et _ t T t . I * s •It •S -_
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Basin.channel —' '• _ i , I' , - -• 3 4 { _.
1:01
cubic yard .._ ? J r s r w
Boat ramp 1 j 1 l ) f i t` (�t �y ,
ill
Boathouse/Boatlft . ,41
)JVrrr a Q
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14 rams ■. 4 t . '
Beach Bulldozing_ — „ ('C i,St�`t �o ' _ a i r ' 1 au ,
Other______S42.9:_ 1111410. i ‘ _,. ._ r ' 1IIIi.
mew ! .:. • ,, ... Ea_'
Shoreline Length Q .... r ���
SAV not sure yes ^C .
Moratonurn /,fS/a / yes no rt, 1 . ., } 2 fjiIIJ1
0 -
Waiver Attached, yes --
..s i
A building permit may be required by: }'b(to See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) —fit
r t
Notes! >d conditions P\l u�e S- (, fit it 1 oCA,S }ZI(ur 'tom.,°J Os 11 l t 1 /t.i S n pDlu .
D_Ar�,r, Giiwll�,oA :v, CAP,t. AliantN�L&4 L otr n�( - watvr.•a 1'O �4 / 1 • ��►1
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Gary M Moss
Mailing Address: 9223 Skipaway Dr, Waxhaw NC 28173
Phone Number: 704-609-2105
Email Address: gmmoss@gmail.com
I certify that I have authorized H5 Construction, to act on my behalf, for the purpose of
applying for and obtaining all CAMA permits necessary for the following proposed
development: INSTALL NAVY STYLE SEA WALL. DRIVER PILINGS AND VINYL SHEETS
WITH PLATE TAMPER ON EXCAVATOR . INSTALL AND BOLT 3 WHALERS TO THE
PILINGS. DEADMAN EVERY 8 FOOT ON CENTER. INSTALL DRAGLINE INSTALL
TIEBACKS WITH WASHER OGEE. 10 FT RETURNS. NO WATER JETTING WILL BE
PERFORMED at my property located at 121 Charlotte St, Holden Beach, NC (L-355
B-CANAL I HB PLAT 11/26, Parcel # 231MD034) 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: A"`7 ✓���"�✓ �
Print or Type Name: Gary M. Moss
Title: Owner
Date: 7/30/20
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY
OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: G�C_M Moss
Address of Property: 121 Charlotte St l olris.n Be ch NC 2846
a2
Agent's Name: 15 CONSTRUCTION, LL Matt Hon
Mailing Address:2164 Hoiden Beach Rd Supply C 28462
Agent's Phone#: (910} 827-6966
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. A description or drawing, with dimensions, must be provided
with this lettere-
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 Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM
offices is available at http://www.nccoastalmanagement.net/web/cm/staff-listing or by calling
1-888-4RCOAST. No response is considered the same as no objection if you have been notified by
Certified Mail.
I
WAIVER SECTION I understand that d pier, dock, mooring pilings, boat ramp, 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 Information
Riparian P rt O er formation
Signature /� _- _ ,ISignatur .6 6iu�.y
Gary M. Moss 1 4-
Name: „ ._,,��
121 Charlotte St. Hnlrfan Rom.r, ur �a.�� iin i `
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY
OWNER NOTIFICATION/WAIVER FORM
Name of Property-Owner: Gary M Moss
Address of Property: 121 Charlotte St,Holden Beach,NC 28462
Agent's Name:tt5 CONSTRUCTION.,LLC -Matt lion
Mailing,Address:2164 Holden Beach Rd Supply NC 28462
-Agent's Phone j91D.?S27-6966
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. A description or drawing, with dimensions, must be provided
with this I ter.
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 Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM
offices is available at http://wwwnccoastalmanagement.net/web/cm/staff-listing or by calling
1-888-4RCOAST..No response is considered the same as no objection if you have been notified by
Certified Mail_
WAIVER SECTION I understand that a pier,,dock, mooring pilings, boat ramp, 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 Information Riparian Prope Owner Info ion
Signature J»y../ail. 5 signature:
Gary M. Moss i Name: , I 9,2J) F 14172—..
12.1 Charlotte St.(Hoiden Beach IOC 28462 Aug Address: in/ 4/1971
Check •
r(Name) Name of Permit Holder Vendor Check Number amount Pemrh Number/Comments Receipt or Refund/Reallocated
att Column/ Column6 Caamna Cokem7 Columns Cdumn9
same FCB 1009 $200.00 GP#77606D Ben rct.11711
same Uwharrie Bank 1478 $200.00 GP#77607D Ben rct,11710
Gary Moss BB&T 2442 $400.00 GP#77609D Ben rct.11709
same FCB 5888 $100.00 Minor fee,1280 Mallard Bay,Hampstead PnCo JD rct.11644