HomeMy WebLinkAbout74849D - GlenmarkCAMA / ❑ DREDGE & FILL NO. 74849 A B C CD
ENERAL PERMIT Previous permit #
New ❑ Modification ❑Complete Reissue ❑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
❑ Rules attached.
Applicant Name A v c L C Project Location: County Be -'Aso. (Jc—
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Address (-) R Lr, ll 0 . Street Address/ State Road/ Lot #(s) 1
City r-
State_C ZIP �-Sl
AV/ N '.'r
Phone # ) 2 (
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'Et Mail mG�" k • W1io4<AP S�AfrKAJSubdivision
Authorized Agent
t 11 — ho,.. a S
•C O M
City U all, S (t
t c. C ZIP 2 Ell 6
Affected ❑ Cw
PNEW A PTA ❑ ES ❑ PTS
Phone # ( )
River Basin
AEC(s): ❑ OEA
HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
a(nat /unkn)
PWS:
Elf�
ORW: yes /
PNA yes /
Closest Maj. Wtr. Body
A
� W ,-J
-
j
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) V l O'
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
14 CA.. A ^ r 11AU -
Basin, channel
cubic yards ■■■MM■■■■■■■■■I■■■■■■E■■ j■ ■■■■E■■■■■■E■ NONE
Boat ramp ■■■■■E■■■■■■■■E■■■■■pNE■
■E■■■■■E■■■■■E■■�M- Boathouse/ Boatlift a■
1each Bulldozing
!61
Other
� I
Shoreline Length U
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes no
f.
(Scale: )NJ rt S )
A building permit may be required by: lam- ^ 1 SIt V A, AC- ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)n
Notes/ Special Conditions t.C,- (X—
f2� :DCxk,,,, -r..r,(i�_L-%0 rah- enCrc,•,cL. .�.�iJ jS f S� ecr-
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Agerk or Applicant Printed Name
9LV 2�7-6C
Signa r� a .* I ase read compliance statement on back of permit
60 �0Q-)
Ap anon Fee(s) Check #
Signatu
Issuing
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Expiration Date
1/6/2020 Mail - Brock, Brendan O - Outlook
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number: / 3
Email Address:
1 certify that I have authorized iZlra 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: ✓i' e---
at my property located at 9/ �! V�
in a tkhci'464 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 inkw mation related to this
permit application.
Property Owrw kdormetloe:
/ Signature
Print or Type Name
Tithe
1�1 30 11�
Date
This certification is valid through I ✓?f 1 2-t]
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1 /6/2020
Mail - Brock. Brendan O - Outlook
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Ar r e Addresscsl to:
2q'73Z- 77yy
I ❑ Agent
x fit' ....n Aedregsne
[3, 614%,cd by (Pvaled Name) I C. Dale Qf Delivery
D. is LkAvery address d.fterent from itam 1? ❑ Yee
tf YES, enter de eery adoress below: (3 No
Iilllllllllllllllllllilii�llllllllllllillll 0SWADe UtMW Me O t'ispielaeMom17 A&A 99nah ft RoWcted Ds ery D =;ad Mai Ro *WW
9590 9402 4152 8092 8836 46 D c rtEW &a" Oivwy
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7018 0680 0000 7026 6137 r>werc+a+nos:,y
P5 Form 3811, July 2015 PSN 7530.02-000-9C53 Domestic Retum Rece,pt
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space pertrtlts.
1. ArticloAddressedto:
�`�i3 5u••„7 Gi c�� lam/
❑ Agent
0 Addre_ .
8. Rene' (Pn'nfedof U live
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D. is delivery address different hwn hem 17 yes
If YES, ender delvery address bNow: ❑ No
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9590 9402 4152 8092 8836 53
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❑ Retue Reoept fo,
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7018 0680 0000 7026 6113 aDerrery
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PS Form 3811, July 2015 PSN 7530-02-UDD-9059
Domestic Return Rocmpt
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Date Recahred
Dete lied
Chant Rom—
orPomR Hokkr
VaMor
Check Numhei
Check
ount
Pamft NumhanC—ts
Recel t or ReN d/Ree/located
Cofumnl
Corumn2
C kNmr3
Cak—w
Culatm5
C.1-6
7
C14-8
Cu4umn9
1/17/2020
Wa e's Bacldwe Service Inc.
Sweetwater Investments/WayneS
_
First Bank __ _
BB&T
CresCom Bank
resCom Bank
CresCom Bank
3362
$ 200.00
GP 074852D _
GP •74848D -
Trt18e rct. 10876
BB rcL 8805
-
BB rct 8802
BB rot 8802
BB rct 81i01
1/17/2020
1/17/2020
1/17/2020
_
Grice Construction
Christo her Smollen
13512
$ 200.00
Maritime Coastal Construction LLC 1 of 2„ Stephanie Boyd
Maritime Coastal Construction LLC (2 of 2' Stephanie Boyd
Maritime Coastal Construction LLC Glenmark Investments LLC
3084
$ 200.00
GP #74851D
_
3056
$ 400.00
GP #74851D
1/17/2020
3063
200.00
GP t74849D