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HomeMy WebLinkAbout76257D - ReamsXCAMA / ❑ DREDGE & FILL . GENERAL PERMIT New --Modification ❑Complete Reissue El Partial Reissue No. 76257 Previous permit # A B C O 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 SA NCAC (:7" { ❑ Rules attached. Applicant Name 711 10 E6A S r-A µ5 Project Location: County Nr-! 0 NAAJOvV_Z Address 75 PIAir- VALLr-y Cm c ,-t< Street Address/ State Road/ Lot #(s) A- CityRN E Rg Statelll _ ZIP 903 74 8AwK :s- AQ0AD Phone # (gC ) ,oI - 30 77 E-Mail tong _ C_ (tarns �Msn.com Subdivision �� C l lR �t C�F1 i Authorized Agent I K%P t X?T %'0/ t !` City WI` M 14670W ZIP Z g'q I l Affected ❑Cw gEw PTA ❑ES ❑ F tL AC-iE,�1T Phone # ( Ito ) 471-2034 River Basin 1,J14vTig- OAK ElOEA ElHHF ❑ IH ❑ UBA ❑ N/14 AEC(s): Adj. Wtr. Body RAn/KS-NAn/NE4 ate _an /unkn) F� PWC• ORW: (ye)/ no PNA yes /; no+? Closest Maj. Wtr. Body A 1 W W ON ■■■■■■■■■■■■■■S`i■[1�3■'1 ■■■■■■■■■I I rI ■■■■■ ■■■■■■■■■■■■A ■!!i■■�i1r[i■■■■■■■■■■■�1■■■■■■ M. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■�'■■■■■■■■■■�i■■■■■■■ ■■■■■■■■■■■■■■■■■■iia■■■■■■■■■OO■■■■■■■ m �7 Agent & Ap Pri Signs ure i * ease r ad co Ii ce statement on back of permit _0 2 O0 176* 5+03 Application Fee(s) Check # t YLr-3Z Permit Officer's Printed Name C Signature 3 Z I I /Zo 7 /11 Igo Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date _ 1 k1 x Lit A 0i Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized a �� �? (gent ) `r`'`•n ���-��y,1 to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) �S OR Property Owner Signature Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. Address of Property: "16 a%W (Lot or Street #. Street or R d, City & County)��` Agent's Name #. / Mailing Address: c- /3DK Agent's phone# —j)3 �r� ,{%�'` _7.g,r�i(LZ i hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described W me as shown on the attached drawingthe development they are p�coposin A desaiotiort or - `/ j g� �dia�niiii``V��dimens�oi�s��tts� f.�e'°wovide�htiritNrtfiis'lett�. 1 have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact Information for DCM offices is available at htto.lhvww. necoastalman—ement net/weblcmistaff /!sting or by calling l-888-4RCOAST No response is considered the same as no ohjection if you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 Owner Information) Signature s Print or Type Name 1�1 � �Jt.e.�attt�►� rL Mailing Address Zi Y�� - awtate2ip Telephone Number/ Email Address Cow gate an P e Owne d n) Signatur i' "-1f> CrJ J2 Print or Type Name e--r Mailing Address 1 Z,� L-r{ I'-] C_._-- oZ 7 (O 0-5 CitylState&ip Telephone Number/ Email Address Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATIONIWAIVER FORM Name of Property Owner: Address of Prope Agent's Name #: Agent's phone #: the , >� nq_kv 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_ w on or drawing with dimensions must be provided with this fetter. _✓ 1 have no objections to this proposal. _ I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at httv:l/www.nccoastaimanagement netlweb/cm/staff listirrg or by calling 1-888-4RCOAST. No Tsponse is considered the same as no objection if you have been notfed by Certrfred Mail WAIVER SECTION 1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15from 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 Owner Information) a... �' LG-e Signature Pnn. t or Type Name �� 1 �'�L•e.. �sill�►. sJ.... r L Mailing Address (Riparian Property Owner Information) Signature `-' Fra n lL Print or Type Name ,), , ID-6-k ;� ► Mailing Address GtylStatelZip CitylStat �Q -3 d-3a`i-t-vrr► S � 3 c�a r) z�.� 5 t 6 G r . Telephone Numt�er/Email Address 11 I Cv*ft Telephone NumberlEmail ddress Date Date (Revised Aug. 2014) r � I i i Of 1 I 4010 � AAgh • r I ! t I i I I r- , I , } I C f I I t r I - i i I I --- I t r 1 I i � r I t-- i f - Data Recelwd Daft Depashed Check From Nama Name of P—H Ndder Vendw Cheep Number Check —w Perm/f Af—benC—ts Recto f a Refund/Real/ocafed CWurnnf Cohrmn2 Co4umn3 ColwnM C01omn5 C.1-6 Column7 C01-8 Column9 3/12/2020 Debra Wilson Land to Sea Construction, LLC Town of Sunset Beach Michael or Katherine Miller Wade Rozier LG FCU First Citizens Bank 2094 $ 200.00 GP i74366D GP i76269D BB rcL 10911 3/1212020 Nina Voltaire 175 S 200.00 JD mt.10387 3/12/2020 same First Citizens Bank Wells Fargo 19893 1476 $ 400.00 S 200.00 GP f76119D GP *76278D BB rcL 10908 BB rct. 10910 3✓122020 _ _ Michael Miller _ _ 31122020 _ _ GmM & Tracey Jessup Jessup PNCBank 1778 S 200.00 GP t76270D JD rct. 10386 3/12/2020 Pi in Marine Construction LLC Thomas Reams Wells Fargo 5403 S 200.00 GP i76257D TMc rcL 10355