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HomeMy WebLinkAbout76240D - Harrington'CAMA / - DREDGE & FILL No. 76240 A B C GENERAL PERMIT Previous permit# Now -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality /2- a 0 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC L 4 ❑ Rules attache . Applicant Name ' - ` S 1 1 , . r n Project Location: County I/ ,A Address �� i h) \ �\ -`' Uc \� S C • Street Address/ State Road/ Lot #(s)_ City M a .� % State 07 ZIP 2 5 f () Ll Phone # Q' ) 57 2 2 Zf I E-Mail // Authorized Agent (' /-\ (�<� V t ' (- (- ❑ CW OW lA PTA ❑ ES ❑ PTS Affected [IOEA ElHHF ❑ IH ElUBA ElN/A AEC(s): ❑ PWS: ORW: yes ' PNA yes *( Subdivision City ZIP 2/8 ` i LL l Phone # ( ) River Basin t -- t, ' Adj. Wtr. Body << 1 (nat unkn Closest Maj. Wtr. Body A I W Agent or Applicant Printed Na Permit Off_ me Signature : e read compliance statement on back of permit * Signature I duu oZc, w 2u 2020 Application Fee ) Check # Issuing Da ExpirAtion D to Sr�� �n.S1(1�1.L�►c1f1 216- ?� vT �dh� C"3 1�tQ3 l�J;t1�� ()a ks 1-N �Jec�c�►n� ��, i\IC ZsI6i r 7� crgQl 1303(oo\ oLA I Or, J�a(.1y Ckrdp S(- 2 q53 f f Nortn Larolina ueoartment of environment anq Natural KBSo;r;,;.Z Pat McCrory Braxton C. Davi, Governor virector AGENT AUTHORIZATION FORM AGENT i �_ — ON FORM . -- ' ;AL i'�It.V�1�1K "'ortn Uarolina Uegartment of environment ana Natural Kesources Pat McCrory Braxton C. Davis (3ovemo- Uirector Date: Joint AVeflii H Secretary John E. Skvarla. ill Secreiar,, Name of Property Owner Applying for Permit: Name of Authorized Agen for this project: C_ Cc� Owner's Mailing Address: Agent's �(Mailing Address: 5W &4c� NC 2_Sq0 Phone Number 44) = Phone Number I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): E,.l Wilmjnoton. NC 28405 r-. rA V. r.4C 1H 2 A C i L.t...,na.. ...1..............«n..♦., An Ecual OmMunf!v +Aimmnvt. , C. 1... For my, property located at This certification is valid thru (date) gt rix k q)-I Ij Property Owner Signature Date DIVISION O0_r.OASTAL MANAGEMENT ADJACENT RIPARIAN PROP OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: J&)n Address of Property: 3q Dace ep- � (Lot or Street #, Street or Road, City & County) Agent's Name #: &r ICt'. C�S ` 6 pQdi��) Agents phone #: %D- 5-N-'OiLgL Mailing A�d^_ d-ress:6D I � �� Dr- 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 -drawin the development they are proposing. C S.i I have no objections to this proposal. �.v I have objections to this proposal. + N you have objections to what Is being proposed, you must notify the / of Coastal rO Management (OCM) In writing within 10 days of rscelpt of this notice. should bo --f mailed to 127 Cardinal Drive Ext, WAmington, NC, 28405-8845. DCM ISPI I also be contacted at (910) 798.7215. No rasponae Is considered the some of no objection Arow4whoon C notilled by CevtMed Mall. WAIVER SECTION 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 yom 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 )A ter\ aC i (\Q Print or Type Name `J 1'�a3 W � k W dak-sTra,1 Mailing Address ►Jed 1n NC. 21M eitylsteteaz refsphone Number 1- 2�-Z6 Dare d)acent P rty Owner Information) Signature Print or Type Name �0 T / /)DC-4'e L/9 Mailing Address A --//. ,f Citymate2ip Tel Nu ber 3� e Revised M&2012 Postal Service"' QTiFiFn MAIL® RECEIF m Domestic Mailvinly ru C3 El I Certified 0472 Mail Fee $3 5 fE 6ra Services & Fees (check box, add lee a ( rel ❑ Return Receipt (hardwpy) $ p ❑ Return Receipt (electronic) $ $f_ � -_00 Postmark M ❑ Certified Mall Restricted Delivery $ It (I� j{(4_ _ Here ED ❑ Adult Signature Required $ -- O ❑ Adult Signature Restricted Delivery $ Postage $0.55 _a Total Postage and Fees (-li 28/20211 o $ $6.95 � � - -Q - 8�egt�ypt, p(p., or �OIBax No. CL �I —\t•ll'--------------------------- ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: GUc\ j any— �sqo uf\mt\�t Rd bck�- Rt&g e N� Z`t310-gllZ 9590 9402 2219 6193 1036 32 A. Sig ature X ❑ Agent Addressee B. Received b Pri ted ame)`` C. D e o Delivery Z,u'�J D. Is delivery Iddress diffeYent from item 11 0 Yes If YES, enter delivery address below: ❑ No rN ❑ Priority Mail Expresso ❑ Adult Signature ❑ Registered MailTM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ertified Mail® Delivery l7'Certified Mail Restricted Delivery Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationT. ❑ Signature Confirmation 7 017 0660 0000 7487 0030 Restricted Delivery Restricted Delivery rs t-oml 0011, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt , GA V4 . : �i ti �1:�T:T��I�i� � - : • DIVISION Op, OASTAL MANAGEMENT ADJACENT RIPARIAN PROP#ATYOWNER NOTIFICATIONIWAIVLR FORM Name of Property Owner: Jain Address of Property: Ub`eyy e , OcxAnIt(? Ep-�� (`Lott or Street #, Street or Road, City & County) Agdnt's Name #: Gr ICE' (k`) f Qc�i ko Agents phone Mailing Address:61� 1-�ch ► (— &-Wr)T'GtQ Nr at u 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 •dr#Wn the development they are proposing. Ji nave no objections to this proposal. I have objections to this proposal. • if you have objections to what is being proposed, you must notify ttw / of Coastal Management (DCM) In writing within 10 days of receipt of this nodce. should bar mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM ►+spralso be contacted at (910) 786-7216. No response Is considered the same a$ no objection Aeen notified by Cerdfled Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back * minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must Infflal the appropriate blank below.) �/-►Y/�✓I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner information) �A a� 6�4 n� Signature Print or Type Name 1Aca3 W,tw �, da1�STru,1 Mailing Address ►Jed i�� ANC 2116H City1St8t&7 to%phone Number 1- 2�-Zd Date (Adjate rty t P er information) Signature Print br Type Name 95g0 LwvV A- " Mailing Address O c'tL- kG� 1,to City/State/Zip `3 3L " LCL.- Telephone Number alslZ-C Date Revised 6/18/2012 o Domestic Mail Only m o l� For delivery information, visit our website at www.uspsxom4O. O Certified Mail Fee $3.55 I1472 $ as ExtraService &Fees (check box, add /ee �c ppprgpgate) [` 0 ❑ Return Receipt (hardcopy) $ i V UV ❑ Return Receipt (electronic) $ 0 .00 Postmark ED ❑Certified Mall Restricted Delivery $ iV Q0 Here C3 C ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ E3 Postage 5 ;f1,5 ..o —11 $ 01 /23/202 0 Total Postage and Fees o $6.95 $ O ----------------------------'---- S t d�4t wl P ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �6\CtO �3row� ��t?n S C 2-'�1S3 (D A. Signat e / X El Agent _ ❑ Addressee B. —Rpc Ive by Pdnted 7) C. fate o livery D. Is delivery addresfs different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express III II I II I I I I II I I II I I I I ❑ Adult Signature El Registered Mailrm ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 2219 6193 1036 49 Certified Mail® Delivery ❑ Certified Mail Restricted Delivery i9 Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery El Signature ConfirmationTM El Signature Confirmation 7 017 0660 7 4 8 7 0 iil 2 3 iil Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Date R—lved Dab DPWW Cheek Rom /Name Name oI P—M Noldor Vendor chwk eh.dt —W Permit Number/Comments Receipt or Rarund'R..U—ted Col—1 Cobmn2 CW-3 CotumM C.1-5 COWMA Column7 Culumn9 col umn9 2/28/2020 2/28/2020 Grice Construction of Brunswick County In Grice Conshiebon of Bnrnsvdck County In Grice Construction John & Lisa Harrington Mark Hockaday _ _ _ David Miller BUT BUT _ BB&T 13622 $ 200.00 GP i76240D GP #76239D GP i76238D 1 GP •76241 D BB rct. 11464 2/28/2020 226/2020 13623 $ 200.00 BB rcL 11463 2/28/2020 228/2020 13624 $ 200.00 BB ret. 11461 2/28/20201 2282020 I Grlce Construction Brian Muniey IBUT 1 136211$ 200.00 IBB rct. 11462