HomeMy WebLinkAbout76239D - Hockaday.•. TCAMA / ! � DREDGE & FILL No. 76239 A B C en
WPENERAL PERMIT Previous permit#
N'ew ❑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 15A NCAC f ) ► I ( Z U 0
❑ Rules attached.
Applicant Name
(wv'
? Address o �� w �C)C CGv
City ��k State ZIP
Phone # (25y-� �� E-Mail
Authorized Agent W C. � AG L r '('e-
Affected ❑ Cw O EW APTA ❑ ES ❑ PTS
AEC(s): ❑ OEA /❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / PNA yes /G "
Project Location: County
Street Address/ State R ad/ Lot
W%I S
Subdivision ^ �/
City 4 C ZIP of is� log
Phone # ( �� River Basin L 1�
Adj. Wtr. Body Ilk A C, ( (nat �nkn)
Closest Maj. Wtr. Body A ( W
Signature* Please read compliance statement on back of permit * Signature
Application ) Zc, Zozv
AesCheck IssuingD e Eb ratio Date
(
J U
j UC)
,-POT
NCDENR
North Carolina Department of Environment and
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
Natural Resources
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM
Date: 7
Name of Property Owner Applyin for Permit:
�a
Owner's Mailing Address:
G ,
Phone Number �4' a 'f :mac! 9
G, i Q czx-\��A 6q
Name of Authorized Agent for this project:
Agent's Mailing Address:
Phone Numbers
I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all C\AMA1 Permits necessary to install or construct the following (activity):
For my property located at .7 5�7ee f , nem, l 75-/e, 32:c ,!✓� �y�y
This certification is valid thru (date) �Ub Cyrnnl�� n
Property Owner Sig ture Date
127 Cardinal Drive Ext., Wilmington, NC 2W5
Phone: 910-796 72151 FAX: 910-395-3964 Internet: www.nccoastaimanaaemeiit.net
An [gnal Opportunity l AlrinaGve Action ErnplWer
E090 I'_9fi2- 0000 0990 ZTo?
■ Complete items 1, 2, and 3. A.
■ 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: D. Is delivery address different from item 1? ❑ Yes
1 vIf YES, enter delivery address below: ❑ No �-�-�
■ 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 Pi>
or on the front if spare permits.
1. Article -Address, d Co-.
o �)'�x LAO
A. Signature
X ❑ Agent
B. Received by (Printed Na
C. ❑Addressee
Date of Delivery
D. Is delivery address fferent from item 1? ❑Yes
If YES, enter delivery address below: ❑ No
IIIIIIIIIIIIIIIIIitIIIIIII IIIIIII :4�9
3. ❑ dult3gnturre
El Priority
9590 9402 2219 6193 3
❑ Adult Signature Restricted Deliveryg
rtified Mail(D
❑Re steMailExpress®
reMad
❑Registered Mail Restricted
9 4 rtirlp NI imhpr fTran.cfpr from
❑ Certified Mail Restricted Delive
❑ Collect on Delive ry
Delivery
'Return Receipt for
.eprvirp hp/1
17 0 6 6 0 0 0 0 0 7 4 8 7 0115
❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM
tsured Mail Cl Signature Confirmation
PS Form 3811, July 2015 PSN 7530-02-000-9053
tsured Mail Restricted Delivery
ever $500)
Restricted Delivery
Domestic Return Receipt
_ ❑ Agent
Addressee
C. Date of Delivery
IIII III II I II (IIII I I I I I I II I I I 3. Service Type ❑ Priority Mail Express
❑ Adult Signature ❑Registered MaiITM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
9590 9402 2219 6193 1044 24 IRKertified Mai10 Delivery
❑ Certified Mail Restricted Delivery Return Receipt for
❑ Collect on Delivery Merchandise
2. Ariclp Ni rmhor ?rnnof r frn...1-11 ^ ^- - 1 Delivery Restricted Delivery ❑ Signature ConfirmationTM
7017 0660 0000 7487 0603 tail El Signature Confirmation
tail Restricted Delivery restricted Delivery
I (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
Ln
Domestic Mail Only
r-9
r-i
.
0
C $469
M1
r
Certified Mail Fee $3.159
0470
z1-
(L
$ 7 O�
c
52
Extra Services & FeeS (check box, add fee ,,�o�',,p,��,��r�)
0
❑ Return Receipt (hardcopy) $ '� . �+L'
❑ Return Receipt (electronic) $ Sul _ flfi
Postmark
C3
❑certified Mail Restricted Delivery $ fTI �'I�A
Here
O❑
Adult Signature Required $.tt fyfy
$F.0
❑ Adult Signature Restricted Delivery $
r3
Postage 50.55
.D
OT-W
$
i�i /2%/21.I?�I
Postage and F,{ s g$
�b
$
rq
Soillif To
Is
� �-------------------------------------------
--
~
o., or
q��°
:ZA-�--------------
r\�Q 1 4C (1 ���
2-1q(614
M
a.2 .
rO
4-
°C
.W ► Ukilai0111
DIVISION OP, OASTAL MANAGEMENT
ADJACENT RIPARIAN PROP11IOWNER NOTIFICATION/WAIVER FORM
m k I�-"' k �
Name of Property Owner: C1 C
Address of Property' �� w�� m \ n V, `� S� OC,i vl6� e aoctCY 1
or Street`IM►; Street or Rdad, City & County)
Agdnt's Name #: G-Pie-t 014r�5vpuL�I�� Mailing AdTd-ress: 6� Dr a�) 4
Agents phone#:
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." dbvelopment they are proposing.
have no objections to this proposal. _ I have objections to this proposal.
y you have objections to what 1a being proposed, you must notify the D/ of Coastal
Management (OCM) in writing within 10 days of receipt of this notice. Co should bo
malted to 127 Cardinal Drive Ext, Wilmington, NC, 28405-3845. DCM repres also be
contacted at (910) 796-7215. No response Is considered the some a# no ob/ectbn seen
notifled by Certified Mail.
r.w.4b•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back ta°
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.) --- --
-4L�C
,�I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
�A"' - � R k
Signature
Print or Type Name
-�&0L1 W � \d C �-
Mailing Address
NC 22 �`
CINAtetealp
Telephone Number
2-1-2026
Dale
(Adjacent 7ro
rty Owner information)
�F - ti^
Signature
r
(9) 6V � � ° 7
Print or Typo Name
-a- Lv
Mailings
D cep) 6
049state/Zip
(G\�0� �
Telephone Number J
U e
Revised 6✓ W012
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIANPROPERTYOWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. Mat I� l fcc�ctaaC �
Address of Property: 1 1
(Lot or Street AV, Street or R ad, City & County)
Agent's Name #: Gr ICE. ir\Ac .C, l 1,�C1 Mailing Address.0 I� ach Dic— 3W
Agent's phone #:
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.
io s must -b p vid with this letter.
Q
K--i
-- I have no objections to this prgposat. I have objections to this proposal.
If you have objections to what Is being proposed, you must notify the Divisjon of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
malled to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representadv" fan also be
• C contacted at (910) 796-7215. No response is considered the same as no objection ff you hove been
notified by Certified Mail.
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, you must IMtlal 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
Print or Type Name
0L�& iA uk xl C �-
Mailing Address
CityAtaitelZip
A o— 2-�Lli
Telephone Number
Date
djacent Proverty Owner Information)
UCA W VA
SR
Signulure
WN 1 AK(R �k
Print or Type Name
Po 133x 15 66�
Mailing Address
bop- lti 1h NL Z 7 7 0 4
City/state/Zip
91 q - 221� 2S Sy
Telephone Number
F(IR 03 7A U
___-- Date
Revised 611812012
F MAILED
Dare Received
Data De-~
Check F— Name
Nerve & P..H Bolder
V-W-
Ched Number
Cr.*
smotert
Pennit Number/Comments
Receipt w Retun&Redl—ted
col--
C0111-2
Cdumn3
Calumnl
Cdumn5
CalumrM
Coh-7
cdumns
Cdumn9
2/28/2020
2/2a/202O
Grice Construction of Br
Brunswick County In
Grice Construction of Brunswick County Inj
John & Lisa Harrington
Mark Hockaday
BB&T
BB&T _ _
BUT
13622
$ 200.00
GP #76240D
B8 rct 11464
228/2020
2/28/2020
13623
$ 200.00
GP #76239D
GP #76238D
GP •76241D — —
BB rd.11463
228/2020
2/282020
Grice Construction
Grice Construction
Dacrid Miller
13624
$ 200.00
BB rc L 11461
2/28/2020
2282020
Brian Munl
BB&T
13621
200.00
BB reL 11462