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HomeMy WebLinkAbout76210D - McCuenXCAMA / !ADREDGE & FILL No. 76210 A B C ENERAL PERMIT Previous permit# New Modification -]Complete Reissue El Partial Reissue Date previous permit issued As aut ?brized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name 7ATIA-,,A ((',JEni ;TATIAAJA LLC Project Location: County Q U/J A Address 2 TU Jr vuAit A � Address/ State Road/ Lot #(s) � � Street +r City i q (A CAE State C- ZIP2'3' F,Q �"Mt Q T Phone #)�o�E-Mail Subdivision t-�atr� CC��JE Authorized Agent —T ^n. ) AdC S4A/City 5� T (EACH ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin u--1E (L ❑ OEA ElHHF W El URA El N/A AEC(s): �`" Adj. Wtr. Body_ n, k. nat�n) 1-1 PWS: . _ ORW: yes / !�W PNA yes / 5—? Closest Maj. Wtr. Body f-x t LA A/ 1 ' t� 0 LghkAY iii■i■iiiiiii���iiiiiiiii�iiii�iiiiiii M. ■■■■■■al�l■■■■■■■■■■�■�■■■■■�■■■■■■■■■■■ ■■■■■■■■ii■■■■■■N3iilll�i■■■■■■■■■■■■i�r.J■■ iiiiiii ��is�nn ■■■ti►�r�lil��®�1■■■�■■■■■■■�\%ids■ � ■■■■■■■■■■■■■■■■e�1■n■■■■■■■■■■■■■c■■■ . ... .. ■■c a�nr;� !' !W_*.T" c ■ . .. c. � r Agent or Applicant_ Printed Name Signature ** P e read compliance statement on back of permit vo - 6-6 Ap tion Fee(s) Check # Permit0 Signature Z 13 ZOLO 31 / ZOza Issuing Date Ex irati n Date DocuSlgn Envelope ID: 30C1CA5B-EB81-4736-8014-DDF30672E6E4 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION McCuen Tatiana P and Name of Property Owner Requesting Permit Tatlana Properties, LLC Mailing Address: 205 Tuscaroa Rd Carthage NC 28327-8985 Phone Number: Email Address: I certify that I have authorized Tim Jackson Agent I Contactor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Install sand bags alon Fact Main St Palm r`oiiP ¢ -hriivicnn at my property located at Lot 10 Palm Cove Plat 84/81 In Rrlincwirk County. 1 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: oo�usp„w ny: Signature Tatiana McCuen Print or Type Name GM rItre 2/6/1—n I I Date This certification is valid through 1 1 31 / l 2020 CERTIFIED MAIL " RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM MCc uti� ��tr+,Ja P ANP Name of Property Owner: -WyJc /ti��R-Ai4Sr4L-C Address of Property: Ld�- No Agent's Name Tim Jackson Agent's phone 951 S. McPherson Ch RD 1u- ` Favetteville NC 28303 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. 1 have objections to this proposal. ff you have objections to what la being proposed, you must notify the Division of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices is evaihWeathtto://wwwnccoastalmanaawn tnet/web/cm/stai►listlnoor by calling1-8884RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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. (Prope� Information) Ak cw,s2 Snn " �iPitt�� gY�dt�� Ta�-taunt �¢ot�wL�-�4S /.1.0 Print or Type Name 205 F t,1':1L1Q2uA Q� Mailing Address OAe4 t Q -� . JAL? 283zI City/Statw0p 910 322 Telephone Number / Email Address ko Zo Dare _T (Riparian Property Owner Information) Signature-r _e Print or Type Name Mailing Addres§ 29!k5 'bx�,am. )J6 27�a7 �i<y/steta & 7 Telephone Number/Email Address I I l2o Za Date (Revised Aug. 2014) J 1M5QYl Pi�� eA1 1, S?fa rCf� Qlit�t4i I'�.uW CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM tAO-O— Us" TA.-� 1 A TJ A\ !'7 A IU tJ Name of Property Owner: T } i A M AQ Q/C /S,4L C Address of Property: -i>,,`rA VE- n r sr.me a cr.,mr — Q—d. CiN & Countvl Agent's Name#:I Tim Jackson timralsignature-properties.com Agent's phone #i 951 S. McPherson Ch RD 101 Fayetteville NC 28303 910-309-2983 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 /s being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at httol/www.nccoastaimanagementnet/web/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by CertNled Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. (P!?p!Mt0vjmr Information) (Riparian Property Owner Information) Si��rrrrature � a�- IAi.11•� ,'� N +a r] t1Ci,C-UftJ i Mip.n1A o�E2�t�Sr �L Print or Type Name 2oS '%S2.►ar2ora 2J Mailing ddress CAu,a , 899 city/8tatelLip Telephone Number/Email Address _ / /2/ &D Date II Signature S t fh4'1'60'D 0�>W �l`lNG�o/J �lJ DA Print or Type Name Z. LPUS�r_wa`- Mailing Address c�c,,A" Owstatemp Telephone Number/Email Address (Revised Aug. 2014) 2/13/2020 Mail - Brock, Brendan O - Outlook [external] USPS.com(r) - USPS Tracking(r) Results Tim Jackson <tim@signature-properties.com> Thu 2/13/2020 1.30 PM To: Brock, Brendan O <brendan.brock@ncdenr.gov> Cc: Goebel, Christine A <Christine.Goebel@NCDENR.GOV> CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to report.Spam@nc.gov<mailto:report.spam@nc.gov> 1:291 i tools.usps.com •11" LT =0 Track Another Package + Tracking Number: Remove X 70191120000191825335 Your item was delivered to the front desk, reception area, or mail room at 2:41 pm on February 7, 2020 in OCEAN ISLE BEACH, NC 28469. OV Delivered February 7. 2020 at 2:41 DM https://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yy1 hNzQ4LThiOWM2NWZhNjc5YwAQAKUdz275mphNjkKLSLsTsJO... 1/2 7019 1120 0001 9182 5335 2/13/2020 Mail - Brock, Brendan O - Outlook Re: [External] Fwd: USPS.com8 - USPS Tracking(k Results Tim Jackson <tim@signature-properties.com> Thu 2/13/2020 3:57 PM To: Goebel, Christine A <Christine.Goebel@NCDENR.GOV> Cc: MacPherson, Tara <tara.macpherson@ncdenr.gov>; Brock, Brendan O <brendan.brock@ncdenr.gov> CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to report.spam@nc.gov I did talk to assistant and she handed forms off to Williamson Sent from my iPhone Tim Jackson 910-309-2983 On Feb 13, 2020, at 2:19 PM, Goebel, Christine A <Christine.Goebel@ncdenr.gov> wrote: Tim- were you able to talk to Williamson's assistant as you planned to try? Christy Get Outlook for iOS From: Tim Jackson <tim@signature-properties.com> Sent: Thursday, February 13, 2020 2:02:30 PM To: Goebel, Christine A <Christine.Goebel@NCDENR.GOV> Subject: [External] Fwd: USPS.com® - USPS Tracking® Results CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to report.spam@nc.gov Sent from my iPhone Tim Jackson 910-309-2983 Begin forwarded message: From: Tim Jackson <tim@signature-properties.com> Date: February 13, 2020 at 1:30:16 PM EST To: Brendan Brock <brendan.brock@ncdenr.gov> Cc: Christine A Goebel <Christine.Goebel@ncdenr.gov> Subject: USPS.com0 - USPS Tracking® Results https://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAlyzgOpBP%2FFBrMbek4f2R... 1/2 D—Sign Envelope ID30C1CA513-E881 4736-B014-DDF30672E6E4 NC DIVISION OF COASTAL (MANAGEMENT SANDBAG REMOVAL NOTICE 1 Tatian McCuen gndemtand that sandbags are temporary erosion control structures that may remain in place for up to eight years after the date of approval if it is protecting a building and an associated septic system, a bridge or a road. The property owner shall be responsible for removal of any portion of the temporary erosion control st wture exposed above grade within 30 days of the and of the allowable time period. Any portion of the temporary arosion control structure that becomes exposed above grade after the expiration of the permitted time period shall be removed by the property owner within 30 days of offlolal notification from the Division of Coastal Management. in this case the sandbag alignment may remain in place up to:L Permit No.—� (1(;9 4O Address of the Structure Being Protected: LoPlat 84/81 Sunset Beach 28468 Property Owner: _ Tatiana McCuen _ fFlrm, Cuq oration or lodividuel) if the property is owned by a Firm or Corporation give the name of the officer or authorized representative: Tatiana McCuen na.sq..a ey: PrhA Naua: Intro If an agent is obtaining the permit on your behalf the following section mast be completed in full: Tatiana McCuen , give parmission to, Tim Jackson Prat or]ner w Onim Name Print Agaat Name to -A as my/our agent in obtaining a CAMA general Permit to place sandbags on the property noted oo.va "°"0F810E°'a' Tim Jackson Otrmror0meerSIP— PdntAgontlJame _.__- February 12, 2020 To whom It May `bncerm I hereby authorize Tim Jackson to sign on my behalf for any work pertaining to the Sunset. Beach Palm Cove Sandbag project and associated projects of such. Bob W Harrelson Witness ` " Date Re -Ned D�tc DP,,Itd Ch-k Fran N— Name of Pwmk Holder V—da Ch-k Nantw MOO wnotnt Parmh N=bw/Comm.nb R-4pf or RMund'R�U atod cW-1 Cawnn3 Caumn3 Column) Columns Column[ Col 7 Column! column9 2/17/2020 Palm Cove Owners Association, Inc. Palm Cove Holdings, LLC First Citizens Bank 1014 $ 400.00 GP #762020 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 _ Cove Owners Association, Inc. Longleaf Pines, LLC First Citizens Bank 1016 $ 400.00 GP #76205D BB rct. 8821 2/17/2020 Zrn _ Palm Cove Owners Association, Inc. Jill Marie Ronnion Rev. Trust First Citizens Bank 1017 $ 400.00 GP #76206D BB_ rct. 8822 2/17/20201 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 211712020 Palm Cove Owners Association, Inc. Finley Efard, LLC First Citizens Bank 1020 $ 400.00 GP #76208D BB_ rct. 8825 211712020 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 19-0461121- $ 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 Construct Dorah Kalner Coastal Bank and Trust 2736 $ 200,00 GP #74878D JD rct 10965 2117/2020 lCharles & Christine Boise Chaebrlie Boise The Fau uier Bank 26351$ 200.00 GP #76214D JD rct. 10964