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HomeMy WebLinkAbout74891D - Miller-� a;E DGE & FILL NO. 74891 A B C RAL PERMIT Previous permit # ❑New --'Modification El Complete Reissue El 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 l ❑ Rules attached. Applicant Name_ _ �� k\XI �� ; Project Location: County (a Nw % �- �— Address �3moa & ,,2QV-Mon city✓`o t State e----ZIP .c DiL10 Phone # (t U '31 TIE -Mail Authorized Agent VY-A y G S �k5 �...�. Affected ❑ Cw KEW PQPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UIBA ❑ N/A ❑ PWS: ORW: yes /tn?—_ PNA yes / 6;4 Street Address/ State Road/ Lot #(s) s�- Subdivision City 0C.e.' 1 S 1, �� zIPag`1to9 Phone # ( River Basin t ",IOQ✓ Adj. Wtr. Body ("CAnC. k (nat /_/unkn) Closest Maj. Wtr. Body hk`^I "J Agent or Applicant Printed Name t Permit s ted ame l I J/ n Signat r Please read compliance statement on back of permit" Signature ^^ / r /^ L 217} 5 2 1 a d,CJ�. l �Tl i l a i7A 0 Applic ion Fee(s) Check # Issuing Date Expiration Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: �f r/�1j Address of Property: emAlc (Lot or Street #, Street or Road, City & County) Agent's Name #:��24ag we(—V Mailing Address: 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. A description or drawing, with dimensions, must be provided with this letter. +/ 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 Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have 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 initial the appropriate blank below.) 1 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 me Mailing Address City/State/Zip 2 6 -//-- 'P 4 - 6e k5l� Telephone Number Date (Adjacent Property Ow er Information) WI -A J Signature Print or Type Name Mailing Address _ or; e ton „�,�� .� �G 1,5,71"417� City/State/Zip Telephone Number Date Revised 611812012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: Address of Property: N Z (Lot or Street #, Street or Road, City & County) � �G�.C�w Agent's Name #: IMa,e1W Mailing Address: 1��� 4, Agent's phone #: t'(ly9-1�jj94' well 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. A description or drawing with dimensions must be provided with this letter. 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 Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have 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 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 Print or Type N me 3eL0 / Marling Address City/StatelZp Telephon Number Date %;/- 2o" (Adj nt Prop Owner Information) Sig e Print or Type Name 12361 O)J& (-e Mailing Address NL 2835-2 City/State/Zrp 0 10 2-!E-6 - Telephone Number � t l Date Revised 611812012 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Z Z �It Mailing Address- .2 0 Phone Number: Email Address: I certify that I have authorized Agent Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature Print or Type Name Title Date This certification is valid through -11, /V , 11 / / -(-� w Data ReceNed Date Da lied Check From Nunn Named Permk Nok/u V—dor Check Number Chock amount P.—ft NumbWCOTmenta Rece ipt or Rerund/Rwllocatad Column) C.1-2 Column) Column) Co1umn5 Columns CW-7 ColumnB ColumnY 2/17/2020 Palm Cove Owners Association, Inc. Palm Cove Holdings, LLC First Citizens Bank 1014 $ 400.00 GP #76202D BB rct. 8819 2/17/2020 Palm Cove Owners Association, Inc. Benjamin & Cyndi Levine First Citizens Bank 1015 $ 400.00 GP #76203D BB rct. 8820 2/17/2020 Palm Cove Owners Association, Inc. _ Longleaf Pines, LLC First Citizens Bank 1016 $ 400.00 GP #76205D BB rct 8821 2/17/2020 Palm Cove Owners Association, Inc._ Jill Marie_ Ronnion Rev. Trust First Citizens Bank 1017 $ 400.00 GP #76206D BB rct. 8822 2/17/2020 _ Palm Cove Owners Association, Inc. Howard Beach House LLC First Citizens Bank 1018 $ 400.00 GP #76207D BB rct. 8823 2/17/2020 Palm Cove Owners Association, Inc. Donna Conner First Citizens Bank 1019 $ 400.00 GP #76204D BB rct. 8824 2/17/2020 Palm Cove Owners Association, Inc. Finley Efard, LLC First Citizens Bank 1020 $ 400.00 GP #762080 BB rct. 8825 2/17/2020 Palm Cove Owners Association, Inc. David Tendler & Susan Spratt First Citizens Bank 1021 $ 400.00 GP #76209D BB rct. 11451 2/17/2020 Palm Cove Owners Association, Inc. Tatiana McCuen First Citizens Bank 1022 $ 400.00 GP #76210D BB rct. 11452 2/17/2020 _ Palm Cove Owners Association, Inc_. Ann Morales First Citizens Bank 1013 $ 400.00 GP #76201 D BB rct. 8817 2/17/2020 _ _ Charles Ducksworth Money Order Christopher Miller Wells Fargo Bank 19-046'1121- $ 200.00 GP #74891 D BB rct. 11453 2/17/2020 H5 Construction, LLC Thomas Holland Jr. BB&T 2473 $ 200.00 GP #74893D BB rct. 11455 2/17/2020 Jerry Ennett c/o Ennett Marine Constructs Deborah Kalner Coastal Bank and Trust 2736 $ 200.00 GP #74878D JD rct 10965 2/17/2020 Charles & Christine Boise I Charlie Boise The Fau uier Bank 2635 $ 200.00 GP #762140 JD rct. 10964