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HomeMy WebLinkAbout85361D - Edwards "000ASTd` t. CAMA DREDGE & FILL No 85361 A B C CP) j GENERAL PERMIT Previous permit A Date previous permit issued i I New I I Modification Complete Reissue Partial Reissue 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: 15A NCAC Rules attached. 7 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name 1�1 (iV% c�d" ficl S Authorized Agent % J5 �r �L1.tott:c---.,,,. Address 1/07 / /'L///!/t l /V. Project Location(County): / •-( t✓f�C-A.- City_ + . •1/' Sttate,�_ � ZIP 77rcr) Street Address/State Road/Lot#(s) " Phone#( 7,/ T//) `r/ '49 '! !J V L.C; Email Subdivision ,_, ,J _ City ZIP 'r4/�1' '` Affected n CW , EW n PTA ES n Pis Adj.Wtr.Body ,%��"1 ^-.( (nat/man/unk) AEC(s): n OEA IHA UW SPIMA n PWS Closest Maj.Wtr.Body 7U SG'Cl/' I i ORW:yes/no PNA:yes/.nq Type of Project/Activity (Scale, , ) Shoreline Length Access Length ,, Pier(dock)length . / Fixed Platform(s) 1 Floating Platform(s) j I'1 i'> Finger pier(s) : 17 .. . Total Platform ales .o; M1 i Groin length/# ,ti,,, , Bulkhead/Riprap length 1 :- Avg distance offshore v 1 """"" `" Breakwater/Sill , _.M..-_... Max distance/length �m," Basin,channel I Cubic yards E . I Boat ramp 1 / ( i Boathouse/Boatlift . 1 E ' i I Beach Bulldozing Other : �� pi �/ ) 1 SAV observed: yes no ' r l Moratorium: n/a yes no �� i jet`. i A �,�« ,ti.,3 I s T" Mill Site Photos: yes, no - —VI I j 1_1_ u '. ;__' 1.__I_ 7__. _�� _ Riparian Waiver Attached: yes ) no =...w,_... _. , ,. 1 �„ .LL ..,1. +_ ,,, _.I A building permit/zoning permit may be required by: Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one) nSee note on back regarding River Basin rules nSee additional notes/conditions on back I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) i" t-t. ,,. :to-:,4„_ r` I H Z2-I kgenf or Applicant PRINTEQ.Name Permi fficer's P INTE Name AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit Andrew C Edwards,Trustee Mailing Address: 1025 E Ball Road Anaheim CA 92805 714-517-6004 Phone Number: ace@extron.com Email Address: Hal Fogleman Allied Marine I certify that I 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: dock,lift,walkway,floating dock at my property located at 1420 Carolina Blvd Topsail Beach NC 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: ( Signature Andrew C Edwards Print or Type Name Trustee Title 09 I 23 2021 Date This certification is valid through /oZ 13 I I off. )116\ 3(\f' \ \ aftmg -uts.70.00 olN \ , \ — k f ! r I/ II i i 1 I i Wiliales o / lelr r o '1ix9, 1 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: 74/V, c-Pti.r C. / .0elf'I5 Address of Property: I L/ O C'i cD " i a ,g c v-4 Mailing Address of Owner: (02,5-F bike,. 0 q(.te,'yv - ell C'2-8? Owner's email: ate e.)Lfrp-it ,GP' Owner's Phone#: Z 14,- S(7 - 60 Agent's Name: I ,� ( l.c�vt. Agent Phone#: 0(0 3w7 7-e,5 ''f Agent's Email: L1& Q..vly� 3e -ta".- ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 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 DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback ^/� f� " l �spi e , 1 lC.t $ (7`-p� Signature of Adjacent Ripe a Property Owner 1 -OR- I do not wish to waive the 15'setback requirement(initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: CAL) t\r‘, q R Mailing Address of ARPO: liZI S�(`,t''l).Y'),\1�-C"� Ze 6 ukcv t -Nc '-s 1 ARPO's email:e b t c(4/158k66016 dCNARPO's Phone#: £11 -4 3 2— S ' Date: It 1 ,� )t5-4- 1 *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: / I w1f/ I--te(Kf 1 t 5 Address of Property: Y ° 9 £""Z (1 _ Mailing Address of Owner: /O Ir 6 — RIAet-AetY►1_C9- 28os Owner's email: aj, - frO4, Owner's Phone#: 6 l L - sc i- of Agent's Name: /-10E Agent Phone#: ' (O 30.7 a-(5-1 Agent's Email: A ( ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 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. V I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed,you must notify the N.C. Division of Coastal Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15'setback Signature of Adjacent Riparian Property Owner -OR- I ) do not wish to waive the 15' setback requirement(initial e bla ) 11 %/ Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Lr Mailing Address of ARPO: 2 ' Z S R t c,.,o L.) Qi i /� i�„ / r- 1 710 - ARPO's email: A)A W/t/k it 311- 1,No;f ARPO's Phone#: ! - 3 f?3- S ‘ 7, ' Date: /'U-)2-Ff *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 Check d Dab Deposited Check From Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Recelet or Refund/Reallocated , Coumn2 Column] Column) Columns Columns Column? Column! Column! 21 Allied Manne Contractors LLC Sam Smith First Citizens Bank 10606 $ 200.00 GP#85360D JD rct.15596 21 Allied Marine Contractors LLC Michael Drummond First Citizens Bank 10607 $ 200.00 GP#85359D JD rct.15595 21 Allied Marine Contractors LLC Andrew Edwards First Citizens Bank 10608 $ 200.00 GP#853610 JD rct.15594