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HomeMy WebLinkAbout80290D - Topsail 0 CAMA / i DREDGE & FILL ° 80290 GENERAL PERMIT Previous permit# A B C ><-� ❑Netts ❑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 ISA NCAC Rules attached. Applicant Name /6 01#4) OF- "To es k ( E/ CAL Project Location: County (�NO rye_ ,G.p , Address ill) 'T Alk Cl IA CCU 6 la • Street Adddrreess/State Road Lot#(s) ..-.=z•-, City 'o PS,4 i L #j?. State//C . zIPP,11' !''' O`er f-a wOQ,D /�C �o ) �— Sk4--/ _j Phone# � E-Mail - Subdivision J //'' Authorized Agent YN N Hie A/C--- City /ty f / / ZIP ';-- 'r— Affected ❑CW Q EW CitPTA "ES ❑PTS Phone# ( ) River Basin Gam' . 0 AEC(s): OEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body /44f it dell era /man /unkn) Li PWS: ORW: yes I no PNA yes I no " Closest Maj.Wtr. Body /("'PS,it Sw Type of Project/Activity -4 g 0 in t.t/ k ite.;.,064/ - 4 / //l (Scale: A/T-.,S- ) Pier(dock)length i Fixed Platform(s) Floating Platform(s) ^:ftN - Finger pier(s) NI r"� r _ _ Groin length t number e�-1 r7 Bulkhead/Riprap length I _. - 1�_� ±e+ ...F�G7.'-ly✓ _ ._.. /..{s w avg distance offshore rt max distance offshore Basin,channel cubic yards ( — Ii Boat ramp I Boathouse/Boatlift i E... ._. 4f„ 6�..�.k w1 _T _ T Beach Bulldozing 4-4 — , y Other nie4 k1N \ 1/114 ' J Shoreline Length i SAV: not sure yes (., ; i .- - - - -- Moratorium: n/a yes �� i 1.--✓ ��� _ ______ jF 1 Photos: yes 1 a._..__ P001) 1 Waiver Attached: yesEr) DD A building permit may be required by: ! r<I I C. 4C_ . I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions r f ,Vç ��' w ,((- Ili 13 21 Ag o Applicant Printed Permit-Officer's Printed Name : -- k-'---- 2-13-22- Signature **Please read o pliance statement on back of permit** Signattke AGENT AUTHORIZATION FOR CAMA PERMIT APPUCATION Name of Property Owner Requesting Permit: t f Mailing Address: r 4Lv)6/1 Av4enu Phone Number: qie - Pi- J N1 Email Address: f3e-i 41 b&IFCli. C rf I certify that I have authorized F. i)nt:11- A4einne Cca5.1rachtt) Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessaryfor the following proposed development: b c f ,Ar��' j i- LL'1 4 1) at my property located at (i yi �.'t e Ave/ e%t in /E1 Iy/e[ 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: j Z ! C Signature e skrab(iI I Print or Type Name Title S ! (,- Date This certification is valid through / I 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: /%�G//Li 0 7 G) / C/46 /, Address of Property: /-'} -4 4.00[4Gy J YY l • /� `` Mailing Address of Owner: L `J .�k�P t'`)L%/7Pii tie? �(pf 1 /CSC LC!�) NC. Owner's email: }} 11h, ,'.' �14�5 L 5LI 1/l)C'Cif•/]•I 1 G Owner's Phone#: , i L x - _ 1 Agent's Name: 4'%Z'G#/ �,3b/,d ' / Agent Phone#:W'—V — /� Agent's Email: e hiie Nt i-ll)tCG/6 f 77td 7C t) ((j/))c l 1.C.c!)) 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. 1i 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 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted at(252) 808-2808.No response is considered the same as no objection if you have been notified by Certified Mail, WAIVER SECTION (7 I understand that any proposed pier,dock, mooring pilings,boat ramp, breakwater, boathouse,lift,or ,`j 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.) 1 I DO wish to waive some/all of the 15'setback Signature of Ad'ac nt ?ipar a Owner -OR- 6-k.-1-hvs off L3- ct.t, /\ /05/ •Ve. t i �X+ciG .T 6-vxtr� U-L t 1 '.e b- i do not wish to waive the 15 setback requirement(initial the blank) �4 'f� `� N�5 `- 1 lam„ . 1 Signature of Adjacent Riparian Property Owner: �{tr� Typed/Printed name of ARPO: i 1Q,Yk `pte-(`{`r / 1;` Mailing Address of ARPO: {q J f Yet�/�? �SOA) N ? r:Dc-f \ / f ARPO's emaiCl:n`l itfiC942i.eft\ARPO's Phone#: ` V%66 Date:%"� v` A I *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/VHAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: )/L) O . C ge4 , ,) Address of Property: i Uq Mailing Address of Owner: rj 41c-ityrJ6j) lc<, ) Owner's email: ��f- .;(X C'!I</)� N� _ Owner's Phone#: !j �' �yy5 Agent's Name: ,1 ) �q�. /r!a 3- Agent Phone#: �"' `' Agent's Email e )f C r 1--.��// 7 71 < 1 ) 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 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted at(252) 808-2808. 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 -O R- I do not wish to waive the 15'setback requirement(initial the blank) __CALAA4...._ Signature of Adjacent Riparian Property Owner: CiQ44A- l A -:3( 0 41, rn / ,014 Typed/Printed name of ARPO: C,ax p, p \% Mailing Address of ARPO: V t t IR CY.oa-4- 'O c U,t h 643 ' ARPO's email:(,Q ret r r+ / C �J� arh ' 6 9 ARPO's Phone#: CO ( 9 .l{ 42. Date: ( Cilul �I( .5v-7 I/y12� *waiver is valid for up to one year from ARPO's Signature* :Joan, AA_ i`e� 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 ) C) t __ Address of Property: v i Mailing Address of Owner: 4 �i'��i�rir1) Iv " ._.--- 11 Owner's email; ? t'!/<A NC Owner's Phone#: - l �C irgq, Agent's Name: ) ) ` � Agent Phone#; Agent's Email: C' U)C ���"' �_ , S ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom °Mon to be com leted b the Adjacent Pro a 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 proposing.lopment are A descri tion or drawin with dimensions must be rovided with this letter. I DO NOT have objections to this proposal. I DO have objections to this r K you have objections to what is beingproposal. Management(DCM) in writing within 10 days of receipt of this notice the N.C. Division Correspondence should be mailed to 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted at(252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. I understand that an WAIVER SECTION y 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 mus_ n the appropriate blank below.) I DO wish to waive some/all of the 15'setback OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 15'setback requirement(initial the blank) Signature of Adjacent Riparian Property Owner: a/Q4•p,,Q_ :,, u c,;,,, r-,-t — Lk__ Typed/Printed name of ARPO: _ \� Mailing Address of ARPO:Y1 q q Cy IN '4- ,-. 30(.03S ARPO's email: !^�� g 1'►�M I• Co�•+ c' /� ARPO's Phone#: t,a i___ r'1 �.Ql b Z 4 Date: *waiver is valid for up to one year f t mm ARPO s Signattuure / O a"` AI. L eC.- 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:..-fl U1d 7 it c\, r ! ,49L/46 I j Address of Property: ,b 4f (.L)G() 4)/ C/ /� I / `� /, Mailing Address of Owner: !d • `) :,'"'�Cl e 1 1 fl i' i tj '1 T ,p 1 1 K.X.CirI) �l� j'L ,5C!1'!)t'�lC J).L i Owner's Phone#: q i�' F:4 Owners email; It Agent's Name: lia. )7L l7T�r✓"i,c; J Agent Phone#:`7/.D— W— �� 5- Agent's Email: e PJlf e )1 . iff C c-- . ti .CC I)) r ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION �} (; (Bottom portion to be completed by the Adjacent Property Owner) �f 1- 11 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. `\VI 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 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted at(252) 808-2808.No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION (7 I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift,or `J groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me J (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign 1t, the appropriate blank below,) 0(� L L j I DO wish to waive someiall of the 15'setback %.{ A� 2I2� Signature of At �d'ac nt ipari Pro a Owner OR• c�,en c �rt�y -{'h s(� i to-`yowk i\ iJ --51 gf ' I Z I.set be.cl _ .T ts-• ` cu `k.'' - I do not wish to waive the 15 setback requirement(initial the blank) 1 ` : a.-k7 iC ►fi iv�c -S t , ' / Signature of Adjacent Riparian Property Owner: l ,`f ".."--- Ake. . ..----' �e" �J �t' _ f\ 4> Typed/Printed name of ARPO: Q,Yk ii rI 't ;'1;' Mailing Address of ARPO: rig ..A �a e. OA N e a? (./ \ l ,,j_ � _Lj q l l ARPO's email:c'lh1 ykitr p9S1Cdieb/Y1ARPO's Phone#: f,`0"' "0%66, Date: p"�%'- a I �*w+;aiiver Is valid for up to one year from ARPO's Signature* Revlsad May 2021 MAy ,io ,4vL ° 1, 72/& h f. I r/ i� (44,4 4.___7--\-_ ----;1 11 i oT i / .P ( 7 ( 1- 1 k4 A ;71 ,A7 _____________ __ ..._.ts) A -1 A it 1, 6, AI I , ,4 -z\ 1u,--) Cheek ad Data& osttad Chock From(Nam) Alamo of Permit Holder Vendor Chock numbs amount Permit Number/Comments Receipt or Rerund/Reallocated Column? CoWmn3 Column/ Columns Cokmn8 Column? Cokrmn8 Colima 121 Jerry Ennett Town of Topsal Beach Coastal Bank&Trust_ 4211 $ 200.00 1GP#80290D JD rct.14094 121 Carolina Bluewater Construction,Inc. Jason and Kim Jeremiah BB&T 23965 j$ 200.00'GP#85318D BB rct.15550 121 Steve Hall Com Real Estate,Inc. Steve Hall First Citizens Bank 1331 $ 200.00 GP#85628D AW rct.14879 121 Coastal Dock Builders LLC Patsy Weyher Bank of America 1009;$ 200.00 GP#85626D JD rct.16012 121 Bradley Hartsfield same Wells Fargo 1911$ 400.00 GP#856270 JD rct.16011 121 Mark Adams Mark and Lisa Adams State Employees CU 1097'$ 200.00 GP#85674D BB rct 15549 1211 AMW Docks and Marine Construction LLD Donald Denton BB&T 1 63061$ 200.00 GP#80235D BB rct.15548 1211 Delta Dock and Boatii(t Tommy Poole First Citizens Bank 91791$ 200.00 GP#856360 JD rct.15588 121' 'Carolous Building Company Rick Stafford First Bank 1489 $ 200.00.GP#856250 JD rct.16010