HomeMy WebLinkAbout76237D - DunlapAMA / ❑ DREDGE � FILL
.. ENERAL P�'RMIT
Blew •❑Modification ❑Complete Reissue ❑Partial Reissue
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
Applicant Name
Addressl (0 - 9
City 6AN , J., Q Stat¢C ZIP��
Phone # ( ) E-Mail
Authorized Agent tJ"dam G r , 1R-
Affected ❑ Cw ❑ Ewe ❑ PTA -peS ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / &%j;7 PNA yes /
No. 76237 A B C (�D2
Previous permit #
Date previous permit issued /'l
I SA NCAC 01r I • /
O Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s) 9 Q
Subdivision /
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body nat an nkn
Closest Maj. Wtr. Body
ir 11111ON
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Agent or Applicant Printed Name
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Signature * Please read compliance statement on back of permit **
I 3uty
Applica n Fee() Check #
Permit rinted, Name "T'.'
Signatur
Z t r< 0 20 U22-120te
Issuing to Exp tion Date
RAM
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarle, III
Govemor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION F KM
Date:
Name of Property Owner Applying for Permit:
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Owners Mailing Address:
6 g ok L*t
NG
Phone Number 7LU 7 f so
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N e of Authorized Agent for this project:
Agent's Mailing Address:
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):
For my property located at 4 Z-
s
� t
This certification is valid thru (date) 0 p K
Property Owne ignature Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: 910.7W72151 PAX: 910-395-3964 Internet-. WWW.nccoastalMnagement.net
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An Equal OPPOU41 AMIMS re Vim Employer
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■ 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
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B. Received by
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PS Form 3811, July 2015 PSN 7530-02-000-9053
ar $500)
Domestic Return Receipt
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OPT POASTAL MANAGEMENT
ADJACENT RIPARIAN PROPOTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 4\11 n \✓ A n IS Q
Address of Property: L A 2 W6q S�(�Q_� rev \? Quch
n (Lot or Street #, Street or Goad, City & County) t,,
Agdnts Name* V r ict ��ru�,�i�� Mailing Address:/W� ��
Agents phone
1 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.
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I have no objections to this proposal. I have objections to this proposal, a
If you have objections to what /s being proposed, you must notify the DI of Coastal
Management (OCM) in writing within 10 days of receipt of this nodce. Cor should b-6
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3845. DCM repress also be
contacted at (910) 796-7215.. No response /s considered the samea; no objection seen
C notlf/ed by Certif/ed Mail.
Gy WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 16' from my area of riparian access unless waived by me. (If you wish to waive the
setback, you must Initial the appropriate blank below.)
1 do wish to waive the 16' setback requirement.
I do not wish to waive the IS' setback requirement.
(Property Owner Information)
Signature
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Print or Type Name
Mailing Address
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(Adjacent Property Owner Information)
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Print or Type Name
Mailing Address
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Telephone Dumber
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Date
Revised 611812012
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PS Form 3800, 1,pril r7530-02-GGO-9047 See Reverse for Instructions
COMPLETE•
■ Complete items 1, 2, and 3. A. Sigpature
■ Print your name and address on the reverse 1
so that we can return the card to you. X41 ( ❑ Agent
■ Attach this card to the back of the mailpiece, (13rin Name 11 Addressee
B. Recei
or on the front if space permits. p ( \ �� \ � D ^r teef Delivery
1. Article Addressed to:
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If YES, enter delivery address below: ❑ No
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❑ Adult Signature
❑ Priority Mail Expresso
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❑ AdrtiPied
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❑Registered Mail Restricted
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PS Form 3611, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
DIVISION OPCOASTAL MANAGEMENT
ADJACENT RIPARIAN PROPLI OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: \110 ) �-k n IQ p
Address of Property: �AN C36q 5� ' , &rs.QV QIQC�
(Lot or Street #, Street or
Agdnfs Name#-.Gric .
Agent's phone 5�1�1
City & County)
Mailing Address:( l � EQcx\ 1 ► Jc-
&AAnale �Stc NCZ'%4�9 .
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.
Cr
.� I 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 Di of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Co should ba
mailed to 127 Cardinal Drive Ext., WAmington, NC, 28405-3845. DCM repress also be
contacted at (910) 796-7215. No response /s considered the same as no objecdon seen
C notified by Cerdfled Mall.
--
MYiIi,.S.r.r
Gy WAIVER SECTION
V I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bads a`
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive the
setback must Initial the appropriate blank below.)
1 do wish to waive the 16' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner information)
Signature
Print or Type Name
W
Mailing Address `
cvoAu IBC 212`62--?�K
cft) Stat&210
SUA - IkA 115-16
Telephone Number
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Date
(AdJacen Props Owner
Signature
WIT
Pint or Type Name
2-700 R�)
Mailing Address
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Tilephoae�lumber
Date -r-
Revised 6/18/7012
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Check Number
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Pernik NumbenComments
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2242020
Wellman's Construction Inc.
Gnce Construction of Brunswick County Inc
Grace Construction
Wellman's Construction
Kevin Dunlap _ __
Chris Haywood _
Branch Banking and Trust
IBM
100.00
GP f76215D $100 credit from 919119)
JD rct. 10974
BB rct. 11459
2J242020
BBBT
13619
400.00
GP 976237D
V M2020
BUT
13510
$ 200.00
_
GP i74847D — _
BB rct. 11458
22M2020
Grace Construction
Peagy Hu hes
BB&T
13820
i 600.00
GP i76233D
BB rct. 11460
2242020
Backwater Marine Construction Inc.
Derick Reardon
B T
1448
400.00
GP #7406D
BB rct. 11465