HomeMy WebLinkAbout80105D - Green 0❑CAMA / 2,DREDGE & FILL N° 80105
A B C (G,
GENERAL PERMIT Previous permit#
)C -New ❑Modification ❑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 o 7N, /2 bo
❑Rules attached.
Applicant Name A2aft id 6 e'en Project Location: County #41/5`y I(l
Address I/q aid(/0 fit Stye fi Street Address/State Road/Lot#(s)
City ND/de 1?l ' State NC ZIP S le a S(.; t-
Phone# (coo) ,A 0 0 f k b 6 E-Mail Subdivision
Authorized Agent gatyW 6Gy7icrl B. p fy) LASS City •---ter ZIP
Affected ❑CW 19 EW [PTA ❑ES ❑PTS Phone# ( — River Basin//4711k/-
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body rli net/ (nat�-/
pan /unki
❑ PWS: �j�
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body ��l��f/
Type of Project/Activity : , • 0 rl51fl Ci 4,11<€1/ fr ,1 el -iG it ithc, de(;'
(Scale: 'VT S )
Pier(dock)length
Fixed Platform(s) 20 x I 0 +'t l C
Floating Platform(s) M x / 7- �
Finger pier(s)
Groin length I I II
I E
number _ ) — _�._..._. —
___i . !
- 4- ___ j
Bulkhead/Riprap le : h , I l
i
avg distance offs ore
max distance offs ore - 1 A ( ,.,,d ' i
i, ,
Basin,channel 'A" i bp.-
I 1
cubic yards
Boat ramp `
1 I 11
Boathouse/Boatlift —....__ . { }........._.___- 1 __._.._
4 r p
_... -
I {
Beach Bulldozing ! i
Other I i -1 d r M �/1, 11
� 17 j
1 I i
I 1
Shoreline Length `20 i - 1 1
. .
SAV: not sure yes & I
Moratorium: n/a yes �..._ t 1 V' ,`{F.(0'� I .1_ _ L 1.-.
Photos: yes (�' 1 1 t _ 1
Waiver Attached: (es) no lY�
A building permit may be required by: //14?1 0 / 7/1 'i Afe-4 . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /1107
Notes/Special Conditions `/� 17f/. /�?00.
Agent or Applicant Print ame Permit Officer's Printed Name
/Il `._ µ /{/\ _
Signature Please read(compliance statement on back of permit" Signature / / /
' AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: r cs? e..rd 6-Y l_f-k._
Mailing Address: // CL*v-/Oi S .
a L eA
Phone Number: `old-- WS' — Z 90(2
Email Address: ,(,f>,`L Am T T y�79 T Re. , /VL T•
I certify that I have authorized 7) 7845.5 //a,d„,'
7 v4 1
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: higer( /71S7#.ri `i4'
_77
e/2/� Sher', i& p / /D i �ozk
at my/property located at Y// [ C rre st, ,
in 8(//it 0%44_ 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:
' C
ce?),x...a..,...„_____
Signature
.,c/ &
�+ Print or Type Name
U�'✓IZ-e-JC
Title
_.. I /5 I 'I/
Date
This certification is valid through // / /3 I.1/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to RICHARD GREEN 's
(Name of Property Owner)
property located at 119 CHARLOTTE ST__
(Address, Lot, Block, Road,etc.)
on CANAL I , in HOLDEN BEACH , N.C.
(Waterbody) (C1ty/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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
REMOVE EXISTING GAZEBO AND REPLACE WITH PIER, RAMP AND FLOATING DOCK. SEE
ATTACHED MAP
WAIVER SECTION
l understand that a pier, dock, mooring pilings, 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
he setback, you must initial the appropriate blank below.)
Y"�`"'� I do wish to waive the 15' setback requirernen?.
I do not wish to waive the 15' setback requirement,
(Property Owner Information) (Adjacent Property Owner Information)
47 f !!
Signal re Sig at "e
RIC ARD GREEN G ,i- Moss
Print or Typo Name Print or TypcNName
119 CHARLOTTE ST _
Mailing Address Meiling Address
HOLDEN BEACH NC 28462 _
City/State/Zip City/State/Zip
910-442.,2ta00 04-309-21 O5
Telephone Number �-` one
5/1 3�'2Q2 1 . Telephone ur er
Dare .--- -- LI
D;no
(Revised 6/18/2012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to RICHARD GREEN
(Name of Property Owner)
property located at 119 CHARLOTTE ST
(Address, Lot, Block, Road, etc.)
on CANAL I in HOLDEN BEACH N.0
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location
t. / 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)
REMOVE EXISTING GAZEBO AND REPLACE WITH PIER, RAMP AND FLOATING DOCK. SEE
ATTACHED MAP
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
Q/V- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property_9wne nfprmation) (Adjacent Property Owner Information)
k 44, E7
`'iucrtuf c' Signaturk
RICHARD GREEN Alyce R Hurley for 117 Charlotte Ilc
Print or Type Name Print or Type Name
119 CHARLOTTE ST A yy /� 3 ! l t f
Mailing Address Marlrr .A/ld ess� r
HOLDEN BEACH NC 28462 C'l , j/( 3'2/1
City/State/Zip City/State/Zip
910-448-2900 704-618-8835
Telephone Number Telephone Number
5/13/2021 —57/7 /
Date Date
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Check
red Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reaiiocated
1 Column2 Columns Column) Columns Columns Column7 Coiumna Column8
?021 Allied Marine Contractors LLC Todd Surratt First Citizens Bank 10184 $ 200.00 GP#801080 PA rct.12826
?021 Scott J Prestage same Wells Fargo 2620 $ 200.00 GP#801360 PA rct.14331
!021 Land to Sea Construction,LLC Michael Cosenza First Citizens Bank 483 $ 400.00 GP#80181 D KE rct.12859
!021 Sea Dog Marine Construction,LLC Lucky Enough Oak Island LLC First Bank 111 $ 200.00 GP#80167D PA rct.12831
!021 Permit Pals Richard Green CresCom Bank 3718 $ 200.00 GP#80105D PA rct.12830
?021 Backwater Marine of NC LLC Michael Bryant BB&T 1322 $ 200.00 GP#80113D PA rct.12829
?021 Backwater Marine of NC LLC John Lank BB&T 1323 $ 200.00 GP#80114D PA rct.12828
!021 Backwater Marine of NC LLC Donald Swink BB&T 1324 $ 400.00 GP#801150 PA rct.12827
!021 Permit Pals Aaron Moffat CresCom Bank 3524 $ 200.00 GP#801120 PA rot.12787
!021 Allied Marine Contractors LLC Betty Happ First Citizens Bank 10187 $ 200.00 gp#801110 PA rct.12833
!021 Allied Marine Contractors LLC Demar&Monni Hammonds First Citizens Bank 10186 $ 400.00 GP#801100 PA rct.12832
!021 Allied Marine Contractors LLC Travis Gannon First Citizens Bank 10185 $ 200.00 GP#80109D PA rct.12834
!021 Grice Construction Hampton and Judy Cobb BB&T 14669 $ 200.00 GP#801240 BB rct.14053
!021 Grice Construction David and Rebecca Entenine BB&T 14670 $ 200.00 GP#80125D BB rct.14054
!021 Rhonda McCall Leslie and Tischa Bailey Bank of America 1121 $ 200.00 GP#80161D BB rct.14051
!021 Eileen Hennessey same Security Savings Bank 2396 $ 200.00 GP#80313D BH rct,14102
!021 Southern NC Marine LLC Robert Brooks First Bank 1442 $ 200.00 GP#79915D JD rct 14337
!021 Regina Giurintano same Branch Banking and Trust 1673 $ 200.00 GP#801210 PA rct.12835