HomeMy WebLinkAbout74893D - Holland--. ,TCAMA / '- DREDGE & FILL No. 74893 A B c
E N1E RAL PERMIT Previous permit #
New -Modification ❑Complete Reissue ElPartial Reissue Date previous permit issued
As auth rized 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 20
\\ Rules attached.
Applicant Name Project Location: County J ✓ J
Address A U \ , c, 4-1 IJ I- I I u n r1 cA . Street Address/ State Road/ Lot #(s)
City �; R \ sr ,State 0L ZIP
Phone # ( ) E-Mail M 9 -. S Subdivision
Authorized Agent `j �cr� S �. h �_ City j c'\ ,. _ �, c ZIP
❑ CW ❑y,EW
IWPTA ❑ ES
❑ PTS
Affected
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA
❑ N/A
❑ PWS:
ORW: yes / nq PNA
yes /r,ne
Type of Project/ Activity
DO
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse oatlift
Beach Bul
Other
Shoreline Length !17770
SAV: not sure yes
Phone #
River Basin L 6e, --
Adj. Wtr. Body 0 6, � Gi t (nat 429tnkn)
Closest Maj. Wtr. Body A � W
(Scale: N �S
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit mirlzl e4M y: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) `
Notes/ Special Conditions � a� \ , �.—� V I v X C,r r- X,P � � • . ��
Agent or Applicant Printed N
Signs a ** Please read compliance statement on back of permit **
0,
2" q ?
Applic on Fee(s) Check #
Name
v - L
Issuing Date Expi I'aii0i Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: TV%c)MRs F • t-%-LhQ o , SQ -
Mailing Address: it) 17S Rn _
Z7SX
Phone Number: 919 - (0 1 7
Email Address: icrn C w6, Fix irbr�, . Cor'1
I certify that I have authorized 14 - S
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 'Rc,e, r L i FT— 1 �11�
j 6-Dl ACZ"fa -ti r77' 'RP?A p �Q--tAO-4-nykl
at my property located at 1 ZZ Srit"Fci=x) c 0OLW P; i3eflc
in �b ok,5wcc i<- County-
! 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:
ignature
7/,hcrn,95 ,C C. ��oC�A,�'Q 0 0.
Print or Type Name
C wNFrZ
Title
Date
This certification is valid through C/ ! // 100Z-)
20'l6 7-
%- p-ay•�a M �o� �."'.�.
ADJA-."','ENT RIPARMNIPROPER72Y OWNERWIFIFICAMMIWAIVER FWM
.+ ve m-i7�i'�cj CW�iz T:.
nwedmf cefbN(�1/' d Ii9n, .i=.1'.afit�4 �C,Ri-'a1ii� s5J ,.� CbGIC'G [.w�<'1 q7 +IG✓�i /�'V+LiG7�t' Trh? i�7aLl��ai4S'G`�
GL(�!'�4ji `t�'2i b �c s p r �3 e.: !•r ' w1J�u' ib� a m f{�Sra 28 +ghM�' i�i or, the rmcW a f��r�at iigfi i�. i�1m S i� t
they w,a PrO rng..L.:��.+, ��f � d'vS�'. ! rin h ngion. �"��2 `may sr�+a •J�Zt!i�"� 9i�a i. st i2� �:t�:.
J" ectioni 10 z 3�.; r-3p 3s? .
#f you Moe 00jeew" 3o **at fr g pry mu Mee nafty we DN n of ODOW: mess
?�"i 'T'�F�h �y'jyj�. •€ai �yw n'P �.y �{�*in ^ aa+!psr,}Fn:a s ► ?€,K
W 3 _ Y.{�ffV4,� i 'tr 'K �y ai J "al �-ii �1� w- ✓�:M�r `✓a7-.'G.aa.if .�/`F-.sti -
Nb tLpons* fs conddwyd -;ft &me or, " obwan if XE #tam bow rolfose Cad
a uir, C?4-c r_ =.;. a?.y 04n ,. --toe. ?W its`+ .-rfi
�y c a �lmum dWar'ca of ! 'Yom, rmy a_+a of Aplan a � s urifts veld t�ynmw--. flf
RC�i'� �!':ti�.=. %v'.�' �i^l.•:� *i�� e±�w� i� _�:e'OPtta?�`Ji-:�`s��e?e� .�i ,.,.4,j.E0.� �'iDi.'?;t��Y'�.t
�v do wish to waive ft 15 setback ,re*ce?mtY.
Date
a
ax h r 5u
' crry N. 7 sf E r dr-`-v w
Vh
CER T iFIED MA L Rc #BURN R&C.EiP T REQ!' -ES : ED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: ( k"V-10L. 4JOt � u�
Address of 'r"1-operiy:
(Lot or Street #, Street or Road. City & County)
Agent's name : (' a Co��tm h,tM Mailing Address: l 8 a n,
Agent's phone a-:3- act L, I, 4-2 C J-�A (o
I hereby ceniiv that i own ,oroperh,, ad;areent to the above referenced orooe tv. The individual
a pjyin gfifS �\iaS describ ,d to me as shown co the attached dra'Aing_%i{e development
they are posing. A description or drawing, with dimensions, must be provided with this letter.
I have rto 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
Dy},d', i� ..,4ira� SryF4!?if� 1a} j��,rS �f d.°rr �c ¢ ��?7S P :r.o -Vxv -.r5 ;f,s nmr?�n� # r 1%�'� es
availableatiTtio,/iv.-wv, nccoastaimanaaem.?r t.neihveaicrri/wa,r-iistinaorhycallinal-868-4RCOAS-1
No response is considered the same as no objection ifyou have been noted br Certrfied !Nail.
WAIVER SECTION
urroe<CtarEfl ui i a pier, aocic moan-€ q p;ihngs, Boat ramp, breakwater, boathouse, or 6rt mu` C
be set back a minimum distance of 15' from my area of riparian access unless waiver; by me. (if
Y01.1 Wish ff' _.. -.V a �y e sett c!� y`,f ,..rT�'s?Jt !i`?fA:i?� ;ia
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' satback requirement.
(Property Owner tr.4ormatons
Signature
-n -L-,a,ti
Print or Type Nance
Z G IS v' U /YfW4�n) zQ
^' „ ,-�1Vrr Add, ess
9/q -6 9 T -076 G
Telephone Number / Email Af'ress
Date T --
(',�Fp�To erty° Owner !rA,f -'
I:tIIUre
eS
Prirrt or Ty lame
C16ut;��
ciy/�a��z�p
Telephone iYumber/E .mail Address
11142o,o
Date
('Revised Aug. 2GT4)
PROJECT:
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1
1
1122 SANFORD ST., HB
I
1
1
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I
1
1
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I
I HOLLAND
122 SANFORD ST. Not to scale
,—,
Date R-4ved
Date Depo~
Chck From Name
Nam. & P—It Naldar
Vendv
Check N—b.
Chxk
amount
PYrmlt Numher/Commanb
Re or RMundQ7w11ocated
Cokunnl
Cof-2
Calu-3
Cdumnl
Co/umn3
Column!
Column?
Column!
Column➢
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
2/17/2026
Palm Cove Owners Association, Inc.
Jill Marie Ronnion Rev. Trust First Citizens Bank
1017
$ 400.06
GP #76206D
BB rct. 8822
2/17/2020
Palm Cove Owners Association, Inc.
Howard Beach House_ LLC First Citizens Bank
1018
$ 406.60
GP #76207D
BB rat. 8823
2/17/2020
Palm Cove Owners Association, Inc.
Donna Conner First Citizens Bank
1019
$ 400.60_
GP #76204D
BB rct. 8824
2/17/2020
Palm Cove Owners Association, Inc.
Finley Efard, LLC First Citizens Bank
1020
$ 400.00
GP #76208D
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.
Tabana McCuen First Citizens Bank
1022
$ 400.00
GP #7621OD
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 #748930
BB rct 11455
2/17/2020
Jerry Ennett cto Ennetl Marine Constructio
Deborah Kalner Coastal Bank and Trust
2736
$ 200.00
GP #74878D
JD rct 10965
2/17/2020
Charles & Christine Boise
Charlie Boise The Fau uier Bank
2635
200.00
GP #76214D
JD rct. 10964