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
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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)
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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