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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: 0 L w c-i 1 1 1122 SANFORD ST., HB I 1 1 i I 1 1 I 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