HomeMy WebLinkAbout80278D - Hartsfield ❑CAMA / DREDGE & FILL NO 80278
41 A B C
GENERAL PERMIT Previous permit#
�� ❑N'ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality O/) �� �� /1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC T �J .
( ❑Rules attached.
Applicant Name Gf h t` 'o f r, 1 c s1 L(,( Project Location: County y ki n S 4 c l�
Address C U O)v?C 2(Ij 1 /'Street Address/State Road/Lot#(s) ((10 f l A l c,
City 1k Oct... M`\`S State 0 C ZIP_ 7 1,4 8 ?/ _
Phone#(It 0) 1-12 S' Z(PSI E-Mail!!W oni �^(Y` 4 Q CS.(cw. Subdivision II
Authorized Agent J�^ V r (mot. City ,c,,n k F- a( 4 C L1 ZIP - ic`k(7
Affected ❑CW EW PTA ❑ES ❑PTS Phone# ( ) River Basin I v ..-.-6.e.,/
AEC(s): ID ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body C a-a( (na /unkn)
❑ PWS:
ORW: yes / no-- PNA yes /� Closest Maj.Wtr. Body �'^� S C/'�"'�
Type of Project)Activity - \ 0 1 L, Cy, 3,--_„ R u�•h„ .c L.J
(Scale: N.) f )
Pier(dock)length ti y12.
Fixed Platform(s) Z t Z. IL „�
Floating Platform(s) l O*I k.,0 .) , I I
Finger pier(s)
Groin length
number —__.._.._ I i
I 1
Bulkhead/Riprap length —i+.�---;.._..-._'._-.�.
I i I
avg distance offshore
I i ,
max distance offshore 1
'1 Z
Basin,channel {
cubic yards ' i
Boat ramp
T Boathouse/Boatlift _—.__ 4.__ .. _.____mot,.,_-.,rg... _ i _
Beach Bulldozing — - 1 «
Other -r1. N 41L1 1 1 V a ` 1-•Pi i 1f(
Shoreline Length 5v
I f
SAV: not sure yes no L l — �- LAIC 1.S�1..ik p _]" n+ } . ... I C� v
Moratorium: n/a yes n -.4 i i 4r
Photos: yes r n O I— C�!
i .
Waiver Attached: yes no
A building permit may be required by: SJAc.� (4 c. f . E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions a C".A-(_) L tit % �� in, 0 X k f L. ,' 1 , c
J
C -. � -, I vuCr-
Agent or Applicant Printed Name Permit er s N e
\�cy,,c' _ w
Signature **Please read compliance statement on back of permit Signature
lig -oo (y CC ci -2-2o 2.1 1 - Z- Z o ZZ
Apation 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 (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-72 15)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 252-946-648 I
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
RPviSPI1 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: t•- erorstue5 LI-C,
Mailing Address: f. 0. 'bO)( Z.G 1
Phone Number: (Gt,10 )
Email Address: wpOcAmAQ` .ne, �(.3 cO
V
1 certify that 1 have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: _ 2.Q.?1q,-11 &L Clt mA-„n?� }--
at my property located at \'\ Cst , 5 3
in V,A.v )w«,- 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:
nature
Print or Type Name
ri\a- 4 tq PoJk €
J�Tittlle�
Date
1
This certification is valid through ,46s0/_�? �\4 .>„1
%ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Sigrtfilt u , Ns ICK
■ Print your name and address on the reverse X I WI. �S ❑Agent
so that we can return the card to you. S � 0 Addresse
Attach this card to the back of the mailpiece, ��L' Pri to Na�) �:te o Deliv
or on the front if space permits. �t U� , 7-2 7
NI1. Article Addressed to: D s elivery addr$ differeht fiom item 1? :II Yes
T(x�\ a= S�^ \ \ u c_� If ES,enter d very address below: No
oc,c, \,..,. i $
Sung. \I-eu�� N< ti
2./5`-16` �• F: BEAD.'
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II(II I I I I( II II I I I I 3. Service Type❑Adult Signature ❑Priority Mail Express®
❑Registered Mail*^
❑Adult Signature Restricted Delivery 0 Registered Mail Restrict
9590 9402 5492 9249 3657 27 0 Certified Mail® Delivery
Certified Mall Restricted Delivery ':Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation,
❑Signature Confirmation
_ 7017 0660 0000 7486 9034 Restricted Delivery Restricted Delivery
PS Fnrm 3811.July 2015 PSN 7530-02-000-9053 Domestic Return ReceiD
USPS TRACKING#
First-Class Mail
�. . ,. ; ;_! Postage&Fees Paid
1111111
IIIl I USPS
Permit No.G-10
9590 9402 5492 9249 3657 27
United States •Sender:Please print your name,address,and ZIP+4®in this box•
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469
U.S. Postal ServiceTM
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
• For delivery information,visit� our websiteff at www.usps.com'°.
iwe�
__ Certified Mail Fee
$
Extra Services&Fees(check box,add fee oo� roodie)j
3 ❑Return Receipt(hardcopy) $ �` 1,t
❑Return Receipt(electronic) $ Postmark
1 ❑Certified Mall Restricted Delivery $ Here
Adult Signature Required $
1 Adult Signature Restricted Delivery$
Postage '+. !
I $
I Total Postage and Fags • F l+1 Si 2:+2 i
+ , ro
, Si a� r o a�_C�.l.f1 "Lc���—
State,Z,P'a*'1 o_ ld
t+,msP.t'bestoh Icc 2b 46,tis
;er[mea man service proviaes me renewing oeneTits:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to tit(
A record of delivery(including the recipient's retail associate.
•
signature)that is retained by the Postal Service- -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
aportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whic
Certified Mail service is not available for requires the signee to be at least 21 years of at
International mail. and provides delivery to the addressee specifies
Insurance coverage is not available for purchase by name,or to the addressee's authorized agen
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear
certain Priority Mail items. LISPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"'for
the following services: postmarking.If you don't need a postmark on thi:
-Retum receipt service,which provides a record Certified Mail receipt,detach the barcoded portio
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records
CERTIFIED MALL• RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN
�PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Ma`)'.`- V Oto,c
Address of Property: \' A\ Cc c \ S u c s \
(Lot or Street#,'Street or Road, City& County) --�
Agent's Name#:U �ict �RSAruC.r l lv<1 Mailing Address:CO1D L 1. x JLh t�fDc'
Agent's phone#:Q\D 5-1cA"cluct5 Q '4c..A61 1•1( 2 9 C(
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 •rawin• the development they are proposing.
jrj al. -__ I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Div •n of Coastal
cr
«. Management(DCM) in writing within 10 days of receipt of this notice. Cor - ' . should be
r' mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3846. DCM represe also be
• -1,„ contacted at(910)796-7215. No response is considered the same as no objection Peithilrobeen
notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
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.)
AiStietbsditagUi .
I do not wish to waive the 15'setback requirement.
(Property Owner Information) A- Adjacent Property Owner Inforn Lion)
\is.,\.),1Y184 iNAs)c4 (513e6 • /
Signature Signature w
\ S ►e� two 9.ec eS j_'SGI 1f Prn 1; n
Print or Type Name Print or Type Nayit
Po c or, 261 7100 6u. f°lvotIC w
Mailing Address Mailing Address •
1 ���,� WC 2s3tl� SUMO'&ac, ij ��ag�(o
City/State/Zip City/State/Zip
e%) 3°t- 352-6 qi 0-519'• {�a97 -
Telephone Number Telephone Number
3- VS-2\• 3 --) aV7D.1
Date Date
Revised 6/18/2012
+ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. 0 Agent
■ Print your name and address on the reverse
so that we can return the card to you. M
POIPT
, ❑Addressee
• Attach this card to the back of the mailpiece, Ir. • ;WO Name) C. Date of Deliver
or on the front if space permits. I li. 3 "7' 2 /
1. Article Addressed to: D. Is delivery address different from item 1? Cl Yes
If YES,enter delivery address below: ❑ No
L....)(1-1...101-1 S h\ATk.'rt
W,nbhN J--tVR. i t,(- 2�<<�5
I HI!I! III Emil i I I I I II IIIII I I I I 3. Service Type ❑Priority Mail Express®
❑Adult Signature 0 Registered Mail,"
❑Adult Signature Restricted Delivery 0 Registered Mail Restrict
9590 9402 5492 9249 3657 89 = ertified Mail® Delivery
❑Certified Mail Restricted Delivery .aeturn Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from servira IanPn FtCreor•r•^n Delivery Restricted Delivery 0 Signature Confirmation,
fail 0 Signature Confirmation
7 017 0660 0000 7486 8 815 tail Restricted Delivery Restricted Delivery
-.. -- r -lover aouO)
P R Fnrm R1:111 .li dv 9m g PSM 7ARn_ro_nnn cmfi3 Domestic Return Receiol
USPS TRACKING#
First-Class Mail
11 Postage&Fees Paid USPS
I * Permit No.G-10
9590 9402 5492 9249 3657 89
United States • Sender: Please print your name,address,and ZIP+4('in this box•
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469
IiEill"(1lt�Fllii�ljElii:ilieel'!`illll`iti�li�E�irile!ll�+lilli
I. . •osta ervice
CERTIFIED MAIL® RECEIPT
I Domestic Mail Only
3 For delivery information,visit our website at www.usps.com''.
C 17 ki.,„ --t" S E
3
_ Certified Mail Fee . - . 0 470
- $ i ,-,-)
..-.,
Extra Services&Fees(check box,add fee iippiripciefoltOsf:
3 P Return Receipt(hardcopy) $ ii,.:,
3 0 Return Receipt(electronic) $ '.i'i,:.'v'l / Postmark
3 ['Certified Mail Restricted Delivery $ 'ir i:i,11:! 1 Here
3 ['Adult Signature Required
El Adutt Signature Restricted Delivery$
3 Postage
/
1 $
I Total Postage and Fees 03/15/2021
. $
1 SektIS
, 441 and Aopt.N9.,or i5o
, c41..e„.v, NC. 2...xot1
'CI tUIICY rvrarr acr vn.c LJI.JvnYco arc MJIMOVIIII ra,vcncna0.
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,preterit this
delivery. USPS®-postmarked Certified Mail receipt to thr
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service" -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
',portant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to beat least 21 years of age(not
First-Class Mail°,First-Class Package Service°, available at retail).
or Priority Mail0 service. -Adult signature restricted delivery service,whic
Certified Mail service is not available for requires the signee to be at least 21 years of at
international mail. and provides delivery to the addressee specific
Insurance coverage is not available for purchase by name,or to the addressee's authorized agen
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"'for
the following services: postmarking.If you don't need a postmark on thi:
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portio
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN
�PROPERTY OWNER NOTIFICATION/WAIVER FORM
a` �-
Name of Property Owner: � `
`1 1.'tG 'C.l \c�
Address of Property: \L(0, Carva,k OL' 3 u..(vasIA Qc..L \
(Lot or Street#,'Street or Road, City& County) -
Agent's Name#:&r (R' �'nS--ru.0 I c Mailing Address:(Qt 1 , 1 axon Dr-
Agent's phone#:(A\D-5-lci"q0 k5 nit CYI Itik 2 9(Qy
r --. _ --; lip_______ uvA/�.5 tiro£ oC F Bad Nto
I hereby certify that I own property ddjacent to the above referenced property. The individual applying for
this aermit has described to me as shown on the attached .rawin• the development they are proposing.
Iv1at�l +E Jb�s'to this'}ra al. ___ I have objections to this proposal.
W ,
—" if you have objections to what Is being proposed, you must notify the Div;.;,,.n of Coastal
O.
Management(DCM) in writing within 10 days of receipt of this notice. Co - . . - should be
- ` , mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3845. DCM repress . ' also be
• - : , contacted at(910) 798-7215. No response Is considered the same as no objection jiliWgrebeen
notified by Certified Mall.
WAIVER SECTION
V1 I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
C1 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.)
-- sardo not wish to waive the 15'setback requirement.
(Property Owner
Cq3 )wner Information) (Adj e operty b erinfor Lion)
l�
Signature 1g nature
\\ ic\'S 1 e� `vase \teS I Air e- f,/ ___
Print or Type Name / Print or Type Name
?co 2 6-1 q-LL__Am . .J..__ ____
Mailing Address Mailing Address , ,
\A\%\\ NC z s 3 tt(6 CO/ ,
City/3tate/Zip City/State
Gib-3c\1-352-6
Telephone Number Telephone Number �'o
-5- VS-2\• 3/1 f 7' ,
Date Date ssr;s, '
Revised 6/18/2012
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Check
Date Received Date Deposited Check From(Hamel Named Permit Holder Vendor Check number amount Permit Number/Comments RaeMpt or Refund/Reallocated
Calumnl Column2 Column) Culumn4 Co/umn5 Column6 Column Column8 Column9
_9/10/2021 Adam Sink same First Citizens Bank 299 $ 200.00 GP#802560 JD rct.15578
9/10/2021 McPherson Marine Services,LLC_ KEM Inc. First Citizens Bank 4476 $ 400.00 GP#80267D PA rct.12798
•
9/10/2021 H5 Construction,LLC Jeff Maples Truist 1075 $ 200.00 GP#80351D PA rct.15705
9/10/2021 David Grice Money Order __ Curtis 8 Kerri Hardee Wells Fargo ,19-306477201 $ 200.00 GP#80280D BB rct.15530
_ 9/10/2021 Floyd Eugene Morris same Trust 1726 $ 200.00 GP#802570 JD rct.15580
•
9/14/2021 .Lighthouse Marine Construction Travis Dawson Coastal Bank and Trust 3922 $ 200.00 GP#802910 JD rct.16001
9/14/2021 _Lighthouse Marine_Construction Greg Cotner Coastal Bank and Trust 3923 $ 400.00 GP#802920 JD rct.16002
9/14/2021 Grice Construction Hartsfield Properties,LLC BBBT 14888 $ 200.00 GP#802780 BB rct.15528