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