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- ?�
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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
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e
Revised M&2012
Postal Service"'
QTiFiFn MAIL® RECEIF
m Domestic Mailvinly
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C3
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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
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-
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