74280D - Jacobson

0
JCAMA / DREDGE & FILL No. 74280 A B C D
GENERAL PERMIT Previous permit #
•New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 1 1A • 1 C/13 \
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ` b V .
� ' El Rules attached.
Applicant Name L„A .U+vl,0 Project Location: County - t l `\!'`AA. , v\Atx
Addr ss �54 Q\ Y•. e(,v('�� rr`�\.v- Street Address/State Road/Lot#(s)
CitAJ 14 State Ne ZIP kQ's
Phone#6Ab)�4;1'yy - _mail \• 1r-.ss,,C. (r Subdivision +
n
Authorized Agent ��1�N1 1'�{��(!O W1 CAAACiry_ ( lk- 1`CLAC' ZIP z;gL{(.Q
❑CW ❑EW ❑PTA ❑ES. ❑PTS Phone # ( ) _ River Basin Ltn VV64A
Affected y pEA ❑HHF ❑IH ❑UBA ❑N/A ,\ I'
AEC(s): � Adj.Wtr. Body 1-}''',G1,tAi'X C OUL ali, an /unkn)
❑PWS: 't It
ORW: yes o PNA yes Closest Maj. Wtr. Body
Y
Type of Project/Activity l t'V Li' r VA�U6� �.-JJ 'h 0 k(S.k )(.V V A 1�11
A Ni‘ stA5 k V 1 v \ `6A—iix 1 a `iL 6'\ (Scale: I( S
N‘ )
Pier(dock)length ' I
Fixed Platform(s) '14Ir° '
Floating Platform(s) 4*4\1\\k‘lFinger piers) t k ��('Mia1 kGroin length1 V141 VVV '
number VV I ; .
Bulkhead/Riprap len I Q
avg distance of shore Z'
max distance offshore .3
Basin,channel
cubic yar s t�
�•'
Boat ramp
C
I (._ /
� i p cott/
)
Boathouse/ oatlift t n qy
16,
1 � v� n1
Beach Bulldozing — - I -
Other i
,Shoreline Length J SJ \''''ir.P6'1>
. .
SAV: not sure yes n0 --1 - --
f`moratorium: n/a yes no v 1� ' * ?T,(0 1 I
Photos:
yes /l
. �
Waiver Attached: yes 0
A building permit may be required by: k\d•C\Notc\ , 6Y' i7-a'v�� C See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) V\I\MA
11Notes/Special Conditions 1L `�' V G AVV. V1 l,�T 1 \ A U 'a
T.
itij. fin bAu C a V
Agent or pi' t Printed Name Permit Officer's Printed Name
ILA/VIA IVIf ` Y ,.
Signature **Please read compliance statement on back of permit * . Signatu,ej 7/ /
Application Fee(s) Check# Issuing Date Expiration 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 (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-7215)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 252-946-6481
Fax: [phone] Fax: [phone]
(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: [phone]
Fax: [phone] (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/I7

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: h J,t_c D
Mailing Address: L5-1l ()/ �. Yt 1�CP.0 tie
cc tr) [�-ti f(i( �86..-
Phone Number: rp 50 -S6 f- 1Rlig
Email Address: �� r- Q c Cf'I��Cc rf I Cal�ll
I certify that I have authorized Uv L /U 61
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: aunt f -Kakim
at m property located at 54 6 ) ti i� 81ct2Cit 1( l /5 k wYP P � � /il / � Y �/
in P/ -�/►��t County. �7 6J�
r t
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:
rgn e r_
SO
Print or Type Name
Title
Date
This certification is valid through / /

, Immo
e.
LiY`'j
ADJACENT RIPARIAN'PROPERE_Y`OWNER
STATEMENT FOR CAMA PERMITS
I hereby certify,that I own property adjacent to Leslie&Ty-Jacobson's property
and Bright Parson,Iles property(Attention: ManiSundaruarr) located at 5401
and 5405 West Beach Drive,respectively,on the Atlantic Ocean in Oak Island,
NC.
The owners have described to me the beach dune replenishment project that
they,are proposing at those locations,and I h ve no objections to eir proposal
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Print or Type Name.
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Telephone
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Chock
Date Racolred Date Dapwaad ` Chock From Ma) Morn of Permit Hold.r _ Vendor 11/ amount Permit Numb.NCornm.nta Rocolpt or Rafund/Reakocatad
Carunml COR.nn} Column3 Calu.nn4 Colton,* Column! Cokrnrr7 Colomna Cok mn9
2/15/2021 Carolus Building Company Jim Finley First Bank _ t 1462 $ 200.00',GP#77770D JD rct.13555
2/15/2021 Fire Mechanical Scott McCaffrey Wells Fargo 2073 S 400.00 GP#77638D _ Tmac rd.12910
2/15/2021 DuLac Property LLC James and Hollis Mertens PNC Bank _ 1034 $ 400.00 GP#718700 Tmac got.12901
2/15/2021 Durral Gilbert same i Bank of America 1556 S 400.00 I GP#77818D Tmac rd.12902
2J15/2021 Dural Gilbert Jonathan Kruger Bank of America - 1554 $ 400.00 GP#77819D Tmac rot.12906
2/15/2021 Durral Gilbert Lawrenece Krynski Bank of America 1559 S 400.00 GP#77817D Tmac rot.12903
2/152021 Nancy Simpson Stephen and Nancy Simpson USAA Federal Savings Bank 1866 S 400.00 GP#77811 D Tmac rct.13600
2/15/2021 Bright Person.LLC same Capital Bank _ 1580 $ 400.00GPS71861D Tmac rot.13599 _
2/15/2021 Durral Gilbert Frances McLean Bank of America 1553 S 400.00 GP#77814D Tmac rot.12904
2/15/2021 Dural Gilbert Allison Timpeno Bank of America 1558 5 400.00 GP#7871D Tmac rot 12905
2/152021 Durral Gilbert Wave Properties.LLC Bank of America 1555 Si 400.00 GP#74281D _Tmac rd.13598
2/15/2021 Leslie Jacobson same First American Bank _ 8094 S 400.00 GP#74280D jinacrd.13597
2/152021 Durral Gilbert Elizabeth Yonntz Bank of America 1580 S 400.00 GP#718630 'Tmac rot 12909
2/15/2021 _ Dural Gilbert Frank and Caron Spatola Bank of America 1557$ 400.00'GP#77818D Tmac rot.12907
2/15/2021 Brian Shugart same First Horizon 5797 $ 200.00 GP N77634D Tmac rd.13593
2/15/2021 JJ,LLC same First Bank 1387 8 200.00 GP#77789D BB rctr.12982
2/152021 Carolina Bluewater Construction.Inc. Patnck Bymes B88T 24069 $ 800.00 GP 8777160 BB rct 13522
2/15/2021 William Pugsli same UBS Financial Services 111.11111111tal$ 200.00 GP#77535D B8 rot.12447
2/15/2021 -. B 8 J Construction of NC.LLC Stance Taylor B88T 11.11.11ag f 200.00'GP#77572D BB rot.12952
2/16/2021 Grace Construction of Brunswick County Inc John Gray BBBT iiiiniM$ 200.00 GP#77717D _ BB rct.12953
2/152021 Grace Construction of Brunswick County Inc Kevin Dunlap B88T 14410 $ 200.00 GP#77718D BB rct.12954
2/162021 Grice Construction of Brunswick County Inc Domes and Favid Severs B88T IIIIIIIIMID$ 400.00 GP i77719D BB rct 12955
2/15/2021' Brandon Grimes Money Order Town of 018 Wells Fargo 19066347336 $ 400.00 GP#77787D _ __ BB rctr.13523
2/152021 Grice Construction of Brunswick County Inc Naden Lindsey B88T 14411 200.00 GP#77720D _ BB rct.12958
2/152021 •AMW Docks and Marine Construction LLC Jerry Browning BBBT 6130 $ 200.00 GP#77664D BB rot.12957
2/15/2021 Daniel Allyn The Allyn Living Trust USAA Federal Sayings Bank _ 554 $ 200.00 GP#77779D BB rct.12958
2/152021 •B 8 J Construction of NC.LLC James Allred B88T 2311 f400.00 GP#77791D _ BB rct.12959
2/152021 Parkers Pointe HOA Same Wells largo 71488799 _200.00 GP#77777D _ BB rct.12960
2/15/2021 B 8 J Construction of NC.LLC Glenn Lee Spach BB&T 2310 200.00 GP#77790D BB rot.12961
2/152021 Jerry Ennett C-Breeze Proo..LLC Coastal Bank and Trust 3834 $ 200.00 GP#80102D JD rct.13558
2/15/2021 Southeastern Coastal Construction Co. Alan Solana South State Bank 12082 $ 200.00 GP#80115D JD rct.13559
2/15/2021. .Jerry Ennett C-Breeze Prop..LLC Coastal Bank and Trust 38351$ 200.00 GP#80101 D JD rct.13557
_..
2/1542021 Town of Wrightsville Beach same FCB 1180401 f 200.00 GP#77577D KE rct.13671