HomeMy WebLinkAbout76120D - EquityC CAMA / ;DREDGE & FILL NO. 76120 A B C
GENERAL PERMIT Previous permit #
NNew ❑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 n, { ' �Q U� -4 Z�U
-7 (, ❑ Rules attached.
Applicant NameG v ! / V S'f C'1� K�' ��1 Project Location: County �� N dC
Address '��` 0 ✓� C{r. WS Street Address/ State Road/ Lot #(s)
City ", L t--t- gg l State /J t �. ZIP Z 'y� f 3 i Vq I � " ,
Phone #-M _-773 -1-1 � E-Mail
Authorized Agent 1-c— L o NS
Affected ❑ Cw &LEW ' PTA PCES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes t no; PNA <7 / no
Type of Project/ Activity ��7 A�� �% O qT 1
Pier (dock) length
Fixed Platform(s),
Floating Platform(s)\.
Finger pier(s)
Groin length
number
Buhead/ lkprap length
avg distance offshore
max distance offshore ~
Basin, channel \
cubic yards
Boat ramp
Boathous t i _ 2
Beach Bulldozing-_p
Other r !-/
i
407
Shoreline Length -
SAV: not sure yes / no.
Moratorium: n/a yes o 17 —
Photos: yes
Waiver Attached: / es --
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
5
Signature ** PI9we read compliance statement on back of rmit **
// 7l
Application Fee(s) Check #
Subdivision
City 4 ""t-K ZIP
Phone # ( River Basin i/V O
Adj. Wtr. Body ✓�� ItU4FVA,, C &f (.at /�)
Closest Maj. Wtr. Body T►ip"Ia' S 0tAl Y1
(Scale: = Z U )
L
❑ See note on back regarding River Basin rules.
Perms fficer's Printed Name
4
Sig re
3.�•Zo 7,6•Z0
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 167 F:71��►s M��-,.�e. ,2�
Phone Number:
Email Address:
I certify that I have authorizeglrT e.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: _ +t -1��-
at my property located at `�,.,� �,.` j,"
in County.
I furthermore certify that / 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
D,4n trlL-
Title
/ o
Date
This certification is valid through y l / I Z�Za
RECENED
M NR 0 4 220
OCM W ISM►NGTCN' NC
Malard Day Ganal 50' Wide
=_2 Mallard Bay Drive
Randell Mosley f
I
I
MAR 0 4 'rj20
PCM WILMINGTON, NC
766o L6 I:fi
IL1►►Z
=�Bu1_khead
E3 Mallard Bay Drive
Equity Trust
Robert Green
New Bulkhead and boat lift
55 Mallard Or
Hampstead, NG
F4 MaNard Bay Dr
Ken 5es3ions
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to y _ _7(2uz_f- -t tob u, , ec , 's
property located at
ame of Property Owner)
;. V,�...
(Address, L t, Block, Roa c.
on ;� in t ^
(W�body) N.C.
(City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati)Qn.
�''�`1%� — I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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_)
1L I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
S' uture S ure
Print or Type Name - Print or Type Name
Mailing Address Mailing Address
City/State/Zip City/StatelZip
Telephone Number/email address Telephone Number/email address
_ 1 /te/ l
Date _
Date
'Valid for one calendar year after signature* MAR Q 4 2020 (Revised Aug. 2014)
DCM WILMINGTON, NC
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �Q �L��.�c�ts
� (Name of Property Owner)
property located at ��_ �, � .l �y -Y� �r; v�
on A` -� (Address, t, Block, R a C.
!' 4,ar'ri � C ��c, inalf N.C.
(Waterbody) T (City/T wn and/or County
The applicant has described to me, as shown below, the development proposed at the above
location.
-f f S . I have no objection to this proposal.
I have objections to this proposal.
utbcK1FT10N AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
&rlj� -&-e At W .
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
(Pr . Owner I formation)
(Adjacent Property Owner Information)
Si atufe
ll"'PX
Signature
`' isK'rrrl
Print or Type Name
_r'1ZrcLSES.Si2.lS
Print or TypeC Name
r
MarAddress
11
Mat' ng Address n
City/state/Lp
'13
CityAtat /Zip
33
1l10 $Z� ( i
Telephone Number/email address
Telephone N mber/email address
i 2 •.
! I kio
Date
Date "
*Valid for one calendar year after signature*
RECEIVED
(Revised Aug. 2014)
04 2020
DCM WILMINGTON, NC
Dab R—h d
Dab
Chad*
Name or Perrn/t Noldw
Vendor
Check Number
Check
amount
Permit Number/Comment
R a Ra/und/Reallacatad
Cok—I
Calumnl
c4kNm2
Column4
Cdumn3
Columns
Co1umn7
Columns
Cok m o
302020
PFI Construction LLC
Adam Winstead & Diane Thomas
Navy Federal CU _
7031
$ 200.00
GP #76102D
JD rct. 10380
3OW020
Logan Marine LLC
Michael & Kathleen Lashlee
Coming Federal CU
6871
$ 200.00
GP #76253D
TMc rct. 9774
3W020
Coastal Marine Piers Bulkheads LLC
Charias E Davis
Welis Fa o
23246
$ 200.00
GP #76252D
TMc rct. 9772
&W020
Overbeck Marine Const./Daniel ShirleySea
Diamond Pier, Inc. / Mike Cox
SunTrust
5310E
200.00
GP •76294D
TMc rcL 9767
3/62020
Triton ContractingServices, LLC
Equity Trust C/o Robert Green
. Branch Ban and Trust
1134E
600.00
GP #76120D
JD ret 10381
3162020
lOverbeck Marine ConstJDanief Shirlev
Joe & Patricia Green
ISunTnjst
5312
200.00
IGP#76254D
JTMc rct. 9775