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HomeMy WebLinkAbout80264D - Smitherman 0 L .CAMA / ❑DREDGE & FILL N9 80264 A B C D GENERAL PERMIT Previous permit# )C ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 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 I 5A NCAC ' -7 0• 1►CJZ ❑Rules attached. Applicant Name U1QAt 5`y)ltlitv(Yk//% Project Location: County Fr i lbw,( Address / 7 /J'/e(I i 0 Dl Ar . Street Address/State Road/Lot#(s) City Pala/ g(/(al State , ,( ZIP;�,'(2 cG14_,-,9 Phone# ( gig ) boo 135E E-Mail cf ,ii Ivan, a iagElrryi.j.(f,',Subdivision -- Authorized Agent Spo Deq m<li '1 i( ((i r'-fl,i c-J- p City ZIP _ ❑CW ❑EW ❑PTA BES IS'PTS Phone# ( ) River Basin LL'k b(c Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body rl{t/C (nat"man /unkn) ❑ PWS: l rti5 ORW: yes / no PNA yes / ' Closest Maj.Wtr. Body 4 /!' (, Type of Project/Activity7 _si q Cp dC 4 — / ,, ,1---1 ' 4..-/ 1- (Scale: s ) Pier(dock)length "R I Fixed Platform(s) , , Floating Platform(s) } J 1 . . Finger pier(s) J _.... 1 Groin length � - number Bulkhead/Riprap-length L. ..... ....__ i......._1. avg distance offshore D max distance offshore 0 Basin,channel - i .__. i j cubic yards i Boat ramp ! j Boathouse/Boatlift .. _ 4 di/ - - - - Beach Bulldozing — --- — • • _ e,,(.411 lock ,1'I�✓ i 1 I'i" . . Other b L c,6. N' 1 WC f�J 4 V;ny 1 al a 4t,anti/�.,<�.%� /-o Y v ' ,i (tCr i.4 ,ors , Shoreline Length ,V 1 I 1 ‘6 \- l.. 1 {U Pt‘ v, 1/ I i /'+ SAV: not sure yes r(d • 7 t — r — Moratorium: n/a yes no Y /.. _.._ `? r.. J Photos: es 13s i ;c' m./.`). i..u.N. t Y @9 Am./tA. H t >:� "'Oar 1 Waiver Attached: yes !l) ' L I A building permit may be required by: l/ft✓17 441f .14041' . See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions �d,,//74 7"L /J/// , 4/E '�/ i f ("%'L j, //- tef�Gi/r-✓S ".�� `f cI/ r 1 7f.py/ i /44/i/7/f/+ D, ,, ckvynad- 5fi,,, ,vw\0., f"f �l� �,�p II-l(- 21 Agent or Applicant Printed Name Permit Officer's Printed Name —_._ .--� . :S V -I-I v/ u.-- � 1�,� / i; 3-1 L2.2 Signature **Please read compliance statement on back of permit** "Signature AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Diane Smitherman Mailing Address: 137 Marlin Drive Holden Beach NC Phone Number: 919 604 1386 Email Address: smitherman.diane@gmail.com I certify that I have authorized Sea Dog Marine Construction Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Bulkhead Replacement at my property located at 137 Marlin Drive in Brunswick 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 Print or Type Name Title 10 ,30 I ,.off Date This certification is valid through 12 / 12 / 2025 DocuSIgn Envelope ID 9C708CA0-7710-40B8-B7E9-CA0BEE1DC9C2�„IAN PROPERTY OWNER STATEMENT • ! hereby certify that I own property adjacent to PiQnr`e c property located at 131 (Name of Property Owner) i'�'lar( (tet �D,, ;ve (Address, t,plpck,R ad,etc.) on Ln.v1a,1 t-n nL y hc,r Acre. , in • 1, (Waterbody) (City/Town and/or County) N C. The applicant has described to me. as shown below, the development proposed at the above location. Vhave 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) r' 1- \QO4; (n C. .v v e vj- C w{- WAIVER SECTION - NA I understand that a pier, dock, mooring pilings, 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. I do not wish to waive the 15' setback requirement, (Property 0 ner Information) (Adjacent Property Owner Information) oausigned by: ...hddhikapp rantox -,7tv,ai.iie ilp4P#F3AF9490 ✓�Q r e i.L _..S a/r174' )'Y1 O cute.4 ro-d wQY Print or Type Name Print or Ty Nan 3-1 t ,h L _ ► �cLJA 2�.; i ailing Address ^ It ,ng Address �{� •r- �a�. a S�-lea, F-�old� �eacl, l0e le a Cit ate tip '1 7 as �/ Telel'i1 ne(fvum er Telephone Number - 1- Date (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to-0 1an^e c 121tr i property located at 13"1 ((Name of Property Owner) "'r7 ►�-�a v I t+el -`p,, Ve on ,qy�q,� �n �1� , �^{Addres , t, Ipck, R ad, etc.) (Waterbody) in �� (, N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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) WAIVER SECTION NA I understand that a pier, dock, mooring pilings, 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. -__ I do not wish to waive the 15' setback requirement. 5oPewnerhfo2 tion) (Adja nt Pro erty Owner I formation) Si gnature �` Sigt1 ttiv A J- Pnnt or Type d e�^l/�� ft,e ii Oda 'V ew S f,�GTN.S 3--� �2 Print or Typ �,Ala�q�e Gtr�;n 6/ IKc Qroe ay It rn ddress cfjch ea - / �C � ` Math g ddress I C� V eS /S te/Z p + _ 0�- / City/St tef' Teleph ne Nu ber 02 ` TeiePl'ong;� tuber Date ---- __ - -- Dare —--- (Revised 6/18/2012) FARMER MARGARET 139 MARLIN DRIVE r HOLDEN BEACH NC Z 0 REPLACE EX WOOD WALL WITH VINYL ALONG THE SAME ALIGNMENT HAMAD SMITHERMAN DIANE AND HAMAD SMITHERMAN DINA 50' 137 MARLIN DRIVE HOLDEN BEACH NC GATES JASON CLAY ETUX GATES LINDA DAVIS 135 MARLIN DRIVE HOLDEN BEACH NC aD SITE PLAN (PAGE 1 OF 1) (;.7i) MRS.DIANE SMITHERMAN 137 MARLIN DRIVE IVS���� HOLDEN BEACH,NC 28462 10/29/2021 910.876.0852 i Chock • trod Dab Deposited Check From(Name) Name of Permit Holder Vendor dor Cheek number amount Pem*AlunithenCommengs Receipt a Refund/Reallocated Cok mn2 Column3 CMrmM Co irnna Column. CMann7 Column/n/ Column 1 2021 Burl Sniff Money Order Elizabeth Taylor BOKF,NA R2095683801:$ 200.00 GP 885384D JD rot.15599 2021 Lighthouse Marine Construction Inc _ 120 Crutchfield LLC Coastal Bank and Trust 4023 $ 800.00 GP 8858400 JD rat 15597 2021 Sea Dog Marine Construction Diane Smitherman First Bank _ 1522 8 400.00 GP 8802641) _PA rct.15971 2021 Oceans Edge Ventures,LLC Frederick McConnell Truist 12224 $ 400.00 GP 885342D PA rd.159133 2021 Cory Hess same Wells Fargo 52511017 $200.00 GP d853880 PA rct.15972 2021 NCWRC same electronic transfer 138715 $ 400.00 GP8853480 PA rd.15973