HomeMy WebLinkAbout77696D - Edwards (' LtLi Ilw ' Z.uZO Y-k13 ) VV
0 _'CAMA / DREDGE & FILL N° 77696 A BCD
GENERAL PERMIT Previous permit#
yam•= ll 1New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized�` by the State of North Carolina,Department of Environmental Qualityk
` I Mand the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC f.(DO •
❑Rules attached.
Applicant Name _is .\ �..,.^s lam^r l, cR3 ,)„ ,SProject Location: County (36un$w i s 1A-- t //
Address '�1 CI 4ew k cw',.-S Street Address/State Road/Lot#(s) (( I - ST.
City ''.1\04( State )J(_ ZIP 2 N't)
Phone#( ) 51/4{0 1(i'S`1 E-Mail V-S.e •--• e c,,4-r-c r.-.,-k Subdivision
Authorized Agent cl r(.- ... (Dv.,r-.a S City l ^ 11t&- (St c i'` ZIP Z `-{Lo
Affected ❑CW LI EW ElPTA ❑ES ❑PTS Phone# ( ) River Basin L,`,.......t.1.
AEC(s): ) OEA ❑HHF ❑IH ❑USA ❑N/A Adj.Wtr. Body MkG— C. 0 02.- a)man /unkn)
❑ PWS: (�,�,� _
ORW: yes no PNA yes / no-) Closest Maj.Wtr. Body / "`�^ C\ t- �-C`t^ -
Type of Project/Activity ) c Sc_ ?,c A-1 S \rok c k- AAN I CC A.,. - e. Sf r .A(ir V r e
(Scale: P 'C -- )
Pier(dock)length .
I I
Fixed Platform(s) i lill -
Floating Platform(s) _ C--Ni
Finger pier(s) 1-iSQC160a___._._._ __,_ _ �_....I—r_
Groin length ��'; (.'
number ""
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Bulkhead/Riprap length —' i
avg distance offshore KA* I '
max distance offshore 1 \ 1 f
Basin,channel — I {
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Boat ramp w'
Boathouse/Boatlift - . - . _.al t! ., _. ,D eS iri,..I toot : ... .6
- illiffitatiliiiiiiiiiiiiiiriatials - ,____ ______,
Beach Bulldozing \` �g(1�or ��i P 11 Li p(� I
Other C>�Q^G,cie 1 1 I ��4 pMl
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Shoreline Length ` SO P I,r+•.e ,
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SAV: not sure yes no '1‘� 1( i 1 i' L'ts
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Moratorium: n/a yes no h , _
Photos:
Waiver Attached: yes no i i ...+.►i jf S, ‘tvw' LI JhAa tr,:c
A building permit may be required by: To,,�. c,r- Ck4._ \ c &.•ck I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions CD N(1 �.,(1,1_ C.v.hw,to c ,, ..j �c 1 a . CI ecL.-4 bwI`A S [JZ v,iRCE A,t1,sus.1z
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Agent or Applicant Printed Name Perm' ' Printed Names
Signature **Please read compliance statement on back f permit** Signature
\ �`oo 152`I !I q Z-cr.0 I2 zaio
Application Fee(s) Check it Issuing to Ex ira on Date
•
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: 252-247-3330 Fax: 252-948-0478
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: 910-395-3964
Fax: 252-264-3723 (Serves: Brunswick, New Hanover,
(Serves:Camden, Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: S f)/1 J VW "Y bts-
Mailing Address: 13t-' ? keWeL -1 v- 5
ha1 (6o�{� IDC__ g(-1-r-10
Phone Number: q 1 D 'D /LI
Email Address: /1,Se-rjw ,a,-+ ( ' trIe
I certifythat I have authorized ai &NI/Les / r�,c t-�/�.-Q-
ayl.si .
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: atilab�
U
poleC4
at my property located at LI-I ri E. 0022/47s/e
ri� y ,
in 3c,tV lC)LCounty.
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: 1
61/41/2-f
Signature
ice. EelbOatiCts
Print or Type Name ,
A Jii - ECILCOA s Yarn( Lit)i/t_ I pus
Title
`7 1 l`4 ,9O OO
Date
This certification is valid through 1 / /51- /
SANDBAG REMOVAL NOTICE
TO WHOM IT MAY CONCERN:
•Gdc,v s l vi�1 Ta
1, iv permission to
3r rioion ��✓6rae$ ) �3-f-� f) to act as
my agent in my behalf in obtaining a CAMA General Permit to place
sandbags as a temporary erosion control structure in front of my
property at Ltifl Ea5 -HI/5f is_yo l'1-E Lq e d2 i f iC
I, $int L..Q21-CiS , have read the
specifications in 15A NCAC 7H-0308(a)(2) and understand that the sand
bags may remain in place for up to years after the date of permit
approval. I understand that I will be responsible for removing the
sandbags within 30 days after that date or at any time that they are
determined by DCM staff or its agent to be unnecessary due to
relocation or removal of the structure. I will also be responsible for
removing any damaged sandbags during the period they are authorized
to be in place.
I also understand that the removal of the sandbags shall not be
required if at the specified date for removal they are determined by
DCM staff to be covered by dunes with vegetation sufficient to be
considered stable and natural.
AUTHORIZED SIGNATURE: X(:fi—e-'CttL-A1-616L'
iVr1110)
DATE: / / eQ0770 fin l Li Vl' 1 dl�lS-
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT,
I hereby certify that I own property adjacent to rCC�s /Yll L t�6� if( 4
c,,,! // �! me of Property Owner)
property located at gill ST � L�l t p
on a+-10,6 (Address, Lo Block d,, R Pt�c
, intC , N.0
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in descr1ptIon'below or.attach a site drawing)
1, D - DC u l
se. CL cat am)
- D m Deaell orc6)4k
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) (Adjac t P erty Owner Information)
—226&
Sigtratcu plop Sigr t eigt
Plri or l ame t/ ��'nn �.o Print or l e N me
c mil,L +�` 7/6 7241 6,)c. aeiPn
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Mail! ddress /7/
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Tale ho Nu ber/e ddress Teleph e N mber/email ddress `.!
Date Da *
(Revised Aug. 2014)
*Valid for one calendar year after signature*
t }
i f
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I III
I hereby certify that I own property adjacent to E � �t�.Mr/c,'(—Pi/1/l G{`(.tvl's
^� (Name of Property Ownef)—
property located at L1 ri £h�o-1- Y C
(Address, Lot, Block, Roa , etc _ r�,
on fl+ 'l�7 C D N.C.
(Waterbody) (City/Town and/or County)
The applicant has described_to me, as shown below, the development proposed at the above ,•
location. (1'- --- -
r 'I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
soc, t tin. D(I-t �c�s2 (lopatel�l�i�e.)
1-r) pil.eui--&Drn ru_v-I-h-v.A iacadh evaiDa. .
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwator, 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.
(Pro arty Owner Information) (Adjacent Property Owner Information)
iiiki:Cl&-) U-t6
Signatur Si1gn�lure ? _--__ _
.ntat. 1-(11L aAres y. /it_ -4...a. i £,.r.-sc= f2... T
Print or Tyne Name Punt or Type Name /
"edit/Ate NC(. .gi—er—ID Mail Address! "IC_ Z-? t '
Cit Stafe/Zi 36:1City/S te/Zi
Telepho e"en erti�il address Telephone Number/emyil address
�L) 9— ,;5 7c2 )
Dale Date' / /
(Revised Aug. 2014)
"Valid for one calendar year after signature"
10/19/2020. 417 E 1st St-Google Maps
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EDWARDS RESIDENCE
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U.S.ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2020-01921 County: Brunswick County U.S.G.S.Quad:ShaHotte
GENERAL PERMIT(REGIONAL AND NATIONWIDE)VERIFICATION
Permittee: Kim Edwards
Admin,Edwards Family Living Trust
Address: 1349 Hewet Farms Road
Shallotte,NC 28470
Telephone Number:
Size(acres) Nearest Town Ocean Isle Beach
Nearest Waterway Long Bay River Basin Lower Pee Dee
USGS HUC 03040208 Coordinates Latitude:33.896326
Longitude:-78.400046
Location description: The site is located along the Atlantic Ocean beach at 417 E First Street,Ocean Isle Beach,NC 28469
Description of project area and activity: The proposal is to place sandbags along the Atlantic Ocean beach.The sandbags are
required due to beach and primary dune loss due to Hurricane Isaias and to protect the applicant's residence and property.
The length and width of the sandbag placement will be 50 feet by 20 feet respectively,thus impact 1000 square feet of
intertidal beach on Ocean Isle Beach.
Applicable Law: ® Section 404(Clean Water Act,33 USC 1344)
0 Section 10(Rivers and Harbors Act,33 USC 403)
Authorization: Regional General Permit Number and/or Nationwide Permit Number: 198000048
SEE ATTACHED RGP GENERAL A.VD SPECIAL CONDITIONS
Your ssork is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
application and drawings.Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order,a restoration order,a Class 1 administrative penalty,and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide and/or regional general permit
authorization is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide and/or regional
general permit authorization is reissued and/or modified,this verification will remain valid until the expiration date identified below,
provided it complies with all requirements of the modified nationwide permit. If the nationwide and/or regional general permit
authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with the terms and
conditions of the nationwide permit, activities which have commenced (i.e., are under construction) or are under contract to
commence in reliance upon the nationwide and/or regional general permit,will remain authorized provided the activity is completed
within twelve months of the date of the nationwide and/or regional general permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify,suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above)may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources(telephone 919-807-6300)to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act(CAMA),
prior to beginning work you must contact the N.C.Division of Coastal Management in Wilmington.NC.at(910)796-7215.
This Department of the Army verification does not relieve the permittec of the responsibility to obtain any other required Federal.
State or local approvals/permits.
If there are any questions regarding this verification. any of the conditions of the Permit, or the Corps of Engineers regulatory
program.please contact Gregory Curren at(910)523-1151 or at Gregory.E.Currev<dusace.army.mil.
• • CURREY.GREG Digitally signed by
CURREY.GREGORY.EUGE
ORY.EUGENE. NE.1051011950
1051011950 Date.2020
j
Corps RegulatoryOfficial: 09:30:4005'00
Date: November 3,2020
Expiration Date of Verification: December 31.2021
A.Determination of Jurisdiction:
1. 0 There are waters,including wetlands, on the above described project area that may be subject to Section 404 of the Clean
Water Act(CWA)(33 USC§ 1344)and/or Section 10 of the Rivers and Harbors Act(RHA)(33 USC§403).This preliminary
determination is not an appealable action under the Regulatory Program Administrative Appeal Process(Reference 33 CFR Part
331). However,you may request an approved JD,which is an appealable action,by contacting the Corps district for further
instruction. Please note,if work is authorized by either a general or nationwide permit,and you wish to request an appeal of an
approved JD.the appeal must be received by the Corps and the appeal process concluded prior to the commencement of any
work in waters of the United States and prior to any work that could alter the hydrology of waters of the United States.
2. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements
of Section 10 of the Rivers and Harbors Act(RHA)(33 USC§403)and Section 404 of the Clean Water Act(CWA)(33 USC§
1344). Unless there is a change in the law or our published regulations,this determination may be relied upon for a period not to
exceed five years from the date of this notification.
3. ❑ There are waters,including wetlands, within the above described project area that are subject to the permit requirements of
Section 404 of the Clean Water Act(CWA)(33 USC§ 1344). Unless there is a change in the law or our published regulations,
this determination may be relied upon for a period not to exceed five years from the date of this notification.
4. ® A jurisdiction determination was not completed with this request. Therefore,this is not an appealable action. However,you
may request an approved JD,which is an appealable action,by contacting the Corps for further instruction.
5. ❑ The aquatic resources within the above described project area have been identified under a previous action. Please reference
the approved jurisdictional determination issued . Action ID:SAW-
B. Basis For Jurisdictional Determination:
C.Remarks:
D. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps'Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants,or anticipate participation in USDA programs,you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service,prior to starting work.
E. Appeals Information for Approved Jurisdiction Determinations(as indicated in A2 and A3 above).
If you object to this determination,you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process(NAP)fact sheet and Request for Appeal(RFA)form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Atm: Philip Shannin,Appeal Review Officer
60 Forsyth Street SW,Room 10M 15
Atlanta,Georgia 30303-880I
Phone:(404)562-5137
In order for an RFA to be accepted by the Corps,the Corps must determine that it is complete,that it meets the criteria for appeal
under 33 CFR part 331.5,and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form,it must be received at the above address by
•
It is not necessary to submit an RFA form to the Di%ision Office if%ou do not object to the determination in this
correspondence.
Digitally signed by
CURREY.GREGORY.E CURREY.GREGORY.EUGENE.1051011
U G E N E.10 510119 50 o e:2020.11.03 09:32:16-05'00'
Corps Regulatory Official:
Gregory Currey
Date of JD: Expiration Date of JD:
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so,please complete our Customer Satisfaction Survey,located online at
http://corpsmapu.usace.army.mil/cm apex/f?p=136:4:0.
Copies furnished by email:
Brandon Grimes(B&B Marine Construction)
Curt Weychert(NC DCM)
Brendan Brock(NC DCM)
Rob Mairs(NC DWQ)
Kathy Matthews(USFWS)
Maria Dunn(NC WRC)
SAW-2020-01921
SPECIAL CONDITIONS
1. 1.Prior to any construction,all derelict coastal armoring geotextile material and other debris must be
removed from the beach to the maximum extent possible.
2. During construction,trash and food items shall be disposed of properly either in predator-proof
receptacles,or in receptacles that are emptied each night to minimize the potential for attracting predators
of piping plovers, red knots,and sea turtles.
3. In the event the structure begins to disintegrate,all debris and structural material must be removed and
deposited off-site immediately upon coordination with the Service. If removal of the structure is required
during the period from May 1 to November 15, no work will be initiated without prior coordination with
the Corps and the Service.
4. All personnel involved in the construction activity shall be aware of the potential presence of piping plovers
and red knots. Before start of work each morning, a visual survey must be conducted in the area of work for
that day,to determine if piping plovers and red knots are present. If shorebirds are present in the work
area,careful movement of equipment in the early morning hours should allow those individuals to move
out of the area.Construction operations shall be carried out at all times in a manner as to avoid
antagonizing shorebirds while allowing them to exit the area.
5. Any work should only take place during daytime hours,after sea turtle volunteers have finished all morning
patrols and marked any nests for avoidance. Work should not be conducted within 50 feet(on any side)of
a sea turtle nest marker.
6. If a new sea turtle nest is laid after the date of permit issuance and before work is conducted, please
contact the Service and NCWRC for further consultation.
7. Vehicles should access the beach as close to the work area as possible,to limit travel down the beach.
8.Vehicles should travel on wet sand,to the extent possible.
9. If any nests are uncovered,then all work must stop. Notification should immediately be made to NCWRC's
sea turtle hotline(252-241-7367), as well as the local sea turtle volunteer coordinator and the USFWS(919-
856-452,ext. 20).Work should not resume until after the sea turtle volunteers are able to manage the nest and
eggs.Compliance with the measures outlined here do not provide any regulatory relief, if a nest is damaged or
destroyed.
Action ID Number: SAW-2020-01921 County: Brunswick County
Permittee: Kim Edwards
Admin, Edwards Family Living Trust
Project Name: Edwards Sandbag Placement
Date Verification Issued: November 3,2020
Project Manager: Gregory Currey
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: Gregory Currey
Please note that your permitted activity is subject to a compliance inspection by a U. S.Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending,modifying or revoking the authorization and/or issuing a Class I
administrative penalty,or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit,and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee Date
U.S. Army Corps of Engineers (USACE) Form Approved-
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB No.0710-0003
33 CFR 325.The proponent agency is CECW-CO-R. Expires:01-08-2018
The public reporting burden for this collection of information,OMB Control Number 0710-0003,is estimated to average 11 hours per response,including the time
for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of
information.Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense,Washington Headquarters Services,
at whs mc-alez.esd.mbx.dd-dod-information-collections@mail mil.Respondents should be aware that notwithstanding any other provision of law,no person shall
be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.PLEASE DO NOT
RETURN YOUR APPLICATION TO THE ABOVE EMAIL.
PRIVACY ACT STATEMENT
Authorities.Rivers and Harbors Act,Section 10,33 USC 403;Clean Water Act,Section 404,33 USC 1344;Marine Protection,Research,and Sanctuaries Act,
Section 103,33 USC 1413;Regulatory Programs of the Corps of Engineers:Final Rule 33 CFR 320-332.Principal Purpose:Information provided on this form
will be used in evaluating the application for a permit.Routine Uses:This information may be shared with the Department of Justice and other federal,state,and
local government agencies,and the public and may be made available as part of a public notice as required by Federal law.Submission of requested information
is voluntary,however,if information is not provided the permit application cannot be evaluated nor can a permit be issued.One set of original drawings or good
reproducible copies which show the location and character of the proposed activity must be attached to this application(see sample drawings and/or instructions)
and be submitted to the District Engineer having jurisdiction over the location of the proposed activity.An application that is not completed in full will be returned.
System of Record Notice(SORN). The information received is entered into our permit tracking database and a SORN has been completed(SORN#A1145b)
and may be accessed at the following website:htto//docld defense.gov/Privacy/SORNslndexiDOD-wide-SORN-Article-View/Article/570115/a1145b-ce aspx
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
1. APPLICATION NO. 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETE
(ITEMS BELOW TO BE FILLED BY APPLICANT)
5. APPLICANT'S NAME 8. AUTHORIZED AGENT'S NAME AND TITLE(agent is not required)
First-Kim Middle-S. Last-Edwards First-Brandon Middle- Last-Grimes
Company- Admin,Edwards Family Living Trust Company- B&B Marine Construction
E-mail Address-ksedw@attnc.net E-mail Address-BandBMarineConstruction@gmail.com
6. APPLICANT'S ADDRESS: ' 9 AGENTS ADDRESS.
Address- 1349 Ilewett Farms Road Address- PO Box 2574
City- Shallotte State- NC Zip-28470 Country-USA City- Surf City State- NC Zip-28445 Country-USA
7. APPLICANT'S PHONE NOs w/AREA CODE 10. AGENTS PHONE NOs.w/AREA CODE
a. Residence b. Business c. Fax a. Residence b. Business c. Fax
910-840-1639(cell) 910-755-1785 910-755-1872 910-540-5135
STATEMENT OF AUTHORIZATION
11. I hereby authorize, B&B Marine Construction to act in my behalf as my agent in the processing of this application and to furnish,upon request,
supplemental information in support of this permit application.
9/14/2020
SIGNATURE OF APPLICANT DATE
NAME,LOCATION,AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE(see instructions)
Sand Bags •
13. NAME OF WATERBODY,IF KNOWN(if applicable) 14. PROJECT STREET ADDRESS(if applicable)
Atlantic Ocean Address 417 East First Street
15. LOCATION OF PROJECT
City- Ocean Isle Beach State- NC Zip- 28469
Latitude:•N Longitude'•W
16. OTHER LOCATION DESCRIPTIONS,IF KNOWN(see instructions)
State Tax Parcel ID Municipality
Section- 'swnsh,p- Range-
ENG FORM 4345, MAY 2018 PREVIOUS EDITIONS ARE OBSOLETE. Page 3 of 1
17. DIRECTIONS TO THE SITE
Turn Left onto East Second Street after crossing bridge. Approximately 2 1/2 miles on right,one lot back from Lumberton Street(driveway
at 218 E.Second Streetxsplit rail fence on 218 E.Second Street)
18. Nature of Activity(Description of project,include all features)
Sand Bags.
CC)`'°(\‘04C)s-f) pv)._c%L
19. Project Purpose(Describe the reason or purpose of the project,see instructions)
Erosion control.
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USE BLOCKS 20-23 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED
20. Reason(s)for Discharge
21. Type(s)of Material Being Discharged and the Amount of Each Type in Cubic Yards:
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount In Cubic Yards
22. Surface Area in Acres of Wetlands or Other Waters Filled(see instructions)
Acres
or
Linear Feet
23. Description of Avoidance,Minimization,and Compensation(see instructions)
1
(
ENG FORM 4345,MAY 2018 Page 3 of 2 I
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24. Is Any Portion of the Work Already Complete? U Yes I__I No IF YES.DESCRIBE THE COMPLETED WORK
25. Addresses of Adjoining Property Owners,Lessees,Etc.,Whose Property Adjoins the Waterbody(it more than can be entered tree,pease attach a suapiemeria 5sn
a.Address- 415 East First Street
City- Ocean Isle Beach State- NC Zip-28469
b.Address-419 East First Street
City- Ocean Isle Beach State- NC Zip-28469
c.Address-
City- State- Zip-
d.Address-
City- State- Zip-
e.Address-
City- State- Zip-
26. List of Other Certificates or Approvals/Denials received from other Federal,State,or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAL' IDENTIFICATION DATE APPLIED DATE APPROVED DATE DENIED
NUMBER
*Would include but is not restricted to zoning,building,and flood plain permits
27. Application is hereby made for permit or permits to authorize the work described in this application. I certify that this information in this application is
complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the
applicant
9/14/2020
SIG TURE OF APPLICANT DATE SIGNATURE OF AGENT DATE
The Application must be signed by the person who desires to undertake the proposed activity(applicant)or it may be signed by a duly
authorized agent if the statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that:Whoever,in any manner within the jurisdiction of arty department or agency of the United States
knowingly and willfully falsifies,conceals,or covers up any trick, scheme,or disguises a material fact or makes any false,fictitious or fraudulent
statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious or fraudulent
statements or entry,shall he fined not more than$10,000 or imprisoned not more than five years or both.
ENG FORM 4345,MAY 2018 Page 3 of 3
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Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor 11/ amount Permit Number/Comments Reoelpt or Refund/Reallocated
•
Column/ Column2 Column3 Column., Colorant Columnt Column7 Columns Columns
11/4/2020 Duncan Marine Contractors,Inc. Tim and Tom Conley Branch Banking and Trust 8357 $ 100.00 Minor Mod Fee#124-17,Wrightsville Beach NHCO KE rct.12411 _
11/10/2020 Paul Maki same Bank of America I _ 3006 $ 100.00 minor fee,88 Waterfront Cir Dr.Hampstead PNCO TP rot.10309 _
11/10/2020 AMW Docks and Marine Construction LLC Richard Billings BB&T —i- 6005 $ _200.00 GP#77888D _ BB rot.12437 -_
11/10/2020 AMW Docks and Marine Construction LLC Craig Cox for 166 W 3rd street HO BB&T 6006 $ 200.00 GP#77885D BB rot.12438
11/10/2020 'James Moore same State Employees CU 1764 $ 200.00 GP#77694D BB rot.12438
11/10/2020 Wilton Eskridge Rev Trust same Fidelity —r_ 1033 $ 400.00 GP#77691D BB rot.12432
11/10/2020 Wilton Eskridge Rev Trust same Fidel 1033 $ 400.00 GP#77690D BB rot.12432
11/10/2020 Bradley Creek Boatominium Inc. same FCB 3556 $ 200.00 GP#77893D BB rot.12413 _11/10/2020 CMTMC,Inc Thomas Adkins FCB 1152 $ 400.00 GP#77628D Ben rot.12454 _
11/10/2020 Bryan Cassetta same_ Twist Bank 9.85054 $ 400.00 GP#77603D Ben rot.12482
11/10/2020 Mitchell and Beverly Rowell same FCB 3561 $ 400.00 GP#77625D Ben rot.12458
11/10/2020 River Run Plantation POA,Inc. same North State Bank 1598 $ 200.00 GP#77700D Ben rot.12451 _
11/10/2020 H5 Construction,LLC Michael Kelly BB&T 2452 $ 400.00 GP#77633D Ben rot.12453
11/10/2020 Willie Clarence Richardson/Richardson CcWade Coleman_ BB&T i 7824 $ 200.00 GP#71893D Ben rot.11724 _
11/10/2020 CLTMC,Inc. Spencer Stiles FCB 1153 $ 400.00 GP#77630D Ben rot.77630
—
11/10/2020 Bayan Construction,Inc. Steven Hershey 'Coastal Bank and Trust 9233 $ 100.00 Minor fee,217 S Anderson,Topsail Beach PNCO JD rd.11773
11/10/2020 F and S Marine Contractors Inc. John Mack PNC Bank 8928 $ 200.00 GP#77878D KE rd.12414
11/10/2020 Back to Normal Errol Mcgillewie BB&T 5470 $ 200.00 GP#77695D BB rot.12440
11/10/2020 John Tammaro II Parker Real Property LLC Aquesta Bank 1562 $ 400.00 GP#77693D BB rot.12439
11/10/2020 Henry McEachem same Bank of America 4054 $ 200.00 GP#77675D JD rot.11774
11/10/2020 B and B Marine Construction William Brantley Wells Fargo 1525 $ 400.00 GP#77697D BB rot.12442
11/10/2020 'B and B Marine Construction Edwards Fami y Living Trust Wells Fargo 1524 $ 400.00 GP#776960 _BB rot.12441
major fee,404 N Shore Dr W,Sunset Beach BrCo SPLIT
11/10/2020 Ned Danieley same Suntrust 1001 $ 400.00 60/40 BB rct.12443