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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 ■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■H■■/;t■l�■ ■■■■■■■■■■■■■■■■I.7■■■fil■/E■■■■■■■■■■al►\i-i da ;n. - ■■■■■■■■■■■■■■■�■■ice■■■�■�■■i■e��■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■Grl�i,►lam■■■■■■■■■ ■■■■■■!I■■■■■■■■■■■■■ ■■ ■■■■►%liii111■■■■■■■■■■■ ■1!i■/97■!'■■■■■■L!GL�:[11�1■I■C! • ii��,GIIiRILi1WM■■■■■■IG9t>�y�ilriiiYr■■■■■■Yfi■■r■r 1■■■■■■ ■�1��1�[I�'L"CI► '/Y`►\1710%,!!!ER Pro ■■■■■Mi111RMM9`10Mr.■■■■■■rhmivwWa11N�9 ■■■■■■■■ ■■■EM■■■■■■■■ •1 ENji 0■ IJ1 Agent or Applicant Printed Name l 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 EE 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: -- W-- V t � Owners Mailing Address: 6 g ok L*t NG Phone Number 7LU 7 f so M 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 SCAIA s—A A';l G An Equal OPPOU41 AMIMS re Vim Employer ni ivomestic r. ti rq For delivery information, visit our website at www.usps.com ` Certified snail FeeCO $3.55 0470 $ 7 or 52 Extra Services & Fees (check box, add [I Return Receipt (hardcopy) fee Ipp. te) $ C3 ❑ Return Receipt (electronic) $ $0 . UU Postmark Q ❑ Certified Mail Restricted Delivery $ s _ f1, 00 Here C3 ❑ Adult Signature Required $ $f .09 C3 ❑ Adult Signature Restricted Delivery $ C3 Postage $0.55 -� $ F11/27/2021i Total Postage and Fes q5 C3 $ r- 'a Se for�V( ------------------------------- r%- Street Ap£ - ---- \ryCt`l9P\l)cl`�P SL Z.cit�� 1� ■ 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 C, UA Z A. Sig5ature X B. Received by ❑ Agent C. Date of Delivery D. Is delivery address different from item 1? 113-tes If YES, enter deliveryaddress below: ❑ No Zob7/ L'O�I,J� L� �/ ✓,r' uxk"�-12v3 II I III I III I�I III II I II I I III II I I I I/IaII I I IF I III 3. ServiceEl �e 11 Priority ss® aPM 9590 9402 2219 6193 1044 00 ❑ Adult Restricted Delivery ryEl El Registered Registered Mail Restrict edrti Mail® Certified Mail Restricted Delivery ❑C Ccon Delivery Delivery❑ mRept for h 4rficIlaINi r mservcebet 017 an disle ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM gyred Mail 0660 7487 12 2 ured Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery 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. C a 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 14\1 k ("\ Print or Type Name Mailing Address \ci` -u ch"tetwZip S�L\ --1y4 el 1� 2[\ Number l -2-1J Date (Adjacent Property Owner Information) Signature U U AV/c-,cwL 6; Print or Type Name Mailing Address Ci4,/State2ip - -70q; . G 11�— (W Telephone Dumber 2 - 0 3 - 2Ozo Date Revised 611812012 cO Domestic Mail Only ri For delivery information, visit our website at www.usps.comO. M1 Certified Mad Fee 'r cc t� J c � $ $ c 2 • V � J r r� Extra Services R Fees (check box, add tee 4 ❑ Return Receipt (hardcopy) $ C3 ❑ Return Receipt (electronic) $ UU Postmark C3 ❑ Certified Mall Restricted Delivery $ S try= 0 Here 0 ❑Adult Signature Required $ sn . I ilIM k ❑ Adult Signature Restricted Delivery $ O Postage $ l • c ct ..a $ 01/27/2020 —0 Total Postage and FIT. get C3$ 7O0 lti r-q- �'� -11_ u hb�------------------- C3 -- or aox NVo. �V y _maces --C------------------ ----------------- Ci fate21;4W 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: M, ol-oj sol 11AO WSj I, yh b y Gu CQkb, W, kU A *b.� 27 IIIIIIIII III Is delivery address different from item 1? If YES, enter delivery address below: ❑ No III I II II I II I I III II I III II III I II III 0 Adult Si e Iype ❑ Adult Signature ❑ Priority Mail Expresso 9590 9402 2219 6193 1043 94 ult Signature Restricted Delivery ❑ AdrtiPied ❑ Registered Mail- ❑Registered Mail Restricted Mail® Q Certified Mail Restricted DeliveryDelivery •Return Receipt for 2. �H1 lu All I Y %tPY %%ar.CfAf fr m .aarvirp tat)a.1) 7 017 0660 ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature ConfirmationTM 0000 7487 0108 iestricted Delivery Signature ElRestrictedDelivery tion 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 l T� - 2Q'� Date (AdJacen Props Owner Signature WIT Pint or Type Name 2-700 R�) Mailing Address Ce I q� rty/State ip Tilephoae�lumber Date -r- Revised 6/18/7012 �<:�, b 40�7D h`Zh Zztl I o�L-bz . <3z-L-z -� a-z-LZ-` ��co5 aA `/ (,) Date R—I-d Dan ad Check Fmm ffJWRW Name of P-.It Nokk+r Vwx r Check Number Check amount Pernik NumbenComments Roceipf or RahnailReNkteatW Cdumol Columo2 Colmntt Column4 Columns Column# Cak-7 Cahunns C k—# 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