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 \
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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