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HomeMy WebLinkAbout80149D - Evangelous to CAMA/ . DREDGE & FILL N9 So 149 A B C (_ J 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 M and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0 ' /QQ C ,/ ZOD ���114 lM• E✓A Rulesa hed. Applicant Name � (��� Project Location: County Address_ c p� fin- /V1S Street Address/State Road Lot# s) City WI L lM /A16—j O A) State- C- ZIP ZY*F ' Ail V h/ fAiTrdze-' Phone#(.7ro Y70 —Z3 Mail ---_ _ Subdivi ' n ( Authorized Agent 4 fillet v/L.--- City ZIP 444 Affected LI CW °EW MilyTA ?SS [I PTS Phone# ( River Basin s. 0, s L'OEA HHF IH r UBA D N/A AEC : Adj.Wtr. Body A-i tco_Ak an [unkn) 17PWS: Closest Maj.Wtr. 1-011,1 1 ORW: l no PNA yes no Body 1 f Type of Project/Activity (_ y� (Scale: ) Pier(dock)length V' a �/ �— Fixed Platform(s) - 'ff4wy//,,o ' 7� `� ~� i s�Floating Platform(s) N rp 4 -_ \,` I S'(t Q r7--Finger pier(s) 7f --D -__ - lL-�� • , 0 , Groin length i .r e / number _/ I (4S l[fY A ��, , r p�P length*�_ i a avg distance offshore , max distance offshore Basin,channe cubic yards- —Ns �.--- - -• Y--`--�.r..__ , Boat ramp 4 V Boathou tlif9i� f v i W a f, , - li—N V► r Beach Bulldoze \ CQv V w��- Other • `,, Y Shoreline Length IT.- t ' no T]�•_- 1, SAY: not sure yes - I IQ Way -� VI YL Moratorium: n/a yes CA t 141,p Photos: yes -r Waiver Attached: yes 40110 A building permit may be required by: "r/t/1d La - . See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions Fe4/1/1;1-/ Q 1)A1A-- or Applicant Printed Nadia P u ffi 's Printed Name Signature **PI of permit** Sign re read compliance stateme ack '7<-67-- 1, / z_ •zI fl, /L. ZI Hearin Fnatcl /'k....-b* lee„ines rinrn 0 CAMA / DREDGE & FILL N° 80149 GENERAL PERMIT Previous permit# A B C > —•'' -.]New liModification Li Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality M /� r 19 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC T fOQ C ,/ Z UO Rules a hed. Applicant Name RP LP 4- 01 • +�✓A .)g1 III-�s Project Location: County i914 Address 50g CA'1. 7 /? tJt Street Address/State Road/Lot#(s) City w (LV lN6—%Dx) State Ale- ZIPZ/* I \6 1A)/`.+tt. vc4d- r t Phone# (61(0) you 13 Mail Subdivisi n r Authorized Agent /,1) all' /' it y i#t-C._..- City ZIP �4 Affected 0 CW r EW PTA pITS ❑PTS Phone# ( River Basin W, 0, AEC(s): ❑OEA HHF El IH ❑UBA ❑N/A Adj.Wtr. Body 1 W — an unk ❑ PWS: ORW: C''"' no PNA yes / now' Closest Maj.Wtr. Body '�?11j ash je0 'A,. 4 0 /Type of Project/Activity �% va/ (�� �U (Scale: s J Pier(dock)length A� �`'� Fixed Platform(s) ` l '� • Floating Platform(s) X i *i\_ i �t , 4� 1 Finger pier(s) '_ 1 • , i O Groin length { ` f number r-- — —_._........._....... —.....-.—. �41fikiNc — h eadlliip r rap length / S 7 �� � O avg distance offshore i max distance offshore l i Basin,channel-,,, _ , III l - i 1 cubic yards Boat ramp i V j 3 t Boathou oath Jf Y I - — -- — • N �� OW _ . _ Beach Bulldoze `t, _ Other } V I 11/ IL I i Shoreline Length 11— ( , r { 1 SAV: not sure yes no i +' !V li I 'ib ID lk*: et=4MA: k/ - -- - Moratorium: n/a yes 404 1 t i i 11 i'dtke .. {- Photos: yes no` ! 4 i i I _ 1 _ — Waiver Attached: yes ,...no I I A building permit may be required by: ,F...-CAA Ct. C(_ W - . ❑See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions G(tiACL Ll)c GlM - 1)/44k------- Plant or Applicant Printed NarAe P • i -r s Printed Name Signature **Please read compliance statement on back of permit** Sign.' re ' ^ .ENDER: COMPLETE THIS SECTION COMPLETE THIS^'"' TiOi.^':... LI .;':' • Complete items 1,2,and 3. A. Signature ' _ „„..0 ■ Print your name and address on the reverse X • / ' •.1 so that we can return the card to you. A� 0 Addres, • Attach this card to the back of the mailpiece, B. Rec-'ved by(Pri fed Name) C. Dat-of uelivt,l or on the front if space permits. . ' am L---e LI (A `7)0 Z 1. Article Addressed to: D. Is delivery addreEpgrfrept r�1? u If YES,enter del fyAddre b a-No /Igv ottiCr urr ,D JUL 0 9 2021 i to 17E ZC v' z)-5- 2ALe16 CC- 2705 DCM vfrli MIh;r-ter `,' NC I I I I I III I I(III I III I I 1111111 3. Service Type 0 A Signature 0 Priority Mall Express® ❑Registered Mail'. 9590 9402 4208 8121 9506 68 0 ult Signature Restricted Delivery ❑Registered Mail Restricti Certified Mail® Delivery ❑Certified Mail Restricted Delivery 0 Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service labell 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation' sured Mail 0 Signature Confirmation 7 018 1130 0002 0001 7889 sured Mail Restricted Delivery Restricted Delivery _,rer$500) Fnrm'1R11 .tin,,9111 F pcnf 7c5n_n9_nnn_anc 5 flnmpntin Rate irn Ranaint 1 3' ; 1 V le \ \ (!e211 11 30 • • "o %h. . EG= �c.6 co N ' i . 2' Vinyl Bulkhead (1 -- 6-1 i �' �' • � to.cti r r "7 � \ ati ng Dock \' ' � kt4114‘ 1° t (T( 24) , I. - rc rT , 7L/ D rrr "' 1� `� x17Ganwa L g yofft , i N�\ 5x8 Platform u- 16 ' � , Q r r 13x13 Boat Lift r 'r � g ... ,, \ i i ,. (120) 1... ' III& 12x1 8 Covered Platform �l -0 It LL Fixed Pie 8 \ . ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ralph M Evangelous 'S (Name of Property Owner) property located at 16 Waterfront Circle,Lot 47,PB 65/97 PH 1 Salters Haven (Address, Lot, Block, Road, etc.) on Intracoastal Waterway in Pender County , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loca 'o 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) RECEIVED JUL 0 9 2021 Site Drawing Attached DCM WILMINGTON, NC 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. o not wish to waive the 15' setback requirement. (Property Owner Information) (Adjace t Prop rty ne nformation) ri (0'-i? As -' „ Sigitattrre Signatpre* ra�y ,r Print or Type Name Ralph M Evangelous Print or Type Name Lot 46 Salters Haven Mailing Address 508 Captain Dexter Wynd Mailing Address 30 Waterfront Circle City/State/Zip Wilmington,NC 28411 City/State/Zip Hampstead,NC 28443 Telephone Number/email address Telephone Number/email add ss Date Date* / `t/ (Revised Aug. 2014) *Valid for one calendar year after signature* AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Ralph M Evangelous Mailing Address: 508 Captain Dexter Wynd Wilmington,NC 28411 Phone Number: Email Address: PE VA►.)G-EL0uSO Go � , � CIO/ I certify that I have authorized Jonathan David Logan/Logan Marine,LLC Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Build New Docking Facility at my property located at 16 Waterfront Circle in Pender 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: .S'igniture RECEIVED Ralph M Evangelous JUL 0 9 2021 Print or Type Name Property Owner DCM WILMINGTON, NC Title I I e2 O Date RECEIVED This certification is valid through / / JUN 2 2 202i DCM WILMINGTON, NC Check rod Date Dooasltod Check From(Name) - Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated ' Coknnn2 Column.? Column/ Co/mnn5 Columns Calumn7 Cokann$ Column9 !021 Logan Marine,LLC Ralph Evangelous •BBBT 7502 $ 400.00 OP#801490 JD rct 14903 !021 _ McPherson Marine Services,LLC Mikaela Schabntm :First Citizens Bank 4303 $ 400.00 GP#802020 PA rct.12838 !021 Steven F Vest same Congressional Federal 1713 $ 200.00 iOP#802060 PA rct.12846 !021 McPherson Marine Services,LLC Roland and Dena Lingle First Citizens Bank 4304 $ 200.00 GP#80201 D PA rct.12837 t021�_ Jonhn Bednarz i same State Employees CU 6380 $ 200.00 I GP#80204D PA rct.12844 !021 Hoard Peabody 'same Wells Fargo 10453 $ 400.00 GP#802050 PA rct.12845 !021 McPherson Marine Services,LLC Tracey Anthony First Citizens Bank 4302 $ 400.00 OP#80203D PA rct.12843 !021 Coastal Marine Piers Bulkheads Charles R White Jr. Wells Fargo 23918 $ 200.00;GP#801440 JD rct 14901