80277D - Verellen

CAMA / DREDGE & FILL N9 80277 __
GENERAL PERMIT Previous permit# A B C
> New uModification Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality 1'l OU
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC " - •
❑Ryles attached.
Applicant Name 1 OW \Jere In Project Location: County RAN klAkelOVL1/
Address 9• t f i I C AV-t Street Address/State Road/Lot#(s) I f hQ I
City ; \An tykt i Stated L. ZIP a-glir i
Phone#(_.- 0) 41, 1.9—0
((41 +1-Mail " �" Subdivision
Authorized Agent VA Lk C. Q VVleyl,ciLG I�C �j �c°‘ jCity 'U \1AA 1 V1 G�`f�/\ ZIP g 1
C Uat ' L ( �I
Affected ❑CW EW I%PTA ❑ES ❑PTS Phone# ( ) River BasinVv \ 1. (
AEC s : ❑oEA HHF ❑IH ❑UBA ❑WA Wtr. B G! Q (V Q1L( ) Adj. nat manfunk
❑ PWS:
Closest Maj.Wtr. Body A \WVV { Al C Scti
0 RW: yes /0 PNA yes / no
Type of Project/Activity t- &X 1 S4 i✓`.-) • D ? 0 ' --C(00, 1
r; !� A U 1'� I, -�-4 • (Scale: 1, - 30/ )
Pier(dock)length /
Fixed Platform(s)
C� \L
Floating Platform(s) i t) w Ap --� , ,f_.
��
Finger pier(s) j \
Groin length
number
Bulkhead/Riprap length ...__ 1 _.._._ I
(�\� 1'Z.. �./'�. -
avg distance offshore • j
- l I
L l/V
max distance offshore 11 1
Basin,channel . i l j I
1 ; (�1/1_I
cubic yards
Boat ramp 3 n J tvx j 1 /
Boathous(Boatlih '3 ,K j 3 --__.-_� jc �,---- E
Beach Bulldozing •
i , i
Othe •r
+4 F
a
Shoreline Lengthki— ` 40v O �
1111116..1 RSAV: not sure yes no 0 • GG f
Moratorium: ® yes no1 ,:i.., :phi
_ 1
Photos: es no V(s eE11' _LEY_LEV.. ' k }
Waiver Attached: y no 1 1 C,-\- i 1
A building permit may be required by:N k,W kt 4 J OV C bill 1,/V 111 . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions A k -IN . I .00 G o l( -rre Q- -( i Stn- . I OCA I VC' tA ( ti ,
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Agent or •..I'--.1 'tinted Name Permit Officer's Printed Name
7.1_
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•lease read compliance statement on back of permit** Signature

r,
AGENT AUTHORIZATION FOR PERMIT APPLICATION
Name of Property Owner Requesting Permit: Tom Verellen
Mailing Address: 7817 Pine Ave.
Wilmington NC 28443
Phone Number: [phone]
Email Address: Tom@ verellen.biz
I Certify That I Have Authorized Daniel Clements
To Act On My Behalf, For The Purpose Of Applying and Obtaining Alt Permits Necessary For The
Following Proposed Development:
Dock Work
At My Property Located At: 7817 Pine Ave.
�n New Hanover County.
!furthermore certify that!am authorized to grant, and do in fact grant permission to Division of
Coastal Management staff, the Local Permit Officer and staff and their agents to enter on the
aforementioned lands in connection with evaluating information related to this permit
application.
Property Owner Information:
Signature
--rum
Print or type nam
Owod
Title
Date
This Certification is Valid Through: /
12 29 1 2021

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7809 Pine Ave
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Replace Floatingr. �+ � `
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Dock with 10 20
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• 7817
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August 13,zOZ1 al 4:3J rwi
Tom Verolien
Hey print two of these and two of the drawings and give to neighbors. You need to sign under
property owner information and they check the boxes and sign under
Adjacent e Pbopck erl a faster I
Owner
Information. If you have any questions please call or text. The faster
get
can get the permit. Thanks
I hereby orrtIlYMrt I own prop,*adlecard to Thm Memel(Wean
property �Ownedti
located 7817 Pine Ave.
Pages Creek - _ 1 t Wilmington ,K C,
onnk Itend4
(Oltyffewn sod&Country
The spliced has dasceibad 10 me,as shown below,the development proposed at the tows knellon.
Have no objection to this proparai •
!ham al:fedora to Vie payout
0l$CRIPT10N ANO#OR DRAWING OF PIWPQUD D Mt
nntiMeluelf propoabp development astir!iW In deardpiloa below or Moth so*draria i
** please See Attached Drawing
hones,MR,Cr prom must Is rat bade a
1 indsrdand that a pit,dock m we ply mese'unless valved by ma. of you wish b waive
minimum��d lB from my met d Ogden ,)
the mired%you must halal es appnp
= I do Mots 10 weivs the 15'mend(requirement
I do sot waive die 1r setback requiremera
Pulped?,Owner Mrto n)
li'r,opMt1►avow
Co-I.Gtour.
Z a _1 j( rn f-o C1 7c,.z$11V SL
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rave • 1�� /.ZI

Chock
Date Received Date Deposited Check From(Name) Name a/Perm))Holler Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column/ Column2 Cdumn3 Cdumn4 Columns Column)) Cdumn7 Column)) Columns
8/31/2021 Sea Dog Marine Construction.LLC Waddell Kissell Lee Etals First Bank 1426 $ 200.00 GP#801650 PA rct 12795
8/31/2021 Sea Dog Marine Construction,LLC Paul and Sherrie Bailey First bank 117 $ 200.00 GP#801630 PA rct.12793
8/31/2021 Michael A Young same TD Bank 2240 $ 200.00 GP#8028910 JD rct 14093
8/31/2021 Gregory Holden Christopher Karsher United bank 5588i$ 600.00 GP#801940 PA rct.12796
8/31/2021 Southern NC Marine LLC Alonzo&Vivki Kornegay First Bank 1472 $ 200.00 GP#80339D KE rct.15737
8/31/2021 Southern Envionmental Group,Inc John Dnsh Wells Fargo 8404 $ 200.00 GP#79942D BH rct.14414
8/31/2021 Land to Sea Construction,LLC TomVevellen First Citizens Bank 505 $ 200.00 GP#802770 KE rct.15736
8/31/2021 Dock and Deck Oudes.LLC Dan Habrat PNC Bank 1196 $ 200 00 GP#802760 KE rct.15733