Loading...
HomeMy WebLinkAbout77595D - Scerri 41,E CAMA/ DREDGE & FILL N° 77595 A B C 0 GENERAL PERMIT Previous permit# > .New -Modification Li Complete Reissue ❑Partial Reissue Date previous permit issued .. As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC • L.0 C) . 1 "' El Rules attached. Applicant Name CAW\S- Di ) UCV e '(V \ Project Location: County lN) QhJ A-ay pv CA,- Address ( S QGY AIM \\,z� _ _ Street Address/State Road/Lot#(s) SiA m F City\ J y 1 \Akc\A\l.1?. '6e(Ade-State k)(i ZIP Phone# ( ) E-Mail Subdivision Authorized Agent DcAht k.J, t y 1el _ City _ ZIP ❑CW p¢'EW I[PTA COS ❑PTS Phone# ( ) River Basin V V YA i 4-e 0a le— Affected ❑OEA Ll HHF ❑IH ❑UBA ❑N/A r�r AEC(s): Adj.Wtr. Body(C�.'''C o}+ 4- rv‘,ci C . Sakkci l /unkn) E PWS: Closest Maj.Wtr. Body L -'S (AA ) ►M 1cC{t 5r.Wi/1C( ORW: yes /�o,, aPNA yes / Type of Project/Activity C 0V\SAYL�CA- C ALN/ 10' 7C 12 4 — ?11;6 40k - t2c. +Cc. 2 Ki t-1-,'v„ 1 o Aw,01 >✓ t., a ' ea S+ o0-(-- GUY V •-4- al t V►nk'h 'J (" f A' k - Jkk- 0 -(Scale: 2,o' J ) Pier(dock)length -4 15 ' S cA 1PCX C 5_-', � I I I I I i I �, Fixed Platform(s) ,+0 t 2. i ii I 1 f I Floating Platform(s) Lo ' )4S 8 ' I 1 1 ( A t.f A L I Finger pier(s) I i._. _ I i Groin length 4S111V\C'' l /-St I IC?- YV�1l1C‘k.l. S .I {number ...._} -...�¢l. ... .� !.. ). 1—_.. .._._� _�...- - .-..._'ex 4 0‘1r G1._._._... L Bulkhead/Riprap length O�! Li avg distance offshore I !et{�.7 t 1 T � i max distance offshore (�1' , Basin,channel 1 bT '7U, S t i(.' i I y } i cubic yards ! E _ Z Boat ramp ��� ..._.._r_ 1. i _... r .�. — ......... i-......_ I Boathouse/Boatli — j t t ■ _______ / I Beach Bulldozing * - _ * • 1 �r S ►�Q1I ! if r Other /7 •�� ix t ! ! 1 I f �iQ1� 1� ���� I�rk�ryr ! 4 5410 S�"t. Y .I►: Ace Imo: Shoreline Length /- g 3 r a i i i ► ,C.- i i ,� �� 2, to I y b�14c1��Plr� .v1. .c. �i orSAV not sure es �r . _.__..__ I_I / �. I �6w +... - Moratorium: n/a yes >o ---' !...�� ti' I �.._..._. ......./_._. i „- Photos: yes m _ i ! Waiver Attached: yes i !- - ` eG Y Y'1f�1. .... C g r` 1 ,I 1 " 'Q' T A building permit may be required byi-cpt,Jl\ b4 \*k q v\,U. (ALl,‘ . i I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) I r ` (� Notes/Special Conditions i Y'j. J 10'7` %2. c, k-tai 1'y‘ c vnA 11 ' 4 10e. C ttvvSio4A- L ea G"- tiA-t SC..WiJ_ E -\0...AS v. C lc-4 4ww. --D Adlr tY 4. to 4 IA), M c s - 4 h 400s :;. i7ta-4k-cv m vta l e_ . All l o(.u ) S -1-e ` a —e((s,.t l YLk I c r G` elf VD--Vkav‘.v1e Elks Agent or Applicant Printed Name PermitOfficer'ss�Prined Name 4^^ ooYtn 1 • (A Signature Please read compliance statement on back of permit** Signature a 00. oa c S-- 19-- J-e)-1 a- t li1tea-- i -D- 1 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 1 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: 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 e 7,-1- ---: :-is '- ' ' `CAMA:`/0 DREDGE ai:.FILL ._ ` NO A GENERAL PERMIT Prevlotrsperm � N Mcddicatiat -.< Complete,Reissue: :�Pattfat Reissue _-to previous Permit*- it•'. [)aissued As'aut by tie State of North Carpi.Degutrrronc ot Envlrorvnental'.Quality< " ,''' - - _ - and the`t'�aat Resources Commission in ana a of environmental concern pursuant:to ISA NCAC` • , r t 2.p`0 - - • . . amchett icant'Name Pro ect Location;•Coun h�»f �F(v s 0 Adar ess`` 5,,,• PaYhn ?= . lY ':, . ,,- "' *, t Address)state Roadl Lot#ts) �'�{�1c�1!15E n nC ; :iuzrP Plane #1 I.:'' :. - E-Mail �•- `- • t.-- subdivision _ , � Q� s t e\t ttrorized A,gen J(k 9 k Q t - , City. _ -- ZIP , _ Affected O CW"_ W t)IGrA q(Es ❑PT ' ' Phone#`(_) River Basin: L#t C�*IC. j :QOEA, -QHHF 0tH ' ET.UBA ON/A Ntit }` M L i r _ :AEC s - Add.=Wv ORW yes,0- PAtA. yes / - closest Maj wtr Body-Lu- Type-ofProject(Aktivity cOA ' YU�t " 0. -,ti(1,-W 't0,X':i2.` kca , _ Qe.. _,.ftN,A .2.ICt3 , 'Pl r(( do - - _• r R . c to - - _ 1y i s F KPlaciwntfs) Y �1 _ i i _ , A •Tftl • • 'Fi r P (s) l' —�r r i -Groin .� r + $'�` � IL�Ct� 5 s' 1, � '.�.' •�f r _'f r ,B4Aheadi .• a '% ' —— c _ € Bazar►ciurrmi _i..7) . L ® 1 adiic yards -III t-r-: >`- Beams — h r kOther = i Ai. 1 j� - e i IT , n�--. ' */=sr3- inr• ; � 1.10 .ate., ` ., ,,: _ „ • •SAV: sure. r� ® _ t , - s _—�. l- r I },�a► .... �- j~ b t t�tarstorin r> n/a 1 � -t l'hotoc- -`-Yes•' no _ t:__ .__s�� — - 7 �7 r ► -5 „all, . WiiverAttadred; yes. �'A`building permit may tie requtral Hy'�c7�1&k 6T U Yt5n 31A - 0 Seek regardins t - noteori bat Basin rules 4(.Note Locai Planning jttrIsdicdOn) � ,+_� . . • Motes/Specia1'Cond(Iions 1�ft.. Y1,tivJ Ord e , _• e _t 2 Iitt.G(YY► 5hct tt Vl '1, • S�Vrit @ w i4``wiR a � , WA'. Ii kfrfi1Xik,'_ -b -,achkeff'G `. •.-I tst- �hAk S� - P EAsentor wile - -. Perri*glfrcr's Printed Nam. , Siiopr• ad cOrnplithtce statement back of pemilt' Stgriature.` - _ ,,�.o(J. ° -. --53°► - .�a -I.mot: to :a-�i- a-1 Application Feels)' . ' Check of - Issuing Date ,. ExpirationDate • _ i ,. REP 'u E XIST J(, logy 18' 1-0A- 1 ' 71 ' PL .Sion-- EAST 2' Tv Aid(40,1 / I , I w,� 15 ' S67-,,4CK -4 -. 6 / F €tJT1cf IT' SITS . I. u-'r' T34CY` / -3'— '0 / 341L.,- NEW EX157iN0 A. 10'r•al PLA-' Rpt /Z's!Z' 77 T�2I"I1 I _ � a ffC 0 RC"A Gc F571P.(p I recn;„ I '-'` I / XIS //V(0 _______..------4---- ., It) . SFIo1 L1 J . - 85 5 'X IS, 6<,2 • (et Isrre,cr tut ut.Hee,14). • To TCE/w4'N • CkR/SToPNE2 Sou- • S C1r221 `�Ilv o lay P/Voti c )3Lv) 0,- �? iv3/ NG 2g8o ft" 1.11 . AWN ay; aaN,tL. ZR,RLsY• Sca. IIf f Z0 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Christopher D. Scerri Mailing Address: 125 Parmele Blvd. Wrightsville Beach, NC 28412 Phone Number: (910) 520-8462 Email Address: chris@civilworkscontracting.com I certify that I have authorized Daniel Shirley - Overbeck Marine Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Dock work & Dredging at my property located at 125 Parmele Blvd. Wrightsville Beach, NC 28412 in New Hanover 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: 4y— Signature Christopher D. Scerri Print or Type Name Owner Title 02 I 18 / 2021 Date This certification is valid through 2-- I t' I CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 01('StOf h�{ t• 4 3 ; I1 E. E'c..e r- i Address of,Property: Z C 14- Z1'I (Lot or Street#, Street or Road, City&County) Agent's Name#: L1 a- 3 i'3 Mailing Address: ji t 0 �v James �x c Agent's phone#: 9 i 0 .3 i i - v 31 . f 0,,i.f. , lt..pinj-t.e1, rt i t Z2 4`f 3 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 . •I osing. A description or drawing,with dimensions, must be provided with.this letter. 1,/iiihave 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-listinq 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, or lift 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. W do not wish to waive the 15' setback requirement. (Pro Owner information) ( -iparian Property Owner information) -- Siena r Si Lure 14144 aitii-k e, ---v/-iy litiZcib-) Print or Type Name Print or Thee Name lt6 WpietELE $8.0. 30/ a(,1( A:2 ce___ Mailing Address Mailbag Address R � Z6 4D i Gi 2 /9 . R!U 6Pril �4td.� l . City/State/Zip City/plate/Zip • cis eiwiso c)0o� e� ���1 ,�, o. ,�/ �M L k �).--) Telephone Number/Email Address Telephone Number/Email Address td—,91 bio RECEIVED Date Date OCT 21 2020 (Revised ug. 2014) bal WWL INGTO$i„Ni LIST OF ADJACENT PROPERTY OWNERS OF 125 PARMELE BLVD Town of Wrightsville Beach (Parmele Blvd) 123 Parmele Blvd. W Edwin Jr. & Laurie W Link 306 Colonial Dr. Wilmington, NC 28463 910 612-6929 John & Jeanne Lovett 2610 Park Ave. Wilmington, NC 28403 William & Jodie Smith 2802 Park Ave. - Wilmington, NC 28403 Thomas & Jane,Maloy 2521 Mimosa PI. Wilmington, NC 28403 Charles & Anna Smith 5614 Chelon Ave. Wilmington, NC 28403 RECEIVED OCT 2 1 2020 DCM WILMINGTON, NC A • CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM. Name of Property Owner: Lk�'� �P 't� 6I . Address of Property: I Z? RvriAActe, iSI V� (Lot or Street#, Street or Road, City&County) Agent's Name#: (Li v 3 evt 5 Mailing Address: 1 (0 C✓►tieNs Alex r Agent's phone#: Q 10 .3 l t) O 3 i ►vlej .e+.��- Pr c Z-2'`' g 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 letter. XI 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.nccoastalmanauement.net/web/cm/staff-listin_q 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, or lift must be set back a minimum distance of 15'from my area of riparian access unless wai‘g6 re[(If vL you wish to waive the setback, you must initial the appropriate blank below.) fl I do wish to waive the 15'setback requirement. 0 C T 21 2020 I do not wish to waive the 15' setback requirement. DCM WILMINGTON, NC (Prop.0=.Owner Information) (Riparian Property ner Information) jfrr - L Signa. - Signa ure 1 NR-115 C.�►t tVV &l ,A., �%AfG Jam. Print or Type Name Print or Type Name iZ5 r-kg-tit Lea. Mailing Address Mailing Address 1640.094 li,t1.11 NC 214 /1/(:_ Z City/State/Zip Uttr, ellttm®04.y tr 11City/StatewZip C511)441 T ephone Number!Email Address Telephone umb r!Email Address Date Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. �k Y' . Yt � cr i ; Z]Address of Property: t FP.cw d (Lot or Street#,Street or Road, City&County) Agent's Name#: � ;PI - ;evt 3 Mailing Address: 1 t CiA✓►fic‘S i s 1� Agent's phone#: 9 1) 3 t '� O 3 i �r�,r� -���► c� t,e 1. fl_j f!c 2 `/. 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.letter. 1/ I have no objections to this proposal. I have objections to this proposal. IS© Mot( l5 r tkd C/6.5c1_ o ' a re et -� r'' if you ave octions 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 ce� - available at http://www nccoastalmanaaementnet/web/cm/staff-listing or by calling 1-888.4RCOAST4' 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, or lift 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.) RECEIVED I do wish to waive the 15'setback requirement. OCT21Za%0 I do not wish to waive the 15'setback requirement. OCiVi!N ILMINGTON, NC _ ..,. (Pro *weer information) (Riparian Property 1 wner Information) Dhs4. . MQ Sigma r Signature 4944 LO•ce-t 44)5 (4 . MA>.,, Print or Type Name Print or Type Name Y 12 PALr5lvb. , rat os4 ?/a e Mailing Address Mailing Address City/State/Zip City/State/Zip titi)620.91,4 ems@..ao.writer,em/aahy." Gtic, Telephone Number/Email Address Telephone Number/Email Address `���.� re. Ce 0-1 S\ Q}. c. i S , LaL4a Date Date (Revised Aug. 2014) = 1 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIW}:.lVER FORM Name of Property Owner. aft('S' Ot h-' 1). 4. J ; lI L. .e rt i Address of Property: Z) l.al. rt),: f p t�.r d l u� (Lot or Street#, Street or Road,City&County) Agent's Name#: ,3 ; 9 ''� ,� 44 5 Mailing Address: 1,�l C� CIA Jai Lxc. Agent's phone#: Cu d t) 3 i C - v 3 I Pr".n "1 -!r�►,✓�ca�t-� .t j l � Li/ 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 letter. 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.nccoastalmanauement net/wteb/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 Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15'from my area of riparian access unless waived te4IVEO. you wish to waive the setback,you must initial the appropriate blank below.) i do wish to waive the 15'setback requirement. 0 C T 21 2020 I do not wish to waive the 15'setback requirement. DCM WILMINGTON, NC (Pro Owner Information) (Riingn Prope °Titer Information) liyttt Sierra r Signature 11144 tal-k VVlLL,4-►,6 T. S'M 1.11k Print or Type Name Print or Type Name lV `2 1. . 25b2. PA,�u AV wi: Mailing Address Mailing Address 1Aigitortsvat6100 t 2$v4S° Wi»iNJC-cvo t\ C 2 03 • City/State/Zip City/State/Zip oil Li, .5 g461 ' AS 91'ub , �$��Ai .sia ohoPs @ �1��^^ Telephone Number/Email Address Telephone Number/mail Address 62.ap i\ 61)ST Date Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. r' 'uhd{ - J , �� •. Ec_er; Address of Property: I Z- ".e k N Lid- (Lot or Street#,Street or Road, City&County) Agent's Name#: GI a 3 ;,v15 Mailing Address: I(0 (1 A ve,s .c. b` Agent's phone#: . Q 1 t:9 3 i "1 - C)3 i I- Po, f- (1IA.rvaJ4.�i, rl, Aic Z:��3 • 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 letter. I have no objections to this proposal. I have objections to this ro osal. P P 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 athttp://www.nccoastalmanaoementnet/web/cm/staff-listino or by calling 1-8884RCOAST. No response is considered the same as no objection if you have been notified by Certified Mall. WAIVER SECTION ! understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.) RECEIVED I do wish to waive the 15'setback requirement. OCT 21 2020 I do not wish to waive the 15'setback requirement. DCM WILMINGT©N. NC (Pro Owner information) (Riparian Property Owner information) C�v Si a r Signature Print or Type Name Print or Type Name 2 12 ?orvbliat r5d,N11). Mailing Address Mailing Address w1 , C. 2&�5( .RieolisVittaEkti; NC ZS/lb() k.„1-4----,......-- -tzt-t---__2tg:aj:t_____ City/State/Zip City/State/Zip li ),520- 4(a2 vitlisetwilmoltmegitAktolyileol 757 3 t-'t9K C c Ina rlss ws.,,1k 20 L Telephone Number/Email Address Telephone Number/Email Address L.ith.`R.i . co, 516`2@`moo ZYb6/20 w Date Date (Revised Aug. 2014) • CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: cik f's o�hi{' I• Cr i , t i ce le t Address of Property: I Z� w d it i/d- (Lot or Street#,Street or Road, City&County) Agent's Name#: l.1 in ,1 :.-v1 3 Mailing Address: 1(0 C A tic 4 its K. Agent's phone#:.' C I 1 ei - v 3 I 1 R--)+r1•fir )-L b'slej- ,,. ft_f !V C z: ii5F.� 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 orovided with this letter. have no objections to this proposal. I,have objections to this proposal. If y u 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 htto://www.nccoastalmanauement.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. I51I•',IVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.) RECEIVED I do wish to waive the 15'setback requirement. OCT 21 2020 14, -g I do not wish to waive the 15'setback requirement. ,.........4a, t C M Wii MINir:TON, NC • (Fro,` ' Owner Information) (Riparian ope per I rmation) 14 � /— SiQna' r•• Si afore G Print or Type Name Print or Type Name 1t6 PAILIMELZ $A11I). a6e'd ,i92/c 4v,;.144 Mailing Address Mailing Address WRIT W911& NC Z6 4f D Gv.�-(,.�„74/69-et,/ /V o7P -G City/State/Zip City/ te/Zip ��* %/:: ( / tit)5 ita Q tlos i cioa e���u� huycc (9(,p3.3 -o /— /;( Vic Telephone Number/Email Address Telephone Number/Email Address ✓ MC/ tAtv1202.4; el e i‘(9c7 Date Dat (Revised Aug. 2014) Check Date Received Oats Deposited Check From(Name) Name of Fermin Holder Vendor If I amount Permit Number/Comments Receipt or Refund/Reallocated Columnf Column2 CC&.rno3 Colum na Columne Column/ Ceiirn7 Column Column!? 222/2021 3/2/2021,Marc Simeon Alice Wilder PNC Bank 211 $ 100.00'minor fee.2110 Washington Acres.Hampstead PnCo JD rot.13565 2/22/2021 3/2/2021 Overbeck Menne Consf/Daniel Shirley Christopher Scorn SunTrust 1 5397 $ _200.00 GP#77595D KE rd.13873 222/2021 3/2/2021 Jennifer J Johnson Jason and Jennifer Johnson First National Bank 2623.$ 200.00 GP#77758D BB mt.12969 -- ---- — - -- 2l222021, 3/2I2021 Anthony Carr Cashier's Check Nick Serif Stale Employees CU ' 101542!$ 200.00 GP#77800D BB rcl.12968 20212021; _ 3f212021 Backwater Marine of NC LLC John and Heather Brown BB&T 1218 $ 200.00 GP#77592D BB ttt 12970 2/22/2021 3/2/2021Construction Griee Construction of Brunswick Inc Charles and Shelby Jordan BB&T _ 14448 $ 200.00 GP#777990 BB rd.12967 2/22/2021. 3/2/2021 Rha da McCall same Bank of America 1084 $ 200.00 GP#77795D BB rd.12951 2/22/2021, 3/2/2021 CMT3_LLC Carolyn Austin Bank of Amenca 3017,$ 200.00 GP#77780D BB rct 12972 _ 222/2021 3/2/2021 Parbiot Boat Litt and Dock Maintenance LLC Allen and Jan Kelly Aquesta Bank 1031 $_ 200.00 GP#80113D JD rd.13566 2/22/2021 3/2/2021 CLTMC,Inc. John Lawson FCB 1166 $ 200.00 GP#776400 Tmac rd.12914 2/22/2021 3/2/2021.B&J Construction of NC,LLC Alma G Davis Trustee/Rhonda Hatch BB&T • 2316 8 200.00.GP#75820D Tmac rd.13530 2/22/2021 3/2/2021.Ann E.Cordell _ same PNC Bank 1513 $ 200.00 GP#74889D Tmac rot 12922 22212021. 3/2/2021 Island Contracting.Inc. David Durack Branch Banking and Trust 37555 $ 200.00 GP#77810D Tmac rct.12908 2/22/2021 3/2/2021 Linda Kanov same 688T _ 10043 200.00'GP#75828D Tmac rct.12921 2222021 3/2/2021 Southeastern Coastal Construction CO.(1 c42) Sean Desmond South Stab Bank ._ 12083 $ 200.00 GP#77511 D KE rct.12728 2222021 3/2/2021 Southeastern Coastal Construction Co.(2 of 2) Sean Desmond South State Bank _ 12100 $ 200.00•GP#77511 D KE rd.12728 2222021 3/212021 Lighthouse Manna Construction Inc Adam Litton Coastal Bank and Trust 3840 $ 800.00 GP#80112D _ JD rct 12388 2222021, 3/2/2021 Davey Resource Group Inc. 'Jared Uppell Unclad Bank 2192 8 400.00 GP#77597D PA fa 11589